Low
$194
Average
$194
Median
$194
High
$194
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1 hospital rate
iThe hospitals that file a Medica rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Valley County Hospital NE 68862-1240; 400 S 23rd St Ord, NE professional · fee schedule · both | 3 | $226 | $194 | $54 | 28% | — | $117 – $238 |
← Payers reporting HCPCS Q4330 · Snapshot 20261112T181611Z-3fa9fb76