Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
BONE GRAFT REPAIR PERIMPLANT
Omaha, NE
See all hospitals reporting HCPCS D6103 →Price type
Nebraska Medical Center’s median price of $226 is 83% below the median hospital's median price ($1.4k), higher than 13% of the 247 hospitals reporting HCPCS D6103. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 20 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield bcbs-all other plans fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | UnitedHealthcare uhc mcaid percent of total billed charges · outpatientfrom % of charges | $28 | $28 | — | — | — | $28 – $28 |
| 3 | Medica medica elevate percent of total billed charges · outpatientfrom % of charges | $58 | $58 | — | — | — | $58 – $58 |
| 4 | Medica medica comm - all other plans percent of total billed charges · outpatientfrom % of charges | $66 | $66 | — | — | — | $66 – $66 |
| 5 | Aetna aetna comm - all other plans fee schedule · outpatient | $79 | $79 | — | — | — | $79 – $79 |
| 6 | Aetna aetna mcr adv other · outpatient | $110 | $110 | — | — | — | $110 – $110 |
| 7 | Blue Cross Blue Shield bcbs mcr adv other · outpatient | $110 | $110 | — | — | — | $110 – $110 |
| 8 | Humana humana mcr adv - all plans other · outpatient | $110 | $110 | — | — | — | $110 – $110 |
| 9 | Medica medica mcr adv other · outpatient | $110 | $110 | — | — | — | $110 – $110 |
| 10 | UnitedHealthcare uhc mcr adv other · outpatient | $110 | $110 | — | — | — | $110 – $110 |
| 11 | Molina molina mcr adv other · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 12 | Medica medica comm - all other plans fee schedule · outpatient | $169 | $169 | — | — | — | $169 – $169 |
| 13 | Medica medica elevate fee schedule · outpatient | $169 | $169 | — | — | — | $169 – $169 |
| 14 | Molina molina mcr adv percent of total billed charges · outpatientfrom % of charges | $333 | $333 | — | — | — | $333 – $333 |
| 15 | Blue Cross Blue Shield bcbs mcr adv percent of total billed charges · outpatientfrom % of charges | $370 | $370 | — | — | — | $370 – $370 |
| 16 | Blue Cross Blue Shield bcbs-all other plans percent of total billed charges · outpatientfrom % of charges | $370 | $370 | — | — | — | $370 – $370 |
| 17 | UnitedHealthcare uhc all payer - all other plans fee schedule · outpatient | $412 | $412 | — | — | — | $412 – $412 |
| 18 | UnitedHealthcare uhc mcaid fee schedule · outpatient | $740 | $740 | — | — | — | $740 – $740 |
| 19 | Medica medica mcaid fee schedule · outpatient | $1.2k | $1.2k | $445 | 38% | — | $740 – $1.6k |
| 20 | Molina molina mcaid - all other plans fee schedule · outpatient | $1.2k | $1.2k | $451 | 37% | — | $762 – $1.7k |
Last updated: Aug 10, 2026
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