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
SMP RPR F/E/E/N/L <2.5.0C
Ord, NE
See all hospitals reporting CPT 12011 →Price type
Valley County Hospital’s median price of $74 is 73% below the median hospital's median price ($272), higher than 3% of the 2,366 hospitals reporting CPT 12011. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 30 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 | Bcbs Ne medicare advantage professional · fee schedule · both | $48.74 | $48.74 | $48.74 – $48.74 |
| 2 | Medica medicare advantage professional · fee schedule · both | $48.74 | $48.74 | $48.74 – $48.74 |
| 3 | UnitedHealthcare medicare advantage professional · fee schedule · both | $48.74 | $48.74 | $48.74 – $48.74 |
| 4 | Humana medicare advantage professional · fee schedule · both | $49.71 | $49.71 | $49.71 – $49.71 |
| 5 | WellCare medicare advantage/dual needs plan professional · fee schedule · both | $50.20 | $50.20 | $50.20 – $50.20 |
| 6 | Aetna medicare advantage professional · fee schedule · both | $51.18 | $51.18 | $51.18 – $51.18 |
| 7 | UnitedHealthcare managed medicaid professional · fee schedule · both | $61.19 | $61.19 | $61.19 – $61.19 |
| 8 | Molina managed medicaid/chip professional · fee schedule · both | $61.79 | $61.79 | $61.79 – $61.79 |
| 9 | Molina dual eligible plan professional · fee schedule · both | $62.99 | $62.99 | $62.99 – $62.99 |
| 10 | Bcbs Ne medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $65.70 | $65.70 | $57.00 – $74.40 |
| 11 | Medica medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $65.70 | $65.70 | $57.00 – $74.40 |
| 12 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $65.70 | $65.70 | $57.00 – $74.40 |
| 13 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $67.02 | $67.02 | $58.14 – $75.89 |
| 14 | Medica individual and family business plans professional · fee schedule · both | $93.68 | $93.68 | $93.68 – $93.68 |
| 15 | Bcbs Ne commercial professional · case rate · both | $97.99 | $97.99 | $97.99 – $97.99 |
| 16 | Medica commercial plans/care system products professional · fee schedule · both | $98.66 | $98.66 | $98.66 – $98.66 |
| 17 | MultiPlan primary/complementary ppo professional · fee schedule · both | $157.43 | $157.43 | $157.43 – $157.43 |
| 18 | UnitedHealthcare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $157.68 | $157.68 | $136.80 – $178.56 |
| 19 | Molina managed medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $169.18 | $169.18 | $146.78 – $191.58 |
| 20 | Molina dual eligible plan facility · percent of total billed charges · outpatientfrom % of charges | $172.47 | $172.47 | $149.63 – $195.30 |
| 21 | WellCare medicare advantage/dual needs plan facility · percent of total billed charges · outpatientfrom % of charges | $179.33 | $179.33 | $155.58 – $203.07 |
| 22 | Medica individual and family business plans facility · percent of total billed charges · inpatientfrom % of charges | $298.94 | $298.94 | $259.35 – $338.52 |
| 23 | Medica individual and family business plans facility · percent of total billed charges · outpatientfrom % of charges | $298.94 | $298.94 | $259.35 – $338.52 |
| 24 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $315.36 | $315.36 | $273.60 – $357.12 |
| 25 | Bcbs Ne commercial facility · percent of total billed charges · inpatientfrom % of charges | $315.36 | $315.36 | $273.60 – $357.12 |
Last updated: Jun 15, 2026
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