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
INT RPR N/H/HXTRNL 2.6-7.
Ord, NE
See all hospitals reporting CPT 12042 →Price type
Valley County Hospital’s median price of $302 is 41% below the median hospital's median price ($507), higher than 11% of the 2,461 hospitals reporting CPT 12042. 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, 29 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 | UnitedHealthcare managed medicaid professional · fee schedule · both | $102 | $102 | — | — | — | $102 – $102 |
| 2 | Molina managed medicaid/chip professional · fee schedule · both | $103 | $103 | — | — | — | $103 – $103 |
| 3 | Molina dual eligible plan professional · fee schedule · both | $105 | $105 | — | — | — | $105 – $105 |
| 4 | Bcbs Ne medicare advantage professional · fee schedule · both | $157 | $157 | — | — | — | $157 – $157 |
| 5 | Medica medicare advantage professional · fee schedule · both | $157 | $157 | — | — | — | $157 – $157 |
| 6 | UnitedHealthcare medicare advantage professional · fee schedule · both | $157 | $157 | — | — | — | $157 – $157 |
| 7 | Bcbs Ne medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $159 | $159 | — | — | — | $159 – $159 |
| 8 | Medica medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $159 | $159 | — | — | — | $159 – $159 |
| 9 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $159 | $159 | — | — | — | $159 – $159 |
| 10 | Humana medicare advantage professional · fee schedule · both | $160 | $160 | — | — | — | $160 – $160 |
| 11 | WellCare medicare advantage/dual needs plan professional · fee schedule · both | $162 | $162 | — | — | — | $162 – $162 |
| 12 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $162 | $162 | — | — | — | $162 – $162 |
| 13 | Aetna medicare advantage professional · fee schedule · both | $165 | $165 | — | — | — | $165 – $165 |
| 14 | Medica individual and family business plans professional · fee schedule · both | $302 | $302 | — | — | — | $302 – $302 |
| 15 | Bcbs Ne commercial professional · case rate · both | $315 | $315 | — | — | — | $315 – $315 |
| 16 | Medica commercial plans/care system products professional · fee schedule · both | $318 | $318 | — | — | — | $318 – $318 |
| 17 | UnitedHealthcare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $381 | $381 | — | — | — | $381 – $381 |
| 18 | Molina managed medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $408 | $408 | — | — | — | $408 – $408 |
| 19 | Molina dual eligible plan facility · percent of total billed charges · outpatientfrom % of charges | $416 | $416 | — | — | — | $416 – $416 |
| 20 | WellCare medicare advantage/dual needs plan facility · percent of total billed charges · outpatientfrom % of charges | $433 | $433 | — | — | — | $433 – $433 |
| 21 | MultiPlan primary/complementary ppo professional · fee schedule · both | $507 | $507 | — | — | — | $507 – $507 |
| 22 | Medica individual and family business plans facility · percent of total billed charges · inpatientfrom % of charges | $722 | $722 | — | — | — | $722 – $722 |
| 23 | Medica individual and family business plans facility · percent of total billed charges · outpatientfrom % of charges | $722 | $722 | — | — | — | $722 – $722 |
| 24 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $761 | $761 | — | — | — | $761 – $761 |
| 25 | Bcbs Ne commercial facility · percent of total billed charges · inpatientfrom % of charges | $761 | $761 | — | — | — | $761 – $761 |
Last updated: Jun 15, 2026
See Intermediate wound repair of neck, hands, feet or genitals, 2.6-7.5 cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.