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
EXCIS UPPR JAW CYST W/REPAIR
Ord, NE
Negotiated rates from the hospital’s own file: 8 payers, 13 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 | $875 | $875 | — | — | — | $875 – $875 |
| 2 | Molina managed medicaid/chip professional · fee schedule · both | $884 | $884 | — | — | — | $884 – $884 |
| 3 | Molina dual eligible plan professional · fee schedule · both | $901 | $901 | — | — | — | $901 – $901 |
| 4 | Bcbs Ne medicare advantage professional · fee schedule · both | $946 | $946 | — | — | — | $946 – $946 |
| 5 | Medica medicare advantage professional · fee schedule · both | $946 | $946 | — | — | — | $946 – $946 |
| 6 | UnitedHealthcare medicare advantage professional · fee schedule · both | $946 | $946 | — | — | — | $946 – $946 |
| 7 | Humana medicare advantage professional · fee schedule · both | $965 | $965 | — | — | — | $965 – $965 |
| 8 | WellCare medicare advantage/dual needs plan professional · fee schedule · both | $974 | $974 | — | — | — | $974 – $974 |
| 9 | Aetna medicare advantage professional · fee schedule · both | $993 | $993 | — | — | — | $993 – $993 |
| 10 | Medica individual and family business plans professional · fee schedule · both | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 11 | Bcbs Ne commercial professional · case rate · both | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 12 | Medica commercial plans/care system products professional · fee schedule · both | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 13 | MultiPlan primary/complementary ppo professional · fee schedule · both | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |