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
ABLTJ IRE PRST8 1+ TUM PERQ
Ord, NE
See all hospitals reporting CPT 55877 →Price type
Valley County Hospital’s median price of $650 is 94% below the median hospital's median price ($11.4k), higher than 0% of the 749 hospitals reporting CPT 55877. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 10 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 | $625 | $625 | — | — | — | $625 – $625 |
| 2 | Medica medicare advantage professional · fee schedule · both | $625 | $625 | — | — | — | $625 – $625 |
| 3 | UnitedHealthcare medicare advantage professional · fee schedule · both | $625 | $625 | — | — | — | $625 – $625 |
| 4 | Humana medicare advantage professional · fee schedule · both | $638 | $638 | — | — | — | $638 – $638 |
| 5 | WellCare medicare advantage/dual needs plan professional · fee schedule · both | $644 | $644 | — | — | — | $644 – $644 |
| 6 | Aetna medicare advantage professional · fee schedule · both | $656 | $656 | — | — | — | $656 – $656 |
| 7 | Medica individual and family business plans professional · fee schedule · both | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 8 | Bcbs Ne commercial professional · case rate · both | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 9 | Medica commercial plans/care system products professional · fee schedule · both | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 10 | MultiPlan primary/complementary ppo professional · fee schedule · both | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
Last updated: Jun 15, 2026
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