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
UA DIPSTICK AUTO W/OUT MI
Ord, NE
See all hospitals reporting CPT 81003 →Price type
Valley County Hospital’s median price of $8 is 62% above the median hospital's median price ($5), higher than 59% of the 2,610 hospitals reporting CPT 81003. 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, 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 | UnitedHealthcare managed medicaid professional · fee schedule · both | $2.30 | $2.30 | $2.30 – $2.30 |
| 2 | Molina managed medicaid/chip professional · fee schedule · both | $2.32 | $2.32 | $2.32 – $2.32 |
| 3 | Molina dual eligible plan professional · fee schedule · both | $2.36 | $2.36 | $2.36 – $2.36 |
| 4 | Bcbs Ne medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $6.50 | $6.50 | $1.60 – $11.40 |
| 5 | Medica medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $6.50 | $6.50 | $1.60 – $11.40 |
| 6 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $6.50 | $6.50 | $1.60 – $11.40 |
| 7 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $6.63 | $6.63 | $1.63 – $11.63 |
| 8 | Bcbs Ne commercial facility · fee schedule · outpatient | $8.69 | $8.69 | $8.69 – $8.69 |
| 9 | UnitedHealthcare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $15.60 | $15.60 | $3.84 – $27.36 |
| 10 | Molina managed medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $16.74 | $16.74 | $4.12 – $29.36 |
| 11 | Molina dual eligible plan facility · percent of total billed charges · outpatientfrom % of charges | $17.07 | $17.07 | $4.20 – $29.93 |
| 12 | WellCare medicare advantage/dual needs plan facility · percent of total billed charges · outpatientfrom % of charges | $17.75 | $17.75 | $4.37 – $31.12 |
| 13 | Medica individual and family business plans facility · percent of total billed charges · inpatientfrom % of charges | $29.58 | $29.58 | $7.28 – $51.87 |
| 14 | Medica individual and family business plans facility · percent of total billed charges · outpatientfrom % of charges | $29.58 | $29.58 | $7.28 – $51.87 |
| 15 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $31.20 | $31.20 | $7.68 – $54.72 |
| 16 | Bcbs Ne commercial facility · percent of total billed charges · inpatientfrom % of charges | $31.20 | $31.20 | $7.68 – $54.72 |
| 17 | Medica commercial plans/care system products facility · percent of total billed charges · inpatientfrom % of charges | $31.20 | $31.20 | $7.68 – $54.72 |
| 18 | Medica commercial plans/care system products facility · percent of total billed charges · outpatientfrom % of charges | $31.20 | $31.20 | $7.68 – $54.72 |
| 19 | MultiPlan primary/complementary ppo facility · percent of total billed charges · inpatientfrom % of charges | $31.85 | $31.85 | $7.84 – $55.86 |
| 20 | MultiPlan primary/complementary ppo facility · percent of total billed charges · outpatientfrom % of charges | $31.85 | $31.85 | $7.84 – $55.86 |
Last updated: Jun 15, 2026
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