Prostate needle biopsy pathology exam at Valley County Hospital

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.

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Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

SURGICAL PATHOLOGY GROSS&

Ord, NE

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Pricing by billing methodology

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How this price compares nationally

Valley County Hospital’s median price of $270 is 33% below the median hospital's median price ($403), higher than 11% of the 1,851 hospitals reporting HCPCS G0416. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS G0416 at Valley County Hospital

Negotiated rates from the hospital’s own file: 8 payers, 27 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 facility · percent of total billed charges · outpatientfrom % of charges	$103	$103	$47	46%	—	$56 – $151
2	Medica medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$103	$103	$47	46%	—	$56 – $151
3	UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$103	$103	$47	46%	—	$56 – $151
4	Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$105	$105	$48	46%	—	$57 – $154
5	Bcbs Ne medicare advantage professional · fee schedule · both	$174	$224	$79	35%	—	$162 – $336
6	Medica medicare advantage professional · fee schedule · both	$174	$224	$79	35%	—	$162 – $336
7	UnitedHealthcare medicare advantage professional · fee schedule · both	$174	$224	$79	35%	—	$162 – $336
8	Humana medicare advantage professional · fee schedule · both	$177	$229	$81	35%	—	$166 – $343
9	WellCare medicare advantage/dual needs plan professional · fee schedule · both	$179	$231	$82	35%	—	$167 – $346
10	Aetna medicare advantage professional · fee schedule · both	$183	$235	$83	35%	—	$171 – $353
11	UnitedHealthcare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$248	$248	$113	46%	—	$135 – $361
12	Molina managed medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges	$266	$266	$122	46%	—	$145 – $388
13	Molina dual eligible plan facility · percent of total billed charges · outpatientfrom % of charges	$271	$271	$124	46%	—	$148 – $395
14	WellCare medicare advantage/dual needs plan facility · percent of total billed charges · outpatientfrom % of charges	$282	$282	$129	46%	—	$153 – $411
15	Medica individual and family business plans professional · fee schedule · both	$334	$431	$153	35%	—	$312 – $646
16	Bcbs Ne commercial professional · case rate · both	$350	$451	$160	35%	—	$326 – $676
17	Medica commercial plans/care system products professional · fee schedule · both	$352	$454	$161	35%	—	$329 – $681
18	Medica individual and family business plans facility · percent of total billed charges · inpatientfrom % of charges	$470	$470	$215	46%	—	$256 – $685
19	Medica individual and family business plans facility · percent of total billed charges · outpatientfrom % of charges	$470	$470	$215	46%	—	$256 – $685
20	Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$496	$496	$227	46%	—	$270 – $723
21	Bcbs Ne commercial facility · percent of total billed charges · inpatientfrom % of charges	$496	$496	$227	46%	—	$270 – $723
22	Bcbs Ne commercial facility · percent of total billed charges · outpatientfrom % of charges	$496	$496	$227	46%	—	$270 – $723
23	Medica commercial plans/care system products facility · percent of total billed charges · inpatientfrom % of charges	$496	$496	$227	46%	—	$270 – $723
24	Medica commercial plans/care system products facility · percent of total billed charges · outpatientfrom % of charges	$496	$496	$227	46%	—	$270 – $723
25	MultiPlan primary/complementary ppo facility · percent of total billed charges · inpatientfrom % of charges	$507	$507	$231	46%	—	$275 – $738

Page 1 of 2 · 27 rates

Last updated: Jun 15, 2026

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