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
ACETAMINOPHEN 1 GM / 100 ML IV BAG
Ord, NE
See all hospitals reporting HCPCS J0131 →Price type
Valley County Hospital’s median price of $38 is 1749% above the median hospital's median price ($2), higher than 73% of the 1,916 hospitals reporting HCPCS J0131. 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, 17 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 | $14.00 | $14.00 | $14.00 – $14.00 |
| 2 | Medica medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $14.00 | $14.00 | $14.00 – $14.00 |
| 3 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $14.00 | $14.00 | $14.00 – $14.00 |
| 4 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $14.28 | $14.28 | $14.28 – $14.28 |
| 5 | UnitedHealthcare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $33.60 | $33.60 | $33.60 – $33.60 |
| 6 | Molina managed medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $36.05 | $36.05 | $36.05 – $36.05 |
| 7 | Molina dual eligible plan facility · percent of total billed charges · outpatientfrom % of charges | $36.75 | $36.75 | $36.75 – $36.75 |
| 8 | WellCare medicare advantage/dual needs plan facility · percent of total billed charges · outpatientfrom % of charges | $38.21 | $38.21 | $38.21 – $38.21 |
| 9 | Medica individual and family business plans facility · percent of total billed charges · inpatientfrom % of charges | $63.70 | $63.70 | $63.70 – $63.70 |
| 10 | Medica individual and family business plans facility · percent of total billed charges · outpatientfrom % of charges | $63.70 | $63.70 | $63.70 – $63.70 |
| 11 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $67.20 | $67.20 | $67.20 – $67.20 |
| 12 | Bcbs Ne commercial facility · percent of total billed charges · inpatientfrom % of charges | $67.20 | $67.20 | $67.20 – $67.20 |
| 13 | Bcbs Ne commercial facility · percent of total billed charges · outpatientfrom % of charges | $67.20 | $67.20 | $67.20 – $67.20 |
| 14 | Medica commercial plans/care system products facility · percent of total billed charges · inpatientfrom % of charges | $67.20 | $67.20 | $67.20 – $67.20 |
| 15 | Medica commercial plans/care system products facility · percent of total billed charges · outpatientfrom % of charges | $67.20 | $67.20 | $67.20 – $67.20 |
| 16 | MultiPlan primary/complementary ppo facility · percent of total billed charges · inpatientfrom % of charges | $68.60 | $68.60 | $68.60 – $68.60 |
| 17 | MultiPlan primary/complementary ppo facility · percent of total billed charges · outpatientfrom % of charges | $68.60 | $68.60 | $68.60 – $68.60 |
Last updated: Jun 15, 2026
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