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
SO-CUSTOM-INC FIT/ADJ
Ord, NE
See all hospitals reporting HCPCS L3671 →Price type
Valley County Hospital’s median price of $507 is 50% below the median hospital's median price ($1.0k), higher than 6% of the 991 hospitals reporting HCPCS L3671. 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Bcbs Ne medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $185 | $185 | — | — | — | $185 – $185 |
| 2 | Medica medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $185 | $185 | — | — | — | $185 – $185 |
| 3 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $185 | $185 | — | — | — | $185 – $185 |
| 4 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $189 | $189 | — | — | — | $189 – $189 |
| 5 | UnitedHealthcare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $444 | $444 | — | — | — | $444 – $444 |
| 6 | Molina managed medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $476 | $476 | — | — | — | $476 – $476 |
| 7 | Molina dual eligible plan facility · percent of total billed charges · outpatientfrom % of charges | $486 | $486 | — | — | — | $486 – $486 |
| 8 | WellCare medicare advantage/dual needs plan facility · percent of total billed charges · outpatientfrom % of charges | $505 | $505 | — | — | — | $505 – $505 |
| 9 | Medica individual and family business plans facility · percent of total billed charges · inpatientfrom % of charges | $842 | $842 | — | — | — | $842 – $842 |
| 10 | Medica individual and family business plans facility · percent of total billed charges · outpatientfrom % of charges | $842 | $842 | — | — | — | $842 – $842 |
| 11 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $888 | $888 | — | — | — | $888 – $888 |
| 12 | Bcbs Ne commercial facility · percent of total billed charges · inpatientfrom % of charges | $888 | $888 | — | — | — | $888 – $888 |
| 13 | Bcbs Ne commercial facility · percent of total billed charges · outpatientfrom % of charges | $888 | $888 | — | — | — | $888 – $888 |
| 14 | Medica commercial plans/care system products facility · percent of total billed charges · inpatientfrom % of charges | $888 | $888 | — | — | — | $888 – $888 |
| 15 | Medica commercial plans/care system products facility · percent of total billed charges · outpatientfrom % of charges | $888 | $888 | — | — | — | $888 – $888 |
| 16 | MultiPlan primary/complementary ppo facility · percent of total billed charges · inpatientfrom % of charges | $907 | $907 | — | — | — | $907 – $907 |
| 17 | MultiPlan primary/complementary ppo facility · percent of total billed charges · outpatientfrom % of charges | $907 | $907 | — | — | — | $907 – $907 |
Last updated: Jun 15, 2026
See Custom-made shoulder brace without joints pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.