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
WHO-CUSTOM-INC FIT/ADJ
Ord, NE
See all hospitals reporting HCPCS L3906 →Price type
Valley County Hospital’s median price of $224 is 52% below the median hospital's median price ($467), higher than 16% of the 1,408 hospitals reporting HCPCS L3906. 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 | $98 | $98 | $51 | 52% | — | $47 – $149 |
| 2 | Medica medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $98 | $98 | $51 | 52% | — | $47 – $149 |
| 3 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $98 | $98 | $51 | 52% | — | $47 – $149 |
| 4 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $100 | $100 | $52 | 52% | — | $48 – $152 |
| 5 | UnitedHealthcare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $234 | $234 | $122 | 52% | — | $112 – $357 |
| 6 | Molina managed medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $251 | $251 | $131 | 52% | — | $120 – $383 |
| 7 | Molina dual eligible plan facility · percent of total billed charges · outpatientfrom % of charges | $256 | $256 | $134 | 52% | — | $122 – $390 |
| 8 | WellCare medicare advantage/dual needs plan facility · percent of total billed charges · outpatientfrom % of charges | $266 | $266 | $139 | 52% | — | $127 – $406 |
| 9 | Medica individual and family business plans facility · percent of total billed charges · inpatientfrom % of charges | $444 | $444 | $232 | 52% | — | $212 – $676 |
| 10 | Medica individual and family business plans facility · percent of total billed charges · outpatientfrom % of charges | $444 | $444 | $232 | 52% | — | $212 – $676 |
| 11 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $468 | $468 | $245 | 52% | — | $224 – $713 |
| 12 | Bcbs Ne commercial facility · percent of total billed charges · inpatientfrom % of charges | $468 | $468 | $245 | 52% | — | $224 – $713 |
| 13 | Bcbs Ne commercial facility · percent of total billed charges · outpatientfrom % of charges | $468 | $468 | $245 | 52% | — | $224 – $713 |
| 14 | Medica commercial plans/care system products facility · percent of total billed charges · inpatientfrom % of charges | $468 | $468 | $245 | 52% | — | $224 – $713 |
| 15 | Medica commercial plans/care system products facility · percent of total billed charges · outpatientfrom % of charges | $468 | $468 | $245 | 52% | — | $224 – $713 |
| 16 | MultiPlan primary/complementary ppo facility · percent of total billed charges · inpatientfrom % of charges | $478 | $478 | $250 | 52% | — | $228 – $728 |
| 17 | MultiPlan primary/complementary ppo facility · percent of total billed charges · outpatientfrom % of charges | $478 | $478 | $250 | 52% | — | $228 – $728 |
Last updated: Jun 15, 2026
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