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
HFO-CUSTOM-INC FIT/ADJ
Ord, NE
See all hospitals reporting HCPCS L3913 →Price type
Valley County Hospital’s median price of $282 is 7% below the median hospital's median price ($305), higher than 28% of the 1,331 hospitals reporting HCPCS L3913. 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 | $103 | $103 | — | — | — | $103 – $103 |
| 2 | Medica medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $103 | $103 | — | — | — | $103 – $103 |
| 3 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $103 | $103 | — | — | — | $103 – $103 |
| 4 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $105 | $105 | — | — | — | $105 – $105 |
| 5 | UnitedHealthcare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $247 | $247 | — | — | — | $247 – $247 |
| 6 | Molina managed medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $265 | $265 | — | — | — | $265 – $265 |
| 7 | Molina dual eligible plan facility · percent of total billed charges · outpatientfrom % of charges | $270 | $270 | — | — | — | $270 – $270 |
| 8 | WellCare medicare advantage/dual needs plan facility · percent of total billed charges · outpatientfrom % of charges | $281 | $281 | — | — | — | $281 – $281 |
| 9 | Medica individual and family business plans facility · percent of total billed charges · inpatientfrom % of charges | $469 | $469 | — | — | — | $469 – $469 |
| 10 | Medica individual and family business plans facility · percent of total billed charges · outpatientfrom % of charges | $469 | $469 | — | — | — | $469 – $469 |
| 11 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $494 | $494 | — | — | — | $494 – $494 |
| 12 | Bcbs Ne commercial facility · percent of total billed charges · inpatientfrom % of charges | $494 | $494 | — | — | — | $494 – $494 |
| 13 | Bcbs Ne commercial facility · percent of total billed charges · outpatientfrom % of charges | $494 | $494 | — | — | — | $494 – $494 |
| 14 | Medica commercial plans/care system products facility · percent of total billed charges · inpatientfrom % of charges | $494 | $494 | — | — | — | $494 – $494 |
| 15 | Medica commercial plans/care system products facility · percent of total billed charges · outpatientfrom % of charges | $494 | $494 | — | — | — | $494 – $494 |
| 16 | MultiPlan primary/complementary ppo facility · percent of total billed charges · inpatientfrom % of charges | $505 | $505 | — | — | — | $505 – $505 |
| 17 | MultiPlan primary/complementary ppo facility · percent of total billed charges · outpatientfrom % of charges | $505 | $505 | — | — | — | $505 – $505 |
Last updated: Jun 15, 2026
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