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
THERASKIN CRYOPRESERVED S
Ord, NE
See all hospitals reporting HCPCS Q4121 →Price type
Valley County Hospital’s median price of $121 is 7% below the median hospital's median price ($130), higher than 40% of the 1,620 hospitals reporting HCPCS Q4121. 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, 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 | $35 | $35 | — | — | — | $35 – $35 |
| 2 | Medica medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $35 | $35 | — | — | — | $35 – $35 |
| 3 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $35 | $35 | — | — | — | $35 – $35 |
| 4 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $36 | $36 | — | — | — | $36 – $36 |
| 5 | UnitedHealthcare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $85 | $85 | — | — | — | $85 – $85 |
| 6 | Molina managed medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $91 | $91 | — | — | — | $91 – $91 |
| 7 | Molina dual eligible plan facility · percent of total billed charges · outpatientfrom % of charges | $93 | $93 | — | — | — | $93 – $93 |
| 8 | WellCare medicare advantage/dual needs plan facility · percent of total billed charges · outpatientfrom % of charges | $97 | $97 | — | — | — | $97 – $97 |
| 9 | Bcbs Ne medicare advantage professional · fee schedule · both | $117 | $117 | — | — | — | $117 – $117 |
| 10 | Medica medicare advantage professional · fee schedule · both | $117 | $117 | — | — | — | $117 – $117 |
| 11 | UnitedHealthcare medicare advantage professional · fee schedule · both | $117 | $117 | — | — | — | $117 – $117 |
| 12 | Humana medicare advantage professional · fee schedule · both | $120 | $120 | — | — | — | $120 – $120 |
| 13 | WellCare medicare advantage/dual needs plan professional · fee schedule · both | $121 | $121 | — | — | — | $121 – $121 |
| 14 | Aetna medicare advantage professional · fee schedule · both | $123 | $123 | — | — | — | $123 – $123 |
| 15 | Medica individual and family business plans facility · percent of total billed charges · inpatientfrom % of charges | $161 | $161 | — | — | — | $161 – $161 |
| 16 | Medica individual and family business plans facility · percent of total billed charges · outpatientfrom % of charges | $161 | $161 | — | — | — | $161 – $161 |
| 17 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $170 | $170 | — | — | — | $170 – $170 |
| 18 | Bcbs Ne commercial facility · percent of total billed charges · inpatientfrom % of charges | $170 | $170 | — | — | — | $170 – $170 |
| 19 | Bcbs Ne commercial facility · percent of total billed charges · outpatientfrom % of charges | $170 | $170 | — | — | — | $170 – $170 |
| 20 | Medica commercial plans/care system products facility · percent of total billed charges · inpatientfrom % of charges | $170 | $170 | — | — | — | $170 – $170 |
| 21 | Medica commercial plans/care system products facility · percent of total billed charges · outpatientfrom % of charges | $170 | $170 | — | — | — | $170 – $170 |
| 22 | MultiPlan primary/complementary ppo facility · percent of total billed charges · inpatientfrom % of charges | $173 | $173 | — | — | — | $173 – $173 |
| 23 | MultiPlan primary/complementary ppo facility · percent of total billed charges · outpatientfrom % of charges | $173 | $173 | — | — | — | $173 – $173 |
| 24 | Medica individual and family business plans professional · fee schedule · both | $226 | $226 | — | — | — | $226 – $226 |
| 25 | Bcbs Ne commercial professional · case rate · both | $236 | $236 | — | — | — | $236 – $236 |
Last updated: Jun 15, 2026
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