Valley County Health System
2707 L Street, Ord, NE 68862 · 114 Priced Procedures · 73% Patient Recommendation
Typical commercial prices here are 26% below the fair benchmark (0.74×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Uniform Value Leader · Low-Cost Across Departments
Valley County Health System maintains low, disciplined commercial pricing across both routine shoppable procedures (0.6× Medicare, p50 0.72× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 0.97× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 26% below peer Fair BaseRate (0.74×)
- Self-pay cash beats commercial insurance on 44% of shoppable procedures (44/100 Cash Honesty)
- CMS clinical safety score (70/100 safety score) with 73% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (31.4% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (0.74× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Captive ER (0.5×) & laboratory (0.4×) services average 1.67× higher multiples than routine shoppable care (0.6×)
- Upper-quartile procedures (Q75 0.97×) jump +35% above the median procedure ratio (Q50 0.72×)
- Unnegotiated chargemaster list prices average 7.6× Medicare (17¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Valley County Health System
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 114 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Rabies immune globulin HCPCS Code: 90375 | $3,374 | 10.5× |
| Trauma team activation HCPCS Code: G0390 | $2,610 | 1.8× |
| C-section delivery (full package) CPT Code: 59510 | $2,311 | 0.8× |
| Vaginal delivery (full package) CPT Code: 59400 | $1,996 | 0.7× |
| Blood transfusion CPT Code: 36430 | $934 | 1.9× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $833 | 0.1× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $696 | 0.2× |
| Cataract surgery with lens implant CPT Code: 66984 | $648 | 0.3× |
| Bunion correction surgery CPT Code: 28296 | $544 | 0.2× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $509 | 0.5× |
| Inguinal hernia repair CPT Code: 49505 | $455 | 0.1× |
| X-ray, pelvis CPT Code: 72170 | $302 | 2.7× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $210 | 0.5× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $205 | 0.4× |
| Colonoscopy with biopsy CPT Code: 45380 | $205 | 0.2× |
| Psychotherapy session (60 minutes) CPT Code: 90837 | $140 | 0.8× |
| Psychiatric evaluation (first visit) CPT Code: 90791 | $142 | 0.8× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $145 | 0.5× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $155 | 0.5× |
| MRI, lower back (no contrast) CPT Code: 72148 | $132 | 0.4× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $155 | 0.2× |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $107 | 0.7× |
| Screening mammogram (both breasts) CPT Code: 77067 | $88 | 0.7× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $80 | 0.6× |
| CT scan, pelvis CPT Code: 72192 | $95 | 0.6× |
Audit a Bill or Quote at Valley County Health System (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $1,177
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (31.4% of gross = $1,177).
Self-Pay Cash Rate ($3,374) Beats Your Bill
Valley County Health System's published 45 CFR § 180 self-pay cash rate is $3,374 (vs. $3,374 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $322 Fair BaseRate ($275 Medicare)
Your bill ($3,749) is $3,427 above the denoised Fair BaseRate ($322) and 13.6× the $275 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (31.4% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare (27 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Valley County Health System.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.