Ness County Hospital

All Charges

Charge

Type

Setting

Price

DISP AMBU BAG

Facility

$41.00

Hospital Charge Code	2722472
Hospital Revenue Code	272
Min. Negotiated Rate	$33.62
Max. Negotiated Rate	$39.77
Rate for Payer: Cash Price	$30.94
Rate for Payer: Health Partners Plans Commercial	$38.95
Rate for Payer: UnitedHealthcare Commercial	$39.77
Rate for Payer: WPPA Commercial	$33.62

DISP AMBU BAG

Facility

$41.00

Hospital Charge Code	2722472
Hospital Revenue Code	272
Min. Negotiated Rate	$18.94
Max. Negotiated Rate	$39.77
Rate for Payer: Cash Price	$30.94
Rate for Payer: Celtic Commercial/Exchange	$18.94
Rate for Payer: Health Partners Plans Commercial	$38.95
Rate for Payer: UnitedHealthcare Commercial	$39.77
Rate for Payer: WPPA Commercial	$34.44

DISP FOAM CUSHIONS

Facility

$30.00

Hospital Charge Code	2700466
Hospital Revenue Code	270
Min. Negotiated Rate	$24.60
Max. Negotiated Rate	$29.10
Rate for Payer: Cash Price	$22.88
Rate for Payer: Health Partners Plans Commercial	$28.50
Rate for Payer: UnitedHealthcare Commercial	$29.10
Rate for Payer: WPPA Commercial	$24.60

DISP FOAM CUSHIONS

Facility

$30.00

Hospital Charge Code	2700466
Hospital Revenue Code	270
Min. Negotiated Rate	$13.86
Max. Negotiated Rate	$29.10
Rate for Payer: Cash Price	$22.88
Rate for Payer: Celtic Commercial/Exchange	$13.86
Rate for Payer: Health Partners Plans Commercial	$28.50
Rate for Payer: UnitedHealthcare Commercial	$29.10
Rate for Payer: WPPA Commercial	$25.20

DISP GASTRIC LAVAGE

Facility

$132.00

Hospital Charge Code	2721976
Hospital Revenue Code	270
Min. Negotiated Rate	$108.24
Max. Negotiated Rate	$128.04
Rate for Payer: Cash Price	$99.56
Rate for Payer: Health Partners Plans Commercial	$125.40
Rate for Payer: UnitedHealthcare Commercial	$128.04
Rate for Payer: WPPA Commercial	$108.24

DISP GASTRIC LAVAGE

Facility

$132.00

Hospital Charge Code	2721976
Hospital Revenue Code	270
Min. Negotiated Rate	$60.98
Max. Negotiated Rate	$128.04
Rate for Payer: Cash Price	$99.56
Rate for Payer: Celtic Commercial/Exchange	$60.98
Rate for Payer: Health Partners Plans Commercial	$125.40
Rate for Payer: UnitedHealthcare Commercial	$128.04
Rate for Payer: WPPA Commercial	$110.88

DISP GRADUATED TUMBLERS

Facility

$4.00

Hospital Charge Code	2700748
Hospital Revenue Code	270
Min. Negotiated Rate	$3.28
Max. Negotiated Rate	$3.88
Rate for Payer: Cash Price	$3.19
Rate for Payer: Health Partners Plans Commercial	$3.80
Rate for Payer: UnitedHealthcare Commercial	$3.88
Rate for Payer: WPPA Commercial	$3.28

DISP GRADUATED TUMBLERS

Facility

$4.00

Hospital Charge Code	2700748
Hospital Revenue Code	270
Min. Negotiated Rate	$1.85
Max. Negotiated Rate	$3.88
Rate for Payer: Cash Price	$3.19
Rate for Payer: Celtic Commercial/Exchange	$1.85
Rate for Payer: Health Partners Plans Commercial	$3.80
Rate for Payer: UnitedHealthcare Commercial	$3.88
Rate for Payer: WPPA Commercial	$3.36

DISP ICE BAGS SMALL

Facility

$9.00

Hospital Charge Code	2700672
Hospital Revenue Code	270
Min. Negotiated Rate	$7.38
Max. Negotiated Rate	$8.73
Rate for Payer: Cash Price	$7.12
Rate for Payer: Health Partners Plans Commercial	$8.55
Rate for Payer: UnitedHealthcare Commercial	$8.73
Rate for Payer: WPPA Commercial	$7.38

DISP ICE BAGS SMALL

Facility

$9.00

Hospital Charge Code	2700672
Hospital Revenue Code	270
Min. Negotiated Rate	$4.16
Max. Negotiated Rate	$8.73
Rate for Payer: Cash Price	$7.12
Rate for Payer: Celtic Commercial/Exchange	$4.16
Rate for Payer: Health Partners Plans Commercial	$8.55
Rate for Payer: UnitedHealthcare Commercial	$8.73
Rate for Payer: WPPA Commercial	$7.56

DISP MASK LARGE AEROECLIPSE

Facility

$4.00

Hospital Charge Code	4100182
Hospital Revenue Code	272
Min. Negotiated Rate	$3.28
Max. Negotiated Rate	$3.88
Rate for Payer: Cash Price	$3.00
Rate for Payer: Health Partners Plans Commercial	$3.80
Rate for Payer: UnitedHealthcare Commercial	$3.88
Rate for Payer: WPPA Commercial	$3.28

DISP MASK LARGE AEROECLIPSE

Facility

$4.00

Hospital Charge Code	4100182
Hospital Revenue Code	272
Min. Negotiated Rate	$1.85
Max. Negotiated Rate	$3.88
Rate for Payer: Cash Price	$3.00
Rate for Payer: Celtic Commercial/Exchange	$1.85
Rate for Payer: Health Partners Plans Commercial	$3.80
Rate for Payer: UnitedHealthcare Commercial	$3.88
Rate for Payer: WPPA Commercial	$3.36

DISP MASK MEDIUM AEROECLIPSE

Facility

$4.00

Hospital Charge Code	4100183
Hospital Revenue Code	272
Min. Negotiated Rate	$3.28
Max. Negotiated Rate	$3.88
Rate for Payer: Cash Price	$3.00
Rate for Payer: Health Partners Plans Commercial	$3.80
Rate for Payer: UnitedHealthcare Commercial	$3.88
Rate for Payer: WPPA Commercial	$3.28

DISP MASK MEDIUM AEROECLIPSE

Facility

$4.00

Hospital Charge Code	4100183
Hospital Revenue Code	272
Min. Negotiated Rate	$1.85
Max. Negotiated Rate	$3.88
Rate for Payer: Cash Price	$3.00
Rate for Payer: Celtic Commercial/Exchange	$1.85
Rate for Payer: Health Partners Plans Commercial	$3.80
Rate for Payer: UnitedHealthcare Commercial	$3.88
Rate for Payer: WPPA Commercial	$3.36

DISP MASK SMALL AEROECLIPSE

Facility

$4.00

Hospital Charge Code	4100181
Hospital Revenue Code	272
Min. Negotiated Rate	$1.85
Max. Negotiated Rate	$3.88
Rate for Payer: Cash Price	$3.00
Rate for Payer: Celtic Commercial/Exchange	$1.85
Rate for Payer: Health Partners Plans Commercial	$3.80
Rate for Payer: UnitedHealthcare Commercial	$3.88
Rate for Payer: WPPA Commercial	$3.36

DISP MASK SMALL AEROECLIPSE

Facility

$4.00

Hospital Charge Code	4100181
Hospital Revenue Code	272
Min. Negotiated Rate	$3.28
Max. Negotiated Rate	$3.88
Rate for Payer: Cash Price	$3.00
Rate for Payer: Health Partners Plans Commercial	$3.80
Rate for Payer: UnitedHealthcare Commercial	$3.88
Rate for Payer: WPPA Commercial	$3.28

DISPOSABLE BP CUFF ADULT

Facility

$20.00

Hospital Charge Code	2709144
Hospital Revenue Code	270
Min. Negotiated Rate	$16.40
Max. Negotiated Rate	$19.40
Rate for Payer: Cash Price	$15.00
Rate for Payer: Health Partners Plans Commercial	$19.00
Rate for Payer: UnitedHealthcare Commercial	$19.40
Rate for Payer: WPPA Commercial	$16.40

DISPOSABLE BP CUFF ADULT

Facility

$20.00

Hospital Charge Code	2709144
Hospital Revenue Code	270
Min. Negotiated Rate	$9.24
Max. Negotiated Rate	$19.40
Rate for Payer: Cash Price	$15.00
Rate for Payer: Celtic Commercial/Exchange	$9.24
Rate for Payer: Health Partners Plans Commercial	$19.00
Rate for Payer: UnitedHealthcare Commercial	$19.40
Rate for Payer: WPPA Commercial	$16.80

DISPOSABLE BP CUFF SM ADULT

Facility

$19.00

Hospital Charge Code	2709019
Hospital Revenue Code	270
Min. Negotiated Rate	$15.58
Max. Negotiated Rate	$18.43
Rate for Payer: Cash Price	$14.25
Rate for Payer: Health Partners Plans Commercial	$18.05
Rate for Payer: UnitedHealthcare Commercial	$18.43
Rate for Payer: WPPA Commercial	$15.58

DISPOSABLE BP CUFF SM ADULT

Facility

$19.00

Hospital Charge Code	2709019
Hospital Revenue Code	270
Min. Negotiated Rate	$8.78
Max. Negotiated Rate	$18.43
Rate for Payer: Cash Price	$14.25
Rate for Payer: Celtic Commercial/Exchange	$8.78
Rate for Payer: Health Partners Plans Commercial	$18.05
Rate for Payer: UnitedHealthcare Commercial	$18.43
Rate for Payer: WPPA Commercial	$15.96

DISPOSABLE STETHOSCOPE

Facility

$7.00

Hospital Charge Code	2709293
Hospital Revenue Code	270
Min. Negotiated Rate	$3.23
Max. Negotiated Rate	$6.79
Rate for Payer: Cash Price	$5.85
Rate for Payer: Celtic Commercial/Exchange	$3.23
Rate for Payer: Health Partners Plans Commercial	$6.65
Rate for Payer: UnitedHealthcare Commercial	$6.79
Rate for Payer: WPPA Commercial	$5.88

DISPOSABLE STETHOSCOPE

Facility

$7.00

Hospital Charge Code	2709293
Hospital Revenue Code	270
Min. Negotiated Rate	$5.74
Max. Negotiated Rate	$6.79
Rate for Payer: Cash Price	$5.85
Rate for Payer: Health Partners Plans Commercial	$6.65
Rate for Payer: UnitedHealthcare Commercial	$6.79
Rate for Payer: WPPA Commercial	$5.74

DISP OVAL SNARE

Facility

$64.00

Hospital Charge Code	2706249
Hospital Revenue Code	270
Min. Negotiated Rate	$52.48
Max. Negotiated Rate	$62.08
Rate for Payer: Cash Price	$48.00
Rate for Payer: Health Partners Plans Commercial	$60.80
Rate for Payer: UnitedHealthcare Commercial	$62.08
Rate for Payer: WPPA Commercial	$52.48

DISP OVAL SNARE

Facility

$64.00

Hospital Charge Code	2706249
Hospital Revenue Code	270
Min. Negotiated Rate	$29.57
Max. Negotiated Rate	$62.08
Rate for Payer: Cash Price	$48.00
Rate for Payer: Celtic Commercial/Exchange	$29.57
Rate for Payer: Health Partners Plans Commercial	$60.80
Rate for Payer: UnitedHealthcare Commercial	$62.08
Rate for Payer: WPPA Commercial	$53.76

DISPOZ-A-BAG

Facility

$32.00

Hospital Charge Code	2725054
Hospital Revenue Code	272
Min. Negotiated Rate	$14.78
Max. Negotiated Rate	$31.04
Rate for Payer: Cash Price	$24.00
Rate for Payer: Celtic Commercial/Exchange	$14.78
Rate for Payer: Health Partners Plans Commercial	$30.40
Rate for Payer: UnitedHealthcare Commercial	$31.04
Rate for Payer: WPPA Commercial	$26.88

Know your out-of-pocket cost for care.

All Charges