Ness County Hospital

All Charges

Charge

Type

Setting

Price

AIRCAST, ANKLE BRACE

Facility

$105.00

Hospital Charge Code	2702389
Hospital Revenue Code	270
Min. Negotiated Rate	$86.10
Max. Negotiated Rate	$101.85
Rate for Payer: Cash Price	$78.75
Rate for Payer: Health Partners Plans Commercial	$99.75
Rate for Payer: UnitedHealthcare Commercial	$101.85
Rate for Payer: WPPA Commercial	$86.10

AIR MATTRESS OVERLAY

Facility

$88.00

Hospital Charge Code	2706897LTC
Hospital Revenue Code	272
Min. Negotiated Rate	$72.16
Max. Negotiated Rate	$85.36
Rate for Payer: Cash Price	$66.00
Rate for Payer: Health Partners Plans Commercial	$83.60
Rate for Payer: UnitedHealthcare Commercial	$85.36
Rate for Payer: WPPA Commercial	$72.16

AIR MATTRESS OVERLAY

Facility

$88.00

Hospital Charge Code	2706897LTC
Hospital Revenue Code	272
Min. Negotiated Rate	$40.66
Max. Negotiated Rate	$85.36
Rate for Payer: Cash Price	$66.00
Rate for Payer: Celtic Commercial/Exchange	$40.66
Rate for Payer: Health Partners Plans Commercial	$83.60
Rate for Payer: UnitedHealthcare Commercial	$85.36
Rate for Payer: WPPA Commercial	$73.92

AIR PRESSURE MATTRESS

Facility

$88.00

Hospital Charge Code	2706897
Hospital Revenue Code	270
Min. Negotiated Rate	$40.66
Max. Negotiated Rate	$85.36
Rate for Payer: Cash Price	$66.00
Rate for Payer: Celtic Commercial/Exchange	$40.66
Rate for Payer: Health Partners Plans Commercial	$83.60
Rate for Payer: UnitedHealthcare Commercial	$85.36
Rate for Payer: WPPA Commercial	$73.92

AIR PRESSURE MATTRESS

Facility

$88.00

Hospital Charge Code	2706897
Hospital Revenue Code	270
Min. Negotiated Rate	$72.16
Max. Negotiated Rate	$85.36
Rate for Payer: Cash Price	$66.00
Rate for Payer: Health Partners Plans Commercial	$83.60
Rate for Payer: UnitedHealthcare Commercial	$85.36
Rate for Payer: WPPA Commercial	$72.16

AIRWAY BERMAN ORAL 100MM

Facility

$10.00

Hospital Charge Code	2700003
Hospital Revenue Code	270
Min. Negotiated Rate	$4.62
Max. Negotiated Rate	$9.70
Rate for Payer: Cash Price	$7.69
Rate for Payer: Celtic Commercial/Exchange	$4.62
Rate for Payer: Health Partners Plans Commercial	$9.50
Rate for Payer: UnitedHealthcare Commercial	$9.70
Rate for Payer: WPPA Commercial	$8.40

AIRWAY BERMAN ORAL 100MM

Facility

$10.00

Hospital Charge Code	2700003
Hospital Revenue Code	270
Min. Negotiated Rate	$8.20
Max. Negotiated Rate	$9.70
Rate for Payer: Cash Price	$7.69
Rate for Payer: Health Partners Plans Commercial	$9.50
Rate for Payer: UnitedHealthcare Commercial	$9.70
Rate for Payer: WPPA Commercial	$8.20

AIRWAY BERMAN ORAL 40MM

Facility

$10.00

Hospital Charge Code	2700007
Hospital Revenue Code	270
Min. Negotiated Rate	$8.20
Max. Negotiated Rate	$9.70
Rate for Payer: Cash Price	$7.69
Rate for Payer: Health Partners Plans Commercial	$9.50
Rate for Payer: UnitedHealthcare Commercial	$9.70
Rate for Payer: WPPA Commercial	$8.20

AIRWAY BERMAN ORAL 40MM

Facility

$10.00

Hospital Charge Code	2700007
Hospital Revenue Code	270
Min. Negotiated Rate	$4.62
Max. Negotiated Rate	$9.70
Rate for Payer: Cash Price	$7.69
Rate for Payer: Celtic Commercial/Exchange	$4.62
Rate for Payer: Health Partners Plans Commercial	$9.50
Rate for Payer: UnitedHealthcare Commercial	$9.70
Rate for Payer: WPPA Commercial	$8.40

AIRWAY BERMAN ORAL 60MM

Facility

$10.00

Hospital Charge Code	2700006
Hospital Revenue Code	270
Min. Negotiated Rate	$8.20
Max. Negotiated Rate	$9.70
Rate for Payer: Cash Price	$7.69
Rate for Payer: Health Partners Plans Commercial	$9.50
Rate for Payer: UnitedHealthcare Commercial	$9.70
Rate for Payer: WPPA Commercial	$8.20

AIRWAY BERMAN ORAL 60MM

Facility

$10.00

Hospital Charge Code	2700006
Hospital Revenue Code	270
Min. Negotiated Rate	$4.62
Max. Negotiated Rate	$9.70
Rate for Payer: Cash Price	$7.69
Rate for Payer: Celtic Commercial/Exchange	$4.62
Rate for Payer: Health Partners Plans Commercial	$9.50
Rate for Payer: UnitedHealthcare Commercial	$9.70
Rate for Payer: WPPA Commercial	$8.40

AIRWAY BERMAN ORAL 80MM

Facility

$10.00

Hospital Charge Code	2700005
Hospital Revenue Code	270
Min. Negotiated Rate	$4.62
Max. Negotiated Rate	$9.70
Rate for Payer: Cash Price	$7.69
Rate for Payer: Celtic Commercial/Exchange	$4.62
Rate for Payer: Health Partners Plans Commercial	$9.50
Rate for Payer: UnitedHealthcare Commercial	$9.70
Rate for Payer: WPPA Commercial	$8.40

AIRWAY BERMAN ORAL 80MM

Facility

$10.00

Hospital Charge Code	2700005
Hospital Revenue Code	270
Min. Negotiated Rate	$8.20
Max. Negotiated Rate	$9.70
Rate for Payer: Cash Price	$7.69
Rate for Payer: Health Partners Plans Commercial	$9.50
Rate for Payer: UnitedHealthcare Commercial	$9.70
Rate for Payer: WPPA Commercial	$8.20

AIRWAY BERMAN ORAL 90MM

Facility

$10.00

Hospital Charge Code	2700004
Hospital Revenue Code	270
Min. Negotiated Rate	$8.20
Max. Negotiated Rate	$9.70
Rate for Payer: Cash Price	$7.69
Rate for Payer: Health Partners Plans Commercial	$9.50
Rate for Payer: UnitedHealthcare Commercial	$9.70
Rate for Payer: WPPA Commercial	$8.20

AIRWAY BERMAN ORAL 90MM

Facility

$10.00

Hospital Charge Code	2700004
Hospital Revenue Code	270
Min. Negotiated Rate	$4.62
Max. Negotiated Rate	$9.70
Rate for Payer: Cash Price	$7.69
Rate for Payer: Celtic Commercial/Exchange	$4.62
Rate for Payer: Health Partners Plans Commercial	$9.50
Rate for Payer: UnitedHealthcare Commercial	$9.70
Rate for Payer: WPPA Commercial	$8.40

AIRWAY INHALATION TREATMENT

Facility

$265.00

Service Code	HCPCS 94640 59
Hospital Charge Code	9464000
Hospital Revenue Code	410
Min. Negotiated Rate	$122.43
Max. Negotiated Rate	$257.05
Rate for Payer: BCBS Commercial	$254.03
Rate for Payer: Cash Price	$198.75
Rate for Payer: Cash Price	$198.75
Rate for Payer: Celtic Commercial/Exchange	$122.43
Rate for Payer: Health Partners Plans Commercial	$251.75
Rate for Payer: UnitedHealthcare Commercial	$257.05
Rate for Payer: WPPA Commercial	$222.60

AIRWAY INHALATION TREATMENT

Facility

$265.00

Service Code	HCPCS 94640 59
Hospital Charge Code	9464000
Hospital Revenue Code	410
Min. Negotiated Rate	$217.30
Max. Negotiated Rate	$257.05
Rate for Payer: Cash Price	$198.75
Rate for Payer: Health Partners Plans Commercial	$251.75
Rate for Payer: UnitedHealthcare Commercial	$257.05
Rate for Payer: WPPA Commercial	$217.30

AIRWAY INHALATION TX NURSING

Facility

$265.00

Service Code	HCPCS 94640
Hospital Charge Code	9464067
Hospital Revenue Code	761
Min. Negotiated Rate	$122.43
Max. Negotiated Rate	$257.05
Rate for Payer: BCBS Commercial	$254.03
Rate for Payer: Cash Price	$198.75
Rate for Payer: Cash Price	$198.75
Rate for Payer: Celtic Commercial/Exchange	$122.43
Rate for Payer: Health Partners Plans Commercial	$251.75
Rate for Payer: UnitedHealthcare Commercial	$257.05
Rate for Payer: WPPA Commercial	$222.60

AIRWAY INHALATION TX NURSING

Facility

$265.00

Service Code	HCPCS 94640
Hospital Charge Code	9464067
Hospital Revenue Code	761
Min. Negotiated Rate	$217.30
Max. Negotiated Rate	$257.05
Rate for Payer: Cash Price	$198.75
Rate for Payer: Health Partners Plans Commercial	$251.75
Rate for Payer: UnitedHealthcare Commercial	$257.05
Rate for Payer: WPPA Commercial	$217.30

AIRWAY NASOPHARYNGEAL 24 FR

Facility

$12.00

Hospital Charge Code	2721598
Hospital Revenue Code	272
Min. Negotiated Rate	$9.84
Max. Negotiated Rate	$11.64
Rate for Payer: Cash Price	$9.00
Rate for Payer: Health Partners Plans Commercial	$11.40
Rate for Payer: UnitedHealthcare Commercial	$11.64
Rate for Payer: WPPA Commercial	$9.84

AIRWAY NASOPHARYNGEAL 24 FR

Facility

$12.00

Hospital Charge Code	2721598
Hospital Revenue Code	272
Min. Negotiated Rate	$5.54
Max. Negotiated Rate	$11.64
Rate for Payer: Cash Price	$9.00
Rate for Payer: Celtic Commercial/Exchange	$5.54
Rate for Payer: Health Partners Plans Commercial	$11.40
Rate for Payer: UnitedHealthcare Commercial	$11.64
Rate for Payer: WPPA Commercial	$10.08

AIRWAY NASOPHARYNGEAL 26FR

Facility

$12.00

Hospital Charge Code	2721600
Hospital Revenue Code	270
Min. Negotiated Rate	$9.84
Max. Negotiated Rate	$11.64
Rate for Payer: Cash Price	$9.00
Rate for Payer: Health Partners Plans Commercial	$11.40
Rate for Payer: UnitedHealthcare Commercial	$11.64
Rate for Payer: WPPA Commercial	$9.84

AIRWAY NASOPHARYNGEAL 26FR

Facility

$12.00

Hospital Charge Code	2721600
Hospital Revenue Code	270
Min. Negotiated Rate	$5.54
Max. Negotiated Rate	$11.64
Rate for Payer: Cash Price	$9.00
Rate for Payer: Celtic Commercial/Exchange	$5.54
Rate for Payer: Health Partners Plans Commercial	$11.40
Rate for Payer: UnitedHealthcare Commercial	$11.64
Rate for Payer: WPPA Commercial	$10.08

AIRWAY NASOPHARYNGEAL 28FR

Facility

$15.00

Hospital Charge Code	2721602
Hospital Revenue Code	272
Min. Negotiated Rate	$12.30
Max. Negotiated Rate	$14.55
Rate for Payer: Cash Price	$11.25
Rate for Payer: Health Partners Plans Commercial	$14.25
Rate for Payer: UnitedHealthcare Commercial	$14.55
Rate for Payer: WPPA Commercial	$12.30

AIRWAY NASOPHARYNGEAL 28FR

Facility

$15.00

Hospital Charge Code	2721602
Hospital Revenue Code	272
Min. Negotiated Rate	$6.93
Max. Negotiated Rate	$14.55
Rate for Payer: Cash Price	$11.25
Rate for Payer: Celtic Commercial/Exchange	$6.93
Rate for Payer: Health Partners Plans Commercial	$14.25
Rate for Payer: UnitedHealthcare Commercial	$14.55
Rate for Payer: WPPA Commercial	$12.60

Know your out-of-pocket cost for care.

All Charges