Ness County Hospital

All Charges

Charge

Type

Setting

Price

FLONASE NASAL SPRAY (FLUTICASONE PROPIONATE)

Facility

$280.00

Service Code	NDC 60505082901
Hospital Charge Code	2513950
Hospital Revenue Code	250
Min. Negotiated Rate	$229.60
Max. Negotiated Rate	$271.60
Rate for Payer: Cash Price	$210.19
Rate for Payer: Health Partners Plans Commercial	$266.00
Rate for Payer: UnitedHealthcare Commercial	$271.60
Rate for Payer: WPPA Commercial	$229.60

FLORINEF 0.1 MG TAB (FLUDROCORTISONE)

Facility

$5.00

Service Code	NDC 50268033015
Hospital Charge Code	2511756
Hospital Revenue Code	250
Min. Negotiated Rate	$2.31
Max. Negotiated Rate	$4.85
Rate for Payer: Cash Price	$3.75
Rate for Payer: Celtic Commercial/Exchange	$2.31
Rate for Payer: Health Partners Plans Commercial	$4.75
Rate for Payer: UnitedHealthcare Commercial	$4.85
Rate for Payer: WPPA Commercial	$4.20

FLORINEF 0.1 MG TAB (FLUDROCORTISONE)

Facility

$5.00

Service Code	NDC 50268033015
Hospital Charge Code	2511756
Hospital Revenue Code	250
Min. Negotiated Rate	$4.10
Max. Negotiated Rate	$4.85
Rate for Payer: Cash Price	$3.75
Rate for Payer: Health Partners Plans Commercial	$4.75
Rate for Payer: UnitedHealthcare Commercial	$4.85
Rate for Payer: WPPA Commercial	$4.10

FLOW CYTOMETRY,CELL SURFACE

Facility

$325.00

Service Code	HCPCS 88184
Hospital Charge Code	8818400
Hospital Revenue Code	311
Min. Negotiated Rate	$266.50
Max. Negotiated Rate	$315.25
Rate for Payer: Cash Price	$243.75
Rate for Payer: Health Partners Plans Commercial	$308.75
Rate for Payer: UnitedHealthcare Commercial	$315.25
Rate for Payer: WPPA Commercial	$266.50

FLOW CYTOMETRY,CELL SURFACE

Facility

$325.00

Service Code	HCPCS 88184
Hospital Charge Code	8818400
Hospital Revenue Code	311
Min. Negotiated Rate	$150.15
Max. Negotiated Rate	$315.25
Rate for Payer: BCBS Commercial	$174.50
Rate for Payer: Cash Price	$243.75
Rate for Payer: Cash Price	$243.75
Rate for Payer: Celtic Commercial/Exchange	$150.15
Rate for Payer: Health Partners Plans Commercial	$308.75
Rate for Payer: UnitedHealthcare Commercial	$315.25
Rate for Payer: WPPA Commercial	$273.00

FLOW CYTOMETRY,EA ADDTL MARKER

Facility

$113.00

Service Code	HCPCS 88185
Hospital Charge Code	8818500
Hospital Revenue Code	311
Min. Negotiated Rate	$52.21
Max. Negotiated Rate	$109.61
Rate for Payer: BCBS Commercial	$89.45
Rate for Payer: Cash Price	$84.75
Rate for Payer: Cash Price	$84.75
Rate for Payer: Celtic Commercial/Exchange	$52.21
Rate for Payer: Health Partners Plans Commercial	$107.35
Rate for Payer: UnitedHealthcare Commercial	$109.61
Rate for Payer: WPPA Commercial	$94.92

FLOW CYTOMETRY,EA ADDTL MARKER

Facility

$113.00

Service Code	HCPCS 88185
Hospital Charge Code	8818500
Hospital Revenue Code	311
Min. Negotiated Rate	$92.66
Max. Negotiated Rate	$109.61
Rate for Payer: Cash Price	$84.75
Rate for Payer: Health Partners Plans Commercial	$107.35
Rate for Payer: UnitedHealthcare Commercial	$109.61
Rate for Payer: WPPA Commercial	$92.66

FLOW CYTOMETRY INTERP 16+ MARKERS

Facility

$291.00

Service Code	HCPCS 88189
Hospital Charge Code	8818900
Hospital Revenue Code	311
Min. Negotiated Rate	$134.44
Max. Negotiated Rate	$282.27
Rate for Payer: BCBS Commercial	$265.30
Rate for Payer: Cash Price	$218.25
Rate for Payer: Cash Price	$218.25
Rate for Payer: Celtic Commercial/Exchange	$134.44
Rate for Payer: Health Partners Plans Commercial	$276.45
Rate for Payer: UnitedHealthcare Commercial	$282.27
Rate for Payer: WPPA Commercial	$244.44

FLOW CYTOMETRY INTERP 16+ MARKERS

Facility

$291.00

Service Code	HCPCS 88189
Hospital Charge Code	8818900
Hospital Revenue Code	311
Min. Negotiated Rate	$238.62
Max. Negotiated Rate	$282.27
Rate for Payer: Cash Price	$218.25
Rate for Payer: Health Partners Plans Commercial	$276.45
Rate for Payer: UnitedHealthcare Commercial	$282.27
Rate for Payer: WPPA Commercial	$238.62

FLOW SAFE II DISP CPAP MASK

Facility

$135.00

Hospital Charge Code	4100200
Hospital Revenue Code	272
Min. Negotiated Rate	$62.37
Max. Negotiated Rate	$130.95
Rate for Payer: Cash Price	$101.25
Rate for Payer: Celtic Commercial/Exchange	$62.37
Rate for Payer: Health Partners Plans Commercial	$128.25
Rate for Payer: UnitedHealthcare Commercial	$130.95
Rate for Payer: WPPA Commercial	$113.40

FLOW SAFE II DISP CPAP MASK

Facility

$135.00

Hospital Charge Code	4100200
Hospital Revenue Code	272
Min. Negotiated Rate	$110.70
Max. Negotiated Rate	$130.95
Rate for Payer: Cash Price	$101.25
Rate for Payer: Health Partners Plans Commercial	$128.25
Rate for Payer: UnitedHealthcare Commercial	$130.95
Rate for Payer: WPPA Commercial	$110.70

FLOW SAFE II D MASK SM

Facility

$133.00

Hospital Charge Code	4100199
Hospital Revenue Code	272
Min. Negotiated Rate	$109.06
Max. Negotiated Rate	$129.01
Rate for Payer: Cash Price	$99.75
Rate for Payer: Health Partners Plans Commercial	$126.35
Rate for Payer: UnitedHealthcare Commercial	$129.01
Rate for Payer: WPPA Commercial	$109.06

FLOW SAFE II D MASK SM

Facility

$133.00

Hospital Charge Code	4100199
Hospital Revenue Code	272
Min. Negotiated Rate	$61.45
Max. Negotiated Rate	$129.01
Rate for Payer: Cash Price	$99.75
Rate for Payer: Celtic Commercial/Exchange	$61.45
Rate for Payer: Health Partners Plans Commercial	$126.35
Rate for Payer: UnitedHealthcare Commercial	$129.01
Rate for Payer: WPPA Commercial	$111.72

Fluor-I-Strip (bio-glo)(Ful-Glo)

Facility

$4.00

Service Code	NDC 17238090011
Hospital Charge Code	2502847
Hospital Revenue Code	270
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

Fluor-I-Strip (bio-glo)(Ful-Glo)

Facility

$4.00

Service Code	NDC 17238090011
Hospital Charge Code	2502847
Hospital Revenue Code	270
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

FLUOR NONINFEC AGNT ANTIBODY

Facility

$128.00

Service Code	HCPCS 86255
Hospital Charge Code	8625500
Hospital Revenue Code	302
Min. Negotiated Rate	$49.98
Max. Negotiated Rate	$124.16
Rate for Payer: BCBS Commercial	$49.98
Rate for Payer: Cash Price	$96.00
Rate for Payer: Cash Price	$96.00
Rate for Payer: Celtic Commercial/Exchange	$59.14
Rate for Payer: Health Partners Plans Commercial	$121.60
Rate for Payer: UnitedHealthcare Commercial	$124.16
Rate for Payer: WPPA Commercial	$107.52

FLUOR NONINFEC AGNT ANTIBODY

Facility

$128.00

Service Code	HCPCS 86255
Hospital Charge Code	8625500
Hospital Revenue Code	302
Min. Negotiated Rate	$104.96
Max. Negotiated Rate	$124.16
Rate for Payer: Cash Price	$96.00
Rate for Payer: Health Partners Plans Commercial	$121.60
Rate for Payer: UnitedHealthcare Commercial	$124.16
Rate for Payer: WPPA Commercial	$104.96

FLUOR NONINFEC AGNT ANTIB TITR

Facility

$106.00

Service Code	HCPCS 86256
Hospital Charge Code	8625600
Hospital Revenue Code	302
Min. Negotiated Rate	$86.92
Max. Negotiated Rate	$102.82
Rate for Payer: Cash Price	$79.50
Rate for Payer: Health Partners Plans Commercial	$100.70
Rate for Payer: UnitedHealthcare Commercial	$102.82
Rate for Payer: WPPA Commercial	$86.92

FLUOR NONINFEC AGNT ANTIB TITR

Facility

$106.00

Service Code	HCPCS 86256
Hospital Charge Code	8625600
Hospital Revenue Code	302
Min. Negotiated Rate	$48.97
Max. Negotiated Rate	$102.82
Rate for Payer: BCBS Commercial	$57.05
Rate for Payer: Cash Price	$79.50
Rate for Payer: Cash Price	$79.50
Rate for Payer: Celtic Commercial/Exchange	$48.97
Rate for Payer: Health Partners Plans Commercial	$100.70
Rate for Payer: UnitedHealthcare Commercial	$102.82
Rate for Payer: WPPA Commercial	$89.04

FLUOXETINE

Facility

$198.00

Service Code	HCPCS G0480
Hospital Charge Code	8033200
Hospital Revenue Code	300
Min. Negotiated Rate	$73.42
Max. Negotiated Rate	$192.06
Rate for Payer: BCBS Commercial	$73.42
Rate for Payer: Cash Price	$148.50
Rate for Payer: Cash Price	$148.50
Rate for Payer: Celtic Commercial/Exchange	$91.48
Rate for Payer: Health Partners Plans Commercial	$188.10
Rate for Payer: UnitedHealthcare Commercial	$192.06
Rate for Payer: WPPA Commercial	$166.32

FLUOXETINE

Facility

$198.00

Service Code	HCPCS G0480
Hospital Charge Code	8033200
Hospital Revenue Code	300
Min. Negotiated Rate	$162.36
Max. Negotiated Rate	$192.06
Rate for Payer: Cash Price	$148.50
Rate for Payer: Health Partners Plans Commercial	$188.10
Rate for Payer: UnitedHealthcare Commercial	$192.06
Rate for Payer: WPPA Commercial	$162.36

Fluzone 2025-2026 (PF) (flu vac ts 2025-26(6mos up)-PF) IM syringe

Facility

$55.00

Service Code	NDC 49281042550
Hospital Charge Code	2518942
Hospital Revenue Code	250
Min. Negotiated Rate	$25.41
Max. Negotiated Rate	$53.35
Rate for Payer: Cash Price	$41.92
Rate for Payer: Celtic Commercial/Exchange	$25.41
Rate for Payer: Health Partners Plans Commercial	$52.25
Rate for Payer: UnitedHealthcare Commercial	$53.35
Rate for Payer: WPPA Commercial	$46.20

Fluzone 2025-2026 (PF) (flu vac ts 2025-26(6mos up)-PF) IM syringe

Facility

$55.00

Service Code	NDC 49281042550
Hospital Charge Code	2518942
Hospital Revenue Code	250
Min. Negotiated Rate	$45.10
Max. Negotiated Rate	$53.35
Rate for Payer: Cash Price	$41.92
Rate for Payer: Health Partners Plans Commercial	$52.25
Rate for Payer: UnitedHealthcare Commercial	$53.35
Rate for Payer: WPPA Commercial	$45.10

Fluzone High-Dose 2025-26 (PF) (flu vacc ts2025-26(65yr up)-PF) IM syringe

Facility

$173.00

Service Code	NDC 49281012565
Hospital Charge Code	2510857
Hospital Revenue Code	250
Min. Negotiated Rate	$79.93
Max. Negotiated Rate	$167.81
Rate for Payer: Cash Price	$130.40
Rate for Payer: Celtic Commercial/Exchange	$79.93
Rate for Payer: Health Partners Plans Commercial	$164.35
Rate for Payer: UnitedHealthcare Commercial	$167.81
Rate for Payer: WPPA Commercial	$145.32

Fluzone High-Dose 2025-26 (PF) (flu vacc ts2025-26(65yr up)-PF) IM syringe

Facility

$173.00

Service Code	NDC 49281012565
Hospital Charge Code	2510857
Hospital Revenue Code	250
Min. Negotiated Rate	$141.86
Max. Negotiated Rate	$167.81
Rate for Payer: Cash Price	$130.40
Rate for Payer: Health Partners Plans Commercial	$164.35
Rate for Payer: UnitedHealthcare Commercial	$167.81
Rate for Payer: WPPA Commercial	$141.86

Know your out-of-pocket cost for care.

All Charges