Ness County Hospital

All Charges

Charge

Type

Setting

Price

HEEL & ELBOW PROTECTOR MD

Facility

$48.00

Hospital Charge Code	2701755
Hospital Revenue Code	270
Min. Negotiated Rate	$22.18
Max. Negotiated Rate	$46.56
Rate for Payer: Cash Price	$36.00
Rate for Payer: Celtic Commercial/Exchange	$22.18
Rate for Payer: Health Partners Plans Commercial	$45.60
Rate for Payer: UnitedHealthcare Commercial	$46.56
Rate for Payer: WPPA Commercial	$40.32

HEEL & ELBOW PROTECTOR MD LTC

Facility

$48.00

Hospital Charge Code	2701755LTC
Hospital Revenue Code	270
Min. Negotiated Rate	$39.36
Max. Negotiated Rate	$46.56
Rate for Payer: Cash Price	$36.00
Rate for Payer: Health Partners Plans Commercial	$45.60
Rate for Payer: UnitedHealthcare Commercial	$46.56
Rate for Payer: WPPA Commercial	$39.36

HEEL & ELBOW PROTECTOR MD LTC

Facility

$48.00

Hospital Charge Code	2701755LTC
Hospital Revenue Code	270
Min. Negotiated Rate	$22.18
Max. Negotiated Rate	$46.56
Rate for Payer: Cash Price	$36.00
Rate for Payer: Celtic Commercial/Exchange	$22.18
Rate for Payer: Health Partners Plans Commercial	$45.60
Rate for Payer: UnitedHealthcare Commercial	$46.56
Rate for Payer: WPPA Commercial	$40.32

HEEL & ELBOW PROTECTOR SM

Facility

$48.00

Hospital Charge Code	2701756
Hospital Revenue Code	270
Min. Negotiated Rate	$22.18
Max. Negotiated Rate	$46.56
Rate for Payer: Cash Price	$36.00
Rate for Payer: Celtic Commercial/Exchange	$22.18
Rate for Payer: Health Partners Plans Commercial	$45.60
Rate for Payer: UnitedHealthcare Commercial	$46.56
Rate for Payer: WPPA Commercial	$40.32

HEEL & ELBOW PROTECTOR SM

Facility

$48.00

Hospital Charge Code	2701756
Hospital Revenue Code	270
Min. Negotiated Rate	$39.36
Max. Negotiated Rate	$46.56
Rate for Payer: Cash Price	$36.00
Rate for Payer: Health Partners Plans Commercial	$45.60
Rate for Payer: UnitedHealthcare Commercial	$46.56
Rate for Payer: WPPA Commercial	$39.36

HEEL PROTECTOR STANDARD

Facility

$64.00

Hospital Charge Code	7201753
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

HEEL PROTECTOR STANDARD

Facility

$64.00

Hospital Charge Code	7201753
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

HEMI-WALKER

Facility

$157.00

Hospital Charge Code	5710356
Hospital Revenue Code	271
Min. Negotiated Rate	$72.53
Max. Negotiated Rate	$152.29
Rate for Payer: Cash Price	$117.94
Rate for Payer: Celtic Commercial/Exchange	$72.53
Rate for Payer: Health Partners Plans Commercial	$149.15
Rate for Payer: UnitedHealthcare Commercial	$152.29
Rate for Payer: WPPA Commercial	$131.88

HEMI-WALKER

Facility

$157.00

Hospital Charge Code	5710356
Hospital Revenue Code	271
Min. Negotiated Rate	$128.74
Max. Negotiated Rate	$152.29
Rate for Payer: Cash Price	$117.94
Rate for Payer: Health Partners Plans Commercial	$149.15
Rate for Payer: UnitedHealthcare Commercial	$152.29
Rate for Payer: WPPA Commercial	$128.74

HEMOGLOBIN A1C (CHEM)

Facility

$81.00

Service Code	HCPCS 83036
Hospital Charge Code	8303601
Hospital Revenue Code	301
Min. Negotiated Rate	$66.42
Max. Negotiated Rate	$78.57
Rate for Payer: Cash Price	$60.75
Rate for Payer: Health Partners Plans Commercial	$76.95
Rate for Payer: UnitedHealthcare Commercial	$78.57
Rate for Payer: WPPA Commercial	$66.42

HEMOGLOBIN A1C (CHEM)

Facility

$81.00

Service Code	HCPCS 83036
Hospital Charge Code	8303601
Hospital Revenue Code	301
Min. Negotiated Rate	$35.94
Max. Negotiated Rate	$78.57
Rate for Payer: BCBS Commercial	$35.94
Rate for Payer: Cash Price	$60.75
Rate for Payer: Cash Price	$60.75
Rate for Payer: Celtic Commercial/Exchange	$37.42
Rate for Payer: Health Partners Plans Commercial	$76.95
Rate for Payer: UnitedHealthcare Commercial	$78.57
Rate for Payer: WPPA Commercial	$68.04

HEMOGLOBIN: COPPER SULF METHOD

Facility

$10.00

Service Code	HCPCS 83026
Hospital Charge Code	8302600
Hospital Revenue Code	305
Min. Negotiated Rate	$8.20
Max. Negotiated Rate	$9.70
Rate for Payer: Cash Price	$7.50
Rate for Payer: Health Partners Plans Commercial	$9.50
Rate for Payer: UnitedHealthcare Commercial	$9.70
Rate for Payer: WPPA Commercial	$8.20

HEMOGLOBIN: COPPER SULF METHOD

Facility

$10.00

Service Code	HCPCS 83026
Hospital Charge Code	8302600
Hospital Revenue Code	305
Min. Negotiated Rate	$4.62
Max. Negotiated Rate	$9.70
Rate for Payer: BCBS Commercial	$6.90
Rate for Payer: Cash Price	$7.50
Rate for Payer: Cash Price	$7.50
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

HEMOGLOBIN FRACT & QUANT CHROM

Facility

$75.00

Service Code	HCPCS 83021
Hospital Charge Code	8302100
Hospital Revenue Code	301
Min. Negotiated Rate	$61.50
Max. Negotiated Rate	$72.75
Rate for Payer: Cash Price	$56.25
Rate for Payer: Health Partners Plans Commercial	$71.25
Rate for Payer: UnitedHealthcare Commercial	$72.75
Rate for Payer: WPPA Commercial	$61.50

HEMOGLOBIN FRACT & QUANT CHROM

Facility

$75.00

Service Code	HCPCS 83021
Hospital Charge Code	8302100
Hospital Revenue Code	301
Min. Negotiated Rate	$34.65
Max. Negotiated Rate	$72.75
Rate for Payer: BCBS Commercial	$49.92
Rate for Payer: Cash Price	$56.25
Rate for Payer: Cash Price	$56.25
Rate for Payer: Celtic Commercial/Exchange	$34.65
Rate for Payer: Health Partners Plans Commercial	$71.25
Rate for Payer: UnitedHealthcare Commercial	$72.75
Rate for Payer: WPPA Commercial	$63.00

HEMOGLOBIN FX & QUAN ELECTROPH

Facility

$77.00

Service Code	HCPCS 83020
Hospital Charge Code	8302000
Hospital Revenue Code	301
Min. Negotiated Rate	$63.14
Max. Negotiated Rate	$74.69
Rate for Payer: Cash Price	$57.75
Rate for Payer: Health Partners Plans Commercial	$73.15
Rate for Payer: UnitedHealthcare Commercial	$74.69
Rate for Payer: WPPA Commercial	$63.14

HEMOGLOBIN FX & QUAN ELECTROPH

Facility

$77.00

Service Code	HCPCS 83020
Hospital Charge Code	8302000
Hospital Revenue Code	301
Min. Negotiated Rate	$35.57
Max. Negotiated Rate	$74.69
Rate for Payer: BCBS Commercial	$51.99
Rate for Payer: Cash Price	$57.75
Rate for Payer: Cash Price	$57.75
Rate for Payer: Celtic Commercial/Exchange	$35.57
Rate for Payer: Health Partners Plans Commercial	$73.15
Rate for Payer: UnitedHealthcare Commercial	$74.69
Rate for Payer: WPPA Commercial	$64.68

HEMOGLOBIN GLYCOSYLATED (A1C)

Facility

$89.00

Service Code	HCPCS 83036
Hospital Charge Code	8303600
Hospital Revenue Code	301
Min. Negotiated Rate	$72.98
Max. Negotiated Rate	$86.33
Rate for Payer: Cash Price	$66.75
Rate for Payer: Health Partners Plans Commercial	$84.55
Rate for Payer: UnitedHealthcare Commercial	$86.33
Rate for Payer: WPPA Commercial	$72.98

HEMOGLOBIN GLYCOSYLATED (A1C)

Facility

$89.00

Service Code	HCPCS 83036
Hospital Charge Code	8303600
Hospital Revenue Code	301
Min. Negotiated Rate	$35.94
Max. Negotiated Rate	$86.33
Rate for Payer: BCBS Commercial	$35.94
Rate for Payer: Cash Price	$66.75
Rate for Payer: Cash Price	$66.75
Rate for Payer: Celtic Commercial/Exchange	$41.12
Rate for Payer: Health Partners Plans Commercial	$84.55
Rate for Payer: UnitedHealthcare Commercial	$86.33
Rate for Payer: WPPA Commercial	$74.76

Hemoglobin; Histamine, Plasma

Facility

$125.00

Service Code	HCPCS 83088
Hospital Charge Code	8308800
Hospital Revenue Code	301
Min. Negotiated Rate	$102.50
Max. Negotiated Rate	$121.25
Rate for Payer: Cash Price	$93.75
Rate for Payer: Health Partners Plans Commercial	$118.75
Rate for Payer: UnitedHealthcare Commercial	$121.25
Rate for Payer: WPPA Commercial	$102.50

Hemoglobin; Histamine, Plasma

Facility

$125.00

Service Code	HCPCS 83088
Hospital Charge Code	8308800
Hospital Revenue Code	301
Min. Negotiated Rate	$57.75
Max. Negotiated Rate	$121.25
Rate for Payer: BCBS Commercial	$99.74
Rate for Payer: Cash Price	$93.75
Rate for Payer: Cash Price	$93.75
Rate for Payer: Celtic Commercial/Exchange	$57.75
Rate for Payer: Health Partners Plans Commercial	$118.75
Rate for Payer: UnitedHealthcare Commercial	$121.25
Rate for Payer: WPPA Commercial	$105.00

HEMORRHOIDECTOMY,SIMPLE LIGATR

Facility

$1,650.00

Service Code	HCPCS 46221
Hospital Charge Code	4622100
Hospital Revenue Code	761
Min. Negotiated Rate	$1,353.00
Max. Negotiated Rate	$1,600.50
Rate for Payer: Cash Price	$1,237.50
Rate for Payer: Health Partners Plans Commercial	$1,567.50
Rate for Payer: UnitedHealthcare Commercial	$1,600.50
Rate for Payer: WPPA Commercial	$1,353.00

HEMORRHOIDECTOMY,SIMPLE LIGATR

Facility

$1,650.00

Service Code	HCPCS 46221
Hospital Charge Code	4622100
Hospital Revenue Code	761
Min. Negotiated Rate	$762.30
Max. Negotiated Rate	$1,632.16
Rate for Payer: BCBS Commercial	$1,632.16
Rate for Payer: Cash Price	$1,237.50
Rate for Payer: Cash Price	$1,237.50
Rate for Payer: Celtic Commercial/Exchange	$762.30
Rate for Payer: Health Partners Plans Commercial	$1,567.50
Rate for Payer: UnitedHealthcare Commercial	$1,600.50
Rate for Payer: WPPA Commercial	$1,386.00

HEPARIN 5000 UNITS/ ML INJ.

Facility

$15.00

Service Code	NDC 63323026226
Hospital Charge Code	2503126
Hospital Revenue Code	250
Min. Negotiated Rate	$12.30
Max. Negotiated Rate	$14.55
Rate for Payer: Cash Price	$11.70
Rate for Payer: Health Partners Plans Commercial	$14.25
Rate for Payer: UnitedHealthcare Commercial	$14.55
Rate for Payer: WPPA Commercial	$12.30

HEPARIN 5000 UNITS/ ML INJ.

Facility

$15.00

Service Code	NDC 63323026226
Hospital Charge Code	2503126
Hospital Revenue Code	250
Min. Negotiated Rate	$6.93
Max. Negotiated Rate	$14.55
Rate for Payer: Cash Price	$11.70
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