Ness County Hospital

All Charges

Charge

Type

Setting

Price

INCIS/DRAINAGE PILONIDAL CYST

Facility

$649.00

Service Code	HCPCS 10080
Hospital Charge Code	1008000
Hospital Revenue Code	761
Min. Negotiated Rate	$299.84
Max. Negotiated Rate	$982.73
Rate for Payer: BCBS Commercial	$982.73
Rate for Payer: Cash Price	$486.75
Rate for Payer: Cash Price	$486.75
Rate for Payer: Celtic Commercial/Exchange	$299.84
Rate for Payer: Health Partners Plans Commercial	$616.55
Rate for Payer: UnitedHealthcare Commercial	$629.53
Rate for Payer: WPPA Commercial	$545.16

INCISIONAL BIOP SKIN, 1 LESION

Facility

$599.00

Service Code	HCPCS 11106
Hospital Charge Code	1110623
Hospital Revenue Code	761
Min. Negotiated Rate	$491.18
Max. Negotiated Rate	$581.03
Rate for Payer: Cash Price	$449.25
Rate for Payer: Health Partners Plans Commercial	$569.05
Rate for Payer: UnitedHealthcare Commercial	$581.03
Rate for Payer: WPPA Commercial	$491.18

INCISIONAL BIOP SKIN, 1 LESION

Facility

$599.00

Service Code	HCPCS 11106
Hospital Charge Code	1110623
Hospital Revenue Code	761
Min. Negotiated Rate	$276.74
Max. Negotiated Rate	$639.33
Rate for Payer: BCBS Commercial	$639.33
Rate for Payer: Cash Price	$449.25
Rate for Payer: Cash Price	$449.25
Rate for Payer: Celtic Commercial/Exchange	$276.74
Rate for Payer: Health Partners Plans Commercial	$569.05
Rate for Payer: UnitedHealthcare Commercial	$581.03
Rate for Payer: WPPA Commercial	$503.16

Incisional biopsy of skin, 1st lesion

Facility

$640.00

Service Code	HCPCS 11106
Hospital Charge Code	1110600
Hospital Revenue Code	761
Min. Negotiated Rate	$524.80
Max. Negotiated Rate	$620.80
Rate for Payer: Cash Price	$480.00
Rate for Payer: Health Partners Plans Commercial	$608.00
Rate for Payer: UnitedHealthcare Commercial	$620.80
Rate for Payer: WPPA Commercial	$524.80

Incisional biopsy of skin, 1st lesion

Facility

$640.00

Service Code	HCPCS 11106
Hospital Charge Code	1110600
Hospital Revenue Code	761
Min. Negotiated Rate	$295.68
Max. Negotiated Rate	$639.33
Rate for Payer: BCBS Commercial	$639.33
Rate for Payer: Cash Price	$480.00
Rate for Payer: Cash Price	$480.00
Rate for Payer: Celtic Commercial/Exchange	$295.68
Rate for Payer: Health Partners Plans Commercial	$608.00
Rate for Payer: UnitedHealthcare Commercial	$620.80
Rate for Payer: WPPA Commercial	$537.60

Incisional biopsy of skin, additional lesions

Facility

$640.00

Service Code	HCPCS 11107
Hospital Charge Code	1110700
Hospital Revenue Code	761
Min. Negotiated Rate	$295.68
Max. Negotiated Rate	$639.33
Rate for Payer: BCBS Commercial	$639.33
Rate for Payer: Cash Price	$480.00
Rate for Payer: Cash Price	$480.00
Rate for Payer: Celtic Commercial/Exchange	$295.68
Rate for Payer: Health Partners Plans Commercial	$608.00
Rate for Payer: UnitedHealthcare Commercial	$620.80
Rate for Payer: WPPA Commercial	$537.60

Incisional biopsy of skin, additional lesions

Facility

$640.00

Service Code	HCPCS 11107
Hospital Charge Code	1110700
Hospital Revenue Code	761
Min. Negotiated Rate	$524.80
Max. Negotiated Rate	$620.80
Rate for Payer: Cash Price	$480.00
Rate for Payer: Health Partners Plans Commercial	$608.00
Rate for Payer: UnitedHealthcare Commercial	$620.80
Rate for Payer: WPPA Commercial	$524.80

INCISION AND DRAINAGE OF VULVA

Facility

$592.00

Service Code	HCPCS 56405
Hospital Charge Code	5640500
Hospital Revenue Code	450
Min. Negotiated Rate	$485.44
Max. Negotiated Rate	$574.24
Rate for Payer: Cash Price	$444.00
Rate for Payer: Health Partners Plans Commercial	$562.40
Rate for Payer: UnitedHealthcare Commercial	$574.24
Rate for Payer: WPPA Commercial	$485.44

INCISION AND DRAINAGE OF VULVA

Facility

$592.00

Service Code	HCPCS 56405
Hospital Charge Code	5640500
Hospital Revenue Code	450
Min. Negotiated Rate	$273.50
Max. Negotiated Rate	$574.24
Rate for Payer: BCBS Commercial	$380.24
Rate for Payer: Cash Price	$444.00
Rate for Payer: Cash Price	$444.00
Rate for Payer: Celtic Commercial/Exchange	$273.50
Rate for Payer: Health Partners Plans Commercial	$562.40
Rate for Payer: UnitedHealthcare Commercial	$574.24
Rate for Payer: WPPA Commercial	$497.28

INCISION/DRAINAGE-COMPL/MULTPL

Facility

$970.00

Service Code	HCPCS 10061
Hospital Charge Code	1006123
Hospital Revenue Code	761
Min. Negotiated Rate	$448.14
Max. Negotiated Rate	$940.90
Rate for Payer: BCBS Commercial	$499.41
Rate for Payer: Cash Price	$727.50
Rate for Payer: Cash Price	$727.50
Rate for Payer: Celtic Commercial/Exchange	$448.14
Rate for Payer: Health Partners Plans Commercial	$921.50
Rate for Payer: UnitedHealthcare Commercial	$940.90
Rate for Payer: WPPA Commercial	$814.80

INCISION/DRAINAGE-COMPL/MULTPL

Facility

$970.00

Service Code	HCPCS 10061
Hospital Charge Code	1006123
Hospital Revenue Code	761
Min. Negotiated Rate	$795.40
Max. Negotiated Rate	$940.90
Rate for Payer: Cash Price	$727.50
Rate for Payer: Health Partners Plans Commercial	$921.50
Rate for Payer: UnitedHealthcare Commercial	$940.90
Rate for Payer: WPPA Commercial	$795.40

INCISION/DRAINAGE,DEEP ABSCESS

Facility

$3,000.00

Service Code	HCPCS 27301
Hospital Charge Code	2730100
Hospital Revenue Code	761
Min. Negotiated Rate	$2,460.00
Max. Negotiated Rate	$2,910.00
Rate for Payer: Cash Price	$2,250.00
Rate for Payer: Health Partners Plans Commercial	$2,850.00
Rate for Payer: UnitedHealthcare Commercial	$2,910.00
Rate for Payer: WPPA Commercial	$2,460.00

INCISION/DRAINAGE,DEEP ABSCESS

Facility

$3,000.00

Service Code	HCPCS 27301
Hospital Charge Code	2730100
Hospital Revenue Code	761
Min. Negotiated Rate	$1,386.00
Max. Negotiated Rate	$3,669.33
Rate for Payer: BCBS Commercial	$3,669.33
Rate for Payer: Cash Price	$2,250.00
Rate for Payer: Cash Price	$2,250.00
Rate for Payer: Celtic Commercial/Exchange	$1,386.00
Rate for Payer: Health Partners Plans Commercial	$2,850.00
Rate for Payer: UnitedHealthcare Commercial	$2,910.00
Rate for Payer: WPPA Commercial	$2,520.00

INCISION & DRAINAGE HEMATOMA

Facility

$1,545.00

Service Code	HCPCS 10140
Hospital Charge Code	1014000
Hospital Revenue Code	450
Min. Negotiated Rate	$713.79
Max. Negotiated Rate	$2,025.30
Rate for Payer: BCBS Commercial	$2,025.30
Rate for Payer: Cash Price	$1,158.75
Rate for Payer: Cash Price	$1,158.75
Rate for Payer: Celtic Commercial/Exchange	$713.79
Rate for Payer: Health Partners Plans Commercial	$1,467.75
Rate for Payer: UnitedHealthcare Commercial	$1,498.65
Rate for Payer: WPPA Commercial	$1,297.80

INCISION & DRAINAGE HEMATOMA

Facility

$1,545.00

Service Code	HCPCS 10140
Hospital Charge Code	1014000
Hospital Revenue Code	450
Min. Negotiated Rate	$1,266.90
Max. Negotiated Rate	$1,498.65
Rate for Payer: Cash Price	$1,158.75
Rate for Payer: Health Partners Plans Commercial	$1,467.75
Rate for Payer: UnitedHealthcare Commercial	$1,498.65
Rate for Payer: WPPA Commercial	$1,266.90

INCISION/DRAINAGE OF HEMATOMA

Facility

$1,545.00

Service Code	HCPCS 10140
Hospital Charge Code	1014023
Hospital Revenue Code	761
Min. Negotiated Rate	$713.79
Max. Negotiated Rate	$2,025.30
Rate for Payer: BCBS Commercial	$2,025.30
Rate for Payer: Cash Price	$1,158.75
Rate for Payer: Cash Price	$1,158.75
Rate for Payer: Celtic Commercial/Exchange	$713.79
Rate for Payer: Health Partners Plans Commercial	$1,467.75
Rate for Payer: UnitedHealthcare Commercial	$1,498.65
Rate for Payer: WPPA Commercial	$1,297.80

INCISION/DRAINAGE OF HEMATOMA

Facility

$1,545.00

Service Code	HCPCS 10140
Hospital Charge Code	1014023
Hospital Revenue Code	761
Min. Negotiated Rate	$1,266.90
Max. Negotiated Rate	$1,498.65
Rate for Payer: Cash Price	$1,158.75
Rate for Payer: Health Partners Plans Commercial	$1,467.75
Rate for Payer: UnitedHealthcare Commercial	$1,498.65
Rate for Payer: WPPA Commercial	$1,266.90

INCISION/DRAINAGE-SIMPLE/SINGL

Facility

$821.00

Service Code	HCPCS 10060
Hospital Charge Code	1006023
Hospital Revenue Code	761
Min. Negotiated Rate	$673.22
Max. Negotiated Rate	$796.37
Rate for Payer: Cash Price	$615.75
Rate for Payer: Health Partners Plans Commercial	$779.95
Rate for Payer: UnitedHealthcare Commercial	$796.37
Rate for Payer: WPPA Commercial	$673.22

INCISION/DRAINAGE-SIMPLE/SINGL

Facility

$821.00

Service Code	HCPCS 10060
Hospital Charge Code	1006023
Hospital Revenue Code	761
Min. Negotiated Rate	$248.38
Max. Negotiated Rate	$796.37
Rate for Payer: BCBS Commercial	$248.38
Rate for Payer: Cash Price	$615.75
Rate for Payer: Cash Price	$615.75
Rate for Payer: Celtic Commercial/Exchange	$379.30
Rate for Payer: Health Partners Plans Commercial	$779.95
Rate for Payer: UnitedHealthcare Commercial	$796.37
Rate for Payer: WPPA Commercial	$689.64

INCISION/DRAINING OF ABSCESS

Facility

$275.00

Service Code	HCPCS 10060
Hospital Charge Code	1006001
Hospital Revenue Code	761
Min. Negotiated Rate	$127.05
Max. Negotiated Rate	$266.75
Rate for Payer: BCBS Commercial	$248.38
Rate for Payer: Cash Price	$206.25
Rate for Payer: Cash Price	$206.25
Rate for Payer: Celtic Commercial/Exchange	$127.05
Rate for Payer: Health Partners Plans Commercial	$261.25
Rate for Payer: UnitedHealthcare Commercial	$266.75
Rate for Payer: WPPA Commercial	$231.00

INCISION/DRAINING OF ABSCESS

Facility

$275.00

Service Code	HCPCS 10060
Hospital Charge Code	1006001
Hospital Revenue Code	761
Min. Negotiated Rate	$225.50
Max. Negotiated Rate	$266.75
Rate for Payer: Cash Price	$206.25
Rate for Payer: Health Partners Plans Commercial	$261.25
Rate for Payer: UnitedHealthcare Commercial	$266.75
Rate for Payer: WPPA Commercial	$225.50

INCISION/DRAIN POSP-OP INFECTN

Facility

$2,584.00

Service Code	HCPCS 10180
Hospital Charge Code	1018023
Hospital Revenue Code	761
Min. Negotiated Rate	$1,193.81
Max. Negotiated Rate	$3,784.47
Rate for Payer: BCBS Commercial	$3,784.47
Rate for Payer: Cash Price	$1,938.00
Rate for Payer: Cash Price	$1,938.00
Rate for Payer: Celtic Commercial/Exchange	$1,193.81
Rate for Payer: Health Partners Plans Commercial	$2,454.80
Rate for Payer: UnitedHealthcare Commercial	$2,506.48
Rate for Payer: WPPA Commercial	$2,170.56

INCISION/DRAIN POSP-OP INFECTN

Facility

$2,584.00

Service Code	HCPCS 10180
Hospital Charge Code	1018023
Hospital Revenue Code	761
Min. Negotiated Rate	$2,118.88
Max. Negotiated Rate	$2,506.48
Rate for Payer: Cash Price	$1,938.00
Rate for Payer: Health Partners Plans Commercial	$2,454.80
Rate for Payer: UnitedHealthcare Commercial	$2,506.48
Rate for Payer: WPPA Commercial	$2,118.88

INCISION THROMBOSED HEMORRHOID

Facility

$377.00

Service Code	HCPCS 46083
Hospital Charge Code	4608300
Hospital Revenue Code	450
Min. Negotiated Rate	$174.17
Max. Negotiated Rate	$365.69
Rate for Payer: BCBS Commercial	$304.01
Rate for Payer: Cash Price	$282.75
Rate for Payer: Cash Price	$282.75
Rate for Payer: Celtic Commercial/Exchange	$174.17
Rate for Payer: Health Partners Plans Commercial	$358.15
Rate for Payer: UnitedHealthcare Commercial	$365.69
Rate for Payer: WPPA Commercial	$316.68

INCISION THROMBOSED HEMORRHOID

Facility

$377.00

Service Code	HCPCS 46083
Hospital Charge Code	4608300
Hospital Revenue Code	450
Min. Negotiated Rate	$309.14
Max. Negotiated Rate	$365.69
Rate for Payer: Cash Price	$282.75
Rate for Payer: Health Partners Plans Commercial	$358.15
Rate for Payer: UnitedHealthcare Commercial	$365.69
Rate for Payer: WPPA Commercial	$309.14

Know your out-of-pocket cost for care.

All Charges