Ness County Hospital

All Charges

Charge

Type

Setting

Price

INFECT AGENT ANTIGEN DETECTION

Facility

$491.00

Service Code	HCPCS 87506
Hospital Charge Code	8750600
Hospital Revenue Code	306
Min. Negotiated Rate	$402.62
Max. Negotiated Rate	$476.27
Rate for Payer: Cash Price	$368.25
Rate for Payer: Health Partners Plans Commercial	$466.45
Rate for Payer: UnitedHealthcare Commercial	$476.27
Rate for Payer: WPPA Commercial	$402.62

INFECT AGENT ANTIGEN DETECTION

Facility

$491.00

Service Code	HCPCS 87506
Hospital Charge Code	8750600
Hospital Revenue Code	306
Min. Negotiated Rate	$226.84
Max. Negotiated Rate	$476.27
Rate for Payer: BCBS Commercial	$465.73
Rate for Payer: Cash Price	$368.25
Rate for Payer: Cash Price	$368.25
Rate for Payer: Celtic Commercial/Exchange	$226.84
Rate for Payer: Health Partners Plans Commercial	$466.45
Rate for Payer: UnitedHealthcare Commercial	$476.27
Rate for Payer: WPPA Commercial	$412.44

INFECT AGNT ANTG DETEC IMMUNFL

Facility

$89.00

Service Code	HCPCS 87272
Hospital Charge Code	8727200
Hospital Revenue Code	306
Min. Negotiated Rate	$41.12
Max. Negotiated Rate	$86.33
Rate for Payer: BCBS Commercial	$54.84
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

INFECT AGNT ANTG DETEC IMMUNFL

Facility

$89.00

Service Code	HCPCS 87272
Hospital Charge Code	8727200
Hospital Revenue Code	306
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

INFECT AGNT ANTG DETEC IMMUNO

Facility

$126.00

Service Code	HCPCS 87299
Hospital Charge Code	8729900
Hospital Revenue Code	306
Min. Negotiated Rate	$58.21
Max. Negotiated Rate	$122.22
Rate for Payer: BCBS Commercial	$60.95
Rate for Payer: Cash Price	$94.50
Rate for Payer: Cash Price	$94.50
Rate for Payer: Celtic Commercial/Exchange	$58.21
Rate for Payer: Health Partners Plans Commercial	$119.70
Rate for Payer: UnitedHealthcare Commercial	$122.22
Rate for Payer: WPPA Commercial	$105.84

INFECT AGNT ANTG DETEC IMMUNO

Facility

$126.00

Service Code	HCPCS 87299
Hospital Charge Code	8729900
Hospital Revenue Code	306
Min. Negotiated Rate	$103.32
Max. Negotiated Rate	$122.22
Rate for Payer: Cash Price	$94.50
Rate for Payer: Health Partners Plans Commercial	$119.70
Rate for Payer: UnitedHealthcare Commercial	$122.22
Rate for Payer: WPPA Commercial	$103.32

INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC

Facility

$8,265.52

Service Code	MSDRG 758
Min. Negotiated Rate	$8,265.52
Max. Negotiated Rate	$8,265.52
Rate for Payer: BCBS Commercial	$8,265.52

INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC

Facility

$12,099.64

Service Code	MSDRG 757
Min. Negotiated Rate	$12,099.64
Max. Negotiated Rate	$12,099.64
Rate for Payer: BCBS Commercial	$12,099.64

INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC

Facility

$5,661.13

Service Code	MSDRG 759
Min. Negotiated Rate	$5,661.13
Max. Negotiated Rate	$5,661.13
Rate for Payer: BCBS Commercial	$5,661.13

INFECTIOUS AGENT ANTIGEN-A

Facility

$109.00

Service Code	HCPCS 87804
Hospital Charge Code	8780401
Hospital Revenue Code	306
Min. Negotiated Rate	$89.38
Max. Negotiated Rate	$105.73
Rate for Payer: Cash Price	$81.75
Rate for Payer: Health Partners Plans Commercial	$103.55
Rate for Payer: UnitedHealthcare Commercial	$105.73
Rate for Payer: WPPA Commercial	$89.38

INFECTIOUS AGENT ANTIGEN-A

Facility

$109.00

Service Code	HCPCS 87804
Hospital Charge Code	8780401
Hospital Revenue Code	306
Min. Negotiated Rate	$50.36
Max. Negotiated Rate	$105.73
Rate for Payer: BCBS Commercial	$54.84
Rate for Payer: Cash Price	$81.75
Rate for Payer: Cash Price	$81.75
Rate for Payer: Celtic Commercial/Exchange	$50.36
Rate for Payer: Health Partners Plans Commercial	$103.55
Rate for Payer: UnitedHealthcare Commercial	$105.73
Rate for Payer: WPPA Commercial	$91.56

INFECTIOUS AGENT ANTIGEN-B

Facility

$109.00

Service Code	HCPCS 87804 59
Hospital Charge Code	8780402
Hospital Revenue Code	306
Min. Negotiated Rate	$89.38
Max. Negotiated Rate	$105.73
Rate for Payer: Cash Price	$81.75
Rate for Payer: Health Partners Plans Commercial	$103.55
Rate for Payer: UnitedHealthcare Commercial	$105.73
Rate for Payer: WPPA Commercial	$89.38

INFECTIOUS AGENT ANTIGEN-B

Facility

$109.00

Service Code	HCPCS 87804 59
Hospital Charge Code	8780402
Hospital Revenue Code	306
Min. Negotiated Rate	$50.36
Max. Negotiated Rate	$105.73
Rate for Payer: BCBS Commercial	$54.84
Rate for Payer: Cash Price	$81.75
Rate for Payer: Cash Price	$81.75
Rate for Payer: Celtic Commercial/Exchange	$50.36
Rate for Payer: Health Partners Plans Commercial	$103.55
Rate for Payer: UnitedHealthcare Commercial	$105.73
Rate for Payer: WPPA Commercial	$91.56

Infectious Agent Babesia Microti using amp probe technique

Facility

$78.00

Service Code	HCPCS 87469
Hospital Charge Code	8746900
Hospital Revenue Code	306
Min. Negotiated Rate	$36.04
Max. Negotiated Rate	$75.66
Rate for Payer: BCBS Commercial	$52.64
Rate for Payer: Cash Price	$58.50
Rate for Payer: Cash Price	$58.50
Rate for Payer: Celtic Commercial/Exchange	$36.04
Rate for Payer: Health Partners Plans Commercial	$74.10
Rate for Payer: UnitedHealthcare Commercial	$75.66
Rate for Payer: WPPA Commercial	$65.52

Infectious Agent Babesia Microti using amp probe technique

Facility

$78.00

Service Code	HCPCS 87469
Hospital Charge Code	8746900
Hospital Revenue Code	306
Min. Negotiated Rate	$63.96
Max. Negotiated Rate	$75.66
Rate for Payer: Cash Price	$58.50
Rate for Payer: Health Partners Plans Commercial	$74.10
Rate for Payer: UnitedHealthcare Commercial	$75.66
Rate for Payer: WPPA Commercial	$63.96

Infectious agent detect by nucleic acid, Candida species, direct probe tech

Facility

$83.00

Service Code	HCPCS 87480
Hospital Charge Code	8748000
Hospital Revenue Code	306
Min. Negotiated Rate	$68.06
Max. Negotiated Rate	$80.51
Rate for Payer: Cash Price	$62.25
Rate for Payer: Health Partners Plans Commercial	$78.85
Rate for Payer: UnitedHealthcare Commercial	$80.51
Rate for Payer: WPPA Commercial	$68.06

Infectious agent detect by nucleic acid, Candida species, direct probe tech

Facility

$83.00

Service Code	HCPCS 87480
Hospital Charge Code	8748000
Hospital Revenue Code	306
Min. Negotiated Rate	$38.35
Max. Negotiated Rate	$80.51
Rate for Payer: BCBS Commercial	$58.09
Rate for Payer: Cash Price	$62.25
Rate for Payer: Cash Price	$62.25
Rate for Payer: Celtic Commercial/Exchange	$38.35
Rate for Payer: Health Partners Plans Commercial	$78.85
Rate for Payer: UnitedHealthcare Commercial	$80.51
Rate for Payer: WPPA Commercial	$69.72

Infectious Agent Detect by Nucleic Acid (DNA or RNA) for Strep A, amp probe technique

Facility

$100.00

Service Code	HCPCS 87651
Hospital Charge Code	8765100
Hospital Revenue Code	306
Min. Negotiated Rate	$82.00
Max. Negotiated Rate	$97.00
Rate for Payer: Cash Price	$75.00
Rate for Payer: Health Partners Plans Commercial	$95.00
Rate for Payer: UnitedHealthcare Commercial	$97.00
Rate for Payer: WPPA Commercial	$82.00

Infectious Agent Detect by Nucleic Acid (DNA or RNA) for Strep A, amp probe technique

Facility

$100.00

Service Code	HCPCS 87651
Hospital Charge Code	8765100
Hospital Revenue Code	306
Min. Negotiated Rate	$46.20
Max. Negotiated Rate	$97.00
Rate for Payer: BCBS Commercial	$75.32
Rate for Payer: Cash Price	$75.00
Rate for Payer: Cash Price	$75.00
Rate for Payer: Celtic Commercial/Exchange	$46.20
Rate for Payer: Health Partners Plans Commercial	$95.00
Rate for Payer: UnitedHealthcare Commercial	$97.00
Rate for Payer: WPPA Commercial	$84.00

Infectious agent detect by nucleic acid; Gardnerella vaginalis, direct probe tech

Facility

$83.00

Service Code	HCPCS 87510
Hospital Charge Code	8751000
Hospital Revenue Code	306
Min. Negotiated Rate	$38.35
Max. Negotiated Rate	$80.51
Rate for Payer: BCBS Commercial	$58.09
Rate for Payer: Cash Price	$62.25
Rate for Payer: Cash Price	$62.25
Rate for Payer: Celtic Commercial/Exchange	$38.35
Rate for Payer: Health Partners Plans Commercial	$78.85
Rate for Payer: UnitedHealthcare Commercial	$80.51
Rate for Payer: WPPA Commercial	$69.72

Infectious agent detect by nucleic acid; Gardnerella vaginalis, direct probe tech

Facility

$83.00

Service Code	HCPCS 87510
Hospital Charge Code	8751000
Hospital Revenue Code	306
Min. Negotiated Rate	$68.06
Max. Negotiated Rate	$80.51
Rate for Payer: Cash Price	$62.25
Rate for Payer: Health Partners Plans Commercial	$78.85
Rate for Payer: UnitedHealthcare Commercial	$80.51
Rate for Payer: WPPA Commercial	$68.06

Infectious agent detect by nucleic acid; Trichomonas vaginalis, direct probe tech

Facility

$83.00

Service Code	HCPCS 87660
Hospital Charge Code	8766000
Hospital Revenue Code	306
Min. Negotiated Rate	$38.35
Max. Negotiated Rate	$80.51
Rate for Payer: BCBS Commercial	$57.89
Rate for Payer: Cash Price	$62.25
Rate for Payer: Cash Price	$62.25
Rate for Payer: Celtic Commercial/Exchange	$38.35
Rate for Payer: Health Partners Plans Commercial	$78.85
Rate for Payer: UnitedHealthcare Commercial	$80.51
Rate for Payer: WPPA Commercial	$69.72

Infectious agent detect by nucleic acid; Trichomonas vaginalis, direct probe tech

Facility

$83.00

Service Code	HCPCS 87660
Hospital Charge Code	8766000
Hospital Revenue Code	306
Min. Negotiated Rate	$68.06
Max. Negotiated Rate	$80.51
Rate for Payer: Cash Price	$62.25
Rate for Payer: Health Partners Plans Commercial	$78.85
Rate for Payer: UnitedHealthcare Commercial	$80.51
Rate for Payer: WPPA Commercial	$68.06

INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC

Facility

$18,835.59

Service Code	MSDRG 854
Min. Negotiated Rate	$18,835.59
Max. Negotiated Rate	$18,835.59
Rate for Payer: BCBS Commercial	$18,835.59

INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC

Facility

$44,091.75

Service Code	MSDRG 853
Min. Negotiated Rate	$44,091.75
Max. Negotiated Rate	$44,091.75
Rate for Payer: BCBS Commercial	$44,091.75

Know your out-of-pocket cost for care.

All Charges