Ness County Hospital

All Charges

Charge

Type

Setting

Price

INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC

Facility

$13,759.20

Service Code	MSDRG 855
Min. Negotiated Rate	$13,759.20
Max. Negotiated Rate	$13,759.20
Rate for Payer: BCBS Commercial	$13,759.20

INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC

Facility

$12,734.53

Service Code	MSDRG 727
Min. Negotiated Rate	$12,734.53
Max. Negotiated Rate	$12,734.53
Rate for Payer: BCBS Commercial	$12,734.53

INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC

Facility

$7,150.98

Service Code	MSDRG 728
Min. Negotiated Rate	$7,150.98
Max. Negotiated Rate	$7,150.98
Rate for Payer: BCBS Commercial	$7,150.98

INFLAMMATORY BOWEL DISEASE WITH CC

Facility

$8,832.01

Service Code	MSDRG 386
Min. Negotiated Rate	$8,832.01
Max. Negotiated Rate	$8,832.01
Rate for Payer: BCBS Commercial	$8,832.01

INFLAMMATORY BOWEL DISEASE WITH MCC

Facility

$14,398.73

Service Code	MSDRG 385
Min. Negotiated Rate	$14,398.73
Max. Negotiated Rate	$14,398.73
Rate for Payer: BCBS Commercial	$14,398.73

INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC

Facility

$6,343.30

Service Code	MSDRG 387
Min. Negotiated Rate	$6,343.30
Max. Negotiated Rate	$6,343.30
Rate for Payer: BCBS Commercial	$6,343.30

INFLATABLE CUSHION

Facility

$12.00

Hospital Charge Code	2700367
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

INFLATABLE CUSHION

Facility

$12.00

Hospital Charge Code	2700367
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

INFLATION SYRINGE

Facility

$117.00

Hospital Charge Code	2705252
Hospital Revenue Code	270
Min. Negotiated Rate	$95.94
Max. Negotiated Rate	$113.49
Rate for Payer: Cash Price	$88.12
Rate for Payer: Health Partners Plans Commercial	$111.15
Rate for Payer: UnitedHealthcare Commercial	$113.49
Rate for Payer: WPPA Commercial	$95.94

INFLATION SYRINGE

Facility

$117.00

Hospital Charge Code	2705252
Hospital Revenue Code	270
Min. Negotiated Rate	$54.05
Max. Negotiated Rate	$113.49
Rate for Payer: Cash Price	$88.12
Rate for Payer: Celtic Commercial/Exchange	$54.05
Rate for Payer: Health Partners Plans Commercial	$111.15
Rate for Payer: UnitedHealthcare Commercial	$113.49
Rate for Payer: WPPA Commercial	$98.28

INFLATORS (BALLOONS)

Facility

$827.00

Hospital Charge Code	2705367
Hospital Revenue Code	270
Min. Negotiated Rate	$678.14
Max. Negotiated Rate	$802.19
Rate for Payer: Cash Price	$620.62
Rate for Payer: Health Partners Plans Commercial	$785.65
Rate for Payer: UnitedHealthcare Commercial	$802.19
Rate for Payer: WPPA Commercial	$678.14

INFLATORS (BALLOONS)

Facility

$827.00

Hospital Charge Code	2705367
Hospital Revenue Code	270
Min. Negotiated Rate	$382.07
Max. Negotiated Rate	$802.19
Rate for Payer: Cash Price	$620.62
Rate for Payer: Celtic Commercial/Exchange	$382.07
Rate for Payer: Health Partners Plans Commercial	$785.65
Rate for Payer: UnitedHealthcare Commercial	$802.19
Rate for Payer: WPPA Commercial	$694.68

INFLUENZA A & B ANTIBODIES

Facility

$186.00

Hospital Charge Code	8888915
Hospital Revenue Code	302
Min. Negotiated Rate	$85.93
Max. Negotiated Rate	$180.42
Rate for Payer: Cash Price	$139.50
Rate for Payer: Celtic Commercial/Exchange	$85.93
Rate for Payer: Health Partners Plans Commercial	$176.70
Rate for Payer: UnitedHealthcare Commercial	$180.42
Rate for Payer: WPPA Commercial	$156.24

INFLUENZA A & B ANTIBODIES

Facility

$186.00

Hospital Charge Code	8888915
Hospital Revenue Code	302
Min. Negotiated Rate	$152.52
Max. Negotiated Rate	$180.42
Rate for Payer: Cash Price	$139.50
Rate for Payer: Health Partners Plans Commercial	$176.70
Rate for Payer: UnitedHealthcare Commercial	$180.42
Rate for Payer: WPPA Commercial	$152.52

INFLUENZA VIRUS, MULT TYPES

Facility

$245.00

Service Code	HCPCS 87502
Hospital Charge Code	8750200
Hospital Revenue Code	306
Min. Negotiated Rate	$111.78
Max. Negotiated Rate	$237.65
Rate for Payer: BCBS Commercial	$111.78
Rate for Payer: Cash Price	$183.75
Rate for Payer: Cash Price	$183.75
Rate for Payer: Celtic Commercial/Exchange	$113.19
Rate for Payer: Health Partners Plans Commercial	$232.75
Rate for Payer: UnitedHealthcare Commercial	$237.65
Rate for Payer: WPPA Commercial	$205.80

INFLUENZA VIRUS, MULT TYPES

Facility

$245.00

Service Code	HCPCS 87502
Hospital Charge Code	8750200
Hospital Revenue Code	306
Min. Negotiated Rate	$200.90
Max. Negotiated Rate	$237.65
Rate for Payer: Cash Price	$183.75
Rate for Payer: Health Partners Plans Commercial	$232.75
Rate for Payer: UnitedHealthcare Commercial	$237.65
Rate for Payer: WPPA Commercial	$200.90

INFUSION OF SOTROVIMAB

Facility

$451.00

Service Code	HCPCS M0247
Hospital Charge Code	M024700
Hospital Revenue Code	761
Min. Negotiated Rate	$208.36
Max. Negotiated Rate	$437.47
Rate for Payer: Cash Price	$338.25
Rate for Payer: Celtic Commercial/Exchange	$208.36
Rate for Payer: Health Partners Plans Commercial	$428.45
Rate for Payer: UnitedHealthcare Commercial	$437.47
Rate for Payer: WPPA Commercial	$378.84

INFUSION OF SOTROVIMAB

Facility

$451.00

Service Code	HCPCS M0247
Hospital Charge Code	M024700
Hospital Revenue Code	761
Min. Negotiated Rate	$369.82
Max. Negotiated Rate	$437.47
Rate for Payer: Cash Price	$338.25
Rate for Payer: Health Partners Plans Commercial	$428.45
Rate for Payer: UnitedHealthcare Commercial	$437.47
Rate for Payer: WPPA Commercial	$369.82

INFUSION SET

Facility

$42.00

Hospital Charge Code	2702508
Hospital Revenue Code	270
Min. Negotiated Rate	$34.44
Max. Negotiated Rate	$40.74
Rate for Payer: Cash Price	$31.50
Rate for Payer: Health Partners Plans Commercial	$39.90
Rate for Payer: UnitedHealthcare Commercial	$40.74
Rate for Payer: WPPA Commercial	$34.44

INFUSION SET

Facility

$42.00

Hospital Charge Code	2702508
Hospital Revenue Code	270
Min. Negotiated Rate	$19.40
Max. Negotiated Rate	$40.74
Rate for Payer: Cash Price	$31.50
Rate for Payer: Celtic Commercial/Exchange	$19.40
Rate for Payer: Health Partners Plans Commercial	$39.90
Rate for Payer: UnitedHealthcare Commercial	$40.74
Rate for Payer: WPPA Commercial	$35.28

INFUVITE ADULT MVI

Facility

$27.00

Hospital Charge Code	2520022
Hospital Revenue Code	250
Min. Negotiated Rate	$22.14
Max. Negotiated Rate	$26.19
Rate for Payer: Cash Price	$20.25
Rate for Payer: Health Partners Plans Commercial	$25.65
Rate for Payer: UnitedHealthcare Commercial	$26.19
Rate for Payer: WPPA Commercial	$22.14

INFUVITE ADULT MVI

Facility

$27.00

Hospital Charge Code	2520022
Hospital Revenue Code	250
Min. Negotiated Rate	$12.47
Max. Negotiated Rate	$26.19
Rate for Payer: Cash Price	$20.25
Rate for Payer: Celtic Commercial/Exchange	$12.47
Rate for Payer: Health Partners Plans Commercial	$25.65
Rate for Payer: UnitedHealthcare Commercial	$26.19
Rate for Payer: WPPA Commercial	$22.68

INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC

Facility

$13,248.46

Service Code	MSDRG 351
Min. Negotiated Rate	$13,248.46
Max. Negotiated Rate	$13,248.46
Rate for Payer: BCBS Commercial	$13,248.46

INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC

Facility

$19,540.35

Service Code	MSDRG 350
Min. Negotiated Rate	$19,540.35
Max. Negotiated Rate	$19,540.35
Rate for Payer: BCBS Commercial	$19,540.35

INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC

Facility

$9,802.09

Service Code	MSDRG 352
Min. Negotiated Rate	$9,802.09
Max. Negotiated Rate	$9,802.09
Rate for Payer: BCBS Commercial	$9,802.09

Know your out-of-pocket cost for care.

All Charges