Ness County Hospital

All Charges

Charge

Type

Setting

Price

KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC

Facility

$14,702.63

Service Code	MSDRG 660
Min. Negotiated Rate	$14,702.63
Max. Negotiated Rate	$14,702.63
Rate for Payer: BCBS Commercial	$14,702.63

KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC

Facility

$23,683.98

Service Code	MSDRG 659
Min. Negotiated Rate	$23,683.98
Max. Negotiated Rate	$23,683.98
Rate for Payer: BCBS Commercial	$23,683.98

KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC

Facility

$12,018.86

Service Code	MSDRG 661
Min. Negotiated Rate	$12,018.86
Max. Negotiated Rate	$12,018.86
Rate for Payer: BCBS Commercial	$12,018.86

KIDNEY AND URINARY TRACT INFECTIONS WITH MCC

Facility

$9,990.19

Service Code	MSDRG 689
Min. Negotiated Rate	$9,990.19
Max. Negotiated Rate	$9,990.19
Rate for Payer: BCBS Commercial	$9,990.19

KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC

Facility

$7,701.76

Service Code	MSDRG 690
Min. Negotiated Rate	$7,701.76
Max. Negotiated Rate	$7,701.76
Rate for Payer: BCBS Commercial	$7,701.76

KIDNEY AND URINARY TRACT NEOPLASMS WITH CC

Facility

$9,909.59

Service Code	MSDRG 687
Min. Negotiated Rate	$9,909.59
Max. Negotiated Rate	$9,909.59
Rate for Payer: BCBS Commercial	$9,909.59

KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC

Facility

$16,644.22

Service Code	MSDRG 686
Min. Negotiated Rate	$16,644.22
Max. Negotiated Rate	$16,644.22
Rate for Payer: BCBS Commercial	$16,644.22

KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC

Facility

$7,067.44

Service Code	MSDRG 688
Min. Negotiated Rate	$7,067.44
Max. Negotiated Rate	$7,067.44
Rate for Payer: BCBS Commercial	$7,067.44

KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC

Facility

$9,783.78

Service Code	MSDRG 695
Min. Negotiated Rate	$9,783.78
Max. Negotiated Rate	$9,783.78
Rate for Payer: BCBS Commercial	$9,783.78

KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC

Facility

$6,140.96

Service Code	MSDRG 696
Min. Negotiated Rate	$6,140.96
Max. Negotiated Rate	$6,140.96
Rate for Payer: BCBS Commercial	$6,140.96

KIDNEY TRANSPLANT

Facility

$33,255.19

Service Code	MSDRG 652
Min. Negotiated Rate	$33,255.19
Max. Negotiated Rate	$33,255.19
Rate for Payer: BCBS Commercial	$33,255.19

KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC

Facility

$50,408.60

Service Code	MSDRG 650
Min. Negotiated Rate	$50,408.60
Max. Negotiated Rate	$50,408.60
Rate for Payer: BCBS Commercial	$50,408.60

KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC

Facility

$40,449.65

Service Code	MSDRG 651
Min. Negotiated Rate	$40,449.65
Max. Negotiated Rate	$40,449.65
Rate for Payer: BCBS Commercial	$40,449.65

KING AIRWAY

Facility

$124.00

Hospital Charge Code	2505735
Hospital Revenue Code	270
Min. Negotiated Rate	$57.29
Max. Negotiated Rate	$120.28
Rate for Payer: Cash Price	$93.56
Rate for Payer: Celtic Commercial/Exchange	$57.29
Rate for Payer: Health Partners Plans Commercial	$117.80
Rate for Payer: UnitedHealthcare Commercial	$120.28
Rate for Payer: WPPA Commercial	$104.16

KING AIRWAY

Facility

$124.00

Hospital Charge Code	2505735
Hospital Revenue Code	270
Min. Negotiated Rate	$101.68
Max. Negotiated Rate	$120.28
Rate for Payer: Cash Price	$93.56
Rate for Payer: Health Partners Plans Commercial	$117.80
Rate for Payer: UnitedHealthcare Commercial	$120.28
Rate for Payer: WPPA Commercial	$101.68

KLONOPIN 0.5 MG TAB (CLONAZEPAM)

Facility

$3.00

Service Code	NDC 60687054411
Hospital Charge Code	2509651
Hospital Revenue Code	250
Min. Negotiated Rate	$2.46
Max. Negotiated Rate	$2.91
Rate for Payer: Cash Price	$2.78
Rate for Payer: Health Partners Plans Commercial	$2.85
Rate for Payer: UnitedHealthcare Commercial	$2.91
Rate for Payer: WPPA Commercial	$2.46

KLONOPIN 0.5 MG TAB (CLONAZEPAM)

Facility

$3.00

Service Code	NDC 60687054411
Hospital Charge Code	2509651
Hospital Revenue Code	250
Min. Negotiated Rate	$1.39
Max. Negotiated Rate	$2.91
Rate for Payer: Cash Price	$2.78
Rate for Payer: Celtic Commercial/Exchange	$1.39
Rate for Payer: Health Partners Plans Commercial	$2.85
Rate for Payer: UnitedHealthcare Commercial	$2.91
Rate for Payer: WPPA Commercial	$2.52

K-LYTE 25 MEQ TAB (EFFERVESCENT POTASSIUM)

Facility

$4.00

Service Code	NDC 51801000130
Hospital Charge Code	2503738
Hospital Revenue Code	250
Min. Negotiated Rate	$3.28
Max. Negotiated Rate	$3.88
Rate for Payer: Cash Price	$3.56
Rate for Payer: Health Partners Plans Commercial	$3.80
Rate for Payer: UnitedHealthcare Commercial	$3.88
Rate for Payer: WPPA Commercial	$3.28

K-LYTE 25 MEQ TAB (EFFERVESCENT POTASSIUM)

Facility

$4.00

Service Code	NDC 51801000130
Hospital Charge Code	2503738
Hospital Revenue Code	250
Min. Negotiated Rate	$1.85
Max. Negotiated Rate	$3.88
Rate for Payer: Cash Price	$3.56
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

KNEE, BIL WEIGHTBEARING 1 VIEW

Facility

$191.00

Service Code	HCPCS 73565
Hospital Charge Code	3290019
Hospital Revenue Code	320
Min. Negotiated Rate	$156.62
Max. Negotiated Rate	$185.27
Rate for Payer: Cash Price	$143.25
Rate for Payer: Health Partners Plans Commercial	$181.45
Rate for Payer: UnitedHealthcare Commercial	$185.27
Rate for Payer: WPPA Commercial	$156.62

KNEE, BIL WEIGHTBEARING 1 VIEW

Facility

$191.00

Service Code	HCPCS 73565
Hospital Charge Code	3290019
Hospital Revenue Code	320
Min. Negotiated Rate	$88.24
Max. Negotiated Rate	$185.27
Rate for Payer: BCBS Commercial	$110.06
Rate for Payer: Cash Price	$143.25
Rate for Payer: Cash Price	$143.25
Rate for Payer: Celtic Commercial/Exchange	$88.24
Rate for Payer: Health Partners Plans Commercial	$181.45
Rate for Payer: UnitedHealthcare Commercial	$185.27
Rate for Payer: WPPA Commercial	$160.44

KNEE BRACE

Facility

$84.00

Hospital Charge Code	2701027LTC
Hospital Revenue Code	270
Min. Negotiated Rate	$38.81
Max. Negotiated Rate	$81.48
Rate for Payer: Cash Price	$63.00
Rate for Payer: Celtic Commercial/Exchange	$38.81
Rate for Payer: Health Partners Plans Commercial	$79.80
Rate for Payer: UnitedHealthcare Commercial	$81.48
Rate for Payer: WPPA Commercial	$70.56

KNEE BRACE

Facility

$84.00

Hospital Charge Code	2701027LTC
Hospital Revenue Code	270
Min. Negotiated Rate	$68.88
Max. Negotiated Rate	$81.48
Rate for Payer: Cash Price	$63.00
Rate for Payer: Health Partners Plans Commercial	$79.80
Rate for Payer: UnitedHealthcare Commercial	$81.48
Rate for Payer: WPPA Commercial	$68.88

KNEE IMMOBILIZER 19" LG

Facility

$60.00

Hospital Charge Code	2701028
Hospital Revenue Code	270
Min. Negotiated Rate	$27.72
Max. Negotiated Rate	$58.20
Rate for Payer: Cash Price	$45.00
Rate for Payer: Celtic Commercial/Exchange	$27.72
Rate for Payer: Health Partners Plans Commercial	$57.00
Rate for Payer: UnitedHealthcare Commercial	$58.20
Rate for Payer: WPPA Commercial	$50.40

KNEE IMMOBILIZER 19" LG

Facility

$60.00

Hospital Charge Code	2701028
Hospital Revenue Code	270
Min. Negotiated Rate	$49.20
Max. Negotiated Rate	$58.20
Rate for Payer: Cash Price	$45.00
Rate for Payer: Health Partners Plans Commercial	$57.00
Rate for Payer: UnitedHealthcare Commercial	$58.20
Rate for Payer: WPPA Commercial	$49.20

Know your out-of-pocket cost for care.

All Charges