Ness County Hospital

All Charges

Charge

Type

Setting

Price

ANAL AND STOMAL PROCEDURES WITH CC

Facility

$11,965.07

Service Code	MSDRG 348
Min. Negotiated Rate	$11,965.07
Max. Negotiated Rate	$11,965.07
Rate for Payer: BCBS Commercial	$11,965.07

ANAL AND STOMAL PROCEDURES WITH MCC

Facility

$20,609.59

Service Code	MSDRG 347
Min. Negotiated Rate	$20,609.59
Max. Negotiated Rate	$20,609.59
Rate for Payer: BCBS Commercial	$20,609.59

ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC

Facility

$8,691.77

Service Code	MSDRG 349
Min. Negotiated Rate	$8,691.77
Max. Negotiated Rate	$8,691.77
Rate for Payer: BCBS Commercial	$8,691.77

ANALGESICS NON OPIOID 3-5 SCRN

Facility

$300.00

Service Code	HCPCS 80330
Hospital Charge Code	8033000
Hospital Revenue Code	300
Min. Negotiated Rate	$72.33
Max. Negotiated Rate	$291.00
Rate for Payer: BCBS Commercial	$72.33
Rate for Payer: Cash Price	$225.00
Rate for Payer: Cash Price	$225.00
Rate for Payer: Celtic Commercial/Exchange	$138.60
Rate for Payer: Health Partners Plans Commercial	$285.00
Rate for Payer: UnitedHealthcare Commercial	$291.00
Rate for Payer: WPPA Commercial	$252.00

ANALGESICS NON OPIOID 3-5 SCRN

Facility

$300.00

Service Code	HCPCS 80330
Hospital Charge Code	8033000
Hospital Revenue Code	300
Min. Negotiated Rate	$246.00
Max. Negotiated Rate	$291.00
Rate for Payer: Cash Price	$225.00
Rate for Payer: Health Partners Plans Commercial	$285.00
Rate for Payer: UnitedHealthcare Commercial	$291.00
Rate for Payer: WPPA Commercial	$246.00

ANA MULTIPLEX W/RFLX 11 ANTIB

Facility

$78.00

Service Code	HCPCS 86038
Hospital Charge Code	8603802
Hospital Revenue Code	302
Min. Negotiated Rate	$36.04
Max. Negotiated Rate	$75.66
Rate for Payer: BCBS Commercial	$44.30
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

ANA MULTIPLEX W/RFLX 11 ANTIB

Facility

$78.00

Service Code	HCPCS 86038
Hospital Charge Code	8603802
Hospital Revenue Code	302
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

ANCA SCREEN W/REFLEX ANCA TITR

Facility

$90.00

Service Code	HCPCS 86021
Hospital Charge Code	8602101
Hospital Revenue Code	302
Min. Negotiated Rate	$27.03
Max. Negotiated Rate	$87.30
Rate for Payer: BCBS Commercial	$27.03
Rate for Payer: Cash Price	$67.50
Rate for Payer: Cash Price	$67.50
Rate for Payer: Celtic Commercial/Exchange	$41.58
Rate for Payer: Health Partners Plans Commercial	$85.50
Rate for Payer: UnitedHealthcare Commercial	$87.30
Rate for Payer: WPPA Commercial	$75.60

ANCA SCREEN W/REFLEX ANCA TITR

Facility

$90.00

Service Code	HCPCS 86021
Hospital Charge Code	8602101
Hospital Revenue Code	302
Min. Negotiated Rate	$73.80
Max. Negotiated Rate	$87.30
Rate for Payer: Cash Price	$67.50
Rate for Payer: Health Partners Plans Commercial	$85.50
Rate for Payer: UnitedHealthcare Commercial	$87.30
Rate for Payer: WPPA Commercial	$73.80

ANDROSTENEDIONE,LC/MS/MS

Facility

$142.00

Service Code	HCPCS 82157
Hospital Charge Code	8215700
Hospital Revenue Code	301
Min. Negotiated Rate	$65.60
Max. Negotiated Rate	$137.74
Rate for Payer: BCBS Commercial	$119.11
Rate for Payer: Cash Price	$106.50
Rate for Payer: Cash Price	$106.50
Rate for Payer: Celtic Commercial/Exchange	$65.60
Rate for Payer: Health Partners Plans Commercial	$134.90
Rate for Payer: UnitedHealthcare Commercial	$137.74
Rate for Payer: WPPA Commercial	$119.28

ANDROSTENEDIONE,LC/MS/MS

Facility

$142.00

Service Code	HCPCS 82157
Hospital Charge Code	8215700
Hospital Revenue Code	301
Min. Negotiated Rate	$116.44
Max. Negotiated Rate	$137.74
Rate for Payer: Cash Price	$106.50
Rate for Payer: Health Partners Plans Commercial	$134.90
Rate for Payer: UnitedHealthcare Commercial	$137.74
Rate for Payer: WPPA Commercial	$116.44

Anectine 20mg/ml inj. 10 ml vial (succinylcholine chloride/quelicin)

Facility

$93.00

Service Code	NDC 16729049345
Hospital Charge Code	2500437
Hospital Revenue Code	250
Min. Negotiated Rate	$76.26
Max. Negotiated Rate	$90.21
Rate for Payer: Cash Price	$69.79
Rate for Payer: Health Partners Plans Commercial	$88.35
Rate for Payer: UnitedHealthcare Commercial	$90.21
Rate for Payer: WPPA Commercial	$76.26

Anectine 20mg/ml inj. 10 ml vial (succinylcholine chloride/quelicin)

Facility

$93.00

Service Code	NDC 16729049345
Hospital Charge Code	2500437
Hospital Revenue Code	250
Min. Negotiated Rate	$42.97
Max. Negotiated Rate	$90.21
Rate for Payer: Cash Price	$69.79
Rate for Payer: Celtic Commercial/Exchange	$42.97
Rate for Payer: Health Partners Plans Commercial	$88.35
Rate for Payer: UnitedHealthcare Commercial	$90.21
Rate for Payer: WPPA Commercial	$78.12

ANESTH TUBING SET

Facility

$62.00

Hospital Charge Code	2580799
Hospital Revenue Code	270
Min. Negotiated Rate	$50.84
Max. Negotiated Rate	$60.14
Rate for Payer: Cash Price	$46.50
Rate for Payer: Health Partners Plans Commercial	$58.90
Rate for Payer: UnitedHealthcare Commercial	$60.14
Rate for Payer: WPPA Commercial	$50.84

ANESTH TUBING SET

Facility

$62.00

Hospital Charge Code	2580799
Hospital Revenue Code	270
Min. Negotiated Rate	$28.64
Max. Negotiated Rate	$60.14
Rate for Payer: Cash Price	$46.50
Rate for Payer: Celtic Commercial/Exchange	$28.64
Rate for Payer: Health Partners Plans Commercial	$58.90
Rate for Payer: UnitedHealthcare Commercial	$60.14
Rate for Payer: WPPA Commercial	$52.08

ANGINA PECTORIS

Facility

$6,199.54

Service Code	MSDRG 311
Min. Negotiated Rate	$6,199.54
Max. Negotiated Rate	$6,199.54
Rate for Payer: BCBS Commercial	$6,199.54

ANGIOTENSIN 1-CONVERT ENZYME

Facility

$87.00

Service Code	HCPCS 82164
Hospital Charge Code	8216400
Hospital Revenue Code	301
Min. Negotiated Rate	$40.19
Max. Negotiated Rate	$84.39
Rate for Payer: BCBS Commercial	$49.38
Rate for Payer: Cash Price	$65.25
Rate for Payer: Cash Price	$65.25
Rate for Payer: Celtic Commercial/Exchange	$40.19
Rate for Payer: Health Partners Plans Commercial	$82.65
Rate for Payer: UnitedHealthcare Commercial	$84.39
Rate for Payer: WPPA Commercial	$73.08

ANGIOTENSIN 1-CONVERT ENZYME

Facility

$87.00

Service Code	HCPCS 82164
Hospital Charge Code	8216400
Hospital Revenue Code	301
Min. Negotiated Rate	$71.34
Max. Negotiated Rate	$84.39
Rate for Payer: Cash Price	$65.25
Rate for Payer: Health Partners Plans Commercial	$82.65
Rate for Payer: UnitedHealthcare Commercial	$84.39
Rate for Payer: WPPA Commercial	$71.34

ANKLE BRACE AIR-STIRRUP LG

Facility

$80.00

Hospital Charge Code	2702391
Hospital Revenue Code	270
Min. Negotiated Rate	$36.96
Max. Negotiated Rate	$77.60
Rate for Payer: Cash Price	$60.00
Rate for Payer: Celtic Commercial/Exchange	$36.96
Rate for Payer: Health Partners Plans Commercial	$76.00
Rate for Payer: UnitedHealthcare Commercial	$77.60
Rate for Payer: WPPA Commercial	$67.20

ANKLE BRACE AIR-STIRRUP LG

Facility

$80.00

Hospital Charge Code	2702391
Hospital Revenue Code	270
Min. Negotiated Rate	$65.60
Max. Negotiated Rate	$77.60
Rate for Payer: Cash Price	$60.00
Rate for Payer: Health Partners Plans Commercial	$76.00
Rate for Payer: UnitedHealthcare Commercial	$77.60
Rate for Payer: WPPA Commercial	$65.60

ANKLE BRACE TRAINING MD RIGHT

Facility

$80.00

Hospital Charge Code	2702390
Hospital Revenue Code	270
Min. Negotiated Rate	$65.60
Max. Negotiated Rate	$77.60
Rate for Payer: Cash Price	$60.00
Rate for Payer: Health Partners Plans Commercial	$76.00
Rate for Payer: UnitedHealthcare Commercial	$77.60
Rate for Payer: WPPA Commercial	$65.60

ANKLE BRACE TRAINING MD RIGHT

Facility

$80.00

Hospital Charge Code	2702390
Hospital Revenue Code	270
Min. Negotiated Rate	$36.96
Max. Negotiated Rate	$77.60
Rate for Payer: Cash Price	$60.00
Rate for Payer: Celtic Commercial/Exchange	$36.96
Rate for Payer: Health Partners Plans Commercial	$76.00
Rate for Payer: UnitedHealthcare Commercial	$77.60
Rate for Payer: WPPA Commercial	$67.20

ANKLE LT 2V

Facility

$160.00

Service Code	HCPCS 73600 LT
Hospital Charge Code	3290011
Hospital Revenue Code	320
Min. Negotiated Rate	$131.20
Max. Negotiated Rate	$155.20
Rate for Payer: Cash Price	$120.45
Rate for Payer: Health Partners Plans Commercial	$152.00
Rate for Payer: UnitedHealthcare Commercial	$155.20
Rate for Payer: WPPA Commercial	$131.20

ANKLE LT 2V

Facility

$160.00

Service Code	HCPCS 73600 LT
Hospital Charge Code	3290011
Hospital Revenue Code	320
Min. Negotiated Rate	$73.92
Max. Negotiated Rate	$155.20
Rate for Payer: BCBS Commercial	$110.06
Rate for Payer: Cash Price	$120.45
Rate for Payer: Cash Price	$120.45
Rate for Payer: Celtic Commercial/Exchange	$73.92
Rate for Payer: Health Partners Plans Commercial	$152.00
Rate for Payer: UnitedHealthcare Commercial	$155.20
Rate for Payer: WPPA Commercial	$134.40

ANKLE LT 3V

Facility

$262.00

Service Code	HCPCS 73610 LT
Hospital Charge Code	3290013
Hospital Revenue Code	320
Min. Negotiated Rate	$121.04
Max. Negotiated Rate	$254.14
Rate for Payer: BCBS Commercial	$139.38
Rate for Payer: Cash Price	$196.50
Rate for Payer: Cash Price	$196.50
Rate for Payer: Celtic Commercial/Exchange	$121.04
Rate for Payer: Health Partners Plans Commercial	$248.90
Rate for Payer: UnitedHealthcare Commercial	$254.14
Rate for Payer: WPPA Commercial	$220.08

Know your out-of-pocket cost for care.

All Charges