Ness County Hospital

All Charges

Charge

Type

Setting

Price

MAJOR THUMB OR JOINT PROCEDURES

Facility

$10,319.26

Service Code	MSDRG 506
Min. Negotiated Rate	$10,319.26
Max. Negotiated Rate	$10,319.26
Rate for Payer: BCBS Commercial	$10,319.26

MALARIA/BABESIA/OTHER BLD PARA

Facility

$69.00

Service Code	HCPCS 87207
Hospital Charge Code	8720701
Hospital Revenue Code	306
Min. Negotiated Rate	$56.58
Max. Negotiated Rate	$66.93
Rate for Payer: Cash Price	$51.75
Rate for Payer: Health Partners Plans Commercial	$65.55
Rate for Payer: UnitedHealthcare Commercial	$66.93
Rate for Payer: WPPA Commercial	$56.58

MALARIA/BABESIA/OTHER BLD PARA

Facility

$69.00

Service Code	HCPCS 87207
Hospital Charge Code	8720701
Hospital Revenue Code	306
Min. Negotiated Rate	$31.88
Max. Negotiated Rate	$66.93
Rate for Payer: BCBS Commercial	$36.23
Rate for Payer: Cash Price	$51.75
Rate for Payer: Cash Price	$51.75
Rate for Payer: Celtic Commercial/Exchange	$31.88
Rate for Payer: Health Partners Plans Commercial	$65.55
Rate for Payer: UnitedHealthcare Commercial	$66.93
Rate for Payer: WPPA Commercial	$57.96

MALE EXTERNAL CATHETER

Facility

$3.00

Hospital Charge Code	2720234
Hospital Revenue Code	272
Min. Negotiated Rate	$1.39
Max. Negotiated Rate	$2.91
Rate for Payer: Cash Price	$2.25
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

MALE EXTERNAL CATHETER

Facility

$3.00

Hospital Charge Code	2720234
Hospital Revenue Code	272
Min. Negotiated Rate	$2.46
Max. Negotiated Rate	$2.91
Rate for Payer: Cash Price	$2.25
Rate for Payer: Health Partners Plans Commercial	$2.85
Rate for Payer: UnitedHealthcare Commercial	$2.91
Rate for Payer: WPPA Commercial	$2.46

MALE STERILE CAP

Facility

$10.00

Hospital Charge Code	2517712
Hospital Revenue Code	270
Min. Negotiated Rate	$4.62
Max. Negotiated Rate	$9.70
Rate for Payer: Cash Price	$7.50
Rate for Payer: Celtic Commercial/Exchange	$4.62
Rate for Payer: Health Partners Plans Commercial	$9.50
Rate for Payer: UnitedHealthcare Commercial	$9.70
Rate for Payer: WPPA Commercial	$8.40

MALE STERILE CAP

Facility

$10.00

Hospital Charge Code	2517712
Hospital Revenue Code	270
Min. Negotiated Rate	$8.20
Max. Negotiated Rate	$9.70
Rate for Payer: Cash Price	$7.50
Rate for Payer: Health Partners Plans Commercial	$9.50
Rate for Payer: UnitedHealthcare Commercial	$9.70
Rate for Payer: WPPA Commercial	$8.20

MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC

Facility

$9,897.13

Service Code	MSDRG 755
Min. Negotiated Rate	$9,897.13
Max. Negotiated Rate	$9,897.13
Rate for Payer: BCBS Commercial	$9,897.13

MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC

Facility

$16,208.44

Service Code	MSDRG 754
Min. Negotiated Rate	$16,208.44
Max. Negotiated Rate	$16,208.44
Rate for Payer: BCBS Commercial	$16,208.44

MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC

Facility

$7,580.10

Service Code	MSDRG 756
Min. Negotiated Rate	$7,580.10
Max. Negotiated Rate	$7,580.10
Rate for Payer: BCBS Commercial	$7,580.10

MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC

Facility

$10,423.40

Service Code	MSDRG 723
Min. Negotiated Rate	$10,423.40
Max. Negotiated Rate	$10,423.40
Rate for Payer: BCBS Commercial	$10,423.40

MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC

Facility

$15,200.18

Service Code	MSDRG 722
Min. Negotiated Rate	$15,200.18
Max. Negotiated Rate	$15,200.18
Rate for Payer: BCBS Commercial	$15,200.18

MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC

Facility

$7,136.86

Service Code	MSDRG 724
Min. Negotiated Rate	$7,136.86
Max. Negotiated Rate	$7,136.86
Rate for Payer: BCBS Commercial	$7,136.86

MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC

Facility

$9,953.87

Service Code	MSDRG 436
Min. Negotiated Rate	$9,953.87
Max. Negotiated Rate	$9,953.87
Rate for Payer: BCBS Commercial	$9,953.87

MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC

Facility

$15,721.42

Service Code	MSDRG 435
Min. Negotiated Rate	$15,721.42
Max. Negotiated Rate	$15,721.42
Rate for Payer: BCBS Commercial	$15,721.42

MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC

Facility

$7,951.55

Service Code	MSDRG 437
Min. Negotiated Rate	$7,951.55
Max. Negotiated Rate	$7,951.55
Rate for Payer: BCBS Commercial	$7,951.55

MALIGNANT BREAST DISORDERS WITH CC

Facility

$9,877.55

Service Code	MSDRG 598
Min. Negotiated Rate	$9,877.55
Max. Negotiated Rate	$9,877.55
Rate for Payer: BCBS Commercial	$9,877.55

MALIGNANT BREAST DISORDERS WITH MCC

Facility

$14,740.50

Service Code	MSDRG 597
Min. Negotiated Rate	$14,740.50
Max. Negotiated Rate	$14,740.50
Rate for Payer: BCBS Commercial	$14,740.50

MALIGNANT BREAST DISORDERS WITHOUT CC/MCC

Facility

$6,321.66

Service Code	MSDRG 599
Min. Negotiated Rate	$6,321.66
Max. Negotiated Rate	$6,321.66
Rate for Payer: BCBS Commercial	$6,321.66

MANDIBLE 4V MINIMUM

Facility

$379.00

Service Code	HCPCS 70110
Hospital Charge Code	3260026
Hospital Revenue Code	320
Min. Negotiated Rate	$310.78
Max. Negotiated Rate	$367.63
Rate for Payer: Cash Price	$284.25
Rate for Payer: Health Partners Plans Commercial	$360.05
Rate for Payer: UnitedHealthcare Commercial	$367.63
Rate for Payer: WPPA Commercial	$310.78

MANDIBLE 4V MINIMUM

Facility

$379.00

Service Code	HCPCS 70110
Hospital Charge Code	3260026
Hospital Revenue Code	320
Min. Negotiated Rate	$175.10
Max. Negotiated Rate	$367.63
Rate for Payer: BCBS Commercial	$210.93
Rate for Payer: Cash Price	$284.25
Rate for Payer: Cash Price	$284.25
Rate for Payer: Celtic Commercial/Exchange	$175.10
Rate for Payer: Health Partners Plans Commercial	$360.05
Rate for Payer: UnitedHealthcare Commercial	$367.63
Rate for Payer: WPPA Commercial	$318.36

MANGO FRUIT (F91)IGE

Facility

$28.00

Service Code	HCPCS 86003
Hospital Charge Code	8600306
Hospital Revenue Code	302
Min. Negotiated Rate	$22.96
Max. Negotiated Rate	$27.16
Rate for Payer: Cash Price	$21.00
Rate for Payer: Health Partners Plans Commercial	$26.60
Rate for Payer: UnitedHealthcare Commercial	$27.16
Rate for Payer: WPPA Commercial	$22.96

MANGO FRUIT (F91)IGE

Facility

$28.00

Service Code	HCPCS 86003
Hospital Charge Code	8600306
Hospital Revenue Code	302
Min. Negotiated Rate	$12.94
Max. Negotiated Rate	$27.16
Rate for Payer: BCBS Commercial	$15.51
Rate for Payer: Cash Price	$21.00
Rate for Payer: Cash Price	$21.00
Rate for Payer: Celtic Commercial/Exchange	$12.94
Rate for Payer: Health Partners Plans Commercial	$26.60
Rate for Payer: UnitedHealthcare Commercial	$27.16
Rate for Payer: WPPA Commercial	$23.52

Mannitol 20% in 500 ml NSS

Facility

$72.00

Service Code	NDC 00409771503
Hospital Charge Code	2504173
Hospital Revenue Code	250
Min. Negotiated Rate	$33.26
Max. Negotiated Rate	$69.84
Rate for Payer: Cash Price	$54.71
Rate for Payer: Celtic Commercial/Exchange	$33.26
Rate for Payer: Health Partners Plans Commercial	$68.40
Rate for Payer: UnitedHealthcare Commercial	$69.84
Rate for Payer: WPPA Commercial	$60.48

Mannitol 20% in 500 ml NSS

Facility

$72.00

Service Code	NDC 00409771503
Hospital Charge Code	2504173
Hospital Revenue Code	250
Min. Negotiated Rate	$59.04
Max. Negotiated Rate	$69.84
Rate for Payer: Cash Price	$54.71
Rate for Payer: Health Partners Plans Commercial	$68.40
Rate for Payer: UnitedHealthcare Commercial	$69.84
Rate for Payer: WPPA Commercial	$59.04

Know your out-of-pocket cost for care.

All Charges