Ness County Hospital

All Charges

Charge

Type

Setting

Price

MEDROL DOSE PACK 4 MG TAB (METHYLPREDNISOLONE 21 TABS)

Facility

$90.00

Service Code	NDC 68001000501
Hospital Charge Code	2504272
Hospital Revenue Code	250
Min. Negotiated Rate	$73.80
Max. Negotiated Rate	$87.30
Rate for Payer: Cash Price	$67.54
Rate for Payer: Health Partners Plans Commercial	$85.50
Rate for Payer: UnitedHealthcare Commercial	$87.30
Rate for Payer: WPPA Commercial	$73.80

MED SUP NON BREATHER MASK

Facility

$19.00

Hospital Charge Code	2700756
Hospital Revenue Code	270
Min. Negotiated Rate	$8.78
Max. Negotiated Rate	$18.43
Rate for Payer: Cash Price	$14.62
Rate for Payer: Celtic Commercial/Exchange	$8.78
Rate for Payer: Health Partners Plans Commercial	$18.05
Rate for Payer: UnitedHealthcare Commercial	$18.43
Rate for Payer: WPPA Commercial	$15.96

MED SUP NON BREATHER MASK

Facility

$19.00

Hospital Charge Code	2700756
Hospital Revenue Code	270
Min. Negotiated Rate	$15.58
Max. Negotiated Rate	$18.43
Rate for Payer: Cash Price	$14.62
Rate for Payer: Health Partners Plans Commercial	$18.05
Rate for Payer: UnitedHealthcare Commercial	$18.43
Rate for Payer: WPPA Commercial	$15.58

Mefoxin 1 GM IV (cefoxitin)

Facility

$60.00

Service Code	NDC 00264312311
Hospital Charge Code	2518355
Hospital Revenue Code	250
Min. Negotiated Rate	$27.72
Max. Negotiated Rate	$58.20
Rate for Payer: Cash Price	$45.68
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

Mefoxin 1 GM IV (cefoxitin)

Facility

$60.00

Service Code	NDC 00264312311
Hospital Charge Code	2518355
Hospital Revenue Code	250
Min. Negotiated Rate	$49.20
Max. Negotiated Rate	$58.20
Rate for Payer: Cash Price	$45.68
Rate for Payer: Health Partners Plans Commercial	$57.00
Rate for Payer: UnitedHealthcare Commercial	$58.20
Rate for Payer: WPPA Commercial	$49.20

Mefoxin 2 GM IV (cefoxitin)

Facility

$117.00

Service Code	NDC 00264312511
Hospital Charge Code	2518520
Hospital Revenue Code	250
Min. Negotiated Rate	$54.05
Max. Negotiated Rate	$113.49
Rate for Payer: Cash Price	$87.75
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

Mefoxin 2 GM IV (cefoxitin)

Facility

$117.00

Service Code	NDC 00264312511
Hospital Charge Code	2518520
Hospital Revenue Code	250
Min. Negotiated Rate	$95.94
Max. Negotiated Rate	$113.49
Rate for Payer: Cash Price	$87.75
Rate for Payer: Health Partners Plans Commercial	$111.15
Rate for Payer: UnitedHealthcare Commercial	$113.49
Rate for Payer: WPPA Commercial	$95.94

MEGACE 40MG/ML PER 5ML

Facility

$9.00

Hospital Charge Code	2516615
Hospital Revenue Code	250
Min. Negotiated Rate	$4.16
Max. Negotiated Rate	$8.73
Rate for Payer: Cash Price	$6.75
Rate for Payer: Celtic Commercial/Exchange	$4.16
Rate for Payer: Health Partners Plans Commercial	$8.55
Rate for Payer: UnitedHealthcare Commercial	$8.73
Rate for Payer: WPPA Commercial	$7.56

MEGACE 40MG/ML PER 5ML

Facility

$9.00

Hospital Charge Code	2516615
Hospital Revenue Code	250
Min. Negotiated Rate	$7.38
Max. Negotiated Rate	$8.73
Rate for Payer: Cash Price	$6.75
Rate for Payer: Health Partners Plans Commercial	$8.55
Rate for Payer: UnitedHealthcare Commercial	$8.73
Rate for Payer: WPPA Commercial	$7.38

MELATONIN 5 MG TAB

Facility

$1.00

Service Code	NDC 20555003901
Hospital Charge Code	2512390
Hospital Revenue Code	250
Min. Negotiated Rate	$0.46
Max. Negotiated Rate	$0.97
Rate for Payer: Cash Price	$0.75
Rate for Payer: Celtic Commercial/Exchange	$0.46
Rate for Payer: Health Partners Plans Commercial	$0.95
Rate for Payer: UnitedHealthcare Commercial	$0.97
Rate for Payer: WPPA Commercial	$0.84

MELATONIN 5 MG TAB

Facility

$1.00

Service Code	NDC 20555003901
Hospital Charge Code	2512390
Hospital Revenue Code	250
Min. Negotiated Rate	$0.82
Max. Negotiated Rate	$0.97
Rate for Payer: Cash Price	$0.75
Rate for Payer: Health Partners Plans Commercial	$0.95
Rate for Payer: UnitedHealthcare Commercial	$0.97
Rate for Payer: WPPA Commercial	$0.82

MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC

Facility

$6,793.33

Service Code	MSDRG 760
Min. Negotiated Rate	$6,793.33
Max. Negotiated Rate	$6,793.33
Rate for Payer: BCBS Commercial	$6,793.33

MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC

Facility

$4,034.40

Service Code	MSDRG 761
Min. Negotiated Rate	$4,034.40
Max. Negotiated Rate	$4,034.40
Rate for Payer: BCBS Commercial	$4,034.40

MENTHOLATUM 1 OZ. Jar

Facility

$6.00

Service Code	NDC 10742000103
Hospital Charge Code	2504314
Hospital Revenue Code	250
Min. Negotiated Rate	$2.77
Max. Negotiated Rate	$5.82
Rate for Payer: Cash Price	$4.76
Rate for Payer: Celtic Commercial/Exchange	$2.77
Rate for Payer: Health Partners Plans Commercial	$5.70
Rate for Payer: UnitedHealthcare Commercial	$5.82
Rate for Payer: WPPA Commercial	$5.04

MENTHOLATUM 1 OZ. Jar

Facility

$6.00

Service Code	NDC 10742000103
Hospital Charge Code	2504314
Hospital Revenue Code	250
Min. Negotiated Rate	$4.92
Max. Negotiated Rate	$5.82
Rate for Payer: Cash Price	$4.76
Rate for Payer: Health Partners Plans Commercial	$5.70
Rate for Payer: UnitedHealthcare Commercial	$5.82
Rate for Payer: WPPA Commercial	$4.92

MEPERIDINE 50MG INJ CPJ

Facility

$22.00

Hospital Charge Code	2507986
Hospital Revenue Code	250
Min. Negotiated Rate	$18.04
Max. Negotiated Rate	$21.34
Rate for Payer: Cash Price	$16.61
Rate for Payer: Health Partners Plans Commercial	$20.90
Rate for Payer: UnitedHealthcare Commercial	$21.34
Rate for Payer: WPPA Commercial	$18.04

MEPERIDINE 50MG INJ CPJ

Facility

$22.00

Hospital Charge Code	2507986
Hospital Revenue Code	250
Min. Negotiated Rate	$10.16
Max. Negotiated Rate	$21.34
Rate for Payer: Cash Price	$16.61
Rate for Payer: Celtic Commercial/Exchange	$10.16
Rate for Payer: Health Partners Plans Commercial	$20.90
Rate for Payer: UnitedHealthcare Commercial	$21.34
Rate for Payer: WPPA Commercial	$18.48

MEPERIDINE PCA 300 MG CARTRIDG

Facility

$57.00

Hospital Charge Code	2510972
Hospital Revenue Code	250
Min. Negotiated Rate	$26.33
Max. Negotiated Rate	$55.29
Rate for Payer: Cash Price	$42.75
Rate for Payer: Celtic Commercial/Exchange	$26.33
Rate for Payer: Health Partners Plans Commercial	$54.15
Rate for Payer: UnitedHealthcare Commercial	$55.29
Rate for Payer: WPPA Commercial	$47.88

MEPERIDINE PCA 300 MG CARTRIDG

Facility

$57.00

Hospital Charge Code	2510972
Hospital Revenue Code	250
Min. Negotiated Rate	$46.74
Max. Negotiated Rate	$55.29
Rate for Payer: Cash Price	$42.75
Rate for Payer: Health Partners Plans Commercial	$54.15
Rate for Payer: UnitedHealthcare Commercial	$55.29
Rate for Payer: WPPA Commercial	$46.74

MEPILEX AG

Facility

$22.00

Hospital Charge Code	2720733LTC
Hospital Revenue Code	272
Min. Negotiated Rate	$10.16
Max. Negotiated Rate	$21.34
Rate for Payer: Cash Price	$16.50
Rate for Payer: Celtic Commercial/Exchange	$10.16
Rate for Payer: Health Partners Plans Commercial	$20.90
Rate for Payer: UnitedHealthcare Commercial	$21.34
Rate for Payer: WPPA Commercial	$18.48

MEPILEX AG

Facility

$22.00

Hospital Charge Code	2720733LTC
Hospital Revenue Code	272
Min. Negotiated Rate	$18.04
Max. Negotiated Rate	$21.34
Rate for Payer: Cash Price	$16.50
Rate for Payer: Health Partners Plans Commercial	$20.90
Rate for Payer: UnitedHealthcare Commercial	$21.34
Rate for Payer: WPPA Commercial	$18.04

Mepilex AG 4x4

Facility

$52.00

Hospital Charge Code	2720733
Hospital Revenue Code	272
Min. Negotiated Rate	$42.64
Max. Negotiated Rate	$50.44
Rate for Payer: Cash Price	$39.00
Rate for Payer: Health Partners Plans Commercial	$49.40
Rate for Payer: UnitedHealthcare Commercial	$50.44
Rate for Payer: WPPA Commercial	$42.64

Mepilex AG 4x4

Facility

$52.00

Hospital Charge Code	2720733
Hospital Revenue Code	272
Min. Negotiated Rate	$24.02
Max. Negotiated Rate	$50.44
Rate for Payer: Cash Price	$39.00
Rate for Payer: Celtic Commercial/Exchange	$24.02
Rate for Payer: Health Partners Plans Commercial	$49.40
Rate for Payer: UnitedHealthcare Commercial	$50.44
Rate for Payer: WPPA Commercial	$43.68

MEPILEX BORD FLEX

Facility

$9.00

Hospital Charge Code	2720729LTC
Hospital Revenue Code	272
Min. Negotiated Rate	$4.16
Max. Negotiated Rate	$8.73
Rate for Payer: Cash Price	$6.75
Rate for Payer: Celtic Commercial/Exchange	$4.16
Rate for Payer: Health Partners Plans Commercial	$8.55
Rate for Payer: UnitedHealthcare Commercial	$8.73
Rate for Payer: WPPA Commercial	$7.56

MEPILEX BORD FLEX

Facility

$9.00

Hospital Charge Code	2720729LTC
Hospital Revenue Code	272
Min. Negotiated Rate	$7.38
Max. Negotiated Rate	$8.73
Rate for Payer: Cash Price	$6.75
Rate for Payer: Health Partners Plans Commercial	$8.55
Rate for Payer: UnitedHealthcare Commercial	$8.73
Rate for Payer: WPPA Commercial	$7.38

Know your out-of-pocket cost for care.

All Charges