Ness County Hospital

All Charges

Charge

Type

Setting

Price

METHERGINE 0.2 MG TAB (METHYLERGONOVINE)

Facility

$201.00

Service Code	NDC 60687041094
Hospital Charge Code	2504397
Hospital Revenue Code	250
Min. Negotiated Rate	$92.86
Max. Negotiated Rate	$194.97
Rate for Payer: Cash Price	$151.27
Rate for Payer: Celtic Commercial/Exchange	$92.86
Rate for Payer: Health Partners Plans Commercial	$190.95
Rate for Payer: UnitedHealthcare Commercial	$194.97
Rate for Payer: WPPA Commercial	$168.84

METHICILLIN RESISTANT STAPHYLO

Facility

$100.00

Service Code	HCPCS 87641
Hospital Charge Code	8764100
Hospital Revenue Code	306
Min. Negotiated Rate	$46.20
Max. Negotiated Rate	$97.00
Rate for Payer: BCBS Commercial	$75.31
Rate for Payer: Cash Price	$75.00
Rate for Payer: Cash Price	$75.00
Rate for Payer: Celtic Commercial/Exchange	$46.20
Rate for Payer: Health Partners Plans Commercial	$95.00
Rate for Payer: UnitedHealthcare Commercial	$97.00
Rate for Payer: WPPA Commercial	$84.00

METHICILLIN RESISTANT STAPHYLO

Facility

$100.00

Service Code	HCPCS 87641
Hospital Charge Code	8764100
Hospital Revenue Code	306
Min. Negotiated Rate	$82.00
Max. Negotiated Rate	$97.00
Rate for Payer: Cash Price	$75.00
Rate for Payer: Health Partners Plans Commercial	$95.00
Rate for Payer: UnitedHealthcare Commercial	$97.00
Rate for Payer: WPPA Commercial	$82.00

METHYLENETETRAHYDROFOLATE REDU

Facility

$323.00

Service Code	HCPCS 81291
Hospital Charge Code	8129100
Hospital Revenue Code	300
Min. Negotiated Rate	$264.86
Max. Negotiated Rate	$313.31
Rate for Payer: Cash Price	$242.25
Rate for Payer: Health Partners Plans Commercial	$306.85
Rate for Payer: UnitedHealthcare Commercial	$313.31
Rate for Payer: WPPA Commercial	$264.86

METHYLENETETRAHYDROFOLATE REDU

Facility

$323.00

Service Code	HCPCS 81291
Hospital Charge Code	8129100
Hospital Revenue Code	300
Min. Negotiated Rate	$149.23
Max. Negotiated Rate	$313.31
Rate for Payer: BCBS Commercial	$159.65
Rate for Payer: Cash Price	$242.25
Rate for Payer: Cash Price	$242.25
Rate for Payer: Celtic Commercial/Exchange	$149.23
Rate for Payer: Health Partners Plans Commercial	$306.85
Rate for Payer: UnitedHealthcare Commercial	$313.31
Rate for Payer: WPPA Commercial	$271.32

METHYLPHENIDATE SCREEN

Facility

$271.00

Service Code	HCPCS 80360
Hospital Charge Code	8036000
Hospital Revenue Code	300
Min. Negotiated Rate	$222.22
Max. Negotiated Rate	$262.87
Rate for Payer: Cash Price	$203.25
Rate for Payer: Health Partners Plans Commercial	$257.45
Rate for Payer: UnitedHealthcare Commercial	$262.87
Rate for Payer: WPPA Commercial	$222.22

METHYLPHENIDATE SCREEN

Facility

$271.00

Service Code	HCPCS 80360
Hospital Charge Code	8036000
Hospital Revenue Code	300
Min. Negotiated Rate	$23.88
Max. Negotiated Rate	$262.87
Rate for Payer: BCBS Commercial	$23.88
Rate for Payer: Cash Price	$203.25
Rate for Payer: Cash Price	$203.25
Rate for Payer: Celtic Commercial/Exchange	$125.20
Rate for Payer: Health Partners Plans Commercial	$257.45
Rate for Payer: UnitedHealthcare Commercial	$262.87
Rate for Payer: WPPA Commercial	$227.64

METHYLPREDNISOLONE 4MG TAB

Facility

$2.00

Hospital Charge Code	2503712
Hospital Revenue Code	250
Min. Negotiated Rate	$1.64
Max. Negotiated Rate	$1.94
Rate for Payer: Cash Price	$1.91
Rate for Payer: Health Partners Plans Commercial	$1.90
Rate for Payer: UnitedHealthcare Commercial	$1.94
Rate for Payer: WPPA Commercial	$1.64

METHYLPREDNISOLONE 4MG TAB

Facility

$2.00

Hospital Charge Code	2503712
Hospital Revenue Code	250
Min. Negotiated Rate	$0.92
Max. Negotiated Rate	$1.94
Rate for Payer: Cash Price	$1.91
Rate for Payer: Celtic Commercial/Exchange	$0.92
Rate for Payer: Health Partners Plans Commercial	$1.90
Rate for Payer: UnitedHealthcare Commercial	$1.94
Rate for Payer: WPPA Commercial	$1.68

MEVACOR 20 MG TAB (LOVASTATIN)

Facility

$7.00

Service Code	NDC 68001031500
Hospital Charge Code	2510717
Hospital Revenue Code	250
Min. Negotiated Rate	$5.74
Max. Negotiated Rate	$6.79
Rate for Payer: Cash Price	$5.78
Rate for Payer: Health Partners Plans Commercial	$6.65
Rate for Payer: UnitedHealthcare Commercial	$6.79
Rate for Payer: WPPA Commercial	$5.74

MEVACOR 20 MG TAB (LOVASTATIN)

Facility

$7.00

Service Code	NDC 68001031500
Hospital Charge Code	2510717
Hospital Revenue Code	250
Min. Negotiated Rate	$3.23
Max. Negotiated Rate	$6.79
Rate for Payer: Cash Price	$5.78
Rate for Payer: Celtic Commercial/Exchange	$3.23
Rate for Payer: Health Partners Plans Commercial	$6.65
Rate for Payer: UnitedHealthcare Commercial	$6.79
Rate for Payer: WPPA Commercial	$5.88

MEXTRA 5X5

Facility

$9.00

Hospital Charge Code	2720727
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

MEXTRA 5X5

Facility

$9.00

Hospital Charge Code	2720727
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

MIACALCIN NASAL SPRAY (CALCITONIN)

Facility

$355.00

Service Code	NDC 49884016111
Hospital Charge Code	2509487
Hospital Revenue Code	250
Min. Negotiated Rate	$164.01
Max. Negotiated Rate	$344.35
Rate for Payer: Cash Price	$266.72
Rate for Payer: Celtic Commercial/Exchange	$164.01
Rate for Payer: Health Partners Plans Commercial	$337.25
Rate for Payer: UnitedHealthcare Commercial	$344.35
Rate for Payer: WPPA Commercial	$298.20

MIACALCIN NASAL SPRAY (CALCITONIN)

Facility

$355.00

Service Code	NDC 49884016111
Hospital Charge Code	2509487
Hospital Revenue Code	250
Min. Negotiated Rate	$291.10
Max. Negotiated Rate	$344.35
Rate for Payer: Cash Price	$266.72
Rate for Payer: Health Partners Plans Commercial	$337.25
Rate for Payer: UnitedHealthcare Commercial	$344.35
Rate for Payer: WPPA Commercial	$291.10

MICARDIS 20 MG TAB (TELMISARTAN)

Facility

$25.00

Service Code	NDC 00597003937
Hospital Charge Code	2516326
Hospital Revenue Code	250
Min. Negotiated Rate	$20.50
Max. Negotiated Rate	$24.25
Rate for Payer: Cash Price	$19.42
Rate for Payer: Health Partners Plans Commercial	$23.75
Rate for Payer: UnitedHealthcare Commercial	$24.25
Rate for Payer: WPPA Commercial	$20.50

MICARDIS 20 MG TAB (TELMISARTAN)

Facility

$25.00

Service Code	NDC 00597003937
Hospital Charge Code	2516326
Hospital Revenue Code	250
Min. Negotiated Rate	$11.55
Max. Negotiated Rate	$24.25
Rate for Payer: Cash Price	$19.42
Rate for Payer: Celtic Commercial/Exchange	$11.55
Rate for Payer: Health Partners Plans Commercial	$23.75
Rate for Payer: UnitedHealthcare Commercial	$24.25
Rate for Payer: WPPA Commercial	$21.00

MICRO K CAPSULE 10MEQ

Facility

$15.00

Hospital Charge Code	2504421
Hospital Revenue Code	250
Min. Negotiated Rate	$12.30
Max. Negotiated Rate	$14.55
Rate for Payer: Cash Price	$11.92
Rate for Payer: Health Partners Plans Commercial	$14.25
Rate for Payer: UnitedHealthcare Commercial	$14.55
Rate for Payer: WPPA Commercial	$12.30

MICRO K CAPSULE 10MEQ

Facility

$15.00

Hospital Charge Code	2504421
Hospital Revenue Code	250
Min. Negotiated Rate	$6.93
Max. Negotiated Rate	$14.55
Rate for Payer: Cash Price	$11.92
Rate for Payer: Celtic Commercial/Exchange	$6.93
Rate for Payer: Health Partners Plans Commercial	$14.25
Rate for Payer: UnitedHealthcare Commercial	$14.55
Rate for Payer: WPPA Commercial	$12.60

MICROSOMAL ANTIBODIES, EA.

Facility

$105.00

Service Code	HCPCS 86376
Hospital Charge Code	8637600
Hospital Revenue Code	302
Min. Negotiated Rate	$86.10
Max. Negotiated Rate	$101.85
Rate for Payer: Cash Price	$78.75
Rate for Payer: Health Partners Plans Commercial	$99.75
Rate for Payer: UnitedHealthcare Commercial	$101.85
Rate for Payer: WPPA Commercial	$86.10

MICROSOMAL ANTIBODIES, EA.

Facility

$105.00

Service Code	HCPCS 86376
Hospital Charge Code	8637600
Hospital Revenue Code	302
Min. Negotiated Rate	$48.51
Max. Negotiated Rate	$101.85
Rate for Payer: BCBS Commercial	$50.96
Rate for Payer: Cash Price	$78.75
Rate for Payer: Cash Price	$78.75
Rate for Payer: Celtic Commercial/Exchange	$48.51
Rate for Payer: Health Partners Plans Commercial	$99.75
Rate for Payer: UnitedHealthcare Commercial	$101.85
Rate for Payer: WPPA Commercial	$88.20

MIDODRINE 5 MG TAB

Facility

$2.00

Service Code	NDC 60687039811
Hospital Charge Code	2510246
Hospital Revenue Code	250
Min. Negotiated Rate	$1.64
Max. Negotiated Rate	$1.94
Rate for Payer: Cash Price	$2.03
Rate for Payer: Health Partners Plans Commercial	$1.90
Rate for Payer: UnitedHealthcare Commercial	$1.94
Rate for Payer: WPPA Commercial	$1.64

MIDODRINE 5 MG TAB

Facility

$2.00

Service Code	NDC 60687039811
Hospital Charge Code	2510246
Hospital Revenue Code	250
Min. Negotiated Rate	$0.92
Max. Negotiated Rate	$1.94
Rate for Payer: Cash Price	$2.03
Rate for Payer: Celtic Commercial/Exchange	$0.92
Rate for Payer: Health Partners Plans Commercial	$1.90
Rate for Payer: UnitedHealthcare Commercial	$1.94
Rate for Payer: WPPA Commercial	$1.68

MILK OF MAGNESIA (MOM)

Facility

$7.00

Service Code	NDC 60687042945
Hospital Charge Code	2508307
Hospital Revenue Code	250
Min. Negotiated Rate	$5.74
Max. Negotiated Rate	$6.79
Rate for Payer: Cash Price	$5.93
Rate for Payer: Health Partners Plans Commercial	$6.65
Rate for Payer: UnitedHealthcare Commercial	$6.79
Rate for Payer: WPPA Commercial	$5.74

MILK OF MAGNESIA (MOM)

Facility

$7.00

Service Code	NDC 60687042945
Hospital Charge Code	2508307
Hospital Revenue Code	250
Min. Negotiated Rate	$3.23
Max. Negotiated Rate	$6.79
Rate for Payer: Cash Price	$5.93
Rate for Payer: Celtic Commercial/Exchange	$3.23
Rate for Payer: Health Partners Plans Commercial	$6.65
Rate for Payer: UnitedHealthcare Commercial	$6.79
Rate for Payer: WPPA Commercial	$5.88

Know your out-of-pocket cost for care.

All Charges