Ness County Hospital

All Charges

Charge

Type

Setting

Price

NASAL CANNULA SOFT 7FT

Facility

$15.00

Hospital Charge Code	4100160LTC
Hospital Revenue Code	270
Min. Negotiated Rate	$6.93
Max. Negotiated Rate	$14.55
Rate for Payer: Cash Price	$11.25
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

NASAL CANNULA SOFT 7FT

Facility

$15.00

Hospital Charge Code	4100160LTC
Hospital Revenue Code	270
Min. Negotiated Rate	$12.30
Max. Negotiated Rate	$14.55
Rate for Payer: Cash Price	$11.25
Rate for Payer: Health Partners Plans Commercial	$14.25
Rate for Payer: UnitedHealthcare Commercial	$14.55
Rate for Payer: WPPA Commercial	$12.30

Nasal Cease

Facility

$5.00

Hospital Charge Code	2513356
Hospital Revenue Code	270
Min. Negotiated Rate	$2.31
Max. Negotiated Rate	$4.85
Rate for Payer: Cash Price	$4.32
Rate for Payer: Celtic Commercial/Exchange	$2.31
Rate for Payer: Health Partners Plans Commercial	$4.75
Rate for Payer: UnitedHealthcare Commercial	$4.85
Rate for Payer: WPPA Commercial	$4.20

Nasal Cease

Facility

$5.00

Hospital Charge Code	2513356
Hospital Revenue Code	270
Min. Negotiated Rate	$4.10
Max. Negotiated Rate	$4.85
Rate for Payer: Cash Price	$4.32
Rate for Payer: Health Partners Plans Commercial	$4.75
Rate for Payer: UnitedHealthcare Commercial	$4.85
Rate for Payer: WPPA Commercial	$4.10

NASAL HEMOSTATIC CATHETER KIT

Facility

$236.00

Hospital Charge Code	2700326
Hospital Revenue Code	270
Min. Negotiated Rate	$193.52
Max. Negotiated Rate	$228.92
Rate for Payer: Cash Price	$177.00
Rate for Payer: Health Partners Plans Commercial	$224.20
Rate for Payer: UnitedHealthcare Commercial	$228.92
Rate for Payer: WPPA Commercial	$193.52

NASAL HEMOSTATIC CATHETER KIT

Facility

$236.00

Hospital Charge Code	2700326
Hospital Revenue Code	270
Min. Negotiated Rate	$109.03
Max. Negotiated Rate	$228.92
Rate for Payer: Cash Price	$177.00
Rate for Payer: Celtic Commercial/Exchange	$109.03
Rate for Payer: Health Partners Plans Commercial	$224.20
Rate for Payer: UnitedHealthcare Commercial	$228.92
Rate for Payer: WPPA Commercial	$198.24

NASAL RHINO ROCKET

Facility

$100.00

Hospital Charge Code	2700310
Hospital Revenue Code	270
Min. Negotiated Rate	$46.20
Max. Negotiated Rate	$97.00
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

NASAL RHINO ROCKET

Facility

$100.00

Hospital Charge Code	2700310
Hospital Revenue Code	270
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

NASAL SMEAR FOR EOSINOPHILS

Facility

$48.00

Service Code	HCPCS 89190
Hospital Charge Code	8919000
Hospital Revenue Code	309
Min. Negotiated Rate	$39.36
Max. Negotiated Rate	$46.56
Rate for Payer: Cash Price	$36.00
Rate for Payer: Health Partners Plans Commercial	$45.60
Rate for Payer: UnitedHealthcare Commercial	$46.56
Rate for Payer: WPPA Commercial	$39.36

NASAL SMEAR FOR EOSINOPHILS

Facility

$48.00

Service Code	HCPCS 89190
Hospital Charge Code	8919000
Hospital Revenue Code	309
Min. Negotiated Rate	$22.18
Max. Negotiated Rate	$46.56
Rate for Payer: BCBS Commercial	$27.23
Rate for Payer: Cash Price	$36.00
Rate for Payer: Cash Price	$36.00
Rate for Payer: Celtic Commercial/Exchange	$22.18
Rate for Payer: Health Partners Plans Commercial	$45.60
Rate for Payer: UnitedHealthcare Commercial	$46.56
Rate for Payer: WPPA Commercial	$40.32

NASAL TAMPONS

Facility

$3.00

Hospital Charge Code	2720886
Hospital Revenue Code	272
Min. Negotiated Rate	$2.46
Max. Negotiated Rate	$2.91
Rate for Payer: Cash Price	$2.70
Rate for Payer: Health Partners Plans Commercial	$2.85
Rate for Payer: UnitedHealthcare Commercial	$2.91
Rate for Payer: WPPA Commercial	$2.46

NASAL TAMPONS

Facility

$3.00

Hospital Charge Code	2720886
Hospital Revenue Code	272
Min. Negotiated Rate	$1.39
Max. Negotiated Rate	$2.91
Rate for Payer: Cash Price	$2.70
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

NASOGASTRIC SEC TAPE

Facility

$6.00

Hospital Charge Code	2700308
Hospital Revenue Code	272
Min. Negotiated Rate	$4.92
Max. Negotiated Rate	$5.82
Rate for Payer: Cash Price	$4.50
Rate for Payer: Health Partners Plans Commercial	$5.70
Rate for Payer: UnitedHealthcare Commercial	$5.82
Rate for Payer: WPPA Commercial	$4.92

NASOGASTRIC SEC TAPE

Facility

$6.00

Hospital Charge Code	2700308
Hospital Revenue Code	272
Min. Negotiated Rate	$2.77
Max. Negotiated Rate	$5.82
Rate for Payer: Cash Price	$4.50
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

NASO OR ORO-GASTRIC TUBE PLACE

Facility

$380.00

Service Code	HCPCS 43752
Hospital Charge Code	4375200
Hospital Revenue Code	761
Min. Negotiated Rate	$311.60
Max. Negotiated Rate	$368.60
Rate for Payer: Cash Price	$285.00
Rate for Payer: Health Partners Plans Commercial	$361.00
Rate for Payer: UnitedHealthcare Commercial	$368.60
Rate for Payer: WPPA Commercial	$311.60

NASO OR ORO-GASTRIC TUBE PLACE

Facility

$380.00

Service Code	HCPCS 43752
Hospital Charge Code	4375200
Hospital Revenue Code	761
Min. Negotiated Rate	$175.56
Max. Negotiated Rate	$498.80
Rate for Payer: BCBS Commercial	$498.80
Rate for Payer: Cash Price	$285.00
Rate for Payer: Cash Price	$285.00
Rate for Payer: Celtic Commercial/Exchange	$175.56
Rate for Payer: Health Partners Plans Commercial	$361.00
Rate for Payer: UnitedHealthcare Commercial	$368.60
Rate for Payer: WPPA Commercial	$319.20

NATRIURETIC PEPTIDE (PRO-BNP)

Facility

$205.00

Service Code	HCPCS 83880
Hospital Charge Code	8388000
Hospital Revenue Code	301
Min. Negotiated Rate	$72.84
Max. Negotiated Rate	$198.85
Rate for Payer: BCBS Commercial	$72.84
Rate for Payer: Cash Price	$153.75
Rate for Payer: Cash Price	$153.75
Rate for Payer: Celtic Commercial/Exchange	$94.71
Rate for Payer: Health Partners Plans Commercial	$194.75
Rate for Payer: UnitedHealthcare Commercial	$198.85
Rate for Payer: WPPA Commercial	$172.20

NATRIURETIC PEPTIDE (PRO-BNP)

Facility

$205.00

Service Code	HCPCS 83880
Hospital Charge Code	8388000
Hospital Revenue Code	301
Min. Negotiated Rate	$168.10
Max. Negotiated Rate	$198.85
Rate for Payer: Cash Price	$153.75
Rate for Payer: Health Partners Plans Commercial	$194.75
Rate for Payer: UnitedHealthcare Commercial	$198.85
Rate for Payer: WPPA Commercial	$168.10

NATURAL KILLER (NK) CELLS, TOT

Facility

$600.00

Service Code	HCPCS 86357
Hospital Charge Code	8635700
Hospital Revenue Code	302
Min. Negotiated Rate	$80.93
Max. Negotiated Rate	$582.00
Rate for Payer: BCBS Commercial	$80.93
Rate for Payer: Cash Price	$450.00
Rate for Payer: Cash Price	$450.00
Rate for Payer: Celtic Commercial/Exchange	$277.20
Rate for Payer: Health Partners Plans Commercial	$570.00
Rate for Payer: UnitedHealthcare Commercial	$582.00
Rate for Payer: WPPA Commercial	$504.00

NATURAL KILLER (NK) CELLS, TOT

Facility

$600.00

Service Code	HCPCS 86357
Hospital Charge Code	8635700
Hospital Revenue Code	302
Min. Negotiated Rate	$492.00
Max. Negotiated Rate	$582.00
Rate for Payer: Cash Price	$450.00
Rate for Payer: Health Partners Plans Commercial	$570.00
Rate for Payer: UnitedHealthcare Commercial	$582.00
Rate for Payer: WPPA Commercial	$492.00

Natural Tears 15 ml (AKWA tears)(artificial tears)(systane lubricant gtts)

Facility

$32.00

Service Code	NDC 24385000605
Hospital Charge Code	2511061
Hospital Revenue Code	250
Min. Negotiated Rate	$14.78
Max. Negotiated Rate	$31.04
Rate for Payer: Cash Price	$24.49
Rate for Payer: Celtic Commercial/Exchange	$14.78
Rate for Payer: Health Partners Plans Commercial	$30.40
Rate for Payer: UnitedHealthcare Commercial	$31.04
Rate for Payer: WPPA Commercial	$26.88

Natural Tears 15 ml (AKWA tears)(artificial tears)(systane lubricant gtts)

Facility

$32.00

Service Code	NDC 24385000605
Hospital Charge Code	2511061
Hospital Revenue Code	250
Min. Negotiated Rate	$26.24
Max. Negotiated Rate	$31.04
Rate for Payer: Cash Price	$24.49
Rate for Payer: Health Partners Plans Commercial	$30.40
Rate for Payer: UnitedHealthcare Commercial	$31.04
Rate for Payer: WPPA Commercial	$26.24

NEBULIZER WITH ADAPTOR

Facility

$21.00

Hospital Charge Code	4100277
Hospital Revenue Code	270
Min. Negotiated Rate	$9.70
Max. Negotiated Rate	$20.37
Rate for Payer: Cash Price	$15.75
Rate for Payer: Celtic Commercial/Exchange	$9.70
Rate for Payer: Health Partners Plans Commercial	$19.95
Rate for Payer: UnitedHealthcare Commercial	$20.37
Rate for Payer: WPPA Commercial	$17.64

NEBULIZER WITH ADAPTOR

Facility

$21.00

Hospital Charge Code	4100277
Hospital Revenue Code	270
Min. Negotiated Rate	$17.22
Max. Negotiated Rate	$20.37
Rate for Payer: Cash Price	$15.75
Rate for Payer: Health Partners Plans Commercial	$19.95
Rate for Payer: UnitedHealthcare Commercial	$20.37
Rate for Payer: WPPA Commercial	$17.22

NEBULIZER WITH HAND HELD

Facility

$15.00

Hospital Charge Code	4100285
Hospital Revenue Code	270
Min. Negotiated Rate	$12.30
Max. Negotiated Rate	$14.55
Rate for Payer: Cash Price	$11.25
Rate for Payer: Health Partners Plans Commercial	$14.25
Rate for Payer: UnitedHealthcare Commercial	$14.55
Rate for Payer: WPPA Commercial	$12.30

Know your out-of-pocket cost for care.

All Charges