Ness County Hospital

All Charges

Charge

Type

Setting

Price

Neosporin ophth. oint. 3.5 gm(neomycin-bacitracin-polym)

Facility

$170.00

Service Code	NDC 24208078055
Hospital Charge Code	2506012
Hospital Revenue Code	250
Min. Negotiated Rate	$139.40
Max. Negotiated Rate	$164.90
Rate for Payer: Cash Price	$128.14
Rate for Payer: Health Partners Plans Commercial	$161.50
Rate for Payer: UnitedHealthcare Commercial	$164.90
Rate for Payer: WPPA Commercial	$139.40

Neosporin ophth. oint. 3.5 gm(neomycin-bacitracin-polym)

Facility

$170.00

Service Code	NDC 24208078055
Hospital Charge Code	2506012
Hospital Revenue Code	250
Min. Negotiated Rate	$78.54
Max. Negotiated Rate	$164.90
Rate for Payer: Cash Price	$128.14
Rate for Payer: Celtic Commercial/Exchange	$78.54
Rate for Payer: Health Partners Plans Commercial	$161.50
Rate for Payer: UnitedHealthcare Commercial	$164.90
Rate for Payer: WPPA Commercial	$142.80

NEOSTIGMINE 1MG/ML-10ML INJ.

Facility

$355.00

Service Code	NDC 71839010601
Hospital Charge Code	2506956
Hospital Revenue Code	250
Min. Negotiated Rate	$164.01
Max. Negotiated Rate	$344.35
Rate for Payer: Cash Price	$266.62
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

NEOSTIGMINE 1MG/ML-10ML INJ.

Facility

$355.00

Service Code	NDC 71839010601
Hospital Charge Code	2506956
Hospital Revenue Code	250
Min. Negotiated Rate	$291.10
Max. Negotiated Rate	$344.35
Rate for Payer: Cash Price	$266.62
Rate for Payer: Health Partners Plans Commercial	$337.25
Rate for Payer: UnitedHealthcare Commercial	$344.35
Rate for Payer: WPPA Commercial	$291.10

NEO-SYNEPHRINE 1/2 % - 15 ML bottle

Facility

$19.00

Service Code	NDC 00225080547
Hospital Charge Code	2504751
Hospital Revenue Code	250
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

NEO-SYNEPHRINE 1/2 % - 15 ML bottle

Facility

$19.00

Service Code	NDC 00225080547
Hospital Charge Code	2504751
Hospital Revenue Code	250
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

NEO-SYNEPHRINE 1/4 % (PEDIATRIC) - 15 ML bottle

Facility

$13.00

Service Code	NDC 00225080047
Hospital Charge Code	2504744
Hospital Revenue Code	250
Min. Negotiated Rate	$6.01
Max. Negotiated Rate	$12.61
Rate for Payer: Cash Price	$10.12
Rate for Payer: Celtic Commercial/Exchange	$6.01
Rate for Payer: Health Partners Plans Commercial	$12.35
Rate for Payer: UnitedHealthcare Commercial	$12.61
Rate for Payer: WPPA Commercial	$10.92

NEO-SYNEPHRINE 1/4 % (PEDIATRIC) - 15 ML bottle

Facility

$13.00

Service Code	NDC 00225080047
Hospital Charge Code	2504744
Hospital Revenue Code	250
Min. Negotiated Rate	$10.66
Max. Negotiated Rate	$12.61
Rate for Payer: Cash Price	$10.12
Rate for Payer: Health Partners Plans Commercial	$12.35
Rate for Payer: UnitedHealthcare Commercial	$12.61
Rate for Payer: WPPA Commercial	$10.66

NEPHELOMETRY, EA ANALYTE NES

Facility

$147.00

Service Code	HCPCS 83883
Hospital Charge Code	8388300
Hospital Revenue Code	301
Min. Negotiated Rate	$120.54
Max. Negotiated Rate	$142.59
Rate for Payer: Cash Price	$110.25
Rate for Payer: Health Partners Plans Commercial	$139.65
Rate for Payer: UnitedHealthcare Commercial	$142.59
Rate for Payer: WPPA Commercial	$120.54

NEPHELOMETRY, EA ANALYTE NES

Facility

$147.00

Service Code	HCPCS 83883
Hospital Charge Code	8388300
Hospital Revenue Code	301
Min. Negotiated Rate	$49.63
Max. Negotiated Rate	$142.59
Rate for Payer: BCBS Commercial	$49.63
Rate for Payer: Cash Price	$110.25
Rate for Payer: Cash Price	$110.25
Rate for Payer: Celtic Commercial/Exchange	$67.91
Rate for Payer: Health Partners Plans Commercial	$139.65
Rate for Payer: UnitedHealthcare Commercial	$142.59
Rate for Payer: WPPA Commercial	$123.48

NERVOUS SYSTEM NEOPLASMS WITH MCC

Facility

$12,268.51

Service Code	MSDRG 054
Min. Negotiated Rate	$12,268.51
Max. Negotiated Rate	$12,268.51
Rate for Payer: BCBS Commercial	$12,268.51

NERVOUS SYSTEM NEOPLASMS WITHOUT MCC

Facility

$9,366.14

Service Code	MSDRG 055
Min. Negotiated Rate	$9,366.14
Max. Negotiated Rate	$9,366.14
Rate for Payer: BCBS Commercial	$9,366.14

NEULASTA 6 MG INJ.

Facility

$22,478.00

Service Code	NDC 55513019001
Hospital Charge Code	2513802
Hospital Revenue Code	250
Min. Negotiated Rate	$10,384.84
Max. Negotiated Rate	$21,803.66
Rate for Payer: Cash Price	$16,858.54
Rate for Payer: Celtic Commercial/Exchange	$10,384.84
Rate for Payer: Health Partners Plans Commercial	$21,354.10
Rate for Payer: UnitedHealthcare Commercial	$21,803.66
Rate for Payer: WPPA Commercial	$18,881.52

NEULASTA 6 MG INJ.

Facility

$22,478.00

Service Code	NDC 55513019001
Hospital Charge Code	2513802
Hospital Revenue Code	250
Min. Negotiated Rate	$18,431.96
Max. Negotiated Rate	$21,803.66
Rate for Payer: Cash Price	$16,858.54
Rate for Payer: Health Partners Plans Commercial	$21,354.10
Rate for Payer: UnitedHealthcare Commercial	$21,803.66
Rate for Payer: WPPA Commercial	$18,431.96

NEUPOGEN 300 MCG/ 0.5 ML INJ.

Facility

$1,201.00

Service Code	NDC 55513092491
Hospital Charge Code	2512572
Hospital Revenue Code	250
Min. Negotiated Rate	$984.82
Max. Negotiated Rate	$1,164.97
Rate for Payer: Cash Price	$900.97
Rate for Payer: Health Partners Plans Commercial	$1,140.95
Rate for Payer: UnitedHealthcare Commercial	$1,164.97
Rate for Payer: WPPA Commercial	$984.82

NEUPOGEN 300 MCG/ 0.5 ML INJ.

Facility

$1,201.00

Service Code	NDC 55513092491
Hospital Charge Code	2512572
Hospital Revenue Code	250
Min. Negotiated Rate	$554.86
Max. Negotiated Rate	$1,164.97
Rate for Payer: Cash Price	$900.97
Rate for Payer: Celtic Commercial/Exchange	$554.86
Rate for Payer: Health Partners Plans Commercial	$1,140.95
Rate for Payer: UnitedHealthcare Commercial	$1,164.97
Rate for Payer: WPPA Commercial	$1,008.84

NEUPOGEN 480 MCG/ 0.8 ML INJ.

Facility

$1,913.00

Service Code	NDC 55513020991
Hospital Charge Code	2513109
Hospital Revenue Code	250
Min. Negotiated Rate	$883.81
Max. Negotiated Rate	$1,855.61
Rate for Payer: Cash Price	$1,434.86
Rate for Payer: Celtic Commercial/Exchange	$883.81
Rate for Payer: Health Partners Plans Commercial	$1,817.35
Rate for Payer: UnitedHealthcare Commercial	$1,855.61
Rate for Payer: WPPA Commercial	$1,606.92

NEUPOGEN 480 MCG/ 0.8 ML INJ.

Facility

$1,913.00

Service Code	NDC 55513020991
Hospital Charge Code	2513109
Hospital Revenue Code	250
Min. Negotiated Rate	$1,568.66
Max. Negotiated Rate	$1,855.61
Rate for Payer: Cash Price	$1,434.86
Rate for Payer: Health Partners Plans Commercial	$1,817.35
Rate for Payer: UnitedHealthcare Commercial	$1,855.61
Rate for Payer: WPPA Commercial	$1,568.66

NEUROLOGICAL EYE DISORDERS

Facility

$6,875.30

Service Code	MSDRG 123
Min. Negotiated Rate	$6,875.30
Max. Negotiated Rate	$6,875.30
Rate for Payer: BCBS Commercial	$6,875.30

NEUROMUS.RE-ED,MVMNT,BAL,COORD

Facility

$103.00

Service Code	HCPCS 97112 GP
Hospital Charge Code	4201094
Hospital Revenue Code	420
Min. Negotiated Rate	$84.46
Max. Negotiated Rate	$99.91
Rate for Payer: Cash Price	$77.25
Rate for Payer: Health Partners Plans Commercial	$97.85
Rate for Payer: UnitedHealthcare Commercial	$99.91
Rate for Payer: WPPA Commercial	$84.46

NEUROMUS.RE-ED,MVMNT,BAL,COORD

Facility

$103.00

Service Code	HCPCS 97112 GP
Hospital Charge Code	4201094
Hospital Revenue Code	420
Min. Negotiated Rate	$47.59
Max. Negotiated Rate	$99.91
Rate for Payer: BCBS Commercial	$50.50
Rate for Payer: Cash Price	$77.25
Rate for Payer: Cash Price	$77.25
Rate for Payer: Celtic Commercial/Exchange	$47.59
Rate for Payer: Health Partners Plans Commercial	$97.85
Rate for Payer: UnitedHealthcare Commercial	$99.91
Rate for Payer: WPPA Commercial	$86.52

NEURONTIN 100 MG CAP (GABAPENTIN)

Facility

$2.00

Service Code	NDC 60687058011
Hospital Charge Code	2515237
Hospital Revenue Code	250
Min. Negotiated Rate	$0.92
Max. Negotiated Rate	$1.94
Rate for Payer: Cash Price	$1.58
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

NEURONTIN 100 MG CAP (GABAPENTIN)

Facility

$2.00

Service Code	NDC 60687058011
Hospital Charge Code	2515237
Hospital Revenue Code	250
Min. Negotiated Rate	$1.64
Max. Negotiated Rate	$1.94
Rate for Payer: Cash Price	$1.58
Rate for Payer: Health Partners Plans Commercial	$1.90
Rate for Payer: UnitedHealthcare Commercial	$1.94
Rate for Payer: WPPA Commercial	$1.64

NEURONTIN 300 MG CAP (GABAPENTIN)

Facility

$4.00

Service Code	NDC 60687059111
Hospital Charge Code	2513174
Hospital Revenue Code	250
Min. Negotiated Rate	$3.28
Max. Negotiated Rate	$3.88
Rate for Payer: Cash Price	$3.15
Rate for Payer: Health Partners Plans Commercial	$3.80
Rate for Payer: UnitedHealthcare Commercial	$3.88
Rate for Payer: WPPA Commercial	$3.28

NEURONTIN 300 MG CAP (GABAPENTIN)

Facility

$4.00

Service Code	NDC 60687059111
Hospital Charge Code	2513174
Hospital Revenue Code	250
Min. Negotiated Rate	$1.85
Max. Negotiated Rate	$3.88
Rate for Payer: Cash Price	$3.15
Rate for Payer: Celtic Commercial/Exchange	$1.85
Rate for Payer: Health Partners Plans Commercial	$3.80
Rate for Payer: UnitedHealthcare Commercial	$3.88
Rate for Payer: WPPA Commercial	$3.36

Know your out-of-pocket cost for care.

All Charges