Ness County Hospital

All Charges

Charge

Type

Setting

Price

NUBAIN 10 MG/ML

Facility

$13.00

Hospital Charge Code	2519809
Hospital Revenue Code	250
Min. Negotiated Rate	$10.66
Max. Negotiated Rate	$12.61
Rate for Payer: Cash Price	$10.28
Rate for Payer: Health Partners Plans Commercial	$12.35
Rate for Payer: UnitedHealthcare Commercial	$12.61
Rate for Payer: WPPA Commercial	$10.66

NUBAIN 10 MG/ML INJ. (NALBUPHINE)

Facility

$36.00

Service Code	NDC 00409146369
Hospital Charge Code	2512499
Hospital Revenue Code	250
Min. Negotiated Rate	$29.52
Max. Negotiated Rate	$34.92
Rate for Payer: Cash Price	$27.00
Rate for Payer: Health Partners Plans Commercial	$34.20
Rate for Payer: UnitedHealthcare Commercial	$34.92
Rate for Payer: WPPA Commercial	$29.52

NUBAIN 10 MG/ML INJ. (NALBUPHINE)

Facility

$36.00

Service Code	NDC 00409146369
Hospital Charge Code	2512499
Hospital Revenue Code	250
Min. Negotiated Rate	$16.63
Max. Negotiated Rate	$34.92
Rate for Payer: Cash Price	$27.00
Rate for Payer: Celtic Commercial/Exchange	$16.63
Rate for Payer: Health Partners Plans Commercial	$34.20
Rate for Payer: UnitedHealthcare Commercial	$34.92
Rate for Payer: WPPA Commercial	$30.24

Nucala 100 mg/ml (mepolizumab) subQ syringe

Facility

$11,401.00

Service Code	NDC 00173089242
Hospital Charge Code	2510006
Hospital Revenue Code	250
Min. Negotiated Rate	$5,267.26
Max. Negotiated Rate	$11,058.97
Rate for Payer: Cash Price	$8,550.90
Rate for Payer: Celtic Commercial/Exchange	$5,267.26
Rate for Payer: Health Partners Plans Commercial	$10,830.95
Rate for Payer: UnitedHealthcare Commercial	$11,058.97
Rate for Payer: WPPA Commercial	$9,576.84

Nucala 100 mg/ml (mepolizumab) subQ syringe

Facility

$11,401.00

Service Code	NDC 00173089242
Hospital Charge Code	2510006
Hospital Revenue Code	250
Min. Negotiated Rate	$9,348.82
Max. Negotiated Rate	$11,058.97
Rate for Payer: Cash Price	$8,550.90
Rate for Payer: Health Partners Plans Commercial	$10,830.95
Rate for Payer: UnitedHealthcare Commercial	$11,058.97
Rate for Payer: WPPA Commercial	$9,348.82

NUCLEOTIDASE 5

Facility

$71.00

Service Code	HCPCS 83915
Hospital Charge Code	8391500
Hospital Revenue Code	301
Min. Negotiated Rate	$32.80
Max. Negotiated Rate	$68.87
Rate for Payer: BCBS Commercial	$43.02
Rate for Payer: Cash Price	$53.25
Rate for Payer: Cash Price	$53.25
Rate for Payer: Celtic Commercial/Exchange	$32.80
Rate for Payer: Health Partners Plans Commercial	$67.45
Rate for Payer: UnitedHealthcare Commercial	$68.87
Rate for Payer: WPPA Commercial	$59.64

NUCLEOTIDASE 5

Facility

$71.00

Service Code	HCPCS 83915
Hospital Charge Code	8391500
Hospital Revenue Code	301
Min. Negotiated Rate	$58.22
Max. Negotiated Rate	$68.87
Rate for Payer: Cash Price	$53.25
Rate for Payer: Health Partners Plans Commercial	$67.45
Rate for Payer: UnitedHealthcare Commercial	$68.87
Rate for Payer: WPPA Commercial	$58.22

NUDERM

Facility

$11.00

Hospital Charge Code	2700312
Hospital Revenue Code	272
Min. Negotiated Rate	$5.08
Max. Negotiated Rate	$10.67
Rate for Payer: Cash Price	$8.25
Rate for Payer: Celtic Commercial/Exchange	$5.08
Rate for Payer: Health Partners Plans Commercial	$10.45
Rate for Payer: UnitedHealthcare Commercial	$10.67
Rate for Payer: WPPA Commercial	$9.24

NUDERM

Facility

$11.00

Hospital Charge Code	2700312
Hospital Revenue Code	272
Min. Negotiated Rate	$9.02
Max. Negotiated Rate	$10.67
Rate for Payer: Cash Price	$8.25
Rate for Payer: Health Partners Plans Commercial	$10.45
Rate for Payer: UnitedHealthcare Commercial	$10.67
Rate for Payer: WPPA Commercial	$9.02

NUGAUZE IODOFORM DRESSING

Facility

$10.00

Hospital Charge Code	2720142
Hospital Revenue Code	272
Min. Negotiated Rate	$8.20
Max. Negotiated Rate	$9.70
Rate for Payer: Cash Price	$8.06
Rate for Payer: Health Partners Plans Commercial	$9.50
Rate for Payer: UnitedHealthcare Commercial	$9.70
Rate for Payer: WPPA Commercial	$8.20

NUGAUZE IODOFORM DRESSING

Facility

$10.00

Hospital Charge Code	2720142
Hospital Revenue Code	272
Min. Negotiated Rate	$4.62
Max. Negotiated Rate	$9.70
Rate for Payer: Cash Price	$8.06
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

Nupercainal oint. 1% (dibucaine)

Facility

$32.00

Service Code	NDC 45802005003
Hospital Charge Code	2505048
Hospital Revenue Code	250
Min. Negotiated Rate	$26.24
Max. Negotiated Rate	$31.04
Rate for Payer: Cash Price	$24.38
Rate for Payer: Health Partners Plans Commercial	$30.40
Rate for Payer: UnitedHealthcare Commercial	$31.04
Rate for Payer: WPPA Commercial	$26.24

Nupercainal oint. 1% (dibucaine)

Facility

$32.00

Service Code	NDC 45802005003
Hospital Charge Code	2505048
Hospital Revenue Code	250
Min. Negotiated Rate	$14.78
Max. Negotiated Rate	$31.04
Rate for Payer: Cash Price	$24.38
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

NUSHIELD 4X4CM PER SQ CM

Facility

$1,567.00

Service Code	HCPCS Q4160
Hospital Charge Code	Q4160232
Hospital Revenue Code	636
Min. Negotiated Rate	$1,284.94
Max. Negotiated Rate	$1,519.99
Rate for Payer: Cash Price	$1,175.62
Rate for Payer: Health Partners Plans Commercial	$1,488.65
Rate for Payer: UnitedHealthcare Commercial	$1,519.99
Rate for Payer: WPPA Commercial	$1,284.94

NUSHIELD 4X4CM PER SQ CM

Facility

$1,567.00

Service Code	HCPCS Q4160
Hospital Charge Code	Q4160232
Hospital Revenue Code	636
Min. Negotiated Rate	$723.95
Max. Negotiated Rate	$1,519.99
Rate for Payer: Cash Price	$1,175.62
Rate for Payer: Celtic Commercial/Exchange	$723.95
Rate for Payer: Health Partners Plans Commercial	$1,488.65
Rate for Payer: UnitedHealthcare Commercial	$1,519.99
Rate for Payer: WPPA Commercial	$1,316.28

NUSHIELD 4X6CM PER SQ CM

Facility

$2,062.00

Service Code	HCPCS Q4160
Hospital Charge Code	Q4160234
Hospital Revenue Code	636
Min. Negotiated Rate	$952.64
Max. Negotiated Rate	$2,000.14
Rate for Payer: Cash Price	$1,546.88
Rate for Payer: Celtic Commercial/Exchange	$952.64
Rate for Payer: Health Partners Plans Commercial	$1,958.90
Rate for Payer: UnitedHealthcare Commercial	$2,000.14
Rate for Payer: WPPA Commercial	$1,732.08

NUSHIELD 4X6CM PER SQ CM

Facility

$2,062.00

Service Code	HCPCS Q4160
Hospital Charge Code	Q4160234
Hospital Revenue Code	636
Min. Negotiated Rate	$1,690.84
Max. Negotiated Rate	$2,000.14
Rate for Payer: Cash Price	$1,546.88
Rate for Payer: Health Partners Plans Commercial	$1,958.90
Rate for Payer: UnitedHealthcare Commercial	$2,000.14
Rate for Payer: WPPA Commercial	$1,690.84

NUSHIELD 6X6CM PER SQ CM

Facility

$2,739.00

Service Code	HCPCS Q4160
Hospital Charge Code	Q4160233
Hospital Revenue Code	636
Min. Negotiated Rate	$1,265.42
Max. Negotiated Rate	$2,656.83
Rate for Payer: Cash Price	$2,054.25
Rate for Payer: Celtic Commercial/Exchange	$1,265.42
Rate for Payer: Health Partners Plans Commercial	$2,602.05
Rate for Payer: UnitedHealthcare Commercial	$2,656.83
Rate for Payer: WPPA Commercial	$2,300.76

NUSHIELD 6X6CM PER SQ CM

Facility

$2,739.00

Service Code	HCPCS Q4160
Hospital Charge Code	Q4160233
Hospital Revenue Code	636
Min. Negotiated Rate	$2,245.98
Max. Negotiated Rate	$2,656.83
Rate for Payer: Cash Price	$2,054.25
Rate for Payer: Health Partners Plans Commercial	$2,602.05
Rate for Payer: UnitedHealthcare Commercial	$2,656.83
Rate for Payer: WPPA Commercial	$2,245.98

NUSHILED 1.6X1.6CM PER SQ

Facility

$434.00

Service Code	HCPCS Q4160
Hospital Charge Code	Q4160231
Hospital Revenue Code	636
Min. Negotiated Rate	$200.51
Max. Negotiated Rate	$420.98
Rate for Payer: Cash Price	$325.88
Rate for Payer: Celtic Commercial/Exchange	$200.51
Rate for Payer: Health Partners Plans Commercial	$412.30
Rate for Payer: UnitedHealthcare Commercial	$420.98
Rate for Payer: WPPA Commercial	$364.56

NUSHILED 1.6X1.6CM PER SQ

Facility

$434.00

Service Code	HCPCS Q4160
Hospital Charge Code	Q4160231
Hospital Revenue Code	636
Min. Negotiated Rate	$355.88
Max. Negotiated Rate	$420.98
Rate for Payer: Cash Price	$325.88
Rate for Payer: Health Partners Plans Commercial	$412.30
Rate for Payer: UnitedHealthcare Commercial	$420.98
Rate for Payer: WPPA Commercial	$355.88

NUTRASHIELD 4 OZ

Facility

$6.00

Hospital Charge Code	2700059
Hospital Revenue Code	270
Min. Negotiated Rate	$2.77
Max. Negotiated Rate	$5.82
Rate for Payer: Cash Price	$4.92
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

NUTRASHIELD 4 OZ

Facility

$6.00

Hospital Charge Code	2700059
Hospital Revenue Code	270
Min. Negotiated Rate	$4.92
Max. Negotiated Rate	$5.82
Rate for Payer: Cash Price	$4.92
Rate for Payer: Health Partners Plans Commercial	$5.70
Rate for Payer: UnitedHealthcare Commercial	$5.82
Rate for Payer: WPPA Commercial	$4.92

NUTRITIONAL COUNSELING, 30 MIN

Facility

$80.00

Service Code	HCPCS 99402
Hospital Charge Code	9940200
Hospital Revenue Code	761
Min. Negotiated Rate	$65.60
Max. Negotiated Rate	$77.60
Rate for Payer: Cash Price	$60.00
Rate for Payer: Health Partners Plans Commercial	$76.00
Rate for Payer: UnitedHealthcare Commercial	$77.60
Rate for Payer: WPPA Commercial	$65.60

NUTRITIONAL COUNSELING, 30 MIN

Facility

$80.00

Service Code	HCPCS 99402
Hospital Charge Code	9940200
Hospital Revenue Code	761
Min. Negotiated Rate	$36.96
Max. Negotiated Rate	$77.60
Rate for Payer: Cash Price	$60.00
Rate for Payer: Celtic Commercial/Exchange	$36.96
Rate for Payer: Health Partners Plans Commercial	$76.00
Rate for Payer: UnitedHealthcare Commercial	$77.60
Rate for Payer: WPPA Commercial	$67.20

Know your out-of-pocket cost for care.

All Charges