Ness County Hospital

All Charges

Charge

Type

Setting

Price

PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC

Facility

$50,924.12

Service Code	MSDRG 405
Min. Negotiated Rate	$50,924.12
Max. Negotiated Rate	$50,924.12
Rate for Payer: BCBS Commercial	$50,924.12

PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC

Facility

$18,798.32

Service Code	MSDRG 407
Min. Negotiated Rate	$18,798.32
Max. Negotiated Rate	$18,798.32
Rate for Payer: BCBS Commercial	$18,798.32

PANCREAS TRANSPLANT

Facility

$51,103.86

Service Code	MSDRG 010
Min. Negotiated Rate	$51,103.86
Max. Negotiated Rate	$51,103.86
Rate for Payer: BCBS Commercial	$51,103.86

PANEL ELECTROLYTE

Facility

$85.00

Service Code	HCPCS 80051
Hospital Charge Code	8005100
Hospital Revenue Code	301
Min. Negotiated Rate	$69.70
Max. Negotiated Rate	$82.45
Rate for Payer: Cash Price	$63.75
Rate for Payer: Health Partners Plans Commercial	$80.75
Rate for Payer: UnitedHealthcare Commercial	$82.45
Rate for Payer: WPPA Commercial	$69.70

PANEL ELECTROLYTE

Facility

$85.00

Service Code	HCPCS 80051
Hospital Charge Code	8005100
Hospital Revenue Code	301
Min. Negotiated Rate	$19.65
Max. Negotiated Rate	$82.45
Rate for Payer: BCBS Commercial	$19.65
Rate for Payer: Cash Price	$63.75
Rate for Payer: Cash Price	$63.75
Rate for Payer: Celtic Commercial/Exchange	$39.27
Rate for Payer: Health Partners Plans Commercial	$80.75
Rate for Payer: UnitedHealthcare Commercial	$82.45
Rate for Payer: WPPA Commercial	$71.40

PANORMAIC O2 MASK

Facility

$56.00

Hospital Charge Code	2701008
Hospital Revenue Code	270
Min. Negotiated Rate	$45.92
Max. Negotiated Rate	$54.32
Rate for Payer: Cash Price	$42.38
Rate for Payer: Health Partners Plans Commercial	$53.20
Rate for Payer: UnitedHealthcare Commercial	$54.32
Rate for Payer: WPPA Commercial	$45.92

PANORMAIC O2 MASK

Facility

$56.00

Hospital Charge Code	2701008
Hospital Revenue Code	270
Min. Negotiated Rate	$25.87
Max. Negotiated Rate	$54.32
Rate for Payer: Cash Price	$42.38
Rate for Payer: Celtic Commercial/Exchange	$25.87
Rate for Payer: Health Partners Plans Commercial	$53.20
Rate for Payer: UnitedHealthcare Commercial	$54.32
Rate for Payer: WPPA Commercial	$47.04

PANTY LINER

Facility

$8.00

Hospital Charge Code	2706724
Hospital Revenue Code	270
Min. Negotiated Rate	$3.70
Max. Negotiated Rate	$7.76
Rate for Payer: Cash Price	$6.00
Rate for Payer: Celtic Commercial/Exchange	$3.70
Rate for Payer: Health Partners Plans Commercial	$7.60
Rate for Payer: UnitedHealthcare Commercial	$7.76
Rate for Payer: WPPA Commercial	$6.72

PANTY LINER

Facility

$8.00

Hospital Charge Code	2706724
Hospital Revenue Code	270
Min. Negotiated Rate	$6.56
Max. Negotiated Rate	$7.76
Rate for Payer: Cash Price	$6.00
Rate for Payer: Health Partners Plans Commercial	$7.60
Rate for Payer: UnitedHealthcare Commercial	$7.76
Rate for Payer: WPPA Commercial	$6.56

PARAFFIN BATH

Facility

$51.00

Service Code	HCPCS 97018 GP
Hospital Charge Code	4201023
Hospital Revenue Code	420
Min. Negotiated Rate	$23.23
Max. Negotiated Rate	$49.47
Rate for Payer: BCBS Commercial	$23.23
Rate for Payer: Cash Price	$38.25
Rate for Payer: Cash Price	$38.25
Rate for Payer: Celtic Commercial/Exchange	$23.56
Rate for Payer: Health Partners Plans Commercial	$48.45
Rate for Payer: UnitedHealthcare Commercial	$49.47
Rate for Payer: WPPA Commercial	$42.84

PARAFFIN BATH

Facility

$51.00

Service Code	HCPCS 97018 GP
Hospital Charge Code	4201023
Hospital Revenue Code	420
Min. Negotiated Rate	$41.82
Max. Negotiated Rate	$49.47
Rate for Payer: Cash Price	$38.25
Rate for Payer: Health Partners Plans Commercial	$48.45
Rate for Payer: UnitedHealthcare Commercial	$49.47
Rate for Payer: WPPA Commercial	$41.82

PARATHORMONE (PARATHYROID HORM

Facility

$310.00

Service Code	HCPCS 83970
Hospital Charge Code	8397000
Hospital Revenue Code	301
Min. Negotiated Rate	$254.20
Max. Negotiated Rate	$300.70
Rate for Payer: Cash Price	$232.50
Rate for Payer: Health Partners Plans Commercial	$294.50
Rate for Payer: UnitedHealthcare Commercial	$300.70
Rate for Payer: WPPA Commercial	$254.20

PARATHORMONE (PARATHYROID HORM

Facility

$310.00

Service Code	HCPCS 83970
Hospital Charge Code	8397000
Hospital Revenue Code	301
Min. Negotiated Rate	$143.22
Max. Negotiated Rate	$300.70
Rate for Payer: BCBS Commercial	$155.01
Rate for Payer: Cash Price	$232.50
Rate for Payer: Cash Price	$232.50
Rate for Payer: Celtic Commercial/Exchange	$143.22
Rate for Payer: Health Partners Plans Commercial	$294.50
Rate for Payer: UnitedHealthcare Commercial	$300.70
Rate for Payer: WPPA Commercial	$260.40

PARE/CUT BENIGN HYPERKERATOTIC

Facility

$184.00

Service Code	HCPCS 11056
Hospital Charge Code	1105600
Hospital Revenue Code	761
Min. Negotiated Rate	$150.88
Max. Negotiated Rate	$178.48
Rate for Payer: Cash Price	$138.00
Rate for Payer: Health Partners Plans Commercial	$174.80
Rate for Payer: UnitedHealthcare Commercial	$178.48
Rate for Payer: WPPA Commercial	$150.88

PARE/CUT BENIGN HYPERKERATOTIC

Facility

$184.00

Service Code	HCPCS 11056
Hospital Charge Code	1105600
Hospital Revenue Code	761
Min. Negotiated Rate	$85.01
Max. Negotiated Rate	$248.38
Rate for Payer: BCBS Commercial	$248.38
Rate for Payer: Cash Price	$138.00
Rate for Payer: Cash Price	$138.00
Rate for Payer: Celtic Commercial/Exchange	$85.01
Rate for Payer: Health Partners Plans Commercial	$174.80
Rate for Payer: UnitedHealthcare Commercial	$178.48
Rate for Payer: WPPA Commercial	$154.56

PARING/CUTTING--BENIGN LESION

Facility

$184.00

Service Code	HCPCS 11055
Hospital Charge Code	1105500
Hospital Revenue Code	761
Min. Negotiated Rate	$150.88
Max. Negotiated Rate	$178.48
Rate for Payer: Cash Price	$138.00
Rate for Payer: Health Partners Plans Commercial	$174.80
Rate for Payer: UnitedHealthcare Commercial	$178.48
Rate for Payer: WPPA Commercial	$150.88

PARING/CUTTING--BENIGN LESION

Facility

$184.00

Service Code	HCPCS 11055
Hospital Charge Code	1105500
Hospital Revenue Code	761
Min. Negotiated Rate	$85.01
Max. Negotiated Rate	$248.38
Rate for Payer: BCBS Commercial	$248.38
Rate for Payer: Cash Price	$138.00
Rate for Payer: Cash Price	$138.00
Rate for Payer: Celtic Commercial/Exchange	$85.01
Rate for Payer: Health Partners Plans Commercial	$174.80
Rate for Payer: UnitedHealthcare Commercial	$178.48
Rate for Payer: WPPA Commercial	$154.56

PARTICLE AGGLUT SCREEN,EA ANTI

Facility

$60.00

Service Code	HCPCS 86403
Hospital Charge Code	8640300
Hospital Revenue Code	302
Min. Negotiated Rate	$49.20
Max. Negotiated Rate	$58.20
Rate for Payer: Cash Price	$45.00
Rate for Payer: Health Partners Plans Commercial	$57.00
Rate for Payer: UnitedHealthcare Commercial	$58.20
Rate for Payer: WPPA Commercial	$49.20

PARTICLE AGGLUT SCREEN,EA ANTI

Facility

$60.00

Service Code	HCPCS 86403
Hospital Charge Code	8640300
Hospital Revenue Code	302
Min. Negotiated Rate	$21.88
Max. Negotiated Rate	$58.20
Rate for Payer: BCBS Commercial	$21.88
Rate for Payer: Cash Price	$45.00
Rate for Payer: Cash Price	$45.00
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

PATH CONSULT DURING SURGERY

Facility

$180.00

Service Code	HCPCS 88329
Hospital Charge Code	8832900
Hospital Revenue Code	310
Min. Negotiated Rate	$147.60
Max. Negotiated Rate	$174.60
Rate for Payer: Cash Price	$135.00
Rate for Payer: Health Partners Plans Commercial	$171.00
Rate for Payer: UnitedHealthcare Commercial	$174.60
Rate for Payer: WPPA Commercial	$147.60

PATH CONSULT DURING SURGERY

Facility

$180.00

Service Code	HCPCS 88329
Hospital Charge Code	8832900
Hospital Revenue Code	310
Min. Negotiated Rate	$83.16
Max. Negotiated Rate	$174.60
Rate for Payer: BCBS Commercial	$114.77
Rate for Payer: Cash Price	$135.00
Rate for Payer: Cash Price	$135.00
Rate for Payer: Celtic Commercial/Exchange	$83.16
Rate for Payer: Health Partners Plans Commercial	$171.00
Rate for Payer: UnitedHealthcare Commercial	$174.60
Rate for Payer: WPPA Commercial	$151.20

PATH CONSULT,SURG,1ST TIS BLK

Facility

$288.00

Service Code	HCPCS 88331
Hospital Charge Code	8833100
Hospital Revenue Code	310
Min. Negotiated Rate	$133.06
Max. Negotiated Rate	$279.36
Rate for Payer: BCBS Commercial	$188.49
Rate for Payer: Cash Price	$216.00
Rate for Payer: Cash Price	$216.00
Rate for Payer: Celtic Commercial/Exchange	$133.06
Rate for Payer: Health Partners Plans Commercial	$273.60
Rate for Payer: UnitedHealthcare Commercial	$279.36
Rate for Payer: WPPA Commercial	$241.92

PATH CONSULT,SURG,1ST TIS BLK

Facility

$288.00

Service Code	HCPCS 88331
Hospital Charge Code	8833100
Hospital Revenue Code	310
Min. Negotiated Rate	$236.16
Max. Negotiated Rate	$279.36
Rate for Payer: Cash Price	$216.00
Rate for Payer: Health Partners Plans Commercial	$273.60
Rate for Payer: UnitedHealthcare Commercial	$279.36
Rate for Payer: WPPA Commercial	$236.16

PATH CONSULT,SURG,EA ADDTL TIS

Facility

$251.00

Service Code	HCPCS 88332
Hospital Charge Code	8833200
Hospital Revenue Code	310
Min. Negotiated Rate	$205.82
Max. Negotiated Rate	$243.47
Rate for Payer: Cash Price	$188.25
Rate for Payer: Health Partners Plans Commercial	$238.45
Rate for Payer: UnitedHealthcare Commercial	$243.47
Rate for Payer: WPPA Commercial	$205.82

PATH CONSULT,SURG,EA ADDTL TIS

Facility

$251.00

Service Code	HCPCS 88332
Hospital Charge Code	8833200
Hospital Revenue Code	310
Min. Negotiated Rate	$115.96
Max. Negotiated Rate	$243.47
Rate for Payer: BCBS Commercial	$129.59
Rate for Payer: Cash Price	$188.25
Rate for Payer: Cash Price	$188.25
Rate for Payer: Celtic Commercial/Exchange	$115.96
Rate for Payer: Health Partners Plans Commercial	$238.45
Rate for Payer: UnitedHealthcare Commercial	$243.47
Rate for Payer: WPPA Commercial	$210.84

Know your out-of-pocket cost for care.

All Charges