Ness County Hospital

All Charges

Charge

Type

Setting

Price

PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC

Facility

$9,276.66

Service Code	MSDRG 543
Min. Negotiated Rate	$9,276.66
Max. Negotiated Rate	$9,276.66
Rate for Payer: BCBS Commercial	$9,276.66

PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC

Facility

$15,845.16

Service Code	MSDRG 542
Min. Negotiated Rate	$15,845.16
Max. Negotiated Rate	$15,845.16
Rate for Payer: BCBS Commercial	$15,845.16

PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC

Facility

$6,902.46

Service Code	MSDRG 544
Min. Negotiated Rate	$6,902.46
Max. Negotiated Rate	$6,902.46
Rate for Payer: BCBS Commercial	$6,902.46

PATH REVIEW OF PERIPH SMEAR

Facility

$121.00

Service Code	HCPCS 85060
Hospital Charge Code	8506000
Hospital Revenue Code	305
Min. Negotiated Rate	$55.90
Max. Negotiated Rate	$117.37
Rate for Payer: BCBS Commercial	$78.98
Rate for Payer: Cash Price	$90.75
Rate for Payer: Cash Price	$90.75
Rate for Payer: Celtic Commercial/Exchange	$55.90
Rate for Payer: Health Partners Plans Commercial	$114.95
Rate for Payer: UnitedHealthcare Commercial	$117.37
Rate for Payer: WPPA Commercial	$101.64

PATH REVIEW OF PERIPH SMEAR

Facility

$121.00

Service Code	HCPCS 85060
Hospital Charge Code	8506000
Hospital Revenue Code	305
Min. Negotiated Rate	$99.22
Max. Negotiated Rate	$117.37
Rate for Payer: Cash Price	$90.75
Rate for Payer: Health Partners Plans Commercial	$114.95
Rate for Payer: UnitedHealthcare Commercial	$117.37
Rate for Payer: WPPA Commercial	$99.22

PAXIL 10 MG TAB (PAROXETINE)

Facility

$8.00

Service Code	NDC 68084004411
Hospital Charge Code	2516730
Hospital Revenue Code	250
Min. Negotiated Rate	$6.56
Max. Negotiated Rate	$7.76
Rate for Payer: Cash Price	$6.34
Rate for Payer: Health Partners Plans Commercial	$7.60
Rate for Payer: UnitedHealthcare Commercial	$7.76
Rate for Payer: WPPA Commercial	$6.56

PAXIL 10 MG TAB (PAROXETINE)

Facility

$8.00

Service Code	NDC 68084004411
Hospital Charge Code	2516730
Hospital Revenue Code	250
Min. Negotiated Rate	$3.70
Max. Negotiated Rate	$7.76
Rate for Payer: Cash Price	$6.34
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

PCA SET

Facility

$94.00

Hospital Charge Code	2580512
Hospital Revenue Code	270
Min. Negotiated Rate	$77.08
Max. Negotiated Rate	$91.18
Rate for Payer: Cash Price	$70.80
Rate for Payer: Health Partners Plans Commercial	$89.30
Rate for Payer: UnitedHealthcare Commercial	$91.18
Rate for Payer: WPPA Commercial	$77.08

PCA SET

Facility

$94.00

Hospital Charge Code	2580512
Hospital Revenue Code	270
Min. Negotiated Rate	$43.43
Max. Negotiated Rate	$91.18
Rate for Payer: Cash Price	$70.80
Rate for Payer: Celtic Commercial/Exchange	$43.43
Rate for Payer: Health Partners Plans Commercial	$89.30
Rate for Payer: UnitedHealthcare Commercial	$91.18
Rate for Payer: WPPA Commercial	$78.96

PEACH (F95), IGE

Facility

$28.00

Service Code	HCPCS 86003
Hospital Charge Code	8600304
Hospital Revenue Code	302
Min. Negotiated Rate	$22.96
Max. Negotiated Rate	$27.16
Rate for Payer: Cash Price	$21.00
Rate for Payer: Health Partners Plans Commercial	$26.60
Rate for Payer: UnitedHealthcare Commercial	$27.16
Rate for Payer: WPPA Commercial	$22.96

PEACH (F95), IGE

Facility

$28.00

Service Code	HCPCS 86003
Hospital Charge Code	8600304
Hospital Revenue Code	302
Min. Negotiated Rate	$12.94
Max. Negotiated Rate	$27.16
Rate for Payer: BCBS Commercial	$15.51
Rate for Payer: Cash Price	$21.00
Rate for Payer: Cash Price	$21.00
Rate for Payer: Celtic Commercial/Exchange	$12.94
Rate for Payer: Health Partners Plans Commercial	$26.60
Rate for Payer: UnitedHealthcare Commercial	$27.16
Rate for Payer: WPPA Commercial	$23.52

PEAK FLOW METER

Facility

$67.00

Hospital Charge Code	4100250
Hospital Revenue Code	270
Min. Negotiated Rate	$30.95
Max. Negotiated Rate	$64.99
Rate for Payer: Cash Price	$50.81
Rate for Payer: Celtic Commercial/Exchange	$30.95
Rate for Payer: Health Partners Plans Commercial	$63.65
Rate for Payer: UnitedHealthcare Commercial	$64.99
Rate for Payer: WPPA Commercial	$56.28

PEAK FLOW METER

Facility

$67.00

Hospital Charge Code	4100250
Hospital Revenue Code	270
Min. Negotiated Rate	$54.94
Max. Negotiated Rate	$64.99
Rate for Payer: Cash Price	$50.81
Rate for Payer: Health Partners Plans Commercial	$63.65
Rate for Payer: UnitedHealthcare Commercial	$64.99
Rate for Payer: WPPA Commercial	$54.94

PEAK FLOW PEDS

Facility

$31.00

Hospital Charge Code	4100253
Hospital Revenue Code	270
Min. Negotiated Rate	$14.32
Max. Negotiated Rate	$30.07
Rate for Payer: Cash Price	$23.25
Rate for Payer: Celtic Commercial/Exchange	$14.32
Rate for Payer: Health Partners Plans Commercial	$29.45
Rate for Payer: UnitedHealthcare Commercial	$30.07
Rate for Payer: WPPA Commercial	$26.04

PEAK FLOW PEDS

Facility

$31.00

Hospital Charge Code	4100253
Hospital Revenue Code	270
Min. Negotiated Rate	$25.42
Max. Negotiated Rate	$30.07
Rate for Payer: Cash Price	$23.25
Rate for Payer: Health Partners Plans Commercial	$29.45
Rate for Payer: UnitedHealthcare Commercial	$30.07
Rate for Payer: WPPA Commercial	$25.42

PED EKG BACK PAD ELECTRODE

Facility

$30.00

Hospital Charge Code	2700185
Hospital Revenue Code	270
Min. Negotiated Rate	$24.60
Max. Negotiated Rate	$29.10
Rate for Payer: Cash Price	$22.88
Rate for Payer: Health Partners Plans Commercial	$28.50
Rate for Payer: UnitedHealthcare Commercial	$29.10
Rate for Payer: WPPA Commercial	$24.60

PED EKG BACK PAD ELECTRODE

Facility

$30.00

Hospital Charge Code	2700185
Hospital Revenue Code	270
Min. Negotiated Rate	$13.86
Max. Negotiated Rate	$29.10
Rate for Payer: Cash Price	$22.88
Rate for Payer: Celtic Commercial/Exchange	$13.86
Rate for Payer: Health Partners Plans Commercial	$28.50
Rate for Payer: UnitedHealthcare Commercial	$29.10
Rate for Payer: WPPA Commercial	$25.20

PEDIAPRED 5 MG/5 ML (PREDNISOLONE SODIUM PHOSPHATE) (PRELONE)

Facility

$12.00

Service Code	NDC 13925016604
Hospital Charge Code	2514933
Hospital Revenue Code	250
Min. Negotiated Rate	$5.54
Max. Negotiated Rate	$11.64
Rate for Payer: Cash Price	$9.23
Rate for Payer: Celtic Commercial/Exchange	$5.54
Rate for Payer: Health Partners Plans Commercial	$11.40
Rate for Payer: UnitedHealthcare Commercial	$11.64
Rate for Payer: WPPA Commercial	$10.08

PEDIAPRED 5 MG/5 ML (PREDNISOLONE SODIUM PHOSPHATE) (PRELONE)

Facility

$12.00

Service Code	NDC 13925016604
Hospital Charge Code	2514933
Hospital Revenue Code	250
Min. Negotiated Rate	$9.84
Max. Negotiated Rate	$11.64
Rate for Payer: Cash Price	$9.23
Rate for Payer: Health Partners Plans Commercial	$11.40
Rate for Payer: UnitedHealthcare Commercial	$11.64
Rate for Payer: WPPA Commercial	$9.84

Pediatric - Glycerin Supp.

Facility

$4.00

Service Code	NDC 46122022263
Hospital Charge Code	2516441
Hospital Revenue Code	250
Min. Negotiated Rate	$1.85
Max. Negotiated Rate	$3.88
Rate for Payer: Cash Price	$3.00
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

Pediatric - Glycerin Supp.

Facility

$4.00

Service Code	NDC 46122022263
Hospital Charge Code	2516441
Hospital Revenue Code	250
Min. Negotiated Rate	$3.28
Max. Negotiated Rate	$3.88
Rate for Payer: Cash Price	$3.00
Rate for Payer: Health Partners Plans Commercial	$3.80
Rate for Payer: UnitedHealthcare Commercial	$3.88
Rate for Payer: WPPA Commercial	$3.28

Pediazole 200/600mg/5ml (Ery-ped/ESP/erythromycin)

Facility

$1,354.00

Service Code	NDC 24338013402
Hospital Charge Code	2505253
Hospital Revenue Code	250
Min. Negotiated Rate	$625.55
Max. Negotiated Rate	$1,313.38
Rate for Payer: Cash Price	$1,015.84
Rate for Payer: Celtic Commercial/Exchange	$625.55
Rate for Payer: Health Partners Plans Commercial	$1,286.30
Rate for Payer: UnitedHealthcare Commercial	$1,313.38
Rate for Payer: WPPA Commercial	$1,137.36

Pediazole 200/600mg/5ml (Ery-ped/ESP/erythromycin)

Facility

$1,354.00

Service Code	NDC 24338013402
Hospital Charge Code	2505253
Hospital Revenue Code	250
Min. Negotiated Rate	$1,110.28
Max. Negotiated Rate	$1,313.38
Rate for Payer: Cash Price	$1,015.84
Rate for Payer: Health Partners Plans Commercial	$1,286.30
Rate for Payer: UnitedHealthcare Commercial	$1,313.38
Rate for Payer: WPPA Commercial	$1,110.28

PEDI-PADZ

Facility

$190.00

Hospital Charge Code	2705141
Hospital Revenue Code	270
Min. Negotiated Rate	$155.80
Max. Negotiated Rate	$184.30
Rate for Payer: Cash Price	$142.50
Rate for Payer: Health Partners Plans Commercial	$180.50
Rate for Payer: UnitedHealthcare Commercial	$184.30
Rate for Payer: WPPA Commercial	$155.80

PEDI-PADZ

Facility

$190.00

Hospital Charge Code	2705141
Hospital Revenue Code	270
Min. Negotiated Rate	$87.78
Max. Negotiated Rate	$184.30
Rate for Payer: Cash Price	$142.50
Rate for Payer: Celtic Commercial/Exchange	$87.78
Rate for Payer: Health Partners Plans Commercial	$180.50
Rate for Payer: UnitedHealthcare Commercial	$184.30
Rate for Payer: WPPA Commercial	$159.60

Know your out-of-pocket cost for care.

All Charges