Ness County Hospital

All Charges

Charge

Type

Setting

Price

PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC

Facility

$29,170.25

Service Code	MSDRG 274
Min. Negotiated Rate	$29,170.25
Max. Negotiated Rate	$29,170.25
Rate for Payer: BCBS Commercial	$29,170.25

PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES

Facility

$33,294.35

Service Code	MSDRG 321
Min. Negotiated Rate	$33,294.35
Max. Negotiated Rate	$33,294.35
Rate for Payer: BCBS Commercial	$33,294.35

PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC

Facility

$20,014.97

Service Code	MSDRG 322
Min. Negotiated Rate	$20,014.97
Max. Negotiated Rate	$20,014.97
Rate for Payer: BCBS Commercial	$20,014.97

PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC

Facility

$24,039.36

Service Code	MSDRG 250
Min. Negotiated Rate	$24,039.36
Max. Negotiated Rate	$24,039.36
Rate for Payer: BCBS Commercial	$24,039.36

PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC

Facility

$16,254.63

Service Code	MSDRG 251
Min. Negotiated Rate	$16,254.63
Max. Negotiated Rate	$16,254.63
Rate for Payer: BCBS Commercial	$16,254.63

PERCUTANEOUS DILATION TRACH KIT 9.0MM

Facility

$777.00

Hospital Charge Code	2701009
Hospital Revenue Code	272
Min. Negotiated Rate	$637.14
Max. Negotiated Rate	$753.69
Rate for Payer: Cash Price	$582.75
Rate for Payer: Health Partners Plans Commercial	$738.15
Rate for Payer: UnitedHealthcare Commercial	$753.69
Rate for Payer: WPPA Commercial	$637.14

PERCUTANEOUS DILATION TRACH KIT 9.0MM

Facility

$777.00

Hospital Charge Code	2701009
Hospital Revenue Code	272
Min. Negotiated Rate	$358.97
Max. Negotiated Rate	$753.69
Rate for Payer: Cash Price	$582.75
Rate for Payer: Celtic Commercial/Exchange	$358.97
Rate for Payer: Health Partners Plans Commercial	$738.15
Rate for Payer: UnitedHealthcare Commercial	$753.69
Rate for Payer: WPPA Commercial	$652.68

PERDIEM TAB

Facility

$1.00

Hospital Charge Code	2516797
Hospital Revenue Code	250
Min. Negotiated Rate	$0.46
Max. Negotiated Rate	$0.97
Rate for Payer: Cash Price	$0.75
Rate for Payer: Celtic Commercial/Exchange	$0.46
Rate for Payer: Health Partners Plans Commercial	$0.95
Rate for Payer: UnitedHealthcare Commercial	$0.97
Rate for Payer: WPPA Commercial	$0.84

PERDIEM TAB

Facility

$1.00

Hospital Charge Code	2516797
Hospital Revenue Code	250
Min. Negotiated Rate	$0.82
Max. Negotiated Rate	$0.97
Rate for Payer: Cash Price	$0.75
Rate for Payer: Health Partners Plans Commercial	$0.95
Rate for Payer: UnitedHealthcare Commercial	$0.97
Rate for Payer: WPPA Commercial	$0.82

PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR

Facility

$20,854.78

Service Code	MSDRG 041
Min. Negotiated Rate	$20,854.78
Max. Negotiated Rate	$20,854.78
Rate for Payer: BCBS Commercial	$20,854.78

PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC

Facility

$34,302.06

Service Code	MSDRG 040
Min. Negotiated Rate	$34,302.06
Max. Negotiated Rate	$34,302.06
Rate for Payer: BCBS Commercial	$34,302.06

PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC

Facility

$16,874.10

Service Code	MSDRG 042
Min. Negotiated Rate	$16,874.10
Max. Negotiated Rate	$16,874.10
Rate for Payer: BCBS Commercial	$16,874.10

PERIPHERAL SMEAR (not reviewed by Pathologist)

Facility

$121.00

Service Code	HCPCS 85008
Hospital Charge Code	8506001
Hospital Revenue Code	305
Min. Negotiated Rate	$55.90
Max. Negotiated Rate	$117.37
Rate for Payer: BCBS Commercial	$64.48
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

PERIPHERAL SMEAR (not reviewed by Pathologist)

Facility

$121.00

Service Code	HCPCS 85008
Hospital Charge Code	8506001
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

PERIPHERAL VASCULAR DISORDERS WITH CC

Facility

$9,264.23

Service Code	MSDRG 300
Min. Negotiated Rate	$9,264.23
Max. Negotiated Rate	$9,264.23
Rate for Payer: BCBS Commercial	$9,264.23

PERIPHERAL VASCULAR DISORDERS WITH MCC

Facility

$13,741.66

Service Code	MSDRG 299
Min. Negotiated Rate	$13,741.66
Max. Negotiated Rate	$13,741.66
Rate for Payer: BCBS Commercial	$13,741.66

PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC

Facility

$6,595.37

Service Code	MSDRG 301
Min. Negotiated Rate	$6,595.37
Max. Negotiated Rate	$6,595.37
Rate for Payer: BCBS Commercial	$6,595.37

PERITONEAL ADHESIOLYSIS WITH CC

Facility

$20,336.44

Service Code	MSDRG 336
Min. Negotiated Rate	$20,336.44
Max. Negotiated Rate	$20,336.44
Rate for Payer: BCBS Commercial	$20,336.44

PERITONEAL ADHESIOLYSIS WITH MCC

Facility

$34,734.30

Service Code	MSDRG 335
Min. Negotiated Rate	$34,734.30
Max. Negotiated Rate	$34,734.30
Rate for Payer: BCBS Commercial	$34,734.30

PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC

Facility

$14,531.87

Service Code	MSDRG 337
Min. Negotiated Rate	$14,531.87
Max. Negotiated Rate	$14,531.87
Rate for Payer: BCBS Commercial	$14,531.87

PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC

Facility

$25,313.70

Service Code	MSDRG 243
Min. Negotiated Rate	$25,313.70
Max. Negotiated Rate	$25,313.70
Rate for Payer: BCBS Commercial	$25,313.70

PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC

Facility

$39,554.39

Service Code	MSDRG 242
Min. Negotiated Rate	$39,554.39
Max. Negotiated Rate	$39,554.39
Rate for Payer: BCBS Commercial	$39,554.39

PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC

Facility

$21,009.06

Service Code	MSDRG 244
Min. Negotiated Rate	$21,009.06
Max. Negotiated Rate	$21,009.06
Rate for Payer: BCBS Commercial	$21,009.06

PERMANENT NAIL REMOVAL

Facility

$374.00

Service Code	HCPCS 11750
Hospital Charge Code	1175023
Hospital Revenue Code	761
Min. Negotiated Rate	$306.68
Max. Negotiated Rate	$362.78
Rate for Payer: Cash Price	$280.50
Rate for Payer: Health Partners Plans Commercial	$355.30
Rate for Payer: UnitedHealthcare Commercial	$362.78
Rate for Payer: WPPA Commercial	$306.68

PERMANENT NAIL REMOVAL

Facility

$374.00

Service Code	HCPCS 11750
Hospital Charge Code	1175023
Hospital Revenue Code	761
Min. Negotiated Rate	$172.79
Max. Negotiated Rate	$499.41
Rate for Payer: BCBS Commercial	$499.41
Rate for Payer: Cash Price	$280.50
Rate for Payer: Cash Price	$280.50
Rate for Payer: Celtic Commercial/Exchange	$172.79
Rate for Payer: Health Partners Plans Commercial	$355.30
Rate for Payer: UnitedHealthcare Commercial	$362.78
Rate for Payer: WPPA Commercial	$314.16

Know your out-of-pocket cost for care.

All Charges