Ness County Hospital

All Charges

Charge

Type

Setting

Price

PORTA CATH

Facility

$69.00

Hospital Charge Code	2722320
Hospital Revenue Code	272
Min. Negotiated Rate	$56.58
Max. Negotiated Rate	$66.93
Rate for Payer: Cash Price	$52.12
Rate for Payer: Health Partners Plans Commercial	$65.55
Rate for Payer: UnitedHealthcare Commercial	$66.93
Rate for Payer: WPPA Commercial	$56.58

PORTA CATH

Facility

$69.00

Hospital Charge Code	2722320
Hospital Revenue Code	272
Min. Negotiated Rate	$31.88
Max. Negotiated Rate	$66.93
Rate for Payer: Cash Price	$52.12
Rate for Payer: Celtic Commercial/Exchange	$31.88
Rate for Payer: Health Partners Plans Commercial	$65.55
Rate for Payer: UnitedHealthcare Commercial	$66.93
Rate for Payer: WPPA Commercial	$57.96

PORTACATH KIT

Facility

$32.00

Hospital Charge Code	2702231
Hospital Revenue Code	270
Min. Negotiated Rate	$14.78
Max. Negotiated Rate	$31.04
Rate for Payer: Cash Price	$24.00
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

PORTACATH KIT

Facility

$32.00

Hospital Charge Code	2702231
Hospital Revenue Code	270
Min. Negotiated Rate	$26.24
Max. Negotiated Rate	$31.04
Rate for Payer: Cash Price	$24.00
Rate for Payer: Health Partners Plans Commercial	$30.40
Rate for Payer: UnitedHealthcare Commercial	$31.04
Rate for Payer: WPPA Commercial	$26.24

POS AIRWAY PRESSURE CPAP

Facility

$425.00

Service Code	HCPCS 94660
Hospital Charge Code	9466000
Hospital Revenue Code	761
Min. Negotiated Rate	$348.50
Max. Negotiated Rate	$412.25
Rate for Payer: Cash Price	$318.75
Rate for Payer: Health Partners Plans Commercial	$403.75
Rate for Payer: UnitedHealthcare Commercial	$412.25
Rate for Payer: WPPA Commercial	$348.50

POS AIRWAY PRESSURE CPAP

Facility

$425.00

Service Code	HCPCS 94660
Hospital Charge Code	9466000
Hospital Revenue Code	761
Min. Negotiated Rate	$196.35
Max. Negotiated Rate	$412.25
Rate for Payer: BCBS Commercial	$270.54
Rate for Payer: Cash Price	$318.75
Rate for Payer: Cash Price	$318.75
Rate for Payer: Celtic Commercial/Exchange	$196.35
Rate for Payer: Health Partners Plans Commercial	$403.75
Rate for Payer: UnitedHealthcare Commercial	$412.25
Rate for Payer: WPPA Commercial	$357.00

POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC

Facility

$16,834.17

Service Code	MSDRG 862
Min. Negotiated Rate	$16,834.17
Max. Negotiated Rate	$16,834.17
Rate for Payer: BCBS Commercial	$16,834.17

POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC

Facility

$8,976.67

Service Code	MSDRG 863
Min. Negotiated Rate	$8,976.67
Max. Negotiated Rate	$8,976.67
Rate for Payer: BCBS Commercial	$8,976.67

POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC

Facility

$18,850.63

Service Code	MSDRG 857
Min. Negotiated Rate	$18,850.63
Max. Negotiated Rate	$18,850.63
Rate for Payer: BCBS Commercial	$18,850.63

POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC

Facility

$41,394.48

Service Code	MSDRG 856
Min. Negotiated Rate	$41,394.48
Max. Negotiated Rate	$41,394.48
Rate for Payer: BCBS Commercial	$41,394.48

POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC

Facility

$12,067.12

Service Code	MSDRG 858
Min. Negotiated Rate	$12,067.12
Max. Negotiated Rate	$12,067.12
Rate for Payer: BCBS Commercial	$12,067.12

POST OP SHOE

Facility

$15.00

Hospital Charge Code	2707410
Hospital Revenue Code	270
Min. Negotiated Rate	$6.93
Max. Negotiated Rate	$14.55
Rate for Payer: Cash Price	$11.25
Rate for Payer: Celtic Commercial/Exchange	$6.93
Rate for Payer: Health Partners Plans Commercial	$14.25
Rate for Payer: UnitedHealthcare Commercial	$14.55
Rate for Payer: WPPA Commercial	$12.60

POST OP SHOE

Facility

$15.00

Hospital Charge Code	2707410
Hospital Revenue Code	270
Min. Negotiated Rate	$12.30
Max. Negotiated Rate	$14.55
Rate for Payer: Cash Price	$11.25
Rate for Payer: Health Partners Plans Commercial	$14.25
Rate for Payer: UnitedHealthcare Commercial	$14.55
Rate for Payer: WPPA Commercial	$12.30

POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES

Facility

$13,172.43

Service Code	MSDRG 769
Min. Negotiated Rate	$13,172.43
Max. Negotiated Rate	$13,172.43
Rate for Payer: BCBS Commercial	$13,172.43

POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES

Facility

$6,088.74

Service Code	MSDRG 776
Min. Negotiated Rate	$6,088.74
Max. Negotiated Rate	$6,088.74
Rate for Payer: BCBS Commercial	$6,088.74

Potassium Chloride 40mEq/20ml vial

Facility

$18.00

Service Code	NDC 63323096520
Hospital Charge Code	2505782
Hospital Revenue Code	250
Min. Negotiated Rate	$14.76
Max. Negotiated Rate	$17.46
Rate for Payer: Cash Price	$13.95
Rate for Payer: Health Partners Plans Commercial	$17.10
Rate for Payer: UnitedHealthcare Commercial	$17.46
Rate for Payer: WPPA Commercial	$14.76

Potassium Chloride 40mEq/20ml vial

Facility

$18.00

Service Code	NDC 63323096520
Hospital Charge Code	2505782
Hospital Revenue Code	250
Min. Negotiated Rate	$8.32
Max. Negotiated Rate	$17.46
Rate for Payer: Cash Price	$13.95
Rate for Payer: Celtic Commercial/Exchange	$8.32
Rate for Payer: Health Partners Plans Commercial	$17.10
Rate for Payer: UnitedHealthcare Commercial	$17.46
Rate for Payer: WPPA Commercial	$15.12

POTASSIUM CITRATE ER 10 MEQ TAB (UROCIT-K)

Facility

$8.00

Service Code	NDC 68084085033
Hospital Charge Code	2518843
Hospital Revenue Code	250
Min. Negotiated Rate	$6.56
Max. Negotiated Rate	$7.76
Rate for Payer: Cash Price	$6.49
Rate for Payer: Health Partners Plans Commercial	$7.60
Rate for Payer: UnitedHealthcare Commercial	$7.76
Rate for Payer: WPPA Commercial	$6.56

POTASSIUM CITRATE ER 10 MEQ TAB (UROCIT-K)

Facility

$8.00

Service Code	NDC 68084085033
Hospital Charge Code	2518843
Hospital Revenue Code	250
Min. Negotiated Rate	$3.70
Max. Negotiated Rate	$7.76
Rate for Payer: Cash Price	$6.49
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

POTASSIUM PHOSPHATE 250 MG TAB (K-PHOS)

Facility

$1.00

Service Code	NDC 39328010710
Hospital Charge Code	2519700
Hospital Revenue Code	250
Min. Negotiated Rate	$0.82
Max. Negotiated Rate	$0.97
Rate for Payer: Cash Price	$1.16
Rate for Payer: Health Partners Plans Commercial	$0.95
Rate for Payer: UnitedHealthcare Commercial	$0.97
Rate for Payer: WPPA Commercial	$0.82

POTASSIUM PHOSPHATE 250 MG TAB (K-PHOS)

Facility

$1.00

Service Code	NDC 39328010710
Hospital Charge Code	2519700
Hospital Revenue Code	250
Min. Negotiated Rate	$0.46
Max. Negotiated Rate	$0.97
Rate for Payer: Cash Price	$1.16
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

POTASSIUM SERUM

Facility

$27.00

Service Code	HCPCS 84132
Hospital Charge Code	8413200
Hospital Revenue Code	301
Min. Negotiated Rate	$9.87
Max. Negotiated Rate	$26.19
Rate for Payer: BCBS Commercial	$9.87
Rate for Payer: Cash Price	$20.25
Rate for Payer: Cash Price	$20.25
Rate for Payer: Celtic Commercial/Exchange	$12.47
Rate for Payer: Health Partners Plans Commercial	$25.65
Rate for Payer: UnitedHealthcare Commercial	$26.19
Rate for Payer: WPPA Commercial	$22.68

POTASSIUM SERUM

Facility

$27.00

Service Code	HCPCS 84132
Hospital Charge Code	8413200
Hospital Revenue Code	301
Min. Negotiated Rate	$22.14
Max. Negotiated Rate	$26.19
Rate for Payer: Cash Price	$20.25
Rate for Payer: Health Partners Plans Commercial	$25.65
Rate for Payer: UnitedHealthcare Commercial	$26.19
Rate for Payer: WPPA Commercial	$22.14

POTASSIUM URINE

Facility

$55.00

Service Code	HCPCS 84133
Hospital Charge Code	8413300
Hospital Revenue Code	301
Min. Negotiated Rate	$45.10
Max. Negotiated Rate	$53.35
Rate for Payer: Cash Price	$41.25
Rate for Payer: Health Partners Plans Commercial	$52.25
Rate for Payer: UnitedHealthcare Commercial	$53.35
Rate for Payer: WPPA Commercial	$45.10

POTASSIUM URINE

Facility

$55.00

Service Code	HCPCS 84133
Hospital Charge Code	8413300
Hospital Revenue Code	301
Min. Negotiated Rate	$19.96
Max. Negotiated Rate	$53.35
Rate for Payer: BCBS Commercial	$19.96
Rate for Payer: Cash Price	$41.25
Rate for Payer: Cash Price	$41.25
Rate for Payer: Celtic Commercial/Exchange	$25.41
Rate for Payer: Health Partners Plans Commercial	$52.25
Rate for Payer: UnitedHealthcare Commercial	$53.35
Rate for Payer: WPPA Commercial	$46.20

Know your out-of-pocket cost for care.

All Charges