Ness County Hospital

All Charges

Charge

Type

Setting

Price

PULMICORT 180 MCG FLEXHALER

Facility

$893.00

Service Code	NDC 00186091612
Hospital Charge Code	2519767
Hospital Revenue Code	250
Min. Negotiated Rate	$732.26
Max. Negotiated Rate	$866.21
Rate for Payer: Cash Price	$670.20
Rate for Payer: Health Partners Plans Commercial	$848.35
Rate for Payer: UnitedHealthcare Commercial	$866.21
Rate for Payer: WPPA Commercial	$732.26

PULMONARY EDEMA AND RESPIRATORY FAILURE

Facility

$13,247.56

Service Code	MSDRG 189
Min. Negotiated Rate	$13,247.56
Max. Negotiated Rate	$13,247.56
Rate for Payer: BCBS Commercial	$13,247.56

PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE

Facility

$13,721.53

Service Code	MSDRG 175
Min. Negotiated Rate	$13,721.53
Max. Negotiated Rate	$13,721.53
Rate for Payer: BCBS Commercial	$13,721.53

PULMONARY EMBOLISM WITHOUT MCC

Facility

$8,896.67

Service Code	MSDRG 176
Min. Negotiated Rate	$8,896.67
Max. Negotiated Rate	$8,896.67
Rate for Payer: BCBS Commercial	$8,896.67

PULMONARY STRESS TEST/SIMPLE

Facility

$345.00

Service Code	HCPCS 94618 59
Hospital Charge Code	9461800
Hospital Revenue Code	410
Min. Negotiated Rate	$282.90
Max. Negotiated Rate	$334.65
Rate for Payer: Cash Price	$258.75
Rate for Payer: Health Partners Plans Commercial	$327.75
Rate for Payer: UnitedHealthcare Commercial	$334.65
Rate for Payer: WPPA Commercial	$282.90

PULMONARY STRESS TEST/SIMPLE

Facility

$345.00

Service Code	HCPCS 94618 59
Hospital Charge Code	9461800
Hospital Revenue Code	410
Min. Negotiated Rate	$124.24
Max. Negotiated Rate	$334.65
Rate for Payer: BCBS Commercial	$124.24
Rate for Payer: Cash Price	$258.75
Rate for Payer: Cash Price	$258.75
Rate for Payer: Celtic Commercial/Exchange	$159.39
Rate for Payer: Health Partners Plans Commercial	$327.75
Rate for Payer: UnitedHealthcare Commercial	$334.65
Rate for Payer: WPPA Commercial	$289.80

PULSE OXIMETRY-O2 SAT-MULTIPLE

Facility

$18.00

Service Code	HCPCS 94761
Hospital Charge Code	2900305
Hospital Revenue Code	460
Min. Negotiated Rate	$14.76
Max. Negotiated Rate	$17.46
Rate for Payer: Cash Price	$13.50
Rate for Payer: Health Partners Plans Commercial	$17.10
Rate for Payer: UnitedHealthcare Commercial	$17.46
Rate for Payer: WPPA Commercial	$14.76

PULSE OXIMETRY-O2 SAT-MULTIPLE

Facility

$18.00

Service Code	HCPCS 94761
Hospital Charge Code	2900305
Hospital Revenue Code	460
Min. Negotiated Rate	$8.32
Max. Negotiated Rate	$17.46
Rate for Payer: BCBS Commercial	$17.14
Rate for Payer: Cash Price	$13.50
Rate for Payer: Cash Price	$13.50
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

PULSE/STATIC MATTRESS & BLOWER

Facility

$12.00

Hospital Charge Code	9998899
Hospital Revenue Code	270
Min. Negotiated Rate	$5.54
Max. Negotiated Rate	$11.64
Rate for Payer: Cash Price	$9.00
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

PULSE/STATIC MATTRESS & BLOWER

Facility

$12.00

Hospital Charge Code	9998899
Hospital Revenue Code	270
Min. Negotiated Rate	$9.84
Max. Negotiated Rate	$11.64
Rate for Payer: Cash Price	$9.00
Rate for Payer: Health Partners Plans Commercial	$11.40
Rate for Payer: UnitedHealthcare Commercial	$11.64
Rate for Payer: WPPA Commercial	$9.84

PUNCH BIOP SKIN, EA ADD LESION

Facility

$470.00

Service Code	HCPCS 11105
Hospital Charge Code	1110523
Hospital Revenue Code	761
Min. Negotiated Rate	$385.40
Max. Negotiated Rate	$455.90
Rate for Payer: Cash Price	$352.50
Rate for Payer: Health Partners Plans Commercial	$446.50
Rate for Payer: UnitedHealthcare Commercial	$455.90
Rate for Payer: WPPA Commercial	$385.40

PUNCH BIOP SKIN, EA ADD LESION

Facility

$470.00

Service Code	HCPCS 11105
Hospital Charge Code	1110523
Hospital Revenue Code	761
Min. Negotiated Rate	$217.14
Max. Negotiated Rate	$455.90
Rate for Payer: BCBS Commercial	$451.17
Rate for Payer: Cash Price	$352.50
Rate for Payer: Cash Price	$352.50
Rate for Payer: Celtic Commercial/Exchange	$217.14
Rate for Payer: Health Partners Plans Commercial	$446.50
Rate for Payer: UnitedHealthcare Commercial	$455.90
Rate for Payer: WPPA Commercial	$394.80

PUNCH BIOPSY OF SKIN,1 LESION

Facility

$470.00

Service Code	HCPCS 11104
Hospital Charge Code	1110423
Hospital Revenue Code	761
Min. Negotiated Rate	$385.40
Max. Negotiated Rate	$455.90
Rate for Payer: Cash Price	$352.50
Rate for Payer: Health Partners Plans Commercial	$446.50
Rate for Payer: UnitedHealthcare Commercial	$455.90
Rate for Payer: WPPA Commercial	$385.40

PUNCH BIOPSY OF SKIN,1 LESION

Facility

$470.00

Service Code	HCPCS 11104
Hospital Charge Code	1110423
Hospital Revenue Code	761
Min. Negotiated Rate	$217.14
Max. Negotiated Rate	$499.41
Rate for Payer: BCBS Commercial	$499.41
Rate for Payer: Cash Price	$352.50
Rate for Payer: Cash Price	$352.50
Rate for Payer: Celtic Commercial/Exchange	$217.14
Rate for Payer: Health Partners Plans Commercial	$446.50
Rate for Payer: UnitedHealthcare Commercial	$455.90
Rate for Payer: WPPA Commercial	$394.80

PUNCTURE ASPIRATION HYDROCELE

Facility

$684.00

Service Code	HCPCS 55000
Hospital Charge Code	5500000
Hospital Revenue Code	450
Min. Negotiated Rate	$316.01
Max. Negotiated Rate	$663.48
Rate for Payer: Cash Price	$513.00
Rate for Payer: Celtic Commercial/Exchange	$316.01
Rate for Payer: Health Partners Plans Commercial	$649.80
Rate for Payer: UnitedHealthcare Commercial	$663.48
Rate for Payer: WPPA Commercial	$574.56

PUNCTURE ASPIRATION HYDROCELE

Facility

$684.00

Service Code	HCPCS 55000
Hospital Charge Code	5500000
Hospital Revenue Code	450
Min. Negotiated Rate	$560.88
Max. Negotiated Rate	$663.48
Rate for Payer: Cash Price	$513.00
Rate for Payer: Health Partners Plans Commercial	$649.80
Rate for Payer: UnitedHealthcare Commercial	$663.48
Rate for Payer: WPPA Commercial	$560.88

PUNCTURE ASPIRATION OF ABSCESS

Facility

$374.00

Service Code	HCPCS 10160
Hospital Charge Code	1016001
Hospital Revenue Code	450
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

PUNCTURE ASPIRATION OF ABSCESS

Facility

$374.00

Service Code	HCPCS 10160
Hospital Charge Code	1016001
Hospital Revenue Code	450
Min. Negotiated Rate	$172.79
Max. Negotiated Rate	$947.38
Rate for Payer: BCBS Commercial	$947.38
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

PUNCTURE ASPIRATION OF ABSCESS

Facility

$620.00

Service Code	HCPCS 10160
Hospital Charge Code	1016023
Hospital Revenue Code	761
Min. Negotiated Rate	$508.40
Max. Negotiated Rate	$601.40
Rate for Payer: Cash Price	$465.00
Rate for Payer: Health Partners Plans Commercial	$589.00
Rate for Payer: UnitedHealthcare Commercial	$601.40
Rate for Payer: WPPA Commercial	$508.40

PUNCTURE ASPIRATION OF ABSCESS

Facility

$620.00

Service Code	HCPCS 10160
Hospital Charge Code	1016023
Hospital Revenue Code	761
Min. Negotiated Rate	$286.44
Max. Negotiated Rate	$947.38
Rate for Payer: BCBS Commercial	$947.38
Rate for Payer: Cash Price	$465.00
Rate for Payer: Cash Price	$465.00
Rate for Payer: Celtic Commercial/Exchange	$286.44
Rate for Payer: Health Partners Plans Commercial	$589.00
Rate for Payer: UnitedHealthcare Commercial	$601.40
Rate for Payer: WPPA Commercial	$520.80

PURACOL PLUS AG

Facility

$24.00

Hospital Charge Code	2725048
Hospital Revenue Code	270
Min. Negotiated Rate	$19.68
Max. Negotiated Rate	$23.28
Rate for Payer: Cash Price	$18.00
Rate for Payer: Health Partners Plans Commercial	$22.80
Rate for Payer: UnitedHealthcare Commercial	$23.28
Rate for Payer: WPPA Commercial	$19.68

PURACOL PLUS AG

Facility

$24.00

Hospital Charge Code	2725048
Hospital Revenue Code	270
Min. Negotiated Rate	$11.09
Max. Negotiated Rate	$23.28
Rate for Payer: Cash Price	$18.00
Rate for Payer: Celtic Commercial/Exchange	$11.09
Rate for Payer: Health Partners Plans Commercial	$22.80
Rate for Payer: UnitedHealthcare Commercial	$23.28
Rate for Payer: WPPA Commercial	$20.16

PURACOL PLUS AG LTC

Facility

$24.00

Hospital Charge Code	2725048LTC
Hospital Revenue Code	272
Min. Negotiated Rate	$19.68
Max. Negotiated Rate	$23.28
Rate for Payer: Cash Price	$18.00
Rate for Payer: Health Partners Plans Commercial	$22.80
Rate for Payer: UnitedHealthcare Commercial	$23.28
Rate for Payer: WPPA Commercial	$19.68

PURACOL PLUS AG LTC

Facility

$24.00

Hospital Charge Code	2725048LTC
Hospital Revenue Code	272
Min. Negotiated Rate	$11.09
Max. Negotiated Rate	$23.28
Rate for Payer: Cash Price	$18.00
Rate for Payer: Celtic Commercial/Exchange	$11.09
Rate for Payer: Health Partners Plans Commercial	$22.80
Rate for Payer: UnitedHealthcare Commercial	$23.28
Rate for Payer: WPPA Commercial	$20.16

PURACOL PLUS COLLAGEN WOUND DRESSING

Facility

$20.00

Hospital Charge Code	2725067
Hospital Revenue Code	272
Min. Negotiated Rate	$9.24
Max. Negotiated Rate	$19.40
Rate for Payer: Cash Price	$15.00
Rate for Payer: Celtic Commercial/Exchange	$9.24
Rate for Payer: Health Partners Plans Commercial	$19.00
Rate for Payer: UnitedHealthcare Commercial	$19.40
Rate for Payer: WPPA Commercial	$16.80

Know your out-of-pocket cost for care.

All Charges