Ness County Hospital

All Charges

Charge

Type

Setting

Price

REMOVAL TUNNELD CENTRAL VENOUS

Facility

$579.00

Service Code	HCPCS 36589
Hospital Charge Code	3658900
Hospital Revenue Code	761
Min. Negotiated Rate	$267.50
Max. Negotiated Rate	$958.49
Rate for Payer: BCBS Commercial	$958.49
Rate for Payer: Cash Price	$434.25
Rate for Payer: Cash Price	$434.25
Rate for Payer: Celtic Commercial/Exchange	$267.50
Rate for Payer: Health Partners Plans Commercial	$550.05
Rate for Payer: UnitedHealthcare Commercial	$561.63
Rate for Payer: WPPA Commercial	$486.36

REMOVAL TUNNELD CENTRAL VENOUS

Facility

$579.00

Service Code	HCPCS 36589
Hospital Charge Code	3658900
Hospital Revenue Code	761
Min. Negotiated Rate	$474.78
Max. Negotiated Rate	$561.63
Rate for Payer: Cash Price	$434.25
Rate for Payer: Health Partners Plans Commercial	$550.05
Rate for Payer: UnitedHealthcare Commercial	$561.63
Rate for Payer: WPPA Commercial	$474.78

REMOV DEVITALIZED TIS <20 SQCM

Facility

$360.00

Service Code	HCPCS 97597
Hospital Charge Code	9759723
Hospital Revenue Code	761
Min. Negotiated Rate	$295.20
Max. Negotiated Rate	$349.20
Rate for Payer: Cash Price	$270.00
Rate for Payer: Health Partners Plans Commercial	$342.00
Rate for Payer: UnitedHealthcare Commercial	$349.20
Rate for Payer: WPPA Commercial	$295.20

REMOV DEVITALIZED TIS <20 SQCM

Facility

$360.00

Service Code	HCPCS 97597
Hospital Charge Code	9759723
Hospital Revenue Code	761
Min. Negotiated Rate	$166.32
Max. Negotiated Rate	$349.20
Rate for Payer: BCBS Commercial	$278.76
Rate for Payer: Cash Price	$270.00
Rate for Payer: Cash Price	$270.00
Rate for Payer: Celtic Commercial/Exchange	$166.32
Rate for Payer: Health Partners Plans Commercial	$342.00
Rate for Payer: UnitedHealthcare Commercial	$349.20
Rate for Payer: WPPA Commercial	$302.40

REMOV DEVITLZD TIS ADD 20 SQCM

Facility

$349.00

Service Code	HCPCS 97598
Hospital Charge Code	9759823
Hospital Revenue Code	761
Min. Negotiated Rate	$60.13
Max. Negotiated Rate	$338.53
Rate for Payer: BCBS Commercial	$60.13
Rate for Payer: Cash Price	$261.75
Rate for Payer: Cash Price	$261.75
Rate for Payer: Celtic Commercial/Exchange	$161.24
Rate for Payer: Health Partners Plans Commercial	$331.55
Rate for Payer: UnitedHealthcare Commercial	$338.53
Rate for Payer: WPPA Commercial	$293.16

REMOV DEVITLZD TIS ADD 20 SQCM

Facility

$349.00

Service Code	HCPCS 97598
Hospital Charge Code	9759823
Hospital Revenue Code	761
Min. Negotiated Rate	$286.18
Max. Negotiated Rate	$338.53
Rate for Payer: Cash Price	$261.75
Rate for Payer: Health Partners Plans Commercial	$331.55
Rate for Payer: UnitedHealthcare Commercial	$338.53
Rate for Payer: WPPA Commercial	$286.18

Remove (adhesive remover)

Facility

$1.00

Service Code	NDC 80264003100
Hospital Charge Code	2517792
Hospital Revenue Code	270
Min. Negotiated Rate	$0.46
Max. Negotiated Rate	$0.97
Rate for Payer: Cash Price	$0.90
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

Remove (adhesive remover)

Facility

$1.00

Service Code	NDC 80264003100
Hospital Charge Code	2517792
Hospital Revenue Code	270
Min. Negotiated Rate	$0.82
Max. Negotiated Rate	$0.97
Rate for Payer: Cash Price	$0.90
Rate for Payer: Health Partners Plans Commercial	$0.95
Rate for Payer: UnitedHealthcare Commercial	$0.97
Rate for Payer: WPPA Commercial	$0.82

REMOVE FOREIGN BODY EXT AUDITO

Facility

$129.00

Service Code	HCPCS 69200
Hospital Charge Code	6920000
Hospital Revenue Code	450
Min. Negotiated Rate	$59.60
Max. Negotiated Rate	$241.39
Rate for Payer: BCBS Commercial	$241.39
Rate for Payer: Cash Price	$96.75
Rate for Payer: Cash Price	$96.75
Rate for Payer: Celtic Commercial/Exchange	$59.60
Rate for Payer: Health Partners Plans Commercial	$122.55
Rate for Payer: UnitedHealthcare Commercial	$125.13
Rate for Payer: WPPA Commercial	$108.36

REMOVE FOREIGN BODY EXT AUDITO

Facility

$129.00

Service Code	HCPCS 69200
Hospital Charge Code	6920000
Hospital Revenue Code	450
Min. Negotiated Rate	$105.78
Max. Negotiated Rate	$125.13
Rate for Payer: Cash Price	$96.75
Rate for Payer: Health Partners Plans Commercial	$122.55
Rate for Payer: UnitedHealthcare Commercial	$125.13
Rate for Payer: WPPA Commercial	$105.78

REMOVE FOREIGN BODY,EXTERN EYE

Facility

$378.00

Service Code	HCPCS 65210
Hospital Charge Code	6521000
Hospital Revenue Code	450
Min. Negotiated Rate	$174.64
Max. Negotiated Rate	$366.66
Rate for Payer: BCBS Commercial	$310.07
Rate for Payer: Cash Price	$283.50
Rate for Payer: Cash Price	$283.50
Rate for Payer: Celtic Commercial/Exchange	$174.64
Rate for Payer: Health Partners Plans Commercial	$359.10
Rate for Payer: UnitedHealthcare Commercial	$366.66
Rate for Payer: WPPA Commercial	$317.52

REMOVE FOREIGN BODY,EXTERN EYE

Facility

$378.00

Service Code	HCPCS 65210
Hospital Charge Code	6521000
Hospital Revenue Code	450
Min. Negotiated Rate	$309.96
Max. Negotiated Rate	$366.66
Rate for Payer: Cash Price	$283.50
Rate for Payer: Health Partners Plans Commercial	$359.10
Rate for Payer: UnitedHealthcare Commercial	$366.66
Rate for Payer: WPPA Commercial	$309.96

REMOVE FOREIGN BODY FROM PHARY

Facility

$378.00

Service Code	HCPCS 42809
Hospital Charge Code	4280900
Hospital Revenue Code	450
Min. Negotiated Rate	$309.96
Max. Negotiated Rate	$366.66
Rate for Payer: Cash Price	$283.50
Rate for Payer: Health Partners Plans Commercial	$359.10
Rate for Payer: UnitedHealthcare Commercial	$366.66
Rate for Payer: WPPA Commercial	$309.96

REMOVE FOREIGN BODY FROM PHARY

Facility

$378.00

Service Code	HCPCS 42809
Hospital Charge Code	4280900
Hospital Revenue Code	450
Min. Negotiated Rate	$174.64
Max. Negotiated Rate	$366.66
Rate for Payer: Cash Price	$283.50
Rate for Payer: Celtic Commercial/Exchange	$174.64
Rate for Payer: Health Partners Plans Commercial	$359.10
Rate for Payer: UnitedHealthcare Commercial	$366.66
Rate for Payer: WPPA Commercial	$317.52

REMOVE FOREIGN BODY,INTRANASAL

Facility

$129.00

Service Code	HCPCS 30300
Hospital Charge Code	3030000
Hospital Revenue Code	761
Min. Negotiated Rate	$59.60
Max. Negotiated Rate	$938.29
Rate for Payer: BCBS Commercial	$938.29
Rate for Payer: Cash Price	$96.75
Rate for Payer: Cash Price	$96.75
Rate for Payer: Celtic Commercial/Exchange	$59.60
Rate for Payer: Health Partners Plans Commercial	$122.55
Rate for Payer: UnitedHealthcare Commercial	$125.13
Rate for Payer: WPPA Commercial	$108.36

REMOVE FOREIGN BODY,INTRANASAL

Facility

$129.00

Service Code	HCPCS 30300
Hospital Charge Code	3030000
Hospital Revenue Code	761
Min. Negotiated Rate	$105.78
Max. Negotiated Rate	$125.13
Rate for Payer: Cash Price	$96.75
Rate for Payer: Health Partners Plans Commercial	$122.55
Rate for Payer: UnitedHealthcare Commercial	$125.13
Rate for Payer: WPPA Commercial	$105.78

REMOVE FOREIGN BODY-UPRARMDEEP

Facility

$2,604.00

Service Code	HCPCS 24201
Hospital Charge Code	2420100
Hospital Revenue Code	450
Min. Negotiated Rate	$541.36
Max. Negotiated Rate	$2,525.88
Rate for Payer: BCBS Commercial	$541.36
Rate for Payer: Cash Price	$1,953.00
Rate for Payer: Cash Price	$1,953.00
Rate for Payer: Celtic Commercial/Exchange	$1,203.05
Rate for Payer: Health Partners Plans Commercial	$2,473.80
Rate for Payer: UnitedHealthcare Commercial	$2,525.88
Rate for Payer: WPPA Commercial	$2,187.36

REMOVE FOREIGN BODY-UPRARMDEEP

Facility

$2,604.00

Service Code	HCPCS 24201
Hospital Charge Code	2420100
Hospital Revenue Code	450
Min. Negotiated Rate	$2,135.28
Max. Negotiated Rate	$2,525.88
Rate for Payer: Cash Price	$1,953.00
Rate for Payer: Health Partners Plans Commercial	$2,473.80
Rate for Payer: UnitedHealthcare Commercial	$2,525.88
Rate for Payer: WPPA Commercial	$2,135.28

REMOVE NAIL PLATE

Facility

$184.00

Service Code	HCPCS 11730
Hospital Charge Code	1173023
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

REMOVE NAIL PLATE

Facility

$184.00

Service Code	HCPCS 11730
Hospital Charge Code	1173023
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

REMOVE NAIL PLATE, ADDTL

Facility

$135.00

Service Code	HCPCS 11732
Hospital Charge Code	1173223
Hospital Revenue Code	761
Min. Negotiated Rate	$62.37
Max. Negotiated Rate	$130.95
Rate for Payer: Cash Price	$101.25
Rate for Payer: Celtic Commercial/Exchange	$62.37
Rate for Payer: Health Partners Plans Commercial	$128.25
Rate for Payer: UnitedHealthcare Commercial	$130.95
Rate for Payer: WPPA Commercial	$113.40

REMOVE NAIL PLATE, ADDTL

Facility

$135.00

Service Code	HCPCS 11732
Hospital Charge Code	1173223
Hospital Revenue Code	761
Min. Negotiated Rate	$110.70
Max. Negotiated Rate	$130.95
Rate for Payer: Cash Price	$101.25
Rate for Payer: Health Partners Plans Commercial	$128.25
Rate for Payer: UnitedHealthcare Commercial	$130.95
Rate for Payer: WPPA Commercial	$110.70

REMOVE SPINE INFUSION DEVICE

Facility

$6,179.00

Service Code	HCPCS 62365
Hospital Charge Code	6236500
Hospital Revenue Code	761
Min. Negotiated Rate	$5,066.78
Max. Negotiated Rate	$5,993.63
Rate for Payer: Cash Price	$4,634.25
Rate for Payer: Health Partners Plans Commercial	$5,870.05
Rate for Payer: UnitedHealthcare Commercial	$5,993.63
Rate for Payer: WPPA Commercial	$5,066.78

REMOVE SPINE INFUSION DEVICE

Facility

$6,179.00

Service Code	HCPCS 62365
Hospital Charge Code	6236500
Hospital Revenue Code	761
Min. Negotiated Rate	$2,854.70
Max. Negotiated Rate	$8,005.09
Rate for Payer: BCBS Commercial	$8,005.09
Rate for Payer: Cash Price	$4,634.25
Rate for Payer: Cash Price	$4,634.25
Rate for Payer: Celtic Commercial/Exchange	$2,854.70
Rate for Payer: Health Partners Plans Commercial	$5,870.05
Rate for Payer: UnitedHealthcare Commercial	$5,993.63
Rate for Payer: WPPA Commercial	$5,190.36

REMOV FOREIGN BODY,DEEP THIGH

Facility

$3,225.00

Service Code	HCPCS 27372
Hospital Charge Code	2737200
Hospital Revenue Code	450
Min. Negotiated Rate	$1,489.95
Max. Negotiated Rate	$4,754.07
Rate for Payer: BCBS Commercial	$4,754.07
Rate for Payer: Cash Price	$2,418.75
Rate for Payer: Cash Price	$2,418.75
Rate for Payer: Celtic Commercial/Exchange	$1,489.95
Rate for Payer: Health Partners Plans Commercial	$3,063.75
Rate for Payer: UnitedHealthcare Commercial	$3,128.25
Rate for Payer: WPPA Commercial	$2,709.00

Know your out-of-pocket cost for care.

All Charges