Ness County Hospital

All Charges

Charge

Type

Setting

Price

TAGAMET 300 MG TAB (CIMETIDINE)

Facility

$6.00

Service Code	NDC 00093819201
Hospital Charge Code	2506855
Hospital Revenue Code	250
Min. Negotiated Rate	$4.92
Max. Negotiated Rate	$5.82
Rate for Payer: Cash Price	$4.61
Rate for Payer: Health Partners Plans Commercial	$5.70
Rate for Payer: UnitedHealthcare Commercial	$5.82
Rate for Payer: WPPA Commercial	$4.92

TAMBOCOR 50 MG TAB (FLECAINIDE ACETATE)

Facility

$6.00

Service Code	NDC 00054001020
Hospital Charge Code	2513117
Hospital Revenue Code	250
Min. Negotiated Rate	$4.92
Max. Negotiated Rate	$5.82
Rate for Payer: Cash Price	$4.54
Rate for Payer: Health Partners Plans Commercial	$5.70
Rate for Payer: UnitedHealthcare Commercial	$5.82
Rate for Payer: WPPA Commercial	$4.92

TAMBOCOR 50 MG TAB (FLECAINIDE ACETATE)

Facility

$6.00

Service Code	NDC 00054001020
Hospital Charge Code	2513117
Hospital Revenue Code	250
Min. Negotiated Rate	$2.77
Max. Negotiated Rate	$5.82
Rate for Payer: Cash Price	$4.54
Rate for Payer: Celtic Commercial/Exchange	$2.77
Rate for Payer: Health Partners Plans Commercial	$5.70
Rate for Payer: UnitedHealthcare Commercial	$5.82
Rate for Payer: WPPA Commercial	$5.04

TAMIFLU 30 MG CAP (OSELTAMIVIR PHOSPHATE)

Facility

$43.00

Service Code	NDC 68180067511
Hospital Charge Code	2518538
Hospital Revenue Code	250
Min. Negotiated Rate	$19.87
Max. Negotiated Rate	$41.71
Rate for Payer: Cash Price	$32.55
Rate for Payer: Celtic Commercial/Exchange	$19.87
Rate for Payer: Health Partners Plans Commercial	$40.85
Rate for Payer: UnitedHealthcare Commercial	$41.71
Rate for Payer: WPPA Commercial	$36.12

TAMIFLU 30 MG CAP (OSELTAMIVIR PHOSPHATE)

Facility

$43.00

Service Code	NDC 68180067511
Hospital Charge Code	2518538
Hospital Revenue Code	250
Min. Negotiated Rate	$35.26
Max. Negotiated Rate	$41.71
Rate for Payer: Cash Price	$32.55
Rate for Payer: Health Partners Plans Commercial	$40.85
Rate for Payer: UnitedHealthcare Commercial	$41.71
Rate for Payer: WPPA Commercial	$35.26

TAMIFLU 45 MG CAP (OSELTAMIVIR PHOSPHATE)

Facility

$43.00

Service Code	NDC 69238126501
Hospital Charge Code	2518546
Hospital Revenue Code	250
Min. Negotiated Rate	$19.87
Max. Negotiated Rate	$41.71
Rate for Payer: Cash Price	$32.55
Rate for Payer: Celtic Commercial/Exchange	$19.87
Rate for Payer: Health Partners Plans Commercial	$40.85
Rate for Payer: UnitedHealthcare Commercial	$41.71
Rate for Payer: WPPA Commercial	$36.12

TAMIFLU 45 MG CAP (OSELTAMIVIR PHOSPHATE)

Facility

$43.00

Service Code	NDC 69238126501
Hospital Charge Code	2518546
Hospital Revenue Code	250
Min. Negotiated Rate	$35.26
Max. Negotiated Rate	$41.71
Rate for Payer: Cash Price	$32.55
Rate for Payer: Health Partners Plans Commercial	$40.85
Rate for Payer: UnitedHealthcare Commercial	$41.71
Rate for Payer: WPPA Commercial	$35.26

TAMIFLU 75 MG CAP (OSELTAMIVIR PHOSPHATE)

Facility

$46.00

Service Code	NDC 68180067711
Hospital Charge Code	2516516
Hospital Revenue Code	250
Min. Negotiated Rate	$21.25
Max. Negotiated Rate	$44.62
Rate for Payer: Cash Price	$34.80
Rate for Payer: Celtic Commercial/Exchange	$21.25
Rate for Payer: Health Partners Plans Commercial	$43.70
Rate for Payer: UnitedHealthcare Commercial	$44.62
Rate for Payer: WPPA Commercial	$38.64

TAMIFLU 75 MG CAP (OSELTAMIVIR PHOSPHATE)

Facility

$46.00

Service Code	NDC 68180067711
Hospital Charge Code	2516516
Hospital Revenue Code	250
Min. Negotiated Rate	$37.72
Max. Negotiated Rate	$44.62
Rate for Payer: Cash Price	$34.80
Rate for Payer: Health Partners Plans Commercial	$43.70
Rate for Payer: UnitedHealthcare Commercial	$44.62
Rate for Payer: WPPA Commercial	$37.72

TAMIFLU OS 6 MG/ML (OSELTAMIVIR PHOSPHATE)

Facility

$837.00

Service Code	NDC 27241013909
Hospital Charge Code	2517704
Hospital Revenue Code	250
Min. Negotiated Rate	$386.69
Max. Negotiated Rate	$811.89
Rate for Payer: Cash Price	$627.75
Rate for Payer: Celtic Commercial/Exchange	$386.69
Rate for Payer: Health Partners Plans Commercial	$795.15
Rate for Payer: UnitedHealthcare Commercial	$811.89
Rate for Payer: WPPA Commercial	$703.08

TAMIFLU OS 6 MG/ML (OSELTAMIVIR PHOSPHATE)

Facility

$837.00

Service Code	NDC 27241013909
Hospital Charge Code	2517704
Hospital Revenue Code	250
Min. Negotiated Rate	$686.34
Max. Negotiated Rate	$811.89
Rate for Payer: Cash Price	$627.75
Rate for Payer: Health Partners Plans Commercial	$795.15
Rate for Payer: UnitedHealthcare Commercial	$811.89
Rate for Payer: WPPA Commercial	$686.34

TANGENTIAL BIOP,EA ADD LESION

Facility

$420.00

Service Code	HCPCS 11103
Hospital Charge Code	1110323
Hospital Revenue Code	761
Min. Negotiated Rate	$194.04
Max. Negotiated Rate	$407.40
Rate for Payer: BCBS Commercial	$217.71
Rate for Payer: Cash Price	$315.00
Rate for Payer: Cash Price	$315.00
Rate for Payer: Celtic Commercial/Exchange	$194.04
Rate for Payer: Health Partners Plans Commercial	$399.00
Rate for Payer: UnitedHealthcare Commercial	$407.40
Rate for Payer: WPPA Commercial	$352.80

TANGENTIAL BIOP,EA ADD LESION

Facility

$420.00

Service Code	HCPCS 11103
Hospital Charge Code	1110323
Hospital Revenue Code	761
Min. Negotiated Rate	$344.40
Max. Negotiated Rate	$407.40
Rate for Payer: Cash Price	$315.00
Rate for Payer: Health Partners Plans Commercial	$399.00
Rate for Payer: UnitedHealthcare Commercial	$407.40
Rate for Payer: WPPA Commercial	$344.40

TANGENTIAL BOPSY SKIN,1 LESION

Facility

$420.00

Service Code	HCPCS 11102
Hospital Charge Code	1110223
Hospital Revenue Code	761
Min. Negotiated Rate	$344.40
Max. Negotiated Rate	$407.40
Rate for Payer: Cash Price	$315.00
Rate for Payer: Health Partners Plans Commercial	$399.00
Rate for Payer: UnitedHealthcare Commercial	$407.40
Rate for Payer: WPPA Commercial	$344.40

TANGENTIAL BOPSY SKIN,1 LESION

Facility

$420.00

Service Code	HCPCS 11102
Hospital Charge Code	1110223
Hospital Revenue Code	761
Min. Negotiated Rate	$194.04
Max. Negotiated Rate	$407.40
Rate for Payer: BCBS Commercial	$248.38
Rate for Payer: Cash Price	$315.00
Rate for Payer: Cash Price	$315.00
Rate for Payer: Celtic Commercial/Exchange	$194.04
Rate for Payer: Health Partners Plans Commercial	$399.00
Rate for Payer: UnitedHealthcare Commercial	$407.40
Rate for Payer: WPPA Commercial	$352.80

TAPE MEDIPORE 1" X 10 YDS

Facility

$12.00

Hospital Charge Code	4132961
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

TAPE MEDIPORE 1" X 10 YDS

Facility

$12.00

Hospital Charge Code	4132961
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

TAPE MEDIPORE 2" X 10 YDS

Facility

$12.00

Hospital Charge Code	4132962
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

TAPE MEDIPORE 2" X 10 YDS

Facility

$12.00

Hospital Charge Code	4132962
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

TAPE MEDIPORE 3" X 10 YDS

Facility

$12.00

Hospital Charge Code	4132963
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

TAPE MEDIPORE 3" X 10 YDS

Facility

$12.00

Hospital Charge Code	4132963
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

TAPENTADOL SCREEN

Facility

$271.00

Service Code	HCPCS 80372
Hospital Charge Code	8037200
Hospital Revenue Code	300
Min. Negotiated Rate	$23.88
Max. Negotiated Rate	$262.87
Rate for Payer: BCBS Commercial	$23.88
Rate for Payer: Cash Price	$203.25
Rate for Payer: Cash Price	$203.25
Rate for Payer: Celtic Commercial/Exchange	$125.20
Rate for Payer: Health Partners Plans Commercial	$257.45
Rate for Payer: UnitedHealthcare Commercial	$262.87
Rate for Payer: WPPA Commercial	$227.64

TAPENTADOL SCREEN

Facility

$271.00

Service Code	HCPCS 80372
Hospital Charge Code	8037200
Hospital Revenue Code	300
Min. Negotiated Rate	$222.22
Max. Negotiated Rate	$262.87
Rate for Payer: Cash Price	$203.25
Rate for Payer: Health Partners Plans Commercial	$257.45
Rate for Payer: UnitedHealthcare Commercial	$262.87
Rate for Payer: WPPA Commercial	$222.22

TARSAL BONE FRACT W/O MANIPULA

Facility

$1,618.00

Service Code	HCPCS 28450
Hospital Charge Code	2845000
Hospital Revenue Code	450
Min. Negotiated Rate	$1,326.76
Max. Negotiated Rate	$1,569.46
Rate for Payer: Cash Price	$1,213.50
Rate for Payer: Health Partners Plans Commercial	$1,537.10
Rate for Payer: UnitedHealthcare Commercial	$1,569.46
Rate for Payer: WPPA Commercial	$1,326.76

TARSAL BONE FRACT W/O MANIPULA

Facility

$1,618.00

Service Code	HCPCS 28450
Hospital Charge Code	2845000
Hospital Revenue Code	450
Min. Negotiated Rate	$747.52
Max. Negotiated Rate	$1,569.46
Rate for Payer: BCBS Commercial	$1,454.40
Rate for Payer: Cash Price	$1,213.50
Rate for Payer: Cash Price	$1,213.50
Rate for Payer: Celtic Commercial/Exchange	$747.52
Rate for Payer: Health Partners Plans Commercial	$1,537.10
Rate for Payer: UnitedHealthcare Commercial	$1,569.46
Rate for Payer: WPPA Commercial	$1,359.12

Know your out-of-pocket cost for care.

All Charges