Ness County Hospital

All Charges

Charge

Type

Setting

Price

TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC

Facility

$8,334.41

Service Code	MSDRG 714
Min. Negotiated Rate	$8,334.41
Max. Negotiated Rate	$8,334.41
Rate for Payer: BCBS Commercial	$8,334.41

TRAUMA DRESSING 10X30

Facility

$15.00

Hospital Charge Code	2726922
Hospital Revenue Code	272
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

TRAUMA DRESSING 10X30

Facility

$15.00

Hospital Charge Code	2726922
Hospital Revenue Code	272
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

TRAUMATIC INJURY WITH MCC

Facility

$14,543.39

Service Code	MSDRG 913
Min. Negotiated Rate	$14,543.39
Max. Negotiated Rate	$14,543.39
Rate for Payer: BCBS Commercial	$14,543.39

TRAUMATIC INJURY WITHOUT MCC

Facility

$7,962.93

Service Code	MSDRG 914
Min. Negotiated Rate	$7,962.93
Max. Negotiated Rate	$7,962.93
Rate for Payer: BCBS Commercial	$7,962.93

TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC

Facility

$11,311.81

Service Code	MSDRG 086
Min. Negotiated Rate	$11,311.81
Max. Negotiated Rate	$11,311.81
Rate for Payer: BCBS Commercial	$11,311.81

TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC

Facility

$14,455.53

Service Code	MSDRG 083
Min. Negotiated Rate	$14,455.53
Max. Negotiated Rate	$14,455.53
Rate for Payer: BCBS Commercial	$14,455.53

TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC

Facility

$15,990.50

Service Code	MSDRG 085
Min. Negotiated Rate	$15,990.50
Max. Negotiated Rate	$15,990.50
Rate for Payer: BCBS Commercial	$15,990.50

TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC

Facility

$20,583.02

Service Code	MSDRG 082
Min. Negotiated Rate	$20,583.02
Max. Negotiated Rate	$20,583.02
Rate for Payer: BCBS Commercial	$20,583.02

TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC

Facility

$7,664.89

Service Code	MSDRG 087
Min. Negotiated Rate	$7,664.89
Max. Negotiated Rate	$7,664.89
Rate for Payer: BCBS Commercial	$7,664.89

TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC

Facility

$10,318.32

Service Code	MSDRG 084
Min. Negotiated Rate	$10,318.32
Max. Negotiated Rate	$10,318.32
Rate for Payer: BCBS Commercial	$10,318.32

TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC

Facility

$13,117.11

Service Code	MSDRG 604
Min. Negotiated Rate	$13,117.11
Max. Negotiated Rate	$13,117.11
Rate for Payer: BCBS Commercial	$13,117.11

TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC

Facility

$8,022.56

Service Code	MSDRG 605
Min. Negotiated Rate	$8,022.56
Max. Negotiated Rate	$8,022.56
Rate for Payer: BCBS Commercial	$8,022.56

TRAY THORACENTESIS PARA 8FR

Facility

$150.00

Hospital Charge Code	2720300
Hospital Revenue Code	272
Min. Negotiated Rate	$69.30
Max. Negotiated Rate	$145.50
Rate for Payer: Cash Price	$112.50
Rate for Payer: Celtic Commercial/Exchange	$69.30
Rate for Payer: Health Partners Plans Commercial	$142.50
Rate for Payer: UnitedHealthcare Commercial	$145.50
Rate for Payer: WPPA Commercial	$126.00

TRAY THORACENTESIS PARA 8FR

Facility

$150.00

Hospital Charge Code	2720300
Hospital Revenue Code	272
Min. Negotiated Rate	$123.00
Max. Negotiated Rate	$145.50
Rate for Payer: Cash Price	$112.50
Rate for Payer: Health Partners Plans Commercial	$142.50
Rate for Payer: UnitedHealthcare Commercial	$145.50
Rate for Payer: WPPA Commercial	$123.00

TRAZODONE HCL 50 MG TAB

Facility

$3.00

Service Code	NDC 60687044301
Hospital Charge Code	2516995
Hospital Revenue Code	250
Min. Negotiated Rate	$2.46
Max. Negotiated Rate	$2.91
Rate for Payer: Cash Price	$2.74
Rate for Payer: Health Partners Plans Commercial	$2.85
Rate for Payer: UnitedHealthcare Commercial	$2.91
Rate for Payer: WPPA Commercial	$2.46

TRAZODONE HCL 50 MG TAB

Facility

$3.00

Service Code	NDC 60687044301
Hospital Charge Code	2516995
Hospital Revenue Code	250
Min. Negotiated Rate	$1.39
Max. Negotiated Rate	$2.91
Rate for Payer: Cash Price	$2.74
Rate for Payer: Celtic Commercial/Exchange	$1.39
Rate for Payer: Health Partners Plans Commercial	$2.85
Rate for Payer: UnitedHealthcare Commercial	$2.91
Rate for Payer: WPPA Commercial	$2.52

TREAT METACARPAL FX W/O MANIP

Facility

$227.00

Service Code	HCPCS 26600
Hospital Charge Code	2660000
Hospital Revenue Code	450
Min. Negotiated Rate	$186.14
Max. Negotiated Rate	$220.19
Rate for Payer: Cash Price	$170.25
Rate for Payer: Health Partners Plans Commercial	$215.65
Rate for Payer: UnitedHealthcare Commercial	$220.19
Rate for Payer: WPPA Commercial	$186.14

TREAT METACARPAL FX W/O MANIP

Facility

$227.00

Service Code	HCPCS 26600
Hospital Charge Code	2660000
Hospital Revenue Code	450
Min. Negotiated Rate	$104.87
Max. Negotiated Rate	$432.28
Rate for Payer: BCBS Commercial	$432.28
Rate for Payer: Cash Price	$170.25
Rate for Payer: Cash Price	$170.25
Rate for Payer: Celtic Commercial/Exchange	$104.87
Rate for Payer: Health Partners Plans Commercial	$215.65
Rate for Payer: UnitedHealthcare Commercial	$220.19
Rate for Payer: WPPA Commercial	$190.68

TREAT OF FRACTURE MANIPULATION

Facility

$323.00

Service Code	HCPCS 28515
Hospital Charge Code	2851500
Hospital Revenue Code	450
Min. Negotiated Rate	$149.23
Max. Negotiated Rate	$432.28
Rate for Payer: BCBS Commercial	$432.28
Rate for Payer: Cash Price	$242.25
Rate for Payer: Cash Price	$242.25
Rate for Payer: Celtic Commercial/Exchange	$149.23
Rate for Payer: Health Partners Plans Commercial	$306.85
Rate for Payer: UnitedHealthcare Commercial	$313.31
Rate for Payer: WPPA Commercial	$271.32

TREAT OF FRACTURE MANIPULATION

Facility

$323.00

Service Code	HCPCS 28515
Hospital Charge Code	2851500
Hospital Revenue Code	450
Min. Negotiated Rate	$264.86
Max. Negotiated Rate	$313.31
Rate for Payer: Cash Price	$242.25
Rate for Payer: Health Partners Plans Commercial	$306.85
Rate for Payer: UnitedHealthcare Commercial	$313.31
Rate for Payer: WPPA Commercial	$264.86

TRENTAL 400 MG TAB (PENTOXIFYLLINE ER)

Facility

$5.00

Service Code	NDC 00904544861
Hospital Charge Code	2507127
Hospital Revenue Code	250
Min. Negotiated Rate	$4.10
Max. Negotiated Rate	$4.85
Rate for Payer: Cash Price	$3.75
Rate for Payer: Health Partners Plans Commercial	$4.75
Rate for Payer: UnitedHealthcare Commercial	$4.85
Rate for Payer: WPPA Commercial	$4.10

TRENTAL 400 MG TAB (PENTOXIFYLLINE ER)

Facility

$5.00

Service Code	NDC 00904544861
Hospital Charge Code	2507127
Hospital Revenue Code	250
Min. Negotiated Rate	$2.31
Max. Negotiated Rate	$4.85
Rate for Payer: Cash Price	$3.75
Rate for Payer: Celtic Commercial/Exchange	$2.31
Rate for Payer: Health Partners Plans Commercial	$4.75
Rate for Payer: UnitedHealthcare Commercial	$4.85
Rate for Payer: WPPA Commercial	$4.20

Triad Wound Dressing (wound dressings) top paste

Facility

$77.00

Service Code	NDC 11701003132
Hospital Charge Code	2519486
Hospital Revenue Code	271
Min. Negotiated Rate	$35.57
Max. Negotiated Rate	$74.69
Rate for Payer: Cash Price	$57.79
Rate for Payer: Celtic Commercial/Exchange	$35.57
Rate for Payer: Health Partners Plans Commercial	$73.15
Rate for Payer: UnitedHealthcare Commercial	$74.69
Rate for Payer: WPPA Commercial	$64.68

Triad Wound Dressing (wound dressings) top paste

Facility

$77.00

Service Code	NDC 11701003132
Hospital Charge Code	2519486
Hospital Revenue Code	271
Min. Negotiated Rate	$63.14
Max. Negotiated Rate	$74.69
Rate for Payer: Cash Price	$57.79
Rate for Payer: Health Partners Plans Commercial	$73.15
Rate for Payer: UnitedHealthcare Commercial	$74.69
Rate for Payer: WPPA Commercial	$63.14

Know your out-of-pocket cost for care.

All Charges