Ness County Hospital

All Charges

Charge

Type

Setting

Price

UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC

Facility

$34,286.94

Service Code	MSDRG 739
Min. Negotiated Rate	$34,286.94
Max. Negotiated Rate	$34,286.94
Rate for Payer: BCBS Commercial	$34,286.94

UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC

Facility

$11,475.90

Service Code	MSDRG 741
Min. Negotiated Rate	$11,475.90
Max. Negotiated Rate	$11,475.90
Rate for Payer: BCBS Commercial	$11,475.90

UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC

Facility

$18,266.69

Service Code	MSDRG 737
Min. Negotiated Rate	$18,266.69
Max. Negotiated Rate	$18,266.69
Rate for Payer: BCBS Commercial	$18,266.69

UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC

Facility

$37,815.88

Service Code	MSDRG 736
Min. Negotiated Rate	$37,815.88
Max. Negotiated Rate	$37,815.88
Rate for Payer: BCBS Commercial	$37,815.88

UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC

Facility

$13,099.35

Service Code	MSDRG 738
Min. Negotiated Rate	$13,099.35
Max. Negotiated Rate	$13,099.35
Rate for Payer: BCBS Commercial	$13,099.35

VAC DRAPE

Facility

$19.00

Hospital Charge Code	2725046
Hospital Revenue Code	272
Min. Negotiated Rate	$15.58
Max. Negotiated Rate	$18.43
Rate for Payer: Cash Price	$14.44
Rate for Payer: Health Partners Plans Commercial	$18.05
Rate for Payer: UnitedHealthcare Commercial	$18.43
Rate for Payer: WPPA Commercial	$15.58

VAC DRAPE

Facility

$19.00

Hospital Charge Code	2725046
Hospital Revenue Code	272
Min. Negotiated Rate	$8.78
Max. Negotiated Rate	$18.43
Rate for Payer: Cash Price	$14.44
Rate for Payer: Celtic Commercial/Exchange	$8.78
Rate for Payer: Health Partners Plans Commercial	$18.05
Rate for Payer: UnitedHealthcare Commercial	$18.43
Rate for Payer: WPPA Commercial	$15.96

VAC ULTA VERALINK, 5 PK

Facility

$325.00

Hospital Charge Code	2728484
Hospital Revenue Code	270
Min. Negotiated Rate	$150.15
Max. Negotiated Rate	$315.25
Rate for Payer: Cash Price	$243.75
Rate for Payer: Celtic Commercial/Exchange	$150.15
Rate for Payer: Health Partners Plans Commercial	$308.75
Rate for Payer: UnitedHealthcare Commercial	$315.25
Rate for Payer: WPPA Commercial	$273.00

VAC ULTA VERALINK, 5 PK

Facility

$325.00

Hospital Charge Code	2728484
Hospital Revenue Code	270
Min. Negotiated Rate	$266.50
Max. Negotiated Rate	$315.25
Rate for Payer: Cash Price	$243.75
Rate for Payer: Health Partners Plans Commercial	$308.75
Rate for Payer: UnitedHealthcare Commercial	$315.25
Rate for Payer: WPPA Commercial	$266.50

VACUUM BOTTLE PLEURX 1000ML

Facility

$180.00

Hospital Charge Code	2700648
Hospital Revenue Code	272
Min. Negotiated Rate	$147.60
Max. Negotiated Rate	$174.60
Rate for Payer: Cash Price	$135.00
Rate for Payer: Health Partners Plans Commercial	$171.00
Rate for Payer: UnitedHealthcare Commercial	$174.60
Rate for Payer: WPPA Commercial	$147.60

VACUUM BOTTLE PLEURX 1000ML

Facility

$180.00

Hospital Charge Code	2700648
Hospital Revenue Code	272
Min. Negotiated Rate	$83.16
Max. Negotiated Rate	$174.60
Rate for Payer: Cash Price	$135.00
Rate for Payer: Celtic Commercial/Exchange	$83.16
Rate for Payer: Health Partners Plans Commercial	$171.00
Rate for Payer: UnitedHealthcare Commercial	$174.60
Rate for Payer: WPPA Commercial	$151.20

VAC VERAFLO CLEANSE CHOICE-MED

Facility

$825.00

Hospital Charge Code	2725017
Hospital Revenue Code	270
Min. Negotiated Rate	$381.15
Max. Negotiated Rate	$800.25
Rate for Payer: Cash Price	$618.75
Rate for Payer: Celtic Commercial/Exchange	$381.15
Rate for Payer: Health Partners Plans Commercial	$783.75
Rate for Payer: UnitedHealthcare Commercial	$800.25
Rate for Payer: WPPA Commercial	$693.00

VAC VERAFLO CLEANSE CHOICE-MED

Facility

$825.00

Hospital Charge Code	2725017
Hospital Revenue Code	270
Min. Negotiated Rate	$676.50
Max. Negotiated Rate	$800.25
Rate for Payer: Cash Price	$618.75
Rate for Payer: Health Partners Plans Commercial	$783.75
Rate for Payer: UnitedHealthcare Commercial	$800.25
Rate for Payer: WPPA Commercial	$676.50

VAC WOUND THERAPY-IP ONLY

Facility

$81.00

Hospital Charge Code	2725027
Hospital Revenue Code	947
Min. Negotiated Rate	$37.42
Max. Negotiated Rate	$78.57
Rate for Payer: Cash Price	$61.31
Rate for Payer: Celtic Commercial/Exchange	$37.42
Rate for Payer: Health Partners Plans Commercial	$76.95
Rate for Payer: UnitedHealthcare Commercial	$78.57
Rate for Payer: WPPA Commercial	$68.04

VAC WOUND THERAPY-IP ONLY

Facility

$81.00

Hospital Charge Code	2725027
Hospital Revenue Code	947
Min. Negotiated Rate	$66.42
Max. Negotiated Rate	$78.57
Rate for Payer: Cash Price	$61.31
Rate for Payer: Health Partners Plans Commercial	$76.95
Rate for Payer: UnitedHealthcare Commercial	$78.57
Rate for Payer: WPPA Commercial	$66.42

VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC

Facility

$14,449.10

Service Code	MSDRG 746
Min. Negotiated Rate	$14,449.10
Max. Negotiated Rate	$14,449.10
Rate for Payer: BCBS Commercial	$14,449.10

VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC

Facility

$9,003.76

Service Code	MSDRG 747
Min. Negotiated Rate	$9,003.76
Max. Negotiated Rate	$9,003.76
Rate for Payer: BCBS Commercial	$9,003.76

VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C

Facility

$9,434.41

Service Code	MSDRG 768
Min. Negotiated Rate	$9,434.41
Max. Negotiated Rate	$9,434.41
Rate for Payer: BCBS Commercial	$9,434.41

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC

Facility

$7,786.73

Service Code	MSDRG 806
Min. Negotiated Rate	$7,786.73
Max. Negotiated Rate	$7,786.73
Rate for Payer: BCBS Commercial	$7,786.73

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC

Facility

$10,987.67

Service Code	MSDRG 805
Min. Negotiated Rate	$10,987.67
Max. Negotiated Rate	$10,987.67
Rate for Payer: BCBS Commercial	$10,987.67

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC

Facility

$5,594.39

Service Code	MSDRG 807
Min. Negotiated Rate	$5,594.39
Max. Negotiated Rate	$5,594.39
Rate for Payer: BCBS Commercial	$5,594.39

VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC

Facility

$7,945.60

Service Code	MSDRG 797
Min. Negotiated Rate	$7,945.60
Max. Negotiated Rate	$7,945.60
Rate for Payer: BCBS Commercial	$7,945.60

VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC

Facility

$13,763.23

Service Code	MSDRG 796
Min. Negotiated Rate	$13,763.23
Max. Negotiated Rate	$13,763.23
Rate for Payer: BCBS Commercial	$13,763.23

VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC

Facility

$7,642.22

Service Code	MSDRG 798
Min. Negotiated Rate	$7,642.22
Max. Negotiated Rate	$7,642.22
Rate for Payer: BCBS Commercial	$7,642.22

VAGINAL PACKING

Facility

$15.00

Hospital Charge Code	2720753
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

Know your out-of-pocket cost for care.

All Charges