Ness County Hospital

All Charges

Charge

Type

Setting

Price

VASOPRESSIN (ANTIDIURETIC HORM

Facility

$226.00

Service Code	HCPCS 84588
Hospital Charge Code	8458800
Hospital Revenue Code	301
Min. Negotiated Rate	$185.32
Max. Negotiated Rate	$219.22
Rate for Payer: Cash Price	$169.50
Rate for Payer: Health Partners Plans Commercial	$214.70
Rate for Payer: UnitedHealthcare Commercial	$219.22
Rate for Payer: WPPA Commercial	$185.32

VASOTEC 2.5MG TAB (ENALAPRIL MALEATE)

Facility

$4.00

Service Code	NDC 00904560961
Hospital Charge Code	2518918
Hospital Revenue Code	250
Min. Negotiated Rate	$3.28
Max. Negotiated Rate	$3.88
Rate for Payer: Cash Price	$3.30
Rate for Payer: Health Partners Plans Commercial	$3.80
Rate for Payer: UnitedHealthcare Commercial	$3.88
Rate for Payer: WPPA Commercial	$3.28

VASOTEC 2.5MG TAB (ENALAPRIL MALEATE)

Facility

$4.00

Service Code	NDC 00904560961
Hospital Charge Code	2518918
Hospital Revenue Code	250
Min. Negotiated Rate	$1.85
Max. Negotiated Rate	$3.88
Rate for Payer: Cash Price	$3.30
Rate for Payer: Celtic Commercial/Exchange	$1.85
Rate for Payer: Health Partners Plans Commercial	$3.80
Rate for Payer: UnitedHealthcare Commercial	$3.88
Rate for Payer: WPPA Commercial	$3.36

VDRL, SERUM

Facility

$45.00

Service Code	HCPCS 86592
Hospital Charge Code	8659202
Hospital Revenue Code	302
Min. Negotiated Rate	$16.26
Max. Negotiated Rate	$43.65
Rate for Payer: BCBS Commercial	$16.26
Rate for Payer: Cash Price	$33.75
Rate for Payer: Cash Price	$33.75
Rate for Payer: Celtic Commercial/Exchange	$20.79
Rate for Payer: Health Partners Plans Commercial	$42.75
Rate for Payer: UnitedHealthcare Commercial	$43.65
Rate for Payer: WPPA Commercial	$37.80

VDRL, SERUM

Facility

$45.00

Service Code	HCPCS 86592
Hospital Charge Code	8659202
Hospital Revenue Code	302
Min. Negotiated Rate	$36.90
Max. Negotiated Rate	$43.65
Rate for Payer: Cash Price	$33.75
Rate for Payer: Health Partners Plans Commercial	$42.75
Rate for Payer: UnitedHealthcare Commercial	$43.65
Rate for Payer: WPPA Commercial	$36.90

VEIN LIGATION AND STRIPPING

Facility

$15,095.92

Service Code	MSDRG 263
Min. Negotiated Rate	$15,095.92
Max. Negotiated Rate	$15,095.92
Rate for Payer: BCBS Commercial	$15,095.92

VENIPUNCTURE SINGLE-LAB

Facility

$37.00

Service Code	HCPCS 36415
Hospital Charge Code	3641500
Hospital Revenue Code	309
Min. Negotiated Rate	$30.34
Max. Negotiated Rate	$35.89
Rate for Payer: Cash Price	$27.75
Rate for Payer: Health Partners Plans Commercial	$35.15
Rate for Payer: UnitedHealthcare Commercial	$35.89
Rate for Payer: WPPA Commercial	$30.34

VENIPUNCTURE SINGLE-LAB

Facility

$37.00

Service Code	HCPCS 36415
Hospital Charge Code	3641500
Hospital Revenue Code	309
Min. Negotiated Rate	$12.05
Max. Negotiated Rate	$35.89
Rate for Payer: BCBS Commercial	$12.05
Rate for Payer: Cash Price	$27.75
Rate for Payer: Cash Price	$27.75
Rate for Payer: Celtic Commercial/Exchange	$17.09
Rate for Payer: Health Partners Plans Commercial	$35.15
Rate for Payer: UnitedHealthcare Commercial	$35.89
Rate for Payer: WPPA Commercial	$31.08

VENOFER 100 MG/5 ML INJ. (IRON SUCROSE) IV

Facility

$206.00

Service Code	NDC 00517234010
Hospital Charge Code	2513638
Hospital Revenue Code	250
Min. Negotiated Rate	$95.17
Max. Negotiated Rate	$199.82
Rate for Payer: Cash Price	$154.69
Rate for Payer: Celtic Commercial/Exchange	$95.17
Rate for Payer: Health Partners Plans Commercial	$195.70
Rate for Payer: UnitedHealthcare Commercial	$199.82
Rate for Payer: WPPA Commercial	$173.04

VENOFER 100 MG/5 ML INJ. (IRON SUCROSE) IV

Facility

$206.00

Service Code	NDC 00517234010
Hospital Charge Code	2513638
Hospital Revenue Code	250
Min. Negotiated Rate	$168.92
Max. Negotiated Rate	$199.82
Rate for Payer: Cash Price	$154.69
Rate for Payer: Health Partners Plans Commercial	$195.70
Rate for Payer: UnitedHealthcare Commercial	$199.82
Rate for Payer: WPPA Commercial	$168.92

VENTED LEG BAG

Facility

$26.00

Hospital Charge Code	2727946
Hospital Revenue Code	272
Min. Negotiated Rate	$21.32
Max. Negotiated Rate	$25.22
Rate for Payer: Cash Price	$19.50
Rate for Payer: Health Partners Plans Commercial	$24.70
Rate for Payer: UnitedHealthcare Commercial	$25.22
Rate for Payer: WPPA Commercial	$21.32

VENTED LEG BAG

Facility

$26.00

Hospital Charge Code	2727946
Hospital Revenue Code	272
Min. Negotiated Rate	$12.01
Max. Negotiated Rate	$25.22
Rate for Payer: Cash Price	$19.50
Rate for Payer: Celtic Commercial/Exchange	$12.01
Rate for Payer: Health Partners Plans Commercial	$24.70
Rate for Payer: UnitedHealthcare Commercial	$25.22
Rate for Payer: WPPA Commercial	$21.84

VENTRICULAR SHUNT PROCEDURES WITH CC

Facility

$19,672.56

Service Code	MSDRG 032
Min. Negotiated Rate	$19,672.56
Max. Negotiated Rate	$19,672.56
Rate for Payer: BCBS Commercial	$19,672.56

VENTRICULAR SHUNT PROCEDURES WITH MCC

Facility

$32,923.68

Service Code	MSDRG 031
Min. Negotiated Rate	$32,923.68
Max. Negotiated Rate	$32,923.68
Rate for Payer: BCBS Commercial	$32,923.68

VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC

Facility

$15,285.39

Service Code	MSDRG 033
Min. Negotiated Rate	$15,285.39
Max. Negotiated Rate	$15,285.39
Rate for Payer: BCBS Commercial	$15,285.39

VERAPAMIL HCL 10 MG/4 ML INJ.

Facility

$109.00

Service Code	NDC 70710164405
Hospital Charge Code	2503589
Hospital Revenue Code	250
Min. Negotiated Rate	$89.38
Max. Negotiated Rate	$105.73
Rate for Payer: Cash Price	$82.20
Rate for Payer: Health Partners Plans Commercial	$103.55
Rate for Payer: UnitedHealthcare Commercial	$105.73
Rate for Payer: WPPA Commercial	$89.38

VERAPAMIL HCL 10 MG/4 ML INJ.

Facility

$109.00

Service Code	NDC 70710164405
Hospital Charge Code	2503589
Hospital Revenue Code	250
Min. Negotiated Rate	$50.36
Max. Negotiated Rate	$105.73
Rate for Payer: Cash Price	$82.20
Rate for Payer: Celtic Commercial/Exchange	$50.36
Rate for Payer: Health Partners Plans Commercial	$103.55
Rate for Payer: UnitedHealthcare Commercial	$105.73
Rate for Payer: WPPA Commercial	$91.56

VERAPAMIL HCL 80 MG TAB

Facility

$1.00

Service Code	NDC 00904292061
Hospital Charge Code	2503563
Hospital Revenue Code	250
Min. Negotiated Rate	$0.46
Max. Negotiated Rate	$0.97
Rate for Payer: Cash Price	$1.46
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

VERAPAMIL HCL 80 MG TAB

Facility

$1.00

Service Code	NDC 00904292061
Hospital Charge Code	2503563
Hospital Revenue Code	250
Min. Negotiated Rate	$0.82
Max. Negotiated Rate	$0.97
Rate for Payer: Cash Price	$1.46
Rate for Payer: Health Partners Plans Commercial	$0.95
Rate for Payer: UnitedHealthcare Commercial	$0.97
Rate for Payer: WPPA Commercial	$0.82

VERAPAMIL HCL ER 180 MG TAB

Facility

$7.00

Service Code	NDC 60687050411
Hospital Charge Code	2511384
Hospital Revenue Code	250
Min. Negotiated Rate	$5.74
Max. Negotiated Rate	$6.79
Rate for Payer: Cash Price	$5.62
Rate for Payer: Health Partners Plans Commercial	$6.65
Rate for Payer: UnitedHealthcare Commercial	$6.79
Rate for Payer: WPPA Commercial	$5.74

VERAPAMIL HCL ER 180 MG TAB

Facility

$7.00

Service Code	NDC 60687050411
Hospital Charge Code	2511384
Hospital Revenue Code	250
Min. Negotiated Rate	$3.23
Max. Negotiated Rate	$6.79
Rate for Payer: Cash Price	$5.62
Rate for Payer: Celtic Commercial/Exchange	$3.23
Rate for Payer: Health Partners Plans Commercial	$6.65
Rate for Payer: UnitedHealthcare Commercial	$6.79
Rate for Payer: WPPA Commercial	$5.88

VERAPAMIL HCL ER 240 MG TAB

Facility

$10.00

Service Code	NDC 75834015901
Hospital Charge Code	2509677
Hospital Revenue Code	250
Min. Negotiated Rate	$8.20
Max. Negotiated Rate	$9.70
Rate for Payer: Cash Price	$7.96
Rate for Payer: Health Partners Plans Commercial	$9.50
Rate for Payer: UnitedHealthcare Commercial	$9.70
Rate for Payer: WPPA Commercial	$8.20

VERAPAMIL HCL ER 240 MG TAB

Facility

$10.00

Service Code	NDC 75834015901
Hospital Charge Code	2509677
Hospital Revenue Code	250
Min. Negotiated Rate	$4.62
Max. Negotiated Rate	$9.70
Rate for Payer: Cash Price	$7.96
Rate for Payer: Celtic Commercial/Exchange	$4.62
Rate for Payer: Health Partners Plans Commercial	$9.50
Rate for Payer: UnitedHealthcare Commercial	$9.70
Rate for Payer: WPPA Commercial	$8.40

VERSA FRAME

Facility

$165.00

Hospital Charge Code	5710264
Hospital Revenue Code	271
Min. Negotiated Rate	$76.23
Max. Negotiated Rate	$160.05
Rate for Payer: Cash Price	$123.94
Rate for Payer: Celtic Commercial/Exchange	$76.23
Rate for Payer: Health Partners Plans Commercial	$156.75
Rate for Payer: UnitedHealthcare Commercial	$160.05
Rate for Payer: WPPA Commercial	$138.60

VERSA FRAME

Facility

$165.00

Hospital Charge Code	5710264
Hospital Revenue Code	271
Min. Negotiated Rate	$135.30
Max. Negotiated Rate	$160.05
Rate for Payer: Cash Price	$123.94
Rate for Payer: Health Partners Plans Commercial	$156.75
Rate for Payer: UnitedHealthcare Commercial	$160.05
Rate for Payer: WPPA Commercial	$135.30

Know your out-of-pocket cost for care.

All Charges