Ness County Hospital

All Charges

Charge

Type

Setting

Price

ZANTAC 150 MG TAB (RANITIDINE)

Facility

$4.00

Service Code	NDC 64380080306
Hospital Charge Code	2508075
Hospital Revenue Code	250
Min. Negotiated Rate	$3.28
Max. Negotiated Rate	$3.88
Rate for Payer: Cash Price	$3.00
Rate for Payer: Health Partners Plans Commercial	$3.80
Rate for Payer: UnitedHealthcare Commercial	$3.88
Rate for Payer: WPPA Commercial	$3.28

ZANTAC 150 MG TAB (RANITIDINE)

Facility

$4.00

Service Code	NDC 64380080306
Hospital Charge Code	2508075
Hospital Revenue Code	250
Min. Negotiated Rate	$1.85
Max. Negotiated Rate	$3.88
Rate for Payer: Cash Price	$3.00
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

Zantac 50mg/2ml SDV inj.(ranitidine)

Facility

$59.00

Service Code	NDC 68382042202
Hospital Charge Code	2509560
Hospital Revenue Code	250
Min. Negotiated Rate	$27.26
Max. Negotiated Rate	$57.23
Rate for Payer: Cash Price	$44.55
Rate for Payer: Celtic Commercial/Exchange	$27.26
Rate for Payer: Health Partners Plans Commercial	$56.05
Rate for Payer: UnitedHealthcare Commercial	$57.23
Rate for Payer: WPPA Commercial	$49.56

Zantac 50mg/2ml SDV inj.(ranitidine)

Facility

$59.00

Service Code	NDC 68382042202
Hospital Charge Code	2509560
Hospital Revenue Code	250
Min. Negotiated Rate	$48.38
Max. Negotiated Rate	$57.23
Rate for Payer: Cash Price	$44.55
Rate for Payer: Health Partners Plans Commercial	$56.05
Rate for Payer: UnitedHealthcare Commercial	$57.23
Rate for Payer: WPPA Commercial	$48.38

ZAROXOLYN 2.5 MG TAB (METOLAZONE)

Facility

$9.00

Service Code	NDC 76385013601
Hospital Charge Code	2508083
Hospital Revenue Code	250
Min. Negotiated Rate	$7.38
Max. Negotiated Rate	$8.73
Rate for Payer: Cash Price	$7.43
Rate for Payer: Health Partners Plans Commercial	$8.55
Rate for Payer: UnitedHealthcare Commercial	$8.73
Rate for Payer: WPPA Commercial	$7.38

ZAROXOLYN 2.5 MG TAB (METOLAZONE)

Facility

$9.00

Service Code	NDC 76385013601
Hospital Charge Code	2508083
Hospital Revenue Code	250
Min. Negotiated Rate	$4.16
Max. Negotiated Rate	$8.73
Rate for Payer: Cash Price	$7.43
Rate for Payer: Celtic Commercial/Exchange	$4.16
Rate for Payer: Health Partners Plans Commercial	$8.55
Rate for Payer: UnitedHealthcare Commercial	$8.73
Rate for Payer: WPPA Commercial	$7.56

ZEMURON 50 MG /5ML (RoCURONIUM BROMIDE)

Facility

$139.00

Service Code	NDC 43066000710
Hospital Charge Code	2513943
Hospital Revenue Code	250
Min. Negotiated Rate	$64.22
Max. Negotiated Rate	$134.83
Rate for Payer: Cash Price	$104.62
Rate for Payer: Celtic Commercial/Exchange	$64.22
Rate for Payer: Health Partners Plans Commercial	$132.05
Rate for Payer: UnitedHealthcare Commercial	$134.83
Rate for Payer: WPPA Commercial	$116.76

ZEMURON 50 MG /5ML (RoCURONIUM BROMIDE)

Facility

$139.00

Service Code	NDC 43066000710
Hospital Charge Code	2513943
Hospital Revenue Code	250
Min. Negotiated Rate	$113.98
Max. Negotiated Rate	$134.83
Rate for Payer: Cash Price	$104.62
Rate for Payer: Health Partners Plans Commercial	$132.05
Rate for Payer: UnitedHealthcare Commercial	$134.83
Rate for Payer: WPPA Commercial	$113.98

ZETIA 10 MG TAB (EZETIMIBE)

Facility

$37.00

Service Code	NDC 60687037311
Hospital Charge Code	2513224
Hospital Revenue Code	250
Min. Negotiated Rate	$30.34
Max. Negotiated Rate	$35.89
Rate for Payer: Cash Price	$27.90
Rate for Payer: Health Partners Plans Commercial	$35.15
Rate for Payer: UnitedHealthcare Commercial	$35.89
Rate for Payer: WPPA Commercial	$30.34

ZETIA 10 MG TAB (EZETIMIBE)

Facility

$37.00

Service Code	NDC 60687037311
Hospital Charge Code	2513224
Hospital Revenue Code	250
Min. Negotiated Rate	$17.09
Max. Negotiated Rate	$35.89
Rate for Payer: Cash Price	$27.90
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

ZINC

Facility

$102.00

Service Code	HCPCS 84630
Hospital Charge Code	8463000
Hospital Revenue Code	301
Min. Negotiated Rate	$83.64
Max. Negotiated Rate	$98.94
Rate for Payer: Cash Price	$76.50
Rate for Payer: Health Partners Plans Commercial	$96.90
Rate for Payer: UnitedHealthcare Commercial	$98.94
Rate for Payer: WPPA Commercial	$83.64

ZINC

Facility

$102.00

Service Code	HCPCS 84630
Hospital Charge Code	8463000
Hospital Revenue Code	301
Min. Negotiated Rate	$28.85
Max. Negotiated Rate	$98.94
Rate for Payer: BCBS Commercial	$28.85
Rate for Payer: Cash Price	$76.50
Rate for Payer: Cash Price	$76.50
Rate for Payer: Celtic Commercial/Exchange	$47.12
Rate for Payer: Health Partners Plans Commercial	$96.90
Rate for Payer: UnitedHealthcare Commercial	$98.94
Rate for Payer: WPPA Commercial	$85.68

ZINC OXIDE PASTE BANDAGE

Facility

$14.00

Hospital Charge Code	2725061
Hospital Revenue Code	272
Min. Negotiated Rate	$11.48
Max. Negotiated Rate	$13.58
Rate for Payer: Cash Price	$10.50
Rate for Payer: Health Partners Plans Commercial	$13.30
Rate for Payer: UnitedHealthcare Commercial	$13.58
Rate for Payer: WPPA Commercial	$11.48

ZINC OXIDE PASTE BANDAGE

Facility

$14.00

Hospital Charge Code	2725061
Hospital Revenue Code	272
Min. Negotiated Rate	$6.47
Max. Negotiated Rate	$13.58
Rate for Payer: Cash Price	$10.50
Rate for Payer: Celtic Commercial/Exchange	$6.47
Rate for Payer: Health Partners Plans Commercial	$13.30
Rate for Payer: UnitedHealthcare Commercial	$13.58
Rate for Payer: WPPA Commercial	$11.76

ZINC SULFATE 220 MG CAP (zinc 50 mg)

Facility

$1.00

Service Code	NDC 77333098325
Hospital Charge Code	2500551
Hospital Revenue Code	250
Min. Negotiated Rate	$0.46
Max. Negotiated Rate	$0.97
Rate for Payer: Cash Price	$0.75
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

ZINC SULFATE 220 MG CAP (zinc 50 mg)

Facility

$1.00

Service Code	NDC 77333098325
Hospital Charge Code	2500551
Hospital Revenue Code	250
Min. Negotiated Rate	$0.82
Max. Negotiated Rate	$0.97
Rate for Payer: Cash Price	$0.75
Rate for Payer: Health Partners Plans Commercial	$0.95
Rate for Payer: UnitedHealthcare Commercial	$0.97
Rate for Payer: WPPA Commercial	$0.82

ZINC TRANSPORTER 8 (ZNT8)ANTIB

Facility

$104.00

Service Code	HCPCS 86341
Hospital Charge Code	8634101
Hospital Revenue Code	302
Min. Negotiated Rate	$85.28
Max. Negotiated Rate	$100.88
Rate for Payer: Cash Price	$78.00
Rate for Payer: Health Partners Plans Commercial	$98.80
Rate for Payer: UnitedHealthcare Commercial	$100.88
Rate for Payer: WPPA Commercial	$85.28

ZINC TRANSPORTER 8 (ZNT8)ANTIB

Facility

$104.00

Service Code	HCPCS 86341
Hospital Charge Code	8634101
Hospital Revenue Code	302
Min. Negotiated Rate	$48.05
Max. Negotiated Rate	$100.88
Rate for Payer: BCBS Commercial	$79.87
Rate for Payer: Cash Price	$78.00
Rate for Payer: Cash Price	$78.00
Rate for Payer: Celtic Commercial/Exchange	$48.05
Rate for Payer: Health Partners Plans Commercial	$98.80
Rate for Payer: UnitedHealthcare Commercial	$100.88
Rate for Payer: WPPA Commercial	$87.36

ZIO MONITOR >48 HRS UP TO 7DAY

Facility

$240.00

Service Code	HCPCS 93242
Hospital Charge Code	9324200
Hospital Revenue Code	730
Min. Negotiated Rate	$110.88
Max. Negotiated Rate	$232.80
Rate for Payer: BCBS Commercial	$188.27
Rate for Payer: Cash Price	$180.00
Rate for Payer: Cash Price	$180.00
Rate for Payer: Celtic Commercial/Exchange	$110.88
Rate for Payer: Health Partners Plans Commercial	$228.00
Rate for Payer: UnitedHealthcare Commercial	$232.80
Rate for Payer: WPPA Commercial	$201.60

ZIO MONITOR >48 HRS UP TO 7DAY

Facility

$240.00

Service Code	HCPCS 93242
Hospital Charge Code	9324200
Hospital Revenue Code	730
Min. Negotiated Rate	$196.80
Max. Negotiated Rate	$232.80
Rate for Payer: Cash Price	$180.00
Rate for Payer: Health Partners Plans Commercial	$228.00
Rate for Payer: UnitedHealthcare Commercial	$232.80
Rate for Payer: WPPA Commercial	$196.80

ZIO MONITOR 8 TO 15 DAYS

Facility

$240.00

Service Code	HCPCS 93246
Hospital Charge Code	9324600
Hospital Revenue Code	730
Min. Negotiated Rate	$110.88
Max. Negotiated Rate	$232.80
Rate for Payer: BCBS Commercial	$188.27
Rate for Payer: Cash Price	$180.00
Rate for Payer: Cash Price	$180.00
Rate for Payer: Celtic Commercial/Exchange	$110.88
Rate for Payer: Health Partners Plans Commercial	$228.00
Rate for Payer: UnitedHealthcare Commercial	$232.80
Rate for Payer: WPPA Commercial	$201.60

ZIO MONITOR 8 TO 15 DAYS

Facility

$240.00

Service Code	HCPCS 93246
Hospital Charge Code	9324600
Hospital Revenue Code	730
Min. Negotiated Rate	$196.80
Max. Negotiated Rate	$232.80
Rate for Payer: Cash Price	$180.00
Rate for Payer: Health Partners Plans Commercial	$228.00
Rate for Payer: UnitedHealthcare Commercial	$232.80
Rate for Payer: WPPA Commercial	$196.80

ZITHROMAX 250 MG TAB (AZITHROMYCIN)

Facility

$39.00

Service Code	NDC 60687074211
Hospital Charge Code	2512077
Hospital Revenue Code	250
Min. Negotiated Rate	$31.98
Max. Negotiated Rate	$37.83
Rate for Payer: Cash Price	$29.25
Rate for Payer: Health Partners Plans Commercial	$37.05
Rate for Payer: UnitedHealthcare Commercial	$37.83
Rate for Payer: WPPA Commercial	$31.98

ZITHROMAX 250 MG TAB (AZITHROMYCIN)

Facility

$39.00

Service Code	NDC 60687074211
Hospital Charge Code	2512077
Hospital Revenue Code	250
Min. Negotiated Rate	$18.02
Max. Negotiated Rate	$37.83
Rate for Payer: Cash Price	$29.25
Rate for Payer: Celtic Commercial/Exchange	$18.02
Rate for Payer: Health Partners Plans Commercial	$37.05
Rate for Payer: UnitedHealthcare Commercial	$37.83
Rate for Payer: WPPA Commercial	$32.76

ZITHROMAX 500 MG INJ. (AZITHROMYCIN)

Facility

$97.00

Service Code	NDC 70860010010
Hospital Charge Code	2514172
Hospital Revenue Code	250
Min. Negotiated Rate	$79.54
Max. Negotiated Rate	$94.09
Rate for Payer: Cash Price	$73.12
Rate for Payer: Health Partners Plans Commercial	$92.15
Rate for Payer: UnitedHealthcare Commercial	$94.09
Rate for Payer: WPPA Commercial	$79.54

Know your out-of-pocket cost for care.

All Charges