Ness County Hospital

All Charges

Charge

Type

Setting

Price

Zosyn 3.375 GM IV(piperacillin-tazobactam)

Facility

$48.00

Service Code	NDC 00264180032
Hospital Charge Code	2580157
Hospital Revenue Code	258
Min. Negotiated Rate	$22.18
Max. Negotiated Rate	$46.56
Rate for Payer: Cash Price	$36.00
Rate for Payer: Celtic Commercial/Exchange	$22.18
Rate for Payer: Health Partners Plans Commercial	$45.60
Rate for Payer: UnitedHealthcare Commercial	$46.56
Rate for Payer: WPPA Commercial	$40.32

Zosyn 3.375 GM IV(piperacillin-tazobactam)

Facility

$48.00

Service Code	NDC 00264180032
Hospital Charge Code	2580157
Hospital Revenue Code	258
Min. Negotiated Rate	$39.36
Max. Negotiated Rate	$46.56
Rate for Payer: Cash Price	$36.00
Rate for Payer: Health Partners Plans Commercial	$45.60
Rate for Payer: UnitedHealthcare Commercial	$46.56
Rate for Payer: WPPA Commercial	$39.36

Zosyn 4.5 gm IV (piperacillin-tazobactam)

Facility

$88.00

Service Code	NDC 00781921495
Hospital Charge Code	2507630
Hospital Revenue Code	250
Min. Negotiated Rate	$72.16
Max. Negotiated Rate	$85.36
Rate for Payer: Cash Price	$66.15
Rate for Payer: Health Partners Plans Commercial	$83.60
Rate for Payer: UnitedHealthcare Commercial	$85.36
Rate for Payer: WPPA Commercial	$72.16

Zosyn 4.5 gm IV (piperacillin-tazobactam)

Facility

$88.00

Service Code	NDC 00781921495
Hospital Charge Code	2507630
Hospital Revenue Code	250
Min. Negotiated Rate	$40.66
Max. Negotiated Rate	$85.36
Rate for Payer: Cash Price	$66.15
Rate for Payer: Celtic Commercial/Exchange	$40.66
Rate for Payer: Health Partners Plans Commercial	$83.60
Rate for Payer: UnitedHealthcare Commercial	$85.36
Rate for Payer: WPPA Commercial	$73.92

ZOVIRAX 15 GM OINTMENT (ACYCLOVIR)

Facility

$1,385.00

Service Code	NDC 72578008201
Hospital Charge Code	2508133
Hospital Revenue Code	250
Min. Negotiated Rate	$639.87
Max. Negotiated Rate	$1,343.45
Rate for Payer: Cash Price	$1,038.94
Rate for Payer: Celtic Commercial/Exchange	$639.87
Rate for Payer: Health Partners Plans Commercial	$1,315.75
Rate for Payer: UnitedHealthcare Commercial	$1,343.45
Rate for Payer: WPPA Commercial	$1,163.40

ZOVIRAX 15 GM OINTMENT (ACYCLOVIR)

Facility

$1,385.00

Service Code	NDC 72578008201
Hospital Charge Code	2508133
Hospital Revenue Code	250
Min. Negotiated Rate	$1,135.70
Max. Negotiated Rate	$1,343.45
Rate for Payer: Cash Price	$1,038.94
Rate for Payer: Health Partners Plans Commercial	$1,315.75
Rate for Payer: UnitedHealthcare Commercial	$1,343.45
Rate for Payer: WPPA Commercial	$1,135.70

ZOVIRAX 200 MG CAP (ACYCLOVIR)

Facility

$4.00

Service Code	NDC 68084010711
Hospital Charge Code	2508141
Hospital Revenue Code	250
Min. Negotiated Rate	$1.85
Max. Negotiated Rate	$3.88
Rate for Payer: Cash Price	$3.04
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

ZOVIRAX 200 MG CAP (ACYCLOVIR)

Facility

$4.00

Service Code	NDC 68084010711
Hospital Charge Code	2508141
Hospital Revenue Code	250
Min. Negotiated Rate	$3.28
Max. Negotiated Rate	$3.88
Rate for Payer: Cash Price	$3.04
Rate for Payer: Health Partners Plans Commercial	$3.80
Rate for Payer: UnitedHealthcare Commercial	$3.88
Rate for Payer: WPPA Commercial	$3.28

ZOVIRAX 500 MG/10ML INJ. (ACYCLOVIR SODIUM)

Facility

$70.00

Service Code	NDC 63323032510
Hospital Charge Code	2519510
Hospital Revenue Code	258
Min. Negotiated Rate	$32.34
Max. Negotiated Rate	$67.90
Rate for Payer: Cash Price	$52.88
Rate for Payer: Celtic Commercial/Exchange	$32.34
Rate for Payer: Health Partners Plans Commercial	$66.50
Rate for Payer: UnitedHealthcare Commercial	$67.90
Rate for Payer: WPPA Commercial	$58.80

ZOVIRAX 500 MG/10ML INJ. (ACYCLOVIR SODIUM)

Facility

$70.00

Service Code	NDC 63323032510
Hospital Charge Code	2519510
Hospital Revenue Code	258
Min. Negotiated Rate	$57.40
Max. Negotiated Rate	$67.90
Rate for Payer: Cash Price	$52.88
Rate for Payer: Health Partners Plans Commercial	$66.50
Rate for Payer: UnitedHealthcare Commercial	$67.90
Rate for Payer: WPPA Commercial	$57.40

ZYLOPRIM 100 MG TAB (ALLOPURINOL)

Facility

$1.00

Service Code	NDC 60687067711
Hospital Charge Code	2508158
Hospital Revenue Code	250
Min. Negotiated Rate	$0.82
Max. Negotiated Rate	$0.97
Rate for Payer: Cash Price	$1.12
Rate for Payer: Health Partners Plans Commercial	$0.95
Rate for Payer: UnitedHealthcare Commercial	$0.97
Rate for Payer: WPPA Commercial	$0.82

ZYLOPRIM 100 MG TAB (ALLOPURINOL)

Facility

$1.00

Service Code	NDC 60687067711
Hospital Charge Code	2508158
Hospital Revenue Code	250
Min. Negotiated Rate	$0.46
Max. Negotiated Rate	$0.97
Rate for Payer: Cash Price	$1.12
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

ZYPREXA 10 MG/VIAL INJ. (OLANZAPINE)

Facility

$142.00

Service Code	NDC 55150030801
Hospital Charge Code	2514354
Hospital Revenue Code	250
Min. Negotiated Rate	$116.44
Max. Negotiated Rate	$137.74
Rate for Payer: Cash Price	$106.91
Rate for Payer: Health Partners Plans Commercial	$134.90
Rate for Payer: UnitedHealthcare Commercial	$137.74
Rate for Payer: WPPA Commercial	$116.44

ZYPREXA 10 MG/VIAL INJ. (OLANZAPINE)

Facility

$142.00

Service Code	NDC 55150030801
Hospital Charge Code	2514354
Hospital Revenue Code	250
Min. Negotiated Rate	$65.60
Max. Negotiated Rate	$137.74
Rate for Payer: Cash Price	$106.91
Rate for Payer: Celtic Commercial/Exchange	$65.60
Rate for Payer: Health Partners Plans Commercial	$134.90
Rate for Payer: UnitedHealthcare Commercial	$137.74
Rate for Payer: WPPA Commercial	$119.28

ZYPREXA 2.5 MG TAB (OLANZAPINE)

Facility

$37.00

Service Code	NDC 68084052511
Hospital Charge Code	2511970
Hospital Revenue Code	250
Min. Negotiated Rate	$30.34
Max. Negotiated Rate	$35.89
Rate for Payer: Cash Price	$28.24
Rate for Payer: Health Partners Plans Commercial	$35.15
Rate for Payer: UnitedHealthcare Commercial	$35.89
Rate for Payer: WPPA Commercial	$30.34

ZYPREXA 2.5 MG TAB (OLANZAPINE)

Facility

$37.00

Service Code	NDC 68084052511
Hospital Charge Code	2511970
Hospital Revenue Code	250
Min. Negotiated Rate	$17.09
Max. Negotiated Rate	$35.89
Rate for Payer: Cash Price	$28.24
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

ZYRTEC 1 MG/ML OS (CETIRIZINE)

Facility

$4.00

Service Code	NDC 51991083704
Hospital Charge Code	2506954
Hospital Revenue Code	250
Min. Negotiated Rate	$3.28
Max. Negotiated Rate	$3.88
Rate for Payer: Cash Price	$3.41
Rate for Payer: Health Partners Plans Commercial	$3.80
Rate for Payer: UnitedHealthcare Commercial	$3.88
Rate for Payer: WPPA Commercial	$3.28

ZYRTEC 1 MG/ML OS (CETIRIZINE)

Facility

$4.00

Service Code	NDC 51991083704
Hospital Charge Code	2506954
Hospital Revenue Code	250
Min. Negotiated Rate	$1.85
Max. Negotiated Rate	$3.88
Rate for Payer: Cash Price	$3.41
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

ZYRTEC 5 MG TAB (CHEWABLE) (CETIRIZINE)

Facility

$16.00

Service Code	NDC 00781528364
Hospital Charge Code	2519619
Hospital Revenue Code	250
Min. Negotiated Rate	$13.12
Max. Negotiated Rate	$15.52
Rate for Payer: Cash Price	$12.08
Rate for Payer: Health Partners Plans Commercial	$15.20
Rate for Payer: UnitedHealthcare Commercial	$15.52
Rate for Payer: WPPA Commercial	$13.12

ZYRTEC 5 MG TAB (CHEWABLE) (CETIRIZINE)

Facility

$16.00

Service Code	NDC 00781528364
Hospital Charge Code	2519619
Hospital Revenue Code	250
Min. Negotiated Rate	$7.39
Max. Negotiated Rate	$15.52
Rate for Payer: Cash Price	$12.08
Rate for Payer: Celtic Commercial/Exchange	$7.39
Rate for Payer: Health Partners Plans Commercial	$15.20
Rate for Payer: UnitedHealthcare Commercial	$15.52
Rate for Payer: WPPA Commercial	$13.44

Zyvox 600 mg IV Premix (linezolid)

Facility

$562.00

Service Code	NDC 55150024251
Hospital Charge Code	2518090
Hospital Revenue Code	250
Min. Negotiated Rate	$460.84
Max. Negotiated Rate	$545.14
Rate for Payer: Cash Price	$421.72
Rate for Payer: Health Partners Plans Commercial	$533.90
Rate for Payer: UnitedHealthcare Commercial	$545.14
Rate for Payer: WPPA Commercial	$460.84

Zyvox 600 mg IV Premix (linezolid)

Facility

$562.00

Service Code	NDC 55150024251
Hospital Charge Code	2518090
Hospital Revenue Code	250
Min. Negotiated Rate	$259.64
Max. Negotiated Rate	$545.14
Rate for Payer: Cash Price	$421.72
Rate for Payer: Celtic Commercial/Exchange	$259.64
Rate for Payer: Health Partners Plans Commercial	$533.90
Rate for Payer: UnitedHealthcare Commercial	$545.14
Rate for Payer: WPPA Commercial	$472.08

ZYVOX 600 MG TAB (LINEZOLID)

Facility

$379.00

Service Code	NDC 60687030911
Hospital Charge Code	2516219
Hospital Revenue Code	250
Min. Negotiated Rate	$175.10
Max. Negotiated Rate	$367.63
Rate for Payer: Cash Price	$284.25
Rate for Payer: Celtic Commercial/Exchange	$175.10
Rate for Payer: Health Partners Plans Commercial	$360.05
Rate for Payer: UnitedHealthcare Commercial	$367.63
Rate for Payer: WPPA Commercial	$318.36

ZYVOX 600 MG TAB (LINEZOLID)

Facility

$379.00

Service Code	NDC 60687030911
Hospital Charge Code	2516219
Hospital Revenue Code	250
Min. Negotiated Rate	$310.78
Max. Negotiated Rate	$367.63
Rate for Payer: Cash Price	$284.25
Rate for Payer: Health Partners Plans Commercial	$360.05
Rate for Payer: UnitedHealthcare Commercial	$367.63
Rate for Payer: WPPA Commercial	$310.78

Know your out-of-pocket cost for care.

All Charges