Ness County Hospital

All Charges

Charge

Type

Setting

Price

BONE DISEASES AND ARTHROPATHIES WITH MCC

Facility

$11,182.96

Service Code	MSDRG 553
Min. Negotiated Rate	$11,182.96
Max. Negotiated Rate	$11,182.96
Rate for Payer: BCBS Commercial	$11,182.96

BONE DISEASES AND ARTHROPATHIES WITHOUT MCC

Facility

$7,449.23

Service Code	MSDRG 554
Min. Negotiated Rate	$7,449.23
Max. Negotiated Rate	$7,449.23
Rate for Payer: BCBS Commercial	$7,449.23

BORDERED DRESSING ISLAND 6X6

Facility

$9.00

Hospital Charge Code	2725700LTC
Hospital Revenue Code	272
Min. Negotiated Rate	$4.16
Max. Negotiated Rate	$8.73
Rate for Payer: Cash Price	$6.75
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

BORDERED DRESSING ISLAND 6X6

Facility

$9.00

Hospital Charge Code	2725700LTC
Hospital Revenue Code	272
Min. Negotiated Rate	$7.38
Max. Negotiated Rate	$8.73
Rate for Payer: Cash Price	$6.75
Rate for Payer: Health Partners Plans Commercial	$8.55
Rate for Payer: UnitedHealthcare Commercial	$8.73
Rate for Payer: WPPA Commercial	$7.38

BORDER ISLAND DRESSING

Facility

$9.00

Hospital Charge Code	2725700
Hospital Revenue Code	270
Min. Negotiated Rate	$7.38
Max. Negotiated Rate	$8.73
Rate for Payer: Cash Price	$6.75
Rate for Payer: Health Partners Plans Commercial	$8.55
Rate for Payer: UnitedHealthcare Commercial	$8.73
Rate for Payer: WPPA Commercial	$7.38

BORDER ISLAND DRESSING

Facility

$9.00

Hospital Charge Code	2725700
Hospital Revenue Code	270
Min. Negotiated Rate	$4.16
Max. Negotiated Rate	$8.73
Rate for Payer: Cash Price	$6.75
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

BORDETELLA PERTUSSIS CULTURE

Facility

$44.00

Service Code	HCPCS 87081
Hospital Charge Code	8708102
Hospital Revenue Code	306
Min. Negotiated Rate	$20.33
Max. Negotiated Rate	$42.68
Rate for Payer: BCBS Commercial	$23.96
Rate for Payer: Cash Price	$33.00
Rate for Payer: Cash Price	$33.00
Rate for Payer: Celtic Commercial/Exchange	$20.33
Rate for Payer: Health Partners Plans Commercial	$41.80
Rate for Payer: UnitedHealthcare Commercial	$42.68
Rate for Payer: WPPA Commercial	$36.96

BORDETELLA PERTUSSIS CULTURE

Facility

$44.00

Service Code	HCPCS 87081
Hospital Charge Code	8708102
Hospital Revenue Code	306
Min. Negotiated Rate	$36.08
Max. Negotiated Rate	$42.68
Rate for Payer: Cash Price	$33.00
Rate for Payer: Health Partners Plans Commercial	$41.80
Rate for Payer: UnitedHealthcare Commercial	$42.68
Rate for Payer: WPPA Commercial	$36.08

BOUGIE COUDE TIP 15FR

Facility

$13.00

Hospital Charge Code	2709143
Hospital Revenue Code	272
Min. Negotiated Rate	$10.66
Max. Negotiated Rate	$12.61
Rate for Payer: Cash Price	$9.75
Rate for Payer: Health Partners Plans Commercial	$12.35
Rate for Payer: UnitedHealthcare Commercial	$12.61
Rate for Payer: WPPA Commercial	$10.66

BOUGIE COUDE TIP 15FR

Facility

$13.00

Hospital Charge Code	2709143
Hospital Revenue Code	272
Min. Negotiated Rate	$6.01
Max. Negotiated Rate	$12.61
Rate for Payer: Cash Price	$9.75
Rate for Payer: Celtic Commercial/Exchange	$6.01
Rate for Payer: Health Partners Plans Commercial	$12.35
Rate for Payer: UnitedHealthcare Commercial	$12.61
Rate for Payer: WPPA Commercial	$10.92

BREAKFAST GUEST TRAY

Facility

$3.00

Hospital Charge Code	9910001
Hospital Revenue Code	990
Min. Negotiated Rate	$2.46
Max. Negotiated Rate	$2.91
Rate for Payer: Cash Price	$2.44
Rate for Payer: Health Partners Plans Commercial	$2.85
Rate for Payer: UnitedHealthcare Commercial	$2.91
Rate for Payer: WPPA Commercial	$2.46

BREAKFAST GUEST TRAY

Facility

$3.00

Hospital Charge Code	9910001
Hospital Revenue Code	990
Min. Negotiated Rate	$1.39
Max. Negotiated Rate	$2.91
Rate for Payer: Cash Price	$2.44
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

BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC

Facility

$16,468.31

Service Code	MSDRG 584
Min. Negotiated Rate	$16,468.31
Max. Negotiated Rate	$16,468.31
Rate for Payer: BCBS Commercial	$16,468.31

BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC

Facility

$15,597.69

Service Code	MSDRG 585
Min. Negotiated Rate	$15,597.69
Max. Negotiated Rate	$15,597.69
Rate for Payer: BCBS Commercial	$15,597.69

BRETHINE 2.5 MG TAB (TERBUTALINE)

Facility

$17.00

Service Code	NDC 24979013201
Hospital Charge Code	2501070
Hospital Revenue Code	250
Min. Negotiated Rate	$13.94
Max. Negotiated Rate	$16.49
Rate for Payer: Cash Price	$13.09
Rate for Payer: Health Partners Plans Commercial	$16.15
Rate for Payer: UnitedHealthcare Commercial	$16.49
Rate for Payer: WPPA Commercial	$13.94

BRETHINE 2.5 MG TAB (TERBUTALINE)

Facility

$17.00

Service Code	NDC 24979013201
Hospital Charge Code	2501070
Hospital Revenue Code	250
Min. Negotiated Rate	$7.85
Max. Negotiated Rate	$16.49
Rate for Payer: Cash Price	$13.09
Rate for Payer: Celtic Commercial/Exchange	$7.85
Rate for Payer: Health Partners Plans Commercial	$16.15
Rate for Payer: UnitedHealthcare Commercial	$16.49
Rate for Payer: WPPA Commercial	$14.28

BREVIBLOC 100 mg/10ml vial(ESMOLOL)

Facility

$69.00

Service Code	NDC 25021031410
Hospital Charge Code	2512606
Hospital Revenue Code	250
Min. Negotiated Rate	$31.88
Max. Negotiated Rate	$66.93
Rate for Payer: Cash Price	$51.75
Rate for Payer: Celtic Commercial/Exchange	$31.88
Rate for Payer: Health Partners Plans Commercial	$65.55
Rate for Payer: UnitedHealthcare Commercial	$66.93
Rate for Payer: WPPA Commercial	$57.96

BREVIBLOC 100 mg/10ml vial(ESMOLOL)

Facility

$69.00

Service Code	NDC 25021031410
Hospital Charge Code	2512606
Hospital Revenue Code	250
Min. Negotiated Rate	$56.58
Max. Negotiated Rate	$66.93
Rate for Payer: Cash Price	$51.75
Rate for Payer: Health Partners Plans Commercial	$65.55
Rate for Payer: UnitedHealthcare Commercial	$66.93
Rate for Payer: WPPA Commercial	$56.58

BRIEF FOR ISB

Facility

$13.00

Hospital Charge Code	2706513ISB
Hospital Revenue Code	270
Min. Negotiated Rate	$6.01
Max. Negotiated Rate	$12.61
Rate for Payer: Cash Price	$10.12
Rate for Payer: Celtic Commercial/Exchange	$6.01
Rate for Payer: Health Partners Plans Commercial	$12.35
Rate for Payer: UnitedHealthcare Commercial	$12.61
Rate for Payer: WPPA Commercial	$10.92

BRIEF FOR ISB

Facility

$13.00

Hospital Charge Code	2706513ISB
Hospital Revenue Code	270
Min. Negotiated Rate	$10.66
Max. Negotiated Rate	$12.61
Rate for Payer: Cash Price	$10.12
Rate for Payer: Health Partners Plans Commercial	$12.35
Rate for Payer: UnitedHealthcare Commercial	$12.61
Rate for Payer: WPPA Commercial	$10.66

BRIEF M

Facility

$13.00

Hospital Charge Code	2706514LTC
Hospital Revenue Code	272
Min. Negotiated Rate	$10.66
Max. Negotiated Rate	$12.61
Rate for Payer: Cash Price	$10.12
Rate for Payer: Health Partners Plans Commercial	$12.35
Rate for Payer: UnitedHealthcare Commercial	$12.61
Rate for Payer: WPPA Commercial	$10.66

BRIEF M

Facility

$13.00

Hospital Charge Code	2706514LTC
Hospital Revenue Code	272
Min. Negotiated Rate	$6.01
Max. Negotiated Rate	$12.61
Rate for Payer: Cash Price	$10.12
Rate for Payer: Celtic Commercial/Exchange	$6.01
Rate for Payer: Health Partners Plans Commercial	$12.35
Rate for Payer: UnitedHealthcare Commercial	$12.61
Rate for Payer: WPPA Commercial	$10.92

BRIEFS

Facility

$13.00

Hospital Charge Code	2706513
Hospital Revenue Code	270
Min. Negotiated Rate	$10.66
Max. Negotiated Rate	$12.61
Rate for Payer: Cash Price	$10.12
Rate for Payer: Health Partners Plans Commercial	$12.35
Rate for Payer: UnitedHealthcare Commercial	$12.61
Rate for Payer: WPPA Commercial	$10.66

BRIEFS

Facility

$13.00

Hospital Charge Code	2706513
Hospital Revenue Code	270
Min. Negotiated Rate	$6.01
Max. Negotiated Rate	$12.61
Rate for Payer: Cash Price	$10.12
Rate for Payer: Celtic Commercial/Exchange	$6.01
Rate for Payer: Health Partners Plans Commercial	$12.35
Rate for Payer: UnitedHealthcare Commercial	$12.61
Rate for Payer: WPPA Commercial	$10.92

BRIEFS LG

Facility

$13.00

Hospital Charge Code	2706513LTC
Hospital Revenue Code	272
Min. Negotiated Rate	$10.66
Max. Negotiated Rate	$12.61
Rate for Payer: Cash Price	$10.12
Rate for Payer: Health Partners Plans Commercial	$12.35
Rate for Payer: UnitedHealthcare Commercial	$12.61
Rate for Payer: WPPA Commercial	$10.66

Know your out-of-pocket cost for care.

All Charges