Ness County Hospital

All Charges

Charge

Type

Setting

Price

CALCIUM TOTAL IONIZED

Facility

$106.00

Service Code	HCPCS 82330
Hospital Charge Code	8233000
Hospital Revenue Code	301
Min. Negotiated Rate	$46.45
Max. Negotiated Rate	$102.82
Rate for Payer: BCBS Commercial	$46.45
Rate for Payer: Cash Price	$79.50
Rate for Payer: Cash Price	$79.50
Rate for Payer: Celtic Commercial/Exchange	$48.97
Rate for Payer: Health Partners Plans Commercial	$100.70
Rate for Payer: UnitedHealthcare Commercial	$102.82
Rate for Payer: WPPA Commercial	$89.04

CALCIUM TOTAL IONIZED

Facility

$106.00

Service Code	HCPCS 82330
Hospital Charge Code	8233000
Hospital Revenue Code	301
Min. Negotiated Rate	$86.92
Max. Negotiated Rate	$102.82
Rate for Payer: Cash Price	$79.50
Rate for Payer: Health Partners Plans Commercial	$100.70
Rate for Payer: UnitedHealthcare Commercial	$102.82
Rate for Payer: WPPA Commercial	$86.92

CALCIUM TOTAL UA QUANT,TIMED

Facility

$43.00

Service Code	HCPCS 82340
Hospital Charge Code	8234000
Hospital Revenue Code	301
Min. Negotiated Rate	$35.26
Max. Negotiated Rate	$41.71
Rate for Payer: Cash Price	$32.25
Rate for Payer: Health Partners Plans Commercial	$40.85
Rate for Payer: UnitedHealthcare Commercial	$41.71
Rate for Payer: WPPA Commercial	$35.26

CALCIUM TOTAL UA QUANT,TIMED

Facility

$43.00

Service Code	HCPCS 82340
Hospital Charge Code	8234000
Hospital Revenue Code	301
Min. Negotiated Rate	$19.87
Max. Negotiated Rate	$41.71
Rate for Payer: BCBS Commercial	$22.27
Rate for Payer: Cash Price	$32.25
Rate for Payer: Cash Price	$32.25
Rate for Payer: Celtic Commercial/Exchange	$19.87
Rate for Payer: Health Partners Plans Commercial	$40.85
Rate for Payer: UnitedHealthcare Commercial	$41.71
Rate for Payer: WPPA Commercial	$36.12

CALCULUS INFRARED SPECTROSCOP

Facility

$93.00

Service Code	HCPCS 82365
Hospital Charge Code	8236500
Hospital Revenue Code	301
Min. Negotiated Rate	$42.97
Max. Negotiated Rate	$90.21
Rate for Payer: BCBS Commercial	$50.36
Rate for Payer: Cash Price	$69.75
Rate for Payer: Cash Price	$69.75
Rate for Payer: Celtic Commercial/Exchange	$42.97
Rate for Payer: Health Partners Plans Commercial	$88.35
Rate for Payer: UnitedHealthcare Commercial	$90.21
Rate for Payer: WPPA Commercial	$78.12

CALCULUS INFRARED SPECTROSCOP

Facility

$93.00

Service Code	HCPCS 82365
Hospital Charge Code	8236500
Hospital Revenue Code	301
Min. Negotiated Rate	$76.26
Max. Negotiated Rate	$90.21
Rate for Payer: Cash Price	$69.75
Rate for Payer: Health Partners Plans Commercial	$88.35
Rate for Payer: UnitedHealthcare Commercial	$90.21
Rate for Payer: WPPA Commercial	$76.26

CALCULUS QUALITATIVE ANALYSIS

Facility

$103.00

Service Code	HCPCS 82355
Hospital Charge Code	8235500
Hospital Revenue Code	301
Min. Negotiated Rate	$47.59
Max. Negotiated Rate	$99.91
Rate for Payer: BCBS Commercial	$54.60
Rate for Payer: Cash Price	$77.25
Rate for Payer: Cash Price	$77.25
Rate for Payer: Celtic Commercial/Exchange	$47.59
Rate for Payer: Health Partners Plans Commercial	$97.85
Rate for Payer: UnitedHealthcare Commercial	$99.91
Rate for Payer: WPPA Commercial	$86.52

CALCULUS QUALITATIVE ANALYSIS

Facility

$103.00

Service Code	HCPCS 82355
Hospital Charge Code	8235500
Hospital Revenue Code	301
Min. Negotiated Rate	$84.46
Max. Negotiated Rate	$99.91
Rate for Payer: Cash Price	$77.25
Rate for Payer: Health Partners Plans Commercial	$97.85
Rate for Payer: UnitedHealthcare Commercial	$99.91
Rate for Payer: WPPA Commercial	$84.46

CALCULUS QUANT.ANALYSIS,CHEMCL

Facility

$87.00

Service Code	HCPCS 82360
Hospital Charge Code	8236000
Hospital Revenue Code	301
Min. Negotiated Rate	$40.19
Max. Negotiated Rate	$84.39
Rate for Payer: BCBS Commercial	$49.14
Rate for Payer: Cash Price	$65.25
Rate for Payer: Cash Price	$65.25
Rate for Payer: Celtic Commercial/Exchange	$40.19
Rate for Payer: Health Partners Plans Commercial	$82.65
Rate for Payer: UnitedHealthcare Commercial	$84.39
Rate for Payer: WPPA Commercial	$73.08

CALCULUS QUANT.ANALYSIS,CHEMCL

Facility

$87.00

Service Code	HCPCS 82360
Hospital Charge Code	8236000
Hospital Revenue Code	301
Min. Negotiated Rate	$71.34
Max. Negotiated Rate	$84.39
Rate for Payer: Cash Price	$65.25
Rate for Payer: Health Partners Plans Commercial	$82.65
Rate for Payer: UnitedHealthcare Commercial	$84.39
Rate for Payer: WPPA Commercial	$71.34

CALCULUS XRAY DIFRACTION

Facility

$113.00

Service Code	HCPCS 82370
Hospital Charge Code	8237000
Hospital Revenue Code	301
Min. Negotiated Rate	$52.21
Max. Negotiated Rate	$109.61
Rate for Payer: BCBS Commercial	$60.99
Rate for Payer: Cash Price	$84.75
Rate for Payer: Cash Price	$84.75
Rate for Payer: Celtic Commercial/Exchange	$52.21
Rate for Payer: Health Partners Plans Commercial	$107.35
Rate for Payer: UnitedHealthcare Commercial	$109.61
Rate for Payer: WPPA Commercial	$94.92

CALCULUS XRAY DIFRACTION

Facility

$113.00

Service Code	HCPCS 82370
Hospital Charge Code	8237000
Hospital Revenue Code	301
Min. Negotiated Rate	$92.66
Max. Negotiated Rate	$109.61
Rate for Payer: Cash Price	$84.75
Rate for Payer: Health Partners Plans Commercial	$107.35
Rate for Payer: UnitedHealthcare Commercial	$109.61
Rate for Payer: WPPA Commercial	$92.66

CALF SUPPORT W/HEEL PROTECTOR

Facility

$110.00

Hospital Charge Code	9998895
Hospital Revenue Code	270
Min. Negotiated Rate	$90.20
Max. Negotiated Rate	$106.70
Rate for Payer: Cash Price	$82.50
Rate for Payer: Health Partners Plans Commercial	$104.50
Rate for Payer: UnitedHealthcare Commercial	$106.70
Rate for Payer: WPPA Commercial	$90.20

CALF SUPPORT W/HEEL PROTECTOR

Facility

$110.00

Hospital Charge Code	9998895
Hospital Revenue Code	270
Min. Negotiated Rate	$50.82
Max. Negotiated Rate	$106.70
Rate for Payer: Cash Price	$82.50
Rate for Payer: Celtic Commercial/Exchange	$50.82
Rate for Payer: Health Partners Plans Commercial	$104.50
Rate for Payer: UnitedHealthcare Commercial	$106.70
Rate for Payer: WPPA Commercial	$92.40

CALMOSEPTINE

Facility

$17.00

Hospital Charge Code	2722594
Hospital Revenue Code	272
Min. Negotiated Rate	$13.94
Max. Negotiated Rate	$16.49
Rate for Payer: Cash Price	$12.75
Rate for Payer: Health Partners Plans Commercial	$16.15
Rate for Payer: UnitedHealthcare Commercial	$16.49
Rate for Payer: WPPA Commercial	$13.94

CALMOSEPTINE

Facility

$17.00

Hospital Charge Code	2722594
Hospital Revenue Code	272
Min. Negotiated Rate	$7.85
Max. Negotiated Rate	$16.49
Rate for Payer: Cash Price	$12.75
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

CALMOSEPTINE OINT. 3.5G PKT

Facility

$4.00

Hospital Charge Code	2515419
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

CALMOSEPTINE OINT. 3.5G PKT

Facility

$4.00

Hospital Charge Code	2515419
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

CALPROTECTIN, STOOL

Facility

$345.00

Service Code	HCPCS 83993
Hospital Charge Code	8399300
Hospital Revenue Code	301
Min. Negotiated Rate	$24.56
Max. Negotiated Rate	$334.65
Rate for Payer: BCBS Commercial	$24.56
Rate for Payer: Cash Price	$258.75
Rate for Payer: Cash Price	$258.75
Rate for Payer: Celtic Commercial/Exchange	$159.39
Rate for Payer: Health Partners Plans Commercial	$327.75
Rate for Payer: UnitedHealthcare Commercial	$334.65
Rate for Payer: WPPA Commercial	$289.80

CALPROTECTIN, STOOL

Facility

$345.00

Service Code	HCPCS 83993
Hospital Charge Code	8399300
Hospital Revenue Code	301
Min. Negotiated Rate	$282.90
Max. Negotiated Rate	$334.65
Rate for Payer: Cash Price	$258.75
Rate for Payer: Health Partners Plans Commercial	$327.75
Rate for Payer: UnitedHealthcare Commercial	$334.65
Rate for Payer: WPPA Commercial	$282.90

CALRETICULIN MUTATION ANALYSIS

Facility

$486.00

Service Code	HCPCS 81219
Hospital Charge Code	8121900
Hospital Revenue Code	300
Min. Negotiated Rate	$398.52
Max. Negotiated Rate	$471.42
Rate for Payer: Cash Price	$364.50
Rate for Payer: Health Partners Plans Commercial	$461.70
Rate for Payer: UnitedHealthcare Commercial	$471.42
Rate for Payer: WPPA Commercial	$398.52

CALRETICULIN MUTATION ANALYSIS

Facility

$486.00

Service Code	HCPCS 81219
Hospital Charge Code	8121900
Hospital Revenue Code	300
Min. Negotiated Rate	$224.53
Max. Negotiated Rate	$471.42
Rate for Payer: BCBS Commercial	$250.97
Rate for Payer: Cash Price	$364.50
Rate for Payer: Cash Price	$364.50
Rate for Payer: Celtic Commercial/Exchange	$224.53
Rate for Payer: Health Partners Plans Commercial	$461.70
Rate for Payer: UnitedHealthcare Commercial	$471.42
Rate for Payer: WPPA Commercial	$408.24

CALTRATE 600MG W/ VITAMIN D3 10 MCG (400 IU) (CALCIUM CARBONATE - VIT. D)

Facility

$2.00

Service Code	NDC 77333011510
Hospital Charge Code	2515815
Hospital Revenue Code	250
Min. Negotiated Rate	$1.64
Max. Negotiated Rate	$1.94
Rate for Payer: Cash Price	$1.50
Rate for Payer: Health Partners Plans Commercial	$1.90
Rate for Payer: UnitedHealthcare Commercial	$1.94
Rate for Payer: WPPA Commercial	$1.64

CALTRATE 600MG W/ VITAMIN D3 10 MCG (400 IU) (CALCIUM CARBONATE - VIT. D)

Facility

$2.00

Service Code	NDC 77333011510
Hospital Charge Code	2515815
Hospital Revenue Code	250
Min. Negotiated Rate	$0.92
Max. Negotiated Rate	$1.94
Rate for Payer: Cash Price	$1.50
Rate for Payer: Celtic Commercial/Exchange	$0.92
Rate for Payer: Health Partners Plans Commercial	$1.90
Rate for Payer: UnitedHealthcare Commercial	$1.94
Rate for Payer: WPPA Commercial	$1.68

CANALITH REPOSITIONING,PER DAY

Facility

$65.00

Service Code	HCPCS 95992 GP
Hospital Charge Code	4200916
Hospital Revenue Code	420
Min. Negotiated Rate	$30.03
Max. Negotiated Rate	$63.05
Rate for Payer: BCBS Commercial	$40.14
Rate for Payer: Cash Price	$48.75
Rate for Payer: Cash Price	$48.75
Rate for Payer: Celtic Commercial/Exchange	$30.03
Rate for Payer: Health Partners Plans Commercial	$61.75
Rate for Payer: UnitedHealthcare Commercial	$63.05
Rate for Payer: WPPA Commercial	$54.60

Know your out-of-pocket cost for care.

All Charges