Ness County Hospital

All Charges

Charge

Type

Setting

Price

CARBON DIOXIDE (BICARBONATE)

Facility

$50.00

Service Code	HCPCS 82374
Hospital Charge Code	8237400
Hospital Revenue Code	301
Min. Negotiated Rate	$10.50
Max. Negotiated Rate	$48.50
Rate for Payer: BCBS Commercial	$10.50
Rate for Payer: Cash Price	$37.50
Rate for Payer: Cash Price	$37.50
Rate for Payer: Celtic Commercial/Exchange	$23.10
Rate for Payer: Health Partners Plans Commercial	$47.50
Rate for Payer: UnitedHealthcare Commercial	$48.50
Rate for Payer: WPPA Commercial	$42.00

CARBON DIOXIDE (BICARBONATE)

Facility

$50.00

Service Code	HCPCS 82374
Hospital Charge Code	8237400
Hospital Revenue Code	301
Min. Negotiated Rate	$41.00
Max. Negotiated Rate	$48.50
Rate for Payer: Cash Price	$37.50
Rate for Payer: Health Partners Plans Commercial	$47.50
Rate for Payer: UnitedHealthcare Commercial	$48.50
Rate for Payer: WPPA Commercial	$41.00

CARBON MONOXIDE,QUAL.

Facility

$77.00

Service Code	HCPCS 82376
Hospital Charge Code	8237600
Hospital Revenue Code	301
Min. Negotiated Rate	$35.57
Max. Negotiated Rate	$74.69
Rate for Payer: BCBS Commercial	$41.32
Rate for Payer: Cash Price	$57.75
Rate for Payer: Cash Price	$57.75
Rate for Payer: Celtic Commercial/Exchange	$35.57
Rate for Payer: Health Partners Plans Commercial	$73.15
Rate for Payer: UnitedHealthcare Commercial	$74.69
Rate for Payer: WPPA Commercial	$64.68

CARBON MONOXIDE,QUAL.

Facility

$77.00

Service Code	HCPCS 82376
Hospital Charge Code	8237600
Hospital Revenue Code	301
Min. Negotiated Rate	$63.14
Max. Negotiated Rate	$74.69
Rate for Payer: Cash Price	$57.75
Rate for Payer: Health Partners Plans Commercial	$73.15
Rate for Payer: UnitedHealthcare Commercial	$74.69
Rate for Payer: WPPA Commercial	$63.14

CARBOXYHEMOGLOBIN, BLOOD

Facility

$104.00

Service Code	HCPCS 82375
Hospital Charge Code	8237500
Hospital Revenue Code	301
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

CARBOXYHEMOGLOBIN, BLOOD

Facility

$104.00

Service Code	HCPCS 82375
Hospital Charge Code	8237500
Hospital Revenue Code	301
Min. Negotiated Rate	$45.87
Max. Negotiated Rate	$100.88
Rate for Payer: BCBS Commercial	$45.87
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

CARCINOEMBRYONIC ANTIGEN (CEA)

Facility

$166.00

Service Code	HCPCS 82378
Hospital Charge Code	8237800
Hospital Revenue Code	301
Min. Negotiated Rate	$136.12
Max. Negotiated Rate	$161.02
Rate for Payer: Cash Price	$124.50
Rate for Payer: Health Partners Plans Commercial	$157.70
Rate for Payer: UnitedHealthcare Commercial	$161.02
Rate for Payer: WPPA Commercial	$136.12

CARCINOEMBRYONIC ANTIGEN (CEA)

Facility

$166.00

Service Code	HCPCS 82378
Hospital Charge Code	8237800
Hospital Revenue Code	301
Min. Negotiated Rate	$70.84
Max. Negotiated Rate	$161.02
Rate for Payer: BCBS Commercial	$70.84
Rate for Payer: Cash Price	$124.50
Rate for Payer: Cash Price	$124.50
Rate for Payer: Celtic Commercial/Exchange	$76.69
Rate for Payer: Health Partners Plans Commercial	$157.70
Rate for Payer: UnitedHealthcare Commercial	$161.02
Rate for Payer: WPPA Commercial	$139.44

CARDIAC ARREST, UNEXPLAINED WITH CC

Facility

$7,803.82

Service Code	MSDRG 297
Min. Negotiated Rate	$7,803.82
Max. Negotiated Rate	$7,803.82
Rate for Payer: BCBS Commercial	$7,803.82

CARDIAC ARREST, UNEXPLAINED WITH MCC

Facility

$14,158.21

Service Code	MSDRG 296
Min. Negotiated Rate	$14,158.21
Max. Negotiated Rate	$14,158.21
Rate for Payer: BCBS Commercial	$14,158.21

CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC

Facility

$4,809.62

Service Code	MSDRG 298
Min. Negotiated Rate	$4,809.62
Max. Negotiated Rate	$4,809.62
Rate for Payer: BCBS Commercial	$4,809.62

CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC

Facility

$7,370.72

Service Code	MSDRG 309
Min. Negotiated Rate	$7,370.72
Max. Negotiated Rate	$7,370.72
Rate for Payer: BCBS Commercial	$7,370.72

CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC

Facility

$10,658.59

Service Code	MSDRG 308
Min. Negotiated Rate	$10,658.59
Max. Negotiated Rate	$10,658.59
Rate for Payer: BCBS Commercial	$10,658.59

CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC

Facility

$5,410.09

Service Code	MSDRG 310
Min. Negotiated Rate	$5,410.09
Max. Negotiated Rate	$5,410.09
Rate for Payer: BCBS Commercial	$5,410.09

CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC

Facility

$13,378.93

Service Code	MSDRG 306
Min. Negotiated Rate	$13,378.93
Max. Negotiated Rate	$13,378.93
Rate for Payer: BCBS Commercial	$13,378.93

CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC

Facility

$7,804.22

Service Code	MSDRG 307
Min. Negotiated Rate	$7,804.22
Max. Negotiated Rate	$7,804.22
Rate for Payer: BCBS Commercial	$7,804.22

CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC

Facility

$67,711.20

Service Code	MSDRG 275
Min. Negotiated Rate	$67,711.20
Max. Negotiated Rate	$67,711.20
Rate for Payer: BCBS Commercial	$67,711.20

CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR

Facility

$59,614.86

Service Code	MSDRG 276
Min. Negotiated Rate	$59,614.86
Max. Negotiated Rate	$59,614.86
Rate for Payer: BCBS Commercial	$59,614.86

CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC

Facility

$48,798.47

Service Code	MSDRG 277
Min. Negotiated Rate	$48,798.47
Max. Negotiated Rate	$48,798.47
Rate for Payer: BCBS Commercial	$48,798.47

CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC

Facility

$25,273.94

Service Code	MSDRG 258
Min. Negotiated Rate	$25,273.94
Max. Negotiated Rate	$25,273.94
Rate for Payer: BCBS Commercial	$25,273.94

CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC

Facility

$18,416.32

Service Code	MSDRG 259
Min. Negotiated Rate	$18,416.32
Max. Negotiated Rate	$18,416.32
Rate for Payer: BCBS Commercial	$18,416.32

CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC

Facility

$14,862.44

Service Code	MSDRG 261
Min. Negotiated Rate	$14,862.44
Max. Negotiated Rate	$14,862.44
Rate for Payer: BCBS Commercial	$14,862.44

CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC

Facility

$31,661.60

Service Code	MSDRG 260
Min. Negotiated Rate	$31,661.60
Max. Negotiated Rate	$31,661.60
Rate for Payer: BCBS Commercial	$31,661.60

CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC

Facility

$15,143.38

Service Code	MSDRG 262
Min. Negotiated Rate	$15,143.38
Max. Negotiated Rate	$15,143.38
Rate for Payer: BCBS Commercial	$15,143.38

CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC

Facility

$57,544.37

Service Code	MSDRG 217
Min. Negotiated Rate	$57,544.37
Max. Negotiated Rate	$57,544.37
Rate for Payer: BCBS Commercial	$57,544.37

Know your out-of-pocket cost for care.

All Charges