Ness County Hospital

All Charges

Charge

Type

Setting

Price

CARDURA 1 MG TAB (DOXAZOSIN)

Facility

$3.00

Service Code	NDC 68084083601
Hospital Charge Code	2519072
Hospital Revenue Code	250
Min. Negotiated Rate	$2.46
Max. Negotiated Rate	$2.91
Rate for Payer: Cash Price	$2.47
Rate for Payer: Health Partners Plans Commercial	$2.85
Rate for Payer: UnitedHealthcare Commercial	$2.91
Rate for Payer: WPPA Commercial	$2.46

CARDURA 1 MG TAB (DOXAZOSIN)

Facility

$3.00

Service Code	NDC 68084083601
Hospital Charge Code	2519072
Hospital Revenue Code	250
Min. Negotiated Rate	$1.39
Max. Negotiated Rate	$2.91
Rate for Payer: Cash Price	$2.47
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

CAROTID ARTERY STENT PROCEDURES WITH CC

Facility

$17,712.04

Service Code	MSDRG 035
Min. Negotiated Rate	$17,712.04
Max. Negotiated Rate	$17,712.04
Rate for Payer: BCBS Commercial	$17,712.04

CAROTID ARTERY STENT PROCEDURES WITH MCC

Facility

$29,647.97

Service Code	MSDRG 034
Min. Negotiated Rate	$29,647.97
Max. Negotiated Rate	$29,647.97
Rate for Payer: BCBS Commercial	$29,647.97

CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC

Facility

$13,869.84

Service Code	MSDRG 036
Min. Negotiated Rate	$13,869.84
Max. Negotiated Rate	$13,869.84
Rate for Payer: BCBS Commercial	$13,869.84

CASE OF UNDERPADS 23 X 24

Facility

$49.00

Hospital Charge Code	2701852
Hospital Revenue Code	273
Min. Negotiated Rate	$22.64
Max. Negotiated Rate	$47.53
Rate for Payer: Cash Price	$36.94
Rate for Payer: Celtic Commercial/Exchange	$22.64
Rate for Payer: Health Partners Plans Commercial	$46.55
Rate for Payer: UnitedHealthcare Commercial	$47.53
Rate for Payer: WPPA Commercial	$41.16

CASE OF UNDERPADS 23 X 24

Facility

$49.00

Hospital Charge Code	2701852
Hospital Revenue Code	273
Min. Negotiated Rate	$40.18
Max. Negotiated Rate	$47.53
Rate for Payer: Cash Price	$36.94
Rate for Payer: Health Partners Plans Commercial	$46.55
Rate for Payer: UnitedHealthcare Commercial	$47.53
Rate for Payer: WPPA Commercial	$40.18

CAST ADDITIONAL UNIT

Facility

$10.00

Hospital Charge Code	2702033
Hospital Revenue Code	270
Min. Negotiated Rate	$8.20
Max. Negotiated Rate	$9.70
Rate for Payer: Cash Price	$7.50
Rate for Payer: Health Partners Plans Commercial	$9.50
Rate for Payer: UnitedHealthcare Commercial	$9.70
Rate for Payer: WPPA Commercial	$8.20

CAST ADDITIONAL UNIT

Facility

$10.00

Hospital Charge Code	2702033
Hospital Revenue Code	270
Min. Negotiated Rate	$4.62
Max. Negotiated Rate	$9.70
Rate for Payer: Cash Price	$7.50
Rate for Payer: Celtic Commercial/Exchange	$4.62
Rate for Payer: Health Partners Plans Commercial	$9.50
Rate for Payer: UnitedHealthcare Commercial	$9.70
Rate for Payer: WPPA Commercial	$8.40

CAST-FINGER/HAND

Facility

$100.00

Hospital Charge Code	2701987
Hospital Revenue Code	270
Min. Negotiated Rate	$46.20
Max. Negotiated Rate	$97.00
Rate for Payer: Cash Price	$75.00
Rate for Payer: Celtic Commercial/Exchange	$46.20
Rate for Payer: Health Partners Plans Commercial	$95.00
Rate for Payer: UnitedHealthcare Commercial	$97.00
Rate for Payer: WPPA Commercial	$84.00

CAST-FINGER/HAND

Facility

$100.00

Hospital Charge Code	2701987
Hospital Revenue Code	270
Min. Negotiated Rate	$82.00
Max. Negotiated Rate	$97.00
Rate for Payer: Cash Price	$75.00
Rate for Payer: Health Partners Plans Commercial	$95.00
Rate for Payer: UnitedHealthcare Commercial	$97.00
Rate for Payer: WPPA Commercial	$82.00

CAST-FOREARM

Facility

$142.00

Hospital Charge Code	2701985
Hospital Revenue Code	270
Min. Negotiated Rate	$116.44
Max. Negotiated Rate	$137.74
Rate for Payer: Cash Price	$107.06
Rate for Payer: Health Partners Plans Commercial	$134.90
Rate for Payer: UnitedHealthcare Commercial	$137.74
Rate for Payer: WPPA Commercial	$116.44

CAST-FOREARM

Facility

$142.00

Hospital Charge Code	2701985
Hospital Revenue Code	270
Min. Negotiated Rate	$65.60
Max. Negotiated Rate	$137.74
Rate for Payer: Cash Price	$107.06
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

CAST-FULL ARM

Facility

$168.00

Hospital Charge Code	2701977
Hospital Revenue Code	270
Min. Negotiated Rate	$137.76
Max. Negotiated Rate	$162.96
Rate for Payer: Cash Price	$126.19
Rate for Payer: Health Partners Plans Commercial	$159.60
Rate for Payer: UnitedHealthcare Commercial	$162.96
Rate for Payer: WPPA Commercial	$137.76

CAST-FULL ARM

Facility

$168.00

Hospital Charge Code	2701977
Hospital Revenue Code	270
Min. Negotiated Rate	$77.62
Max. Negotiated Rate	$162.96
Rate for Payer: Cash Price	$126.19
Rate for Payer: Celtic Commercial/Exchange	$77.62
Rate for Payer: Health Partners Plans Commercial	$159.60
Rate for Payer: UnitedHealthcare Commercial	$162.96
Rate for Payer: WPPA Commercial	$141.12

CAST-FULL LEG

Facility

$317.00

Hospital Charge Code	2701951
Hospital Revenue Code	270
Min. Negotiated Rate	$259.94
Max. Negotiated Rate	$307.49
Rate for Payer: Cash Price	$237.94
Rate for Payer: Health Partners Plans Commercial	$301.15
Rate for Payer: UnitedHealthcare Commercial	$307.49
Rate for Payer: WPPA Commercial	$259.94

CAST-FULL LEG

Facility

$317.00

Hospital Charge Code	2701951
Hospital Revenue Code	270
Min. Negotiated Rate	$146.45
Max. Negotiated Rate	$307.49
Rate for Payer: Cash Price	$237.94
Rate for Payer: Celtic Commercial/Exchange	$146.45
Rate for Payer: Health Partners Plans Commercial	$301.15
Rate for Payer: UnitedHealthcare Commercial	$307.49
Rate for Payer: WPPA Commercial	$266.28

CASTING ELBOW TO FINGER

Facility

$484.00

Service Code	HCPCS 29075
Hospital Charge Code	2907500
Hospital Revenue Code	761
Min. Negotiated Rate	$396.88
Max. Negotiated Rate	$469.48
Rate for Payer: Cash Price	$363.00
Rate for Payer: Health Partners Plans Commercial	$459.80
Rate for Payer: UnitedHealthcare Commercial	$469.48
Rate for Payer: WPPA Commercial	$396.88

CASTING ELBOW TO FINGER

Facility

$484.00

Service Code	HCPCS 29075
Hospital Charge Code	2907500
Hospital Revenue Code	761
Min. Negotiated Rate	$223.61
Max. Negotiated Rate	$469.48
Rate for Payer: BCBS Commercial	$432.28
Rate for Payer: Cash Price	$363.00
Rate for Payer: Cash Price	$363.00
Rate for Payer: Celtic Commercial/Exchange	$223.61
Rate for Payer: Health Partners Plans Commercial	$459.80
Rate for Payer: UnitedHealthcare Commercial	$469.48
Rate for Payer: WPPA Commercial	$406.56

CAST-LOWER LEG

Facility

$179.00

Hospital Charge Code	2701969
Hospital Revenue Code	270
Min. Negotiated Rate	$82.70
Max. Negotiated Rate	$173.63
Rate for Payer: Cash Price	$134.81
Rate for Payer: Celtic Commercial/Exchange	$82.70
Rate for Payer: Health Partners Plans Commercial	$170.05
Rate for Payer: UnitedHealthcare Commercial	$173.63
Rate for Payer: WPPA Commercial	$150.36

CAST-LOWER LEG

Facility

$179.00

Hospital Charge Code	2701969
Hospital Revenue Code	270
Min. Negotiated Rate	$146.78
Max. Negotiated Rate	$173.63
Rate for Payer: Cash Price	$134.81
Rate for Payer: Health Partners Plans Commercial	$170.05
Rate for Payer: UnitedHealthcare Commercial	$173.63
Rate for Payer: WPPA Commercial	$146.78

CASTOR OIL

Facility

$1.00

Service Code	NDC 00395051592
Hospital Charge Code	2512507
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

CASTOR OIL

Facility

$1.00

Service Code	NDC 00395051592
Hospital Charge Code	2512507
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

CAST PADDING 2"

Facility

$45.00

Hospital Charge Code	2701970
Hospital Revenue Code	270
Min. Negotiated Rate	$36.90
Max. Negotiated Rate	$43.65
Rate for Payer: Cash Price	$33.75
Rate for Payer: Health Partners Plans Commercial	$42.75
Rate for Payer: UnitedHealthcare Commercial	$43.65
Rate for Payer: WPPA Commercial	$36.90

CAST PADDING 2"

Facility

$45.00

Hospital Charge Code	2701970
Hospital Revenue Code	270
Min. Negotiated Rate	$20.79
Max. Negotiated Rate	$43.65
Rate for Payer: Cash Price	$33.75
Rate for Payer: Celtic Commercial/Exchange	$20.79
Rate for Payer: Health Partners Plans Commercial	$42.75
Rate for Payer: UnitedHealthcare Commercial	$43.65
Rate for Payer: WPPA Commercial	$37.80

Know your out-of-pocket cost for care.

All Charges