Ness County Hospital

All Charges

Charge

Type

Setting

Price

CAST PADDING 4"

Facility

$45.00

Hospital Charge Code	2701971
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 4"

Facility

$45.00

Hospital Charge Code	2701971
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

CAST PADDING 4" X 4 YDS

Facility

$45.00

Hospital Charge Code	2701972
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

CAST PADDING 4" X 4 YDS

Facility

$45.00

Hospital Charge Code	2701972
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 REMOVAL MED S

Facility

$19.00

Hospital Charge Code	2702140
Hospital Revenue Code	270
Min. Negotiated Rate	$8.78
Max. Negotiated Rate	$18.43
Rate for Payer: Cash Price	$14.81
Rate for Payer: Celtic Commercial/Exchange	$8.78
Rate for Payer: Health Partners Plans Commercial	$18.05
Rate for Payer: UnitedHealthcare Commercial	$18.43
Rate for Payer: WPPA Commercial	$15.96

CAST REMOVAL MED S

Facility

$19.00

Hospital Charge Code	2702140
Hospital Revenue Code	270
Min. Negotiated Rate	$15.58
Max. Negotiated Rate	$18.43
Rate for Payer: Cash Price	$14.81
Rate for Payer: Health Partners Plans Commercial	$18.05
Rate for Payer: UnitedHealthcare Commercial	$18.43
Rate for Payer: WPPA Commercial	$15.58

CAST THUMB GUARD

Facility

$10.00

Hospital Charge Code	2702355
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 THUMB GUARD

Facility

$10.00

Hospital Charge Code	2702355
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

CATAFLAM 50MG TAB (DICLOFENAC POTASSIUM)

Facility

$8.00

Service Code	NDC 00378247401
Hospital Charge Code	2513448
Hospital Revenue Code	250
Min. Negotiated Rate	$6.56
Max. Negotiated Rate	$7.76
Rate for Payer: Cash Price	$6.34
Rate for Payer: Health Partners Plans Commercial	$7.60
Rate for Payer: UnitedHealthcare Commercial	$7.76
Rate for Payer: WPPA Commercial	$6.56

CATAFLAM 50MG TAB (DICLOFENAC POTASSIUM)

Facility

$8.00

Service Code	NDC 00378247401
Hospital Charge Code	2513448
Hospital Revenue Code	250
Min. Negotiated Rate	$3.70
Max. Negotiated Rate	$7.76
Rate for Payer: Cash Price	$6.34
Rate for Payer: Celtic Commercial/Exchange	$3.70
Rate for Payer: Health Partners Plans Commercial	$7.60
Rate for Payer: UnitedHealthcare Commercial	$7.76
Rate for Payer: WPPA Commercial	$6.72

CATAPRES 0.1MG TAB (CLONIDINE HYDROCHLORIDE)

Facility

$2.00

Service Code	NDC 60687011311
Hospital Charge Code	2509180
Hospital Revenue Code	250
Min. Negotiated Rate	$0.92
Max. Negotiated Rate	$1.94
Rate for Payer: Cash Price	$1.80
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

CATAPRES 0.1MG TAB (CLONIDINE HYDROCHLORIDE)

Facility

$2.00

Service Code	NDC 60687011311
Hospital Charge Code	2509180
Hospital Revenue Code	250
Min. Negotiated Rate	$1.64
Max. Negotiated Rate	$1.94
Rate for Payer: Cash Price	$1.80
Rate for Payer: Health Partners Plans Commercial	$1.90
Rate for Payer: UnitedHealthcare Commercial	$1.94
Rate for Payer: WPPA Commercial	$1.64

CATECHOLAMINES,FRAC,24HR URW/0

Facility

$216.00

Service Code	HCPCS 82384
Hospital Charge Code	8238402
Hospital Revenue Code	301
Min. Negotiated Rate	$177.12
Max. Negotiated Rate	$209.52
Rate for Payer: Cash Price	$162.00
Rate for Payer: Health Partners Plans Commercial	$205.20
Rate for Payer: UnitedHealthcare Commercial	$209.52
Rate for Payer: WPPA Commercial	$177.12

CATECHOLAMINES,FRAC,24HR URW/0

Facility

$216.00

Service Code	HCPCS 82384
Hospital Charge Code	8238402
Hospital Revenue Code	301
Min. Negotiated Rate	$99.79
Max. Negotiated Rate	$209.52
Rate for Payer: BCBS Commercial	$115.99
Rate for Payer: Cash Price	$162.00
Rate for Payer: Cash Price	$162.00
Rate for Payer: Celtic Commercial/Exchange	$99.79
Rate for Payer: Health Partners Plans Commercial	$205.20
Rate for Payer: UnitedHealthcare Commercial	$209.52
Rate for Payer: WPPA Commercial	$181.44

CATECHOLAMINES, FRACT, PLASMA

Facility

$216.00

Service Code	HCPCS 82384
Hospital Charge Code	8238401
Hospital Revenue Code	301
Min. Negotiated Rate	$99.79
Max. Negotiated Rate	$209.52
Rate for Payer: BCBS Commercial	$115.99
Rate for Payer: Cash Price	$162.00
Rate for Payer: Cash Price	$162.00
Rate for Payer: Celtic Commercial/Exchange	$99.79
Rate for Payer: Health Partners Plans Commercial	$205.20
Rate for Payer: UnitedHealthcare Commercial	$209.52
Rate for Payer: WPPA Commercial	$181.44

CATECHOLAMINES, FRACT, PLASMA

Facility

$216.00

Service Code	HCPCS 82384
Hospital Charge Code	8238401
Hospital Revenue Code	301
Min. Negotiated Rate	$177.12
Max. Negotiated Rate	$209.52
Rate for Payer: Cash Price	$162.00
Rate for Payer: Health Partners Plans Commercial	$205.20
Rate for Payer: UnitedHealthcare Commercial	$209.52
Rate for Payer: WPPA Commercial	$177.12

CATECHOLAMINES,FRACT,RANDOM UA

Facility

$258.00

Hospital Charge Code	8888827
Hospital Revenue Code	301
Min. Negotiated Rate	$119.20
Max. Negotiated Rate	$250.26
Rate for Payer: Cash Price	$193.50
Rate for Payer: Celtic Commercial/Exchange	$119.20
Rate for Payer: Health Partners Plans Commercial	$245.10
Rate for Payer: UnitedHealthcare Commercial	$250.26
Rate for Payer: WPPA Commercial	$216.72

CATECHOLAMINES,FRACT,RANDOM UA

Facility

$258.00

Hospital Charge Code	8888827
Hospital Revenue Code	301
Min. Negotiated Rate	$211.56
Max. Negotiated Rate	$250.26
Rate for Payer: Cash Price	$193.50
Rate for Payer: Health Partners Plans Commercial	$245.10
Rate for Payer: UnitedHealthcare Commercial	$250.26
Rate for Payer: WPPA Commercial	$211.56

CATECHOLAMINES TOTAL UA,FRACTN

Facility

$216.00

Service Code	HCPCS 82384
Hospital Charge Code	8238400
Hospital Revenue Code	301
Min. Negotiated Rate	$99.79
Max. Negotiated Rate	$209.52
Rate for Payer: BCBS Commercial	$115.99
Rate for Payer: Cash Price	$162.00
Rate for Payer: Cash Price	$162.00
Rate for Payer: Celtic Commercial/Exchange	$99.79
Rate for Payer: Health Partners Plans Commercial	$205.20
Rate for Payer: UnitedHealthcare Commercial	$209.52
Rate for Payer: WPPA Commercial	$181.44

CATECHOLAMINES TOTAL UA,FRACTN

Facility

$216.00

Service Code	HCPCS 82384
Hospital Charge Code	8238400
Hospital Revenue Code	301
Min. Negotiated Rate	$177.12
Max. Negotiated Rate	$209.52
Rate for Payer: Cash Price	$162.00
Rate for Payer: Health Partners Plans Commercial	$205.20
Rate for Payer: UnitedHealthcare Commercial	$209.52
Rate for Payer: WPPA Commercial	$177.12

CATECHOLAMINES TOTAL URINE

Facility

$148.00

Service Code	HCPCS 82382
Hospital Charge Code	8238200
Hospital Revenue Code	301
Min. Negotiated Rate	$68.38
Max. Negotiated Rate	$143.56
Rate for Payer: BCBS Commercial	$79.36
Rate for Payer: Cash Price	$111.00
Rate for Payer: Cash Price	$111.00
Rate for Payer: Celtic Commercial/Exchange	$68.38
Rate for Payer: Health Partners Plans Commercial	$140.60
Rate for Payer: UnitedHealthcare Commercial	$143.56
Rate for Payer: WPPA Commercial	$124.32

CATECHOLAMINES TOTAL URINE

Facility

$148.00

Service Code	HCPCS 82382
Hospital Charge Code	8238200
Hospital Revenue Code	301
Min. Negotiated Rate	$121.36
Max. Negotiated Rate	$143.56
Rate for Payer: Cash Price	$111.00
Rate for Payer: Health Partners Plans Commercial	$140.60
Rate for Payer: UnitedHealthcare Commercial	$143.56
Rate for Payer: WPPA Commercial	$121.36

CATHETER 10FR 3CC PED

Facility

$28.00

Hospital Charge Code	2720400
Hospital Revenue Code	272
Min. Negotiated Rate	$22.96
Max. Negotiated Rate	$27.16
Rate for Payer: Cash Price	$21.00
Rate for Payer: Health Partners Plans Commercial	$26.60
Rate for Payer: UnitedHealthcare Commercial	$27.16
Rate for Payer: WPPA Commercial	$22.96

CATHETER 10FR 3CC PED

Facility

$28.00

Hospital Charge Code	2720400
Hospital Revenue Code	272
Min. Negotiated Rate	$12.94
Max. Negotiated Rate	$27.16
Rate for Payer: Cash Price	$21.00
Rate for Payer: Celtic Commercial/Exchange	$12.94
Rate for Payer: Health Partners Plans Commercial	$26.60
Rate for Payer: UnitedHealthcare Commercial	$27.16
Rate for Payer: WPPA Commercial	$23.52

CATHETER 12FR 5CC 2-WAY

Facility

$34.00

Hospital Charge Code	2720401
Hospital Revenue Code	272
Min. Negotiated Rate	$27.88
Max. Negotiated Rate	$32.98
Rate for Payer: Cash Price	$25.69
Rate for Payer: Health Partners Plans Commercial	$32.30
Rate for Payer: UnitedHealthcare Commercial	$32.98
Rate for Payer: WPPA Commercial	$27.88

Know your out-of-pocket cost for care.

All Charges