Ness County Hospital

All Charges

Charge

Type

Setting

Price

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

CATHETER 16FR 30CC

Facility

$13.00

Hospital Charge Code	2725591
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

CATHETER 16FR 30CC

Facility

$13.00

Hospital Charge Code	2725591LTC
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

CATHETER 16FR 30CC

Facility

$13.00

Hospital Charge Code	2725591LTC
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

CATHETER 16FR 30CC

Facility

$13.00

Hospital Charge Code	2725591
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

CATHETER 16FR 30CC 2-WAY

Facility

$34.00

Hospital Charge Code	2720415
Hospital Revenue Code	270
Min. Negotiated Rate	$15.71
Max. Negotiated Rate	$32.98
Rate for Payer: Cash Price	$25.69
Rate for Payer: Celtic Commercial/Exchange	$15.71
Rate for Payer: Health Partners Plans Commercial	$32.30
Rate for Payer: UnitedHealthcare Commercial	$32.98
Rate for Payer: WPPA Commercial	$28.56

CATHETER 16FR 30CC 2-WAY

Facility

$34.00

Hospital Charge Code	2720415
Hospital Revenue Code	270
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

CATHETER 16FR 30CC BALLOON

Facility

$32.00

Hospital Charge Code	2725590
Hospital Revenue Code	272
Min. Negotiated Rate	$14.78
Max. Negotiated Rate	$31.04
Rate for Payer: Cash Price	$24.00
Rate for Payer: Celtic Commercial/Exchange	$14.78
Rate for Payer: Health Partners Plans Commercial	$30.40
Rate for Payer: UnitedHealthcare Commercial	$31.04
Rate for Payer: WPPA Commercial	$26.88

CATHETER 16FR 30CC BALLOON

Facility

$32.00

Hospital Charge Code	2725590
Hospital Revenue Code	272
Min. Negotiated Rate	$26.24
Max. Negotiated Rate	$31.04
Rate for Payer: Cash Price	$24.00
Rate for Payer: Health Partners Plans Commercial	$30.40
Rate for Payer: UnitedHealthcare Commercial	$31.04
Rate for Payer: WPPA Commercial	$26.24

CATHETER 16FR 5CC 2-WAY

Facility

$38.00

Hospital Charge Code	2720403
Hospital Revenue Code	272
Min. Negotiated Rate	$17.56
Max. Negotiated Rate	$36.86
Rate for Payer: Cash Price	$28.88
Rate for Payer: Celtic Commercial/Exchange	$17.56
Rate for Payer: Health Partners Plans Commercial	$36.10
Rate for Payer: UnitedHealthcare Commercial	$36.86
Rate for Payer: WPPA Commercial	$31.92

CATHETER 16FR 5CC 2-WAY

Facility

$34.00

Hospital Charge Code	2720402
Hospital Revenue Code	272
Min. Negotiated Rate	$15.71
Max. Negotiated Rate	$32.98
Rate for Payer: Cash Price	$25.69
Rate for Payer: Celtic Commercial/Exchange	$15.71
Rate for Payer: Health Partners Plans Commercial	$32.30
Rate for Payer: UnitedHealthcare Commercial	$32.98
Rate for Payer: WPPA Commercial	$28.56

CATHETER 16FR 5CC 2-WAY

Facility

$38.00

Hospital Charge Code	2720403
Hospital Revenue Code	272
Min. Negotiated Rate	$31.16
Max. Negotiated Rate	$36.86
Rate for Payer: Cash Price	$28.88
Rate for Payer: Health Partners Plans Commercial	$36.10
Rate for Payer: UnitedHealthcare Commercial	$36.86
Rate for Payer: WPPA Commercial	$31.16

CATHETER 16FR 5CC 2-WAY

Facility

$34.00

Hospital Charge Code	2720402
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

CATHETER 16FR 5CC 2WAY

Facility

$34.00

Hospital Charge Code	2720402LTC
Hospital Revenue Code	272
Min. Negotiated Rate	$15.71
Max. Negotiated Rate	$32.98
Rate for Payer: Cash Price	$25.69
Rate for Payer: Celtic Commercial/Exchange	$15.71
Rate for Payer: Health Partners Plans Commercial	$32.30
Rate for Payer: UnitedHealthcare Commercial	$32.98
Rate for Payer: WPPA Commercial	$28.56

CATHETER 16FR 5CC 2WAY

Facility

$34.00

Hospital Charge Code	2720402LTC
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

CATHETER 16FR 5CC 2WAY BALLOON

Facility

$95.00

Hospital Charge Code	2720404
Hospital Revenue Code	272
Min. Negotiated Rate	$77.90
Max. Negotiated Rate	$92.15
Rate for Payer: Cash Price	$71.25
Rate for Payer: Health Partners Plans Commercial	$90.25
Rate for Payer: UnitedHealthcare Commercial	$92.15
Rate for Payer: WPPA Commercial	$77.90

CATHETER 16FR 5CC 2WAY BALLOON

Facility

$95.00

Hospital Charge Code	2720404
Hospital Revenue Code	272
Min. Negotiated Rate	$43.89
Max. Negotiated Rate	$92.15
Rate for Payer: Cash Price	$71.25
Rate for Payer: Celtic Commercial/Exchange	$43.89
Rate for Payer: Health Partners Plans Commercial	$90.25
Rate for Payer: UnitedHealthcare Commercial	$92.15
Rate for Payer: WPPA Commercial	$79.80

CATHETER 16FR 5CC 2 WAY LTC

Facility

$34.00

Hospital Charge Code	2720405LTC
Hospital Revenue Code	272
Min. Negotiated Rate	$15.71
Max. Negotiated Rate	$32.98
Rate for Payer: Cash Price	$25.69
Rate for Payer: Celtic Commercial/Exchange	$15.71
Rate for Payer: Health Partners Plans Commercial	$32.30
Rate for Payer: UnitedHealthcare Commercial	$32.98
Rate for Payer: WPPA Commercial	$28.56

CATHETER 16FR 5CC 2 WAY LTC

Facility

$34.00

Hospital Charge Code	2720405LTC
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

CATHETER 16FR 5CC 2WAY LUBR

Facility

$34.00

Hospital Charge Code	2720405
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

CATHETER 16FR 5CC 2WAY LUBR

Facility

$34.00

Hospital Charge Code	2720405
Hospital Revenue Code	272
Min. Negotiated Rate	$15.71
Max. Negotiated Rate	$32.98
Rate for Payer: Cash Price	$25.69
Rate for Payer: Celtic Commercial/Exchange	$15.71
Rate for Payer: Health Partners Plans Commercial	$32.30
Rate for Payer: UnitedHealthcare Commercial	$32.98
Rate for Payer: WPPA Commercial	$28.56

CATHETER 16FR 5CC COUDE

Facility

$55.00

Hospital Charge Code	2720406LTC
Hospital Revenue Code	272
Min. Negotiated Rate	$45.10
Max. Negotiated Rate	$53.35
Rate for Payer: Cash Price	$41.25
Rate for Payer: Health Partners Plans Commercial	$52.25
Rate for Payer: UnitedHealthcare Commercial	$53.35
Rate for Payer: WPPA Commercial	$45.10

CATHETER 16FR 5CC COUDE

Facility

$55.00

Hospital Charge Code	2720406LTC
Hospital Revenue Code	272
Min. Negotiated Rate	$25.41
Max. Negotiated Rate	$53.35
Rate for Payer: Cash Price	$41.25
Rate for Payer: Celtic Commercial/Exchange	$25.41
Rate for Payer: Health Partners Plans Commercial	$52.25
Rate for Payer: UnitedHealthcare Commercial	$53.35
Rate for Payer: WPPA Commercial	$46.20

CATHETER 16 FR 5CC COUDE 2-WAY

Facility

$34.00

Hospital Charge Code	2720414
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

CATHETER 16 FR 5CC COUDE 2-WAY

Facility

$34.00

Hospital Charge Code	2720414
Hospital Revenue Code	272
Min. Negotiated Rate	$15.71
Max. Negotiated Rate	$32.98
Rate for Payer: Cash Price	$25.69
Rate for Payer: Celtic Commercial/Exchange	$15.71
Rate for Payer: Health Partners Plans Commercial	$32.30
Rate for Payer: UnitedHealthcare Commercial	$32.98
Rate for Payer: WPPA Commercial	$28.56

Know your out-of-pocket cost for care.

All Charges