Ness County Hospital

All Charges

Charge

Type

Setting

Price

CATHETER 16FR 5CC COUDE 2-WAY

Facility

$55.00

Hospital Charge Code	2720406
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 2-WAY

Facility

$55.00

Hospital Charge Code	2720406
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 18FR 10 ML 2 WAY

Facility

$7.00

Hospital Charge Code	2720473
Hospital Revenue Code	272
Min. Negotiated Rate	$3.23
Max. Negotiated Rate	$6.79
Rate for Payer: Cash Price	$5.25
Rate for Payer: Celtic Commercial/Exchange	$3.23
Rate for Payer: Health Partners Plans Commercial	$6.65
Rate for Payer: UnitedHealthcare Commercial	$6.79
Rate for Payer: WPPA Commercial	$5.88

CATHETER 18FR 10 ML 2 WAY

Facility

$7.00

Hospital Charge Code	2720473
Hospital Revenue Code	272
Min. Negotiated Rate	$5.74
Max. Negotiated Rate	$6.79
Rate for Payer: Cash Price	$5.25
Rate for Payer: Health Partners Plans Commercial	$6.65
Rate for Payer: UnitedHealthcare Commercial	$6.79
Rate for Payer: WPPA Commercial	$5.74

CATHETER 18FR 30CC 2-WAY

Facility

$34.00

Hospital Charge Code	2720407
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 18FR 30CC 2-WAY

Facility

$34.00

Hospital Charge Code	2720407
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 18FR 30CC COUDE 2-WAY

Facility

$40.00

Hospital Charge Code	2720408
Hospital Revenue Code	272
Min. Negotiated Rate	$18.48
Max. Negotiated Rate	$38.80
Rate for Payer: Cash Price	$30.00
Rate for Payer: Celtic Commercial/Exchange	$18.48
Rate for Payer: Health Partners Plans Commercial	$38.00
Rate for Payer: UnitedHealthcare Commercial	$38.80
Rate for Payer: WPPA Commercial	$33.60

CATHETER 18FR 30CC COUDE 2-WAY

Facility

$40.00

Hospital Charge Code	2720408
Hospital Revenue Code	272
Min. Negotiated Rate	$32.80
Max. Negotiated Rate	$38.80
Rate for Payer: Cash Price	$30.00
Rate for Payer: Health Partners Plans Commercial	$38.00
Rate for Payer: UnitedHealthcare Commercial	$38.80
Rate for Payer: WPPA Commercial	$32.80

CATHETER 18FR 5CC 2-WAY LTC

Facility

$34.00

Hospital Charge Code	2720472LTC
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 18FR 5CC 2-WAY LTC

Facility

$34.00

Hospital Charge Code	2720472LTC
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 18FR 5CC BALLOON

Facility

$70.00

Hospital Charge Code	2720416
Hospital Revenue Code	272
Min. Negotiated Rate	$32.34
Max. Negotiated Rate	$67.90
Rate for Payer: Cash Price	$52.50
Rate for Payer: Celtic Commercial/Exchange	$32.34
Rate for Payer: Health Partners Plans Commercial	$66.50
Rate for Payer: UnitedHealthcare Commercial	$67.90
Rate for Payer: WPPA Commercial	$58.80

CATHETER 18FR 5CC BALLOON

Facility

$70.00

Hospital Charge Code	2720416
Hospital Revenue Code	272
Min. Negotiated Rate	$57.40
Max. Negotiated Rate	$67.90
Rate for Payer: Cash Price	$52.50
Rate for Payer: Health Partners Plans Commercial	$66.50
Rate for Payer: UnitedHealthcare Commercial	$67.90
Rate for Payer: WPPA Commercial	$57.40

CATHETER 20FR 30CC 2-WAY

Facility

$40.00

Hospital Charge Code	2720409
Hospital Revenue Code	272
Min. Negotiated Rate	$18.48
Max. Negotiated Rate	$38.80
Rate for Payer: Cash Price	$30.00
Rate for Payer: Celtic Commercial/Exchange	$18.48
Rate for Payer: Health Partners Plans Commercial	$38.00
Rate for Payer: UnitedHealthcare Commercial	$38.80
Rate for Payer: WPPA Commercial	$33.60

CATHETER 20FR 30CC 2-WAY

Facility

$40.00

Hospital Charge Code	2720409
Hospital Revenue Code	272
Min. Negotiated Rate	$32.80
Max. Negotiated Rate	$38.80
Rate for Payer: Cash Price	$30.00
Rate for Payer: Health Partners Plans Commercial	$38.00
Rate for Payer: UnitedHealthcare Commercial	$38.80
Rate for Payer: WPPA Commercial	$32.80

CATHETER 22FR 30CC 2-WAY

Facility

$34.00

Hospital Charge Code	2720410
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 22FR 30CC 2-WAY

Facility

$34.00

Hospital Charge Code	2720410
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 22FR 5CC 2-WAY

Facility

$34.00

Hospital Charge Code	2720411
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 22FR 5CC 2-WAY

Facility

$34.00

Hospital Charge Code	2720411
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 24FR 30CC 3-WAY

Facility

$40.00

Hospital Charge Code	2720412
Hospital Revenue Code	272
Min. Negotiated Rate	$18.48
Max. Negotiated Rate	$38.80
Rate for Payer: Cash Price	$30.00
Rate for Payer: Celtic Commercial/Exchange	$18.48
Rate for Payer: Health Partners Plans Commercial	$38.00
Rate for Payer: UnitedHealthcare Commercial	$38.80
Rate for Payer: WPPA Commercial	$33.60

CATHETER 24FR 30CC 3-WAY

Facility

$40.00

Hospital Charge Code	2720412
Hospital Revenue Code	272
Min. Negotiated Rate	$32.80
Max. Negotiated Rate	$38.80
Rate for Payer: Cash Price	$30.00
Rate for Payer: Health Partners Plans Commercial	$38.00
Rate for Payer: UnitedHealthcare Commercial	$38.80
Rate for Payer: WPPA Commercial	$32.80

CATHETER 24FR 5CC 2-WAY

Facility

$34.00

Hospital Charge Code	2720413
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 24FR 5CC 2-WAY

Facility

$34.00

Hospital Charge Code	2720413
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 FOLEY SYSTEM 16FR

Facility

$41.00

Hospital Charge Code	2720232
Hospital Revenue Code	272
Min. Negotiated Rate	$18.94
Max. Negotiated Rate	$39.77
Rate for Payer: Cash Price	$30.75
Rate for Payer: Celtic Commercial/Exchange	$18.94
Rate for Payer: Health Partners Plans Commercial	$38.95
Rate for Payer: UnitedHealthcare Commercial	$39.77
Rate for Payer: WPPA Commercial	$34.44

CATHETER FOLEY SYSTEM 16FR

Facility

$41.00

Hospital Charge Code	2720232
Hospital Revenue Code	272
Min. Negotiated Rate	$33.62
Max. Negotiated Rate	$39.77
Rate for Payer: Cash Price	$30.75
Rate for Payer: Health Partners Plans Commercial	$38.95
Rate for Payer: UnitedHealthcare Commercial	$39.77
Rate for Payer: WPPA Commercial	$33.62

CATHETER HOLD-N-PLACE 20"

Facility

$12.00

Hospital Charge Code	2708621
Hospital Revenue Code	270
Min. Negotiated Rate	$9.84
Max. Negotiated Rate	$11.64
Rate for Payer: Cash Price	$9.00
Rate for Payer: Health Partners Plans Commercial	$11.40
Rate for Payer: UnitedHealthcare Commercial	$11.64
Rate for Payer: WPPA Commercial	$9.84

Know your out-of-pocket cost for care.

All Charges