Ness County Hospital

All Charges

Charge

Type

Setting

Price

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

CATHETER HOLD N PLACE 30"

Facility

$12.00

Hospital Charge Code	2708621LTC
Hospital Revenue Code	270
Min. Negotiated Rate	$5.54
Max. Negotiated Rate	$11.64
Rate for Payer: Cash Price	$9.00
Rate for Payer: Celtic Commercial/Exchange	$5.54
Rate for Payer: Health Partners Plans Commercial	$11.40
Rate for Payer: UnitedHealthcare Commercial	$11.64
Rate for Payer: WPPA Commercial	$10.08

CATHETER HOLD N PLACE 30"

Facility

$12.00

Hospital Charge Code	2708621LTC
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

CATHETER HOLD-N-PLACE 56"

Facility

$21.00

Hospital Charge Code	2700714
Hospital Revenue Code	270
Min. Negotiated Rate	$17.22
Max. Negotiated Rate	$20.37
Rate for Payer: Cash Price	$15.94
Rate for Payer: Health Partners Plans Commercial	$19.95
Rate for Payer: UnitedHealthcare Commercial	$20.37
Rate for Payer: WPPA Commercial	$17.22

CATHETER HOLD-N-PLACE 56"

Facility

$21.00

Hospital Charge Code	2700714
Hospital Revenue Code	270
Min. Negotiated Rate	$9.70
Max. Negotiated Rate	$20.37
Rate for Payer: Cash Price	$15.94
Rate for Payer: Celtic Commercial/Exchange	$9.70
Rate for Payer: Health Partners Plans Commercial	$19.95
Rate for Payer: UnitedHealthcare Commercial	$20.37
Rate for Payer: WPPA Commercial	$17.64

CATHETER HOLD N PLACE LEG BAND 56"

Facility

$21.00

Hospital Charge Code	2700714LTC
Hospital Revenue Code	272
Min. Negotiated Rate	$9.70
Max. Negotiated Rate	$20.37
Rate for Payer: Cash Price	$15.94
Rate for Payer: Celtic Commercial/Exchange	$9.70
Rate for Payer: Health Partners Plans Commercial	$19.95
Rate for Payer: UnitedHealthcare Commercial	$20.37
Rate for Payer: WPPA Commercial	$17.64

CATHETER HOLD N PLACE LEG BAND 56"

Facility

$21.00

Hospital Charge Code	2700714LTC
Hospital Revenue Code	272
Min. Negotiated Rate	$17.22
Max. Negotiated Rate	$20.37
Rate for Payer: Cash Price	$15.94
Rate for Payer: Health Partners Plans Commercial	$19.95
Rate for Payer: UnitedHealthcare Commercial	$20.37
Rate for Payer: WPPA Commercial	$17.22

CATHETER KIT 14FR

Facility

$35.00

Hospital Charge Code	2720226LTC
Hospital Revenue Code	272
Min. Negotiated Rate	$28.70
Max. Negotiated Rate	$33.95
Rate for Payer: Cash Price	$26.25
Rate for Payer: Health Partners Plans Commercial	$33.25
Rate for Payer: UnitedHealthcare Commercial	$33.95
Rate for Payer: WPPA Commercial	$28.70

CATHETER KIT 14FR

Facility

$35.00

Hospital Charge Code	2720226
Hospital Revenue Code	272
Min. Negotiated Rate	$28.70
Max. Negotiated Rate	$33.95
Rate for Payer: Cash Price	$26.25
Rate for Payer: Health Partners Plans Commercial	$33.25
Rate for Payer: UnitedHealthcare Commercial	$33.95
Rate for Payer: WPPA Commercial	$28.70

CATHETER KIT 14FR

Facility

$35.00

Hospital Charge Code	2720226
Hospital Revenue Code	272
Min. Negotiated Rate	$16.17
Max. Negotiated Rate	$33.95
Rate for Payer: Cash Price	$26.25
Rate for Payer: Celtic Commercial/Exchange	$16.17
Rate for Payer: Health Partners Plans Commercial	$33.25
Rate for Payer: UnitedHealthcare Commercial	$33.95
Rate for Payer: WPPA Commercial	$29.40

CATHETER KIT 14FR

Facility

$35.00

Hospital Charge Code	2720226LTC
Hospital Revenue Code	272
Min. Negotiated Rate	$16.17
Max. Negotiated Rate	$33.95
Rate for Payer: Cash Price	$26.25
Rate for Payer: Celtic Commercial/Exchange	$16.17
Rate for Payer: Health Partners Plans Commercial	$33.25
Rate for Payer: UnitedHealthcare Commercial	$33.95
Rate for Payer: WPPA Commercial	$29.40

CATHETER STABILIZATION DEVICE

Facility

$25.00

Hospital Charge Code	2709674
Hospital Revenue Code	270
Min. Negotiated Rate	$20.50
Max. Negotiated Rate	$24.25
Rate for Payer: Cash Price	$18.75
Rate for Payer: Health Partners Plans Commercial	$23.75
Rate for Payer: UnitedHealthcare Commercial	$24.25
Rate for Payer: WPPA Commercial	$20.50

CATHETER STABILIZATION DEVICE

Facility

$25.00

Hospital Charge Code	2709674
Hospital Revenue Code	270
Min. Negotiated Rate	$11.55
Max. Negotiated Rate	$24.25
Rate for Payer: Cash Price	$18.75
Rate for Payer: Celtic Commercial/Exchange	$11.55
Rate for Payer: Health Partners Plans Commercial	$23.75
Rate for Payer: UnitedHealthcare Commercial	$24.25
Rate for Payer: WPPA Commercial	$21.00

CATHETER STATLOCK STABILIZATION DEVICE

Facility

$25.00

Hospital Charge Code	2709674LTC
Hospital Revenue Code	272
Min. Negotiated Rate	$20.50
Max. Negotiated Rate	$24.25
Rate for Payer: Cash Price	$18.75
Rate for Payer: Health Partners Plans Commercial	$23.75
Rate for Payer: UnitedHealthcare Commercial	$24.25
Rate for Payer: WPPA Commercial	$20.50

CATHETER STATLOCK STABILIZATION DEVICE

Facility

$25.00

Hospital Charge Code	2709674LTC
Hospital Revenue Code	272
Min. Negotiated Rate	$11.55
Max. Negotiated Rate	$24.25
Rate for Payer: Cash Price	$18.75
Rate for Payer: Celtic Commercial/Exchange	$11.55
Rate for Payer: Health Partners Plans Commercial	$23.75
Rate for Payer: UnitedHealthcare Commercial	$24.25
Rate for Payer: WPPA Commercial	$21.00

Cathflo Activase 2 mg IV (alteplase)

Facility

$551.00

Service Code	NDC 50242004164
Hospital Charge Code	2519163
Hospital Revenue Code	250
Min. Negotiated Rate	$254.56
Max. Negotiated Rate	$534.47
Rate for Payer: Cash Price	$413.29
Rate for Payer: Celtic Commercial/Exchange	$254.56
Rate for Payer: Health Partners Plans Commercial	$523.45
Rate for Payer: UnitedHealthcare Commercial	$534.47
Rate for Payer: WPPA Commercial	$462.84

Cathflo Activase 2 mg IV (alteplase)

Facility

$551.00

Service Code	NDC 50242004164
Hospital Charge Code	2519163
Hospital Revenue Code	250
Min. Negotiated Rate	$451.82
Max. Negotiated Rate	$534.47
Rate for Payer: Cash Price	$413.29
Rate for Payer: Health Partners Plans Commercial	$523.45
Rate for Payer: UnitedHealthcare Commercial	$534.47
Rate for Payer: WPPA Commercial	$451.82

CATH FOR COLLECTION SPECIMEN

Facility

$129.00

Service Code	HCPCS P9612
Hospital Charge Code	P961200
Hospital Revenue Code	309
Min. Negotiated Rate	$59.60
Max. Negotiated Rate	$125.13
Rate for Payer: BCBS Commercial	$67.33
Rate for Payer: Cash Price	$96.75
Rate for Payer: Cash Price	$96.75
Rate for Payer: Celtic Commercial/Exchange	$59.60
Rate for Payer: Health Partners Plans Commercial	$122.55
Rate for Payer: UnitedHealthcare Commercial	$125.13
Rate for Payer: WPPA Commercial	$108.36

CATH FOR COLLECTION SPECIMEN

Facility

$129.00

Service Code	HCPCS P9612
Hospital Charge Code	P961200
Hospital Revenue Code	309
Min. Negotiated Rate	$105.78
Max. Negotiated Rate	$125.13
Rate for Payer: Cash Price	$96.75
Rate for Payer: Health Partners Plans Commercial	$122.55
Rate for Payer: UnitedHealthcare Commercial	$125.13
Rate for Payer: WPPA Commercial	$105.78

CATHILON-DBL-LUMEN

Facility

$45.00

Hospital Charge Code	2580595
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

CATHILON-DBL-LUMEN

Facility

$45.00

Hospital Charge Code	2580595
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

CATH PLUG

Facility

$6.00

Hospital Charge Code	2720312
Hospital Revenue Code	272
Min. Negotiated Rate	$2.77
Max. Negotiated Rate	$5.82
Rate for Payer: Cash Price	$4.88
Rate for Payer: Celtic Commercial/Exchange	$2.77
Rate for Payer: Health Partners Plans Commercial	$5.70
Rate for Payer: UnitedHealthcare Commercial	$5.82
Rate for Payer: WPPA Commercial	$5.04

CATH PLUG

Facility

$6.00

Hospital Charge Code	2720312
Hospital Revenue Code	272
Min. Negotiated Rate	$4.92
Max. Negotiated Rate	$5.82
Rate for Payer: Cash Price	$4.88
Rate for Payer: Health Partners Plans Commercial	$5.70
Rate for Payer: UnitedHealthcare Commercial	$5.82
Rate for Payer: WPPA Commercial	$4.92

CAUTERY

Facility

$38.00

Hospital Charge Code	9007002
Hospital Revenue Code	270
Min. Negotiated Rate	$31.16
Max. Negotiated Rate	$36.86
Rate for Payer: Cash Price	$28.69
Rate for Payer: Health Partners Plans Commercial	$36.10
Rate for Payer: UnitedHealthcare Commercial	$36.86
Rate for Payer: WPPA Commercial	$31.16

CAUTERY

Facility

$38.00

Hospital Charge Code	9007002
Hospital Revenue Code	270
Min. Negotiated Rate	$17.56
Max. Negotiated Rate	$36.86
Rate for Payer: Cash Price	$28.69
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

Know your out-of-pocket cost for care.

All Charges