Ness County Hospital

All Charges

Charge

Type

Setting

Price

CAUTERY PAD

Facility

$26.00

Hospital Charge Code	2702942
Hospital Revenue Code	270
Min. Negotiated Rate	$12.01
Max. Negotiated Rate	$25.22
Rate for Payer: Cash Price	$20.06
Rate for Payer: Celtic Commercial/Exchange	$12.01
Rate for Payer: Health Partners Plans Commercial	$24.70
Rate for Payer: UnitedHealthcare Commercial	$25.22
Rate for Payer: WPPA Commercial	$21.84

CAUTERY PAD

Facility

$26.00

Hospital Charge Code	2702942
Hospital Revenue Code	270
Min. Negotiated Rate	$21.32
Max. Negotiated Rate	$25.22
Rate for Payer: Cash Price	$20.06
Rate for Payer: Health Partners Plans Commercial	$24.70
Rate for Payer: UnitedHealthcare Commercial	$25.22
Rate for Payer: WPPA Commercial	$21.32

CBC w/Auto Diff--Daily x 5 days

Facility

$88.00

Hospital Charge Code	8502501
Hospital Revenue Code	305
Min. Negotiated Rate	$40.66
Max. Negotiated Rate	$85.36
Rate for Payer: Cash Price	$66.00
Rate for Payer: Celtic Commercial/Exchange	$40.66
Rate for Payer: Health Partners Plans Commercial	$83.60
Rate for Payer: UnitedHealthcare Commercial	$85.36
Rate for Payer: WPPA Commercial	$73.92

CBC w/Auto Diff--Daily x 5 days

Facility

$88.00

Hospital Charge Code	8502501
Hospital Revenue Code	305
Min. Negotiated Rate	$72.16
Max. Negotiated Rate	$85.36
Rate for Payer: Cash Price	$66.00
Rate for Payer: Health Partners Plans Commercial	$83.60
Rate for Payer: UnitedHealthcare Commercial	$85.36
Rate for Payer: WPPA Commercial	$72.16

CEDAR COURT APT 1 BR

Facility

$1,080.00

Hospital Charge Code	9950001
Hospital Revenue Code	990
Min. Negotiated Rate	$885.60
Max. Negotiated Rate	$1,047.60
Rate for Payer: Cash Price	$810.00
Rate for Payer: Health Partners Plans Commercial	$1,026.00
Rate for Payer: UnitedHealthcare Commercial	$1,047.60
Rate for Payer: WPPA Commercial	$885.60

CEDAR COURT APT 1 BR

Facility

$1,080.00

Hospital Charge Code	9950001
Hospital Revenue Code	990
Min. Negotiated Rate	$498.96
Max. Negotiated Rate	$1,047.60
Rate for Payer: Cash Price	$810.00
Rate for Payer: Celtic Commercial/Exchange	$498.96
Rate for Payer: Health Partners Plans Commercial	$1,026.00
Rate for Payer: UnitedHealthcare Commercial	$1,047.60
Rate for Payer: WPPA Commercial	$907.20

CEDAR COURT APT 1 BR/GARAGE

Facility

$1,155.00

Hospital Charge Code	9950002
Hospital Revenue Code	990
Min. Negotiated Rate	$533.61
Max. Negotiated Rate	$1,120.35
Rate for Payer: Cash Price	$866.25
Rate for Payer: Celtic Commercial/Exchange	$533.61
Rate for Payer: Health Partners Plans Commercial	$1,097.25
Rate for Payer: UnitedHealthcare Commercial	$1,120.35
Rate for Payer: WPPA Commercial	$970.20

CEDAR COURT APT 1 BR/GARAGE

Facility

$1,155.00

Hospital Charge Code	9950002
Hospital Revenue Code	990
Min. Negotiated Rate	$947.10
Max. Negotiated Rate	$1,120.35
Rate for Payer: Cash Price	$866.25
Rate for Payer: Health Partners Plans Commercial	$1,097.25
Rate for Payer: UnitedHealthcare Commercial	$1,120.35
Rate for Payer: WPPA Commercial	$947.10

CEDAR COURT APT 2 BR

Facility

$1,225.00

Hospital Charge Code	9950010
Hospital Revenue Code	990
Min. Negotiated Rate	$565.95
Max. Negotiated Rate	$1,188.25
Rate for Payer: Cash Price	$918.75
Rate for Payer: Celtic Commercial/Exchange	$565.95
Rate for Payer: Health Partners Plans Commercial	$1,163.75
Rate for Payer: UnitedHealthcare Commercial	$1,188.25
Rate for Payer: WPPA Commercial	$1,029.00

CEDAR COURT APT 2 BR

Facility

$1,225.00

Hospital Charge Code	9950010
Hospital Revenue Code	990
Min. Negotiated Rate	$1,004.50
Max. Negotiated Rate	$1,188.25
Rate for Payer: Cash Price	$918.75
Rate for Payer: Health Partners Plans Commercial	$1,163.75
Rate for Payer: UnitedHealthcare Commercial	$1,188.25
Rate for Payer: WPPA Commercial	$1,004.50

CEDAR COURT APT 2BR/GARAGE

Facility

$1,285.00

Hospital Charge Code	9950011
Hospital Revenue Code	990
Min. Negotiated Rate	$593.67
Max. Negotiated Rate	$1,246.45
Rate for Payer: Cash Price	$963.75
Rate for Payer: Celtic Commercial/Exchange	$593.67
Rate for Payer: Health Partners Plans Commercial	$1,220.75
Rate for Payer: UnitedHealthcare Commercial	$1,246.45
Rate for Payer: WPPA Commercial	$1,079.40

CEDAR COURT APT 2BR/GARAGE

Facility

$1,285.00

Hospital Charge Code	9950011
Hospital Revenue Code	990
Min. Negotiated Rate	$1,053.70
Max. Negotiated Rate	$1,246.45
Rate for Payer: Cash Price	$963.75
Rate for Payer: Health Partners Plans Commercial	$1,220.75
Rate for Payer: UnitedHealthcare Commercial	$1,246.45
Rate for Payer: WPPA Commercial	$1,053.70

CEDAR COURT APT CLEANING

Facility

$25.00

Hospital Charge Code	9950020
Hospital Revenue Code	990
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

CEDAR COURT APT CLEANING

Facility

$25.00

Hospital Charge Code	9950020
Hospital Revenue Code	990
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

CEDAR COURT APT DEPOSIT

Facility

$750.00

Hospital Charge Code	9950000
Hospital Revenue Code	990
Min. Negotiated Rate	$346.50
Max. Negotiated Rate	$727.50
Rate for Payer: Cash Price	$562.50
Rate for Payer: Celtic Commercial/Exchange	$346.50
Rate for Payer: Health Partners Plans Commercial	$712.50
Rate for Payer: UnitedHealthcare Commercial	$727.50
Rate for Payer: WPPA Commercial	$630.00

CEDAR COURT APT DEPOSIT

Facility

$750.00

Hospital Charge Code	9950000
Hospital Revenue Code	990
Min. Negotiated Rate	$615.00
Max. Negotiated Rate	$727.50
Rate for Payer: Cash Price	$562.50
Rate for Payer: Health Partners Plans Commercial	$712.50
Rate for Payer: UnitedHealthcare Commercial	$727.50
Rate for Payer: WPPA Commercial	$615.00

CEFTIN 250 MG TAB (CEFUROXIME AXETIL)

Facility

$17.00

Service Code	NDC 60687027211
Hospital Charge Code	2510469
Hospital Revenue Code	250
Min. Negotiated Rate	$7.85
Max. Negotiated Rate	$16.49
Rate for Payer: Cash Price	$12.75
Rate for Payer: Celtic Commercial/Exchange	$7.85
Rate for Payer: Health Partners Plans Commercial	$16.15
Rate for Payer: UnitedHealthcare Commercial	$16.49
Rate for Payer: WPPA Commercial	$14.28

CEFTIN 250 MG TAB (CEFUROXIME AXETIL)

Facility

$17.00

Service Code	NDC 60687027211
Hospital Charge Code	2510469
Hospital Revenue Code	250
Min. Negotiated Rate	$13.94
Max. Negotiated Rate	$16.49
Rate for Payer: Cash Price	$12.75
Rate for Payer: Health Partners Plans Commercial	$16.15
Rate for Payer: UnitedHealthcare Commercial	$16.49
Rate for Payer: WPPA Commercial	$13.94

CELEBREX 100 MG CAP (CELECOXIB)

Facility

$13.00

Service Code	NDC 60687043611
Hospital Charge Code	2513406
Hospital Revenue Code	250
Min. Negotiated Rate	$10.66
Max. Negotiated Rate	$12.61
Rate for Payer: Cash Price	$10.39
Rate for Payer: Health Partners Plans Commercial	$12.35
Rate for Payer: UnitedHealthcare Commercial	$12.61
Rate for Payer: WPPA Commercial	$10.66

CELEBREX 100 MG CAP (CELECOXIB)

Facility

$13.00

Service Code	NDC 60687043611
Hospital Charge Code	2513406
Hospital Revenue Code	250
Min. Negotiated Rate	$6.01
Max. Negotiated Rate	$12.61
Rate for Payer: Cash Price	$10.39
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

CELESTONE SOLUSPAN INJ. (BETAMETHASONE SODIUM PHOS + BETAMETHASONE ACETATE)

Facility

$141.00

Service Code	NDC 78206011801
Hospital Charge Code	2515989
Hospital Revenue Code	250
Min. Negotiated Rate	$115.62
Max. Negotiated Rate	$136.77
Rate for Payer: Cash Price	$105.94
Rate for Payer: Health Partners Plans Commercial	$133.95
Rate for Payer: UnitedHealthcare Commercial	$136.77
Rate for Payer: WPPA Commercial	$115.62

CELESTONE SOLUSPAN INJ. (BETAMETHASONE SODIUM PHOS + BETAMETHASONE ACETATE)

Facility

$141.00

Service Code	NDC 78206011801
Hospital Charge Code	2515989
Hospital Revenue Code	250
Min. Negotiated Rate	$65.14
Max. Negotiated Rate	$136.77
Rate for Payer: Cash Price	$105.94
Rate for Payer: Celtic Commercial/Exchange	$65.14
Rate for Payer: Health Partners Plans Commercial	$133.95
Rate for Payer: UnitedHealthcare Commercial	$136.77
Rate for Payer: WPPA Commercial	$118.44

CELEXA 10 MG TAB (CITALOPRAM)

Facility

$7.00

Service Code	NDC 00904608461
Hospital Charge Code	2518587
Hospital Revenue Code	250
Min. Negotiated Rate	$5.74
Max. Negotiated Rate	$6.79
Rate for Payer: Cash Price	$5.48
Rate for Payer: Health Partners Plans Commercial	$6.65
Rate for Payer: UnitedHealthcare Commercial	$6.79
Rate for Payer: WPPA Commercial	$5.74

CELEXA 10 MG TAB (CITALOPRAM)

Facility

$7.00

Service Code	NDC 00904608461
Hospital Charge Code	2518587
Hospital Revenue Code	250
Min. Negotiated Rate	$3.23
Max. Negotiated Rate	$6.79
Rate for Payer: Cash Price	$5.48
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

CELL COUNT,MISC BODY FLUIDS,

Facility

$34.00

Service Code	HCPCS 89050
Hospital Charge Code	8905000
Hospital Revenue Code	309
Min. Negotiated Rate	$15.71
Max. Negotiated Rate	$32.98
Rate for Payer: BCBS Commercial	$18.90
Rate for Payer: Cash Price	$25.50
Rate for Payer: Cash Price	$25.50
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