Ness County Hospital

All Charges

Charge

Type

Setting

Price

CLOSED TX OF HIP SOCKET W/O

Facility

$323.00

Service Code	HCPCS 27220
Hospital Charge Code	2722000
Hospital Revenue Code	450
Min. Negotiated Rate	$149.23
Max. Negotiated Rate	$313.31
Rate for Payer: Cash Price	$242.25
Rate for Payer: Celtic Commercial/Exchange	$149.23
Rate for Payer: Health Partners Plans Commercial	$306.85
Rate for Payer: UnitedHealthcare Commercial	$313.31
Rate for Payer: WPPA Commercial	$271.32

CLOSED TX OF HIP SOCKET W/O

Facility

$323.00

Service Code	HCPCS 27220
Hospital Charge Code	2722000
Hospital Revenue Code	450
Min. Negotiated Rate	$264.86
Max. Negotiated Rate	$313.31
Rate for Payer: Cash Price	$242.25
Rate for Payer: Health Partners Plans Commercial	$306.85
Rate for Payer: UnitedHealthcare Commercial	$313.31
Rate for Payer: WPPA Commercial	$264.86

CLOSED TX PATELLAR DISLOCATION

Facility

$350.00

Service Code	HCPCS 27560
Hospital Charge Code	2756000
Hospital Revenue Code	450
Min. Negotiated Rate	$161.70
Max. Negotiated Rate	$809.01
Rate for Payer: BCBS Commercial	$809.01
Rate for Payer: Cash Price	$262.50
Rate for Payer: Cash Price	$262.50
Rate for Payer: Celtic Commercial/Exchange	$161.70
Rate for Payer: Health Partners Plans Commercial	$332.50
Rate for Payer: UnitedHealthcare Commercial	$339.50
Rate for Payer: WPPA Commercial	$294.00

CLOSED TX PATELLAR DISLOCATION

Facility

$350.00

Service Code	HCPCS 27560
Hospital Charge Code	2756000
Hospital Revenue Code	450
Min. Negotiated Rate	$287.00
Max. Negotiated Rate	$339.50
Rate for Payer: Cash Price	$262.50
Rate for Payer: Health Partners Plans Commercial	$332.50
Rate for Payer: UnitedHealthcare Commercial	$339.50
Rate for Payer: WPPA Commercial	$287.00

CLOSED TX RAD HEAD SUBLUX,CHLD

Facility

$269.00

Service Code	HCPCS 24640
Hospital Charge Code	2464000
Hospital Revenue Code	450
Min. Negotiated Rate	$124.28
Max. Negotiated Rate	$809.01
Rate for Payer: BCBS Commercial	$809.01
Rate for Payer: Cash Price	$201.75
Rate for Payer: Cash Price	$201.75
Rate for Payer: Celtic Commercial/Exchange	$124.28
Rate for Payer: Health Partners Plans Commercial	$255.55
Rate for Payer: UnitedHealthcare Commercial	$260.93
Rate for Payer: WPPA Commercial	$225.96

CLOSED TX RAD HEAD SUBLUX,CHLD

Facility

$269.00

Service Code	HCPCS 24640
Hospital Charge Code	2464000
Hospital Revenue Code	450
Min. Negotiated Rate	$220.58
Max. Negotiated Rate	$260.93
Rate for Payer: Cash Price	$201.75
Rate for Payer: Health Partners Plans Commercial	$255.55
Rate for Payer: UnitedHealthcare Commercial	$260.93
Rate for Payer: WPPA Commercial	$220.58

CLOSED TX TALUS FX; W/O MANIPU

Facility

$323.00

Service Code	HCPCS 28430
Hospital Charge Code	2843000
Hospital Revenue Code	450
Min. Negotiated Rate	$264.86
Max. Negotiated Rate	$313.31
Rate for Payer: Cash Price	$242.25
Rate for Payer: Health Partners Plans Commercial	$306.85
Rate for Payer: UnitedHealthcare Commercial	$313.31
Rate for Payer: WPPA Commercial	$264.86

CLOSED TX TALUS FX; W/O MANIPU

Facility

$323.00

Service Code	HCPCS 28430
Hospital Charge Code	2843000
Hospital Revenue Code	450
Min. Negotiated Rate	$149.23
Max. Negotiated Rate	$1,454.40
Rate for Payer: BCBS Commercial	$1,454.40
Rate for Payer: Cash Price	$242.25
Rate for Payer: Cash Price	$242.25
Rate for Payer: Celtic Commercial/Exchange	$149.23
Rate for Payer: Health Partners Plans Commercial	$306.85
Rate for Payer: UnitedHealthcare Commercial	$313.31
Rate for Payer: WPPA Commercial	$271.32

CLOSED TX TARSOMETATARSAL JNT

Facility

$269.00

Service Code	HCPCS 28600
Hospital Charge Code	2860000
Hospital Revenue Code	450
Min. Negotiated Rate	$220.58
Max. Negotiated Rate	$260.93
Rate for Payer: Cash Price	$201.75
Rate for Payer: Health Partners Plans Commercial	$255.55
Rate for Payer: UnitedHealthcare Commercial	$260.93
Rate for Payer: WPPA Commercial	$220.58

CLOSED TX TARSOMETATARSAL JNT

Facility

$269.00

Service Code	HCPCS 28600
Hospital Charge Code	2860000
Hospital Revenue Code	450
Min. Negotiated Rate	$124.28
Max. Negotiated Rate	$809.01
Rate for Payer: BCBS Commercial	$809.01
Rate for Payer: Cash Price	$201.75
Rate for Payer: Cash Price	$201.75
Rate for Payer: Celtic Commercial/Exchange	$124.28
Rate for Payer: Health Partners Plans Commercial	$255.55
Rate for Payer: UnitedHealthcare Commercial	$260.93
Rate for Payer: WPPA Commercial	$225.96

CLOSED TX TIBIAL FX,PROX W/O

Facility

$269.00

Service Code	HCPCS 27530
Hospital Charge Code	2753000
Hospital Revenue Code	450
Min. Negotiated Rate	$220.58
Max. Negotiated Rate	$260.93
Rate for Payer: Cash Price	$201.75
Rate for Payer: Health Partners Plans Commercial	$255.55
Rate for Payer: UnitedHealthcare Commercial	$260.93
Rate for Payer: WPPA Commercial	$220.58

CLOSED TX TIBIAL FX,PROX W/O

Facility

$269.00

Service Code	HCPCS 27530
Hospital Charge Code	2753000
Hospital Revenue Code	450
Min. Negotiated Rate	$124.28
Max. Negotiated Rate	$1,454.40
Rate for Payer: BCBS Commercial	$1,454.40
Rate for Payer: Cash Price	$201.75
Rate for Payer: Cash Price	$201.75
Rate for Payer: Celtic Commercial/Exchange	$124.28
Rate for Payer: Health Partners Plans Commercial	$255.55
Rate for Payer: UnitedHealthcare Commercial	$260.93
Rate for Payer: WPPA Commercial	$225.96

CLOSED TX TRIMALLEOLAR ANKL FX

Facility

$323.00

Service Code	HCPCS 27816
Hospital Charge Code	2781600
Hospital Revenue Code	450
Min. Negotiated Rate	$149.23
Max. Negotiated Rate	$1,454.40
Rate for Payer: BCBS Commercial	$1,454.40
Rate for Payer: Cash Price	$242.25
Rate for Payer: Cash Price	$242.25
Rate for Payer: Celtic Commercial/Exchange	$149.23
Rate for Payer: Health Partners Plans Commercial	$306.85
Rate for Payer: UnitedHealthcare Commercial	$313.31
Rate for Payer: WPPA Commercial	$271.32

CLOSED TX TRIMALLEOLAR ANKL FX

Facility

$323.00

Service Code	HCPCS 27816
Hospital Charge Code	2781600
Hospital Revenue Code	450
Min. Negotiated Rate	$264.86
Max. Negotiated Rate	$313.31
Rate for Payer: Cash Price	$242.25
Rate for Payer: Health Partners Plans Commercial	$306.85
Rate for Payer: UnitedHealthcare Commercial	$313.31
Rate for Payer: WPPA Commercial	$264.86

CLOSED TX ULNAR FX,PROX END

Facility

$538.00

Service Code	HCPCS 24670
Hospital Charge Code	2467000
Hospital Revenue Code	450
Min. Negotiated Rate	$248.56
Max. Negotiated Rate	$1,454.40
Rate for Payer: BCBS Commercial	$1,454.40
Rate for Payer: Cash Price	$403.50
Rate for Payer: Cash Price	$403.50
Rate for Payer: Celtic Commercial/Exchange	$248.56
Rate for Payer: Health Partners Plans Commercial	$511.10
Rate for Payer: UnitedHealthcare Commercial	$521.86
Rate for Payer: WPPA Commercial	$451.92

CLOSED TX ULNAR FX,PROX END

Facility

$538.00

Service Code	HCPCS 24670
Hospital Charge Code	2467000
Hospital Revenue Code	450
Min. Negotiated Rate	$441.16
Max. Negotiated Rate	$521.86
Rate for Payer: Cash Price	$403.50
Rate for Payer: Health Partners Plans Commercial	$511.10
Rate for Payer: UnitedHealthcare Commercial	$521.86
Rate for Payer: WPPA Commercial	$441.16

CLOSE PROXIMAL FIBULA OR SHAFT

Facility

$323.00

Service Code	HCPCS 27780
Hospital Charge Code	2778000
Hospital Revenue Code	450
Min. Negotiated Rate	$149.23
Max. Negotiated Rate	$1,454.40
Rate for Payer: BCBS Commercial	$1,454.40
Rate for Payer: Cash Price	$242.25
Rate for Payer: Cash Price	$242.25
Rate for Payer: Celtic Commercial/Exchange	$149.23
Rate for Payer: Health Partners Plans Commercial	$306.85
Rate for Payer: UnitedHealthcare Commercial	$313.31
Rate for Payer: WPPA Commercial	$271.32

CLOSE PROXIMAL FIBULA OR SHAFT

Facility

$323.00

Service Code	HCPCS 27780
Hospital Charge Code	2778000
Hospital Revenue Code	450
Min. Negotiated Rate	$264.86
Max. Negotiated Rate	$313.31
Rate for Payer: Cash Price	$242.25
Rate for Payer: Health Partners Plans Commercial	$306.85
Rate for Payer: UnitedHealthcare Commercial	$313.31
Rate for Payer: WPPA Commercial	$264.86

CLOSE TREAT CLAV FRAC W/O MANI

Facility

$323.00

Service Code	HCPCS 23500
Hospital Charge Code	2350000
Hospital Revenue Code	450
Min. Negotiated Rate	$264.86
Max. Negotiated Rate	$313.31
Rate for Payer: Cash Price	$242.25
Rate for Payer: Health Partners Plans Commercial	$306.85
Rate for Payer: UnitedHealthcare Commercial	$313.31
Rate for Payer: WPPA Commercial	$264.86

CLOSE TREAT CLAV FRAC W/O MANI

Facility

$323.00

Service Code	HCPCS 23500
Hospital Charge Code	2350000
Hospital Revenue Code	450
Min. Negotiated Rate	$149.23
Max. Negotiated Rate	$809.01
Rate for Payer: BCBS Commercial	$809.01
Rate for Payer: Cash Price	$242.25
Rate for Payer: Cash Price	$242.25
Rate for Payer: Celtic Commercial/Exchange	$149.23
Rate for Payer: Health Partners Plans Commercial	$306.85
Rate for Payer: UnitedHealthcare Commercial	$313.31
Rate for Payer: WPPA Commercial	$271.32

CLOSE TREAT FEMOR SHAFT FRACTU

Facility

$1,075.00

Service Code	HCPCS 27500
Hospital Charge Code	2750000
Hospital Revenue Code	450
Min. Negotiated Rate	$881.50
Max. Negotiated Rate	$1,042.75
Rate for Payer: Cash Price	$806.25
Rate for Payer: Health Partners Plans Commercial	$1,021.25
Rate for Payer: UnitedHealthcare Commercial	$1,042.75
Rate for Payer: WPPA Commercial	$881.50

CLOSE TREAT FEMOR SHAFT FRACTU

Facility

$1,075.00

Service Code	HCPCS 27500
Hospital Charge Code	2750000
Hospital Revenue Code	450
Min. Negotiated Rate	$496.65
Max. Negotiated Rate	$1,042.75
Rate for Payer: Cash Price	$806.25
Rate for Payer: Celtic Commercial/Exchange	$496.65
Rate for Payer: Health Partners Plans Commercial	$1,021.25
Rate for Payer: UnitedHealthcare Commercial	$1,042.75
Rate for Payer: WPPA Commercial	$903.00

CLOS TREAT DISTAL FIB FRAC W/O

Facility

$323.00

Service Code	HCPCS 27786
Hospital Charge Code	2778600
Hospital Revenue Code	450
Min. Negotiated Rate	$264.86
Max. Negotiated Rate	$313.31
Rate for Payer: Cash Price	$242.25
Rate for Payer: Health Partners Plans Commercial	$306.85
Rate for Payer: UnitedHealthcare Commercial	$313.31
Rate for Payer: WPPA Commercial	$264.86

CLOS TREAT DISTAL FIB FRAC W/O

Facility

$323.00

Service Code	HCPCS 27786
Hospital Charge Code	2778600
Hospital Revenue Code	450
Min. Negotiated Rate	$149.23
Max. Negotiated Rate	$1,454.40
Rate for Payer: BCBS Commercial	$1,454.40
Rate for Payer: Cash Price	$242.25
Rate for Payer: Cash Price	$242.25
Rate for Payer: Celtic Commercial/Exchange	$149.23
Rate for Payer: Health Partners Plans Commercial	$306.85
Rate for Payer: UnitedHealthcare Commercial	$313.31
Rate for Payer: WPPA Commercial	$271.32

CLOS TREAT PROX HUM FX W/0 MAN

Facility

$300.00

Service Code	HCPCS 23600
Hospital Charge Code	2360000
Hospital Revenue Code	761
Min. Negotiated Rate	$138.60
Max. Negotiated Rate	$1,454.40
Rate for Payer: BCBS Commercial	$1,454.40
Rate for Payer: Cash Price	$225.00
Rate for Payer: Cash Price	$225.00
Rate for Payer: Celtic Commercial/Exchange	$138.60
Rate for Payer: Health Partners Plans Commercial	$285.00
Rate for Payer: UnitedHealthcare Commercial	$291.00
Rate for Payer: WPPA Commercial	$252.00

Know your out-of-pocket cost for care.

All Charges