Ness County Hospital

All Charges

Charge

Type

Setting

Price

COREG 6.25MG TAB (CARVEDILOL)

Facility

$6.00

Service Code	NDC 00904730661
Hospital Charge Code	2512846
Hospital Revenue Code	250
Min. Negotiated Rate	$4.92
Max. Negotiated Rate	$5.82
Rate for Payer: Cash Price	$4.95
Rate for Payer: Health Partners Plans Commercial	$5.70
Rate for Payer: UnitedHealthcare Commercial	$5.82
Rate for Payer: WPPA Commercial	$4.92

COREG 6.25MG TAB (CARVEDILOL)

Facility

$6.00

Service Code	NDC 00904730661
Hospital Charge Code	2512846
Hospital Revenue Code	250
Min. Negotiated Rate	$2.77
Max. Negotiated Rate	$5.82
Rate for Payer: Cash Price	$4.95
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

CORGARD 20 MG TAB

Facility

$19.00

Hospital Charge Code	2518926
Hospital Revenue Code	250
Min. Negotiated Rate	$8.78
Max. Negotiated Rate	$18.43
Rate for Payer: Cash Price	$14.51
Rate for Payer: Celtic Commercial/Exchange	$8.78
Rate for Payer: Health Partners Plans Commercial	$18.05
Rate for Payer: UnitedHealthcare Commercial	$18.43
Rate for Payer: WPPA Commercial	$15.96

CORGARD 20 MG TAB

Facility

$19.00

Hospital Charge Code	2518926
Hospital Revenue Code	250
Min. Negotiated Rate	$15.58
Max. Negotiated Rate	$18.43
Rate for Payer: Cash Price	$14.51
Rate for Payer: Health Partners Plans Commercial	$18.05
Rate for Payer: UnitedHealthcare Commercial	$18.43
Rate for Payer: WPPA Commercial	$15.58

CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC

Facility

$71,933.06

Service Code	MSDRG 233
Min. Negotiated Rate	$71,933.06
Max. Negotiated Rate	$71,933.06
Rate for Payer: BCBS Commercial	$71,933.06

CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC

Facility

$57,056.45

Service Code	MSDRG 234
Min. Negotiated Rate	$57,056.45
Max. Negotiated Rate	$57,056.45
Rate for Payer: BCBS Commercial	$57,056.45

CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC

Facility

$58,842.14

Service Code	MSDRG 235
Min. Negotiated Rate	$58,842.14
Max. Negotiated Rate	$58,842.14
Rate for Payer: BCBS Commercial	$58,842.14

CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC

Facility

$42,720.71

Service Code	MSDRG 236
Min. Negotiated Rate	$42,720.71
Max. Negotiated Rate	$42,720.71
Rate for Payer: BCBS Commercial	$42,720.71

CORONARY BYPASS WITH PTCA WITH MCC

Facility

$73,800.53

Service Code	MSDRG 231
Min. Negotiated Rate	$73,800.53
Max. Negotiated Rate	$73,800.53
Rate for Payer: BCBS Commercial	$73,800.53

CORONARY BYPASS WITH PTCA WITHOUT MCC

Facility

$52,678.49

Service Code	MSDRG 232
Min. Negotiated Rate	$52,678.49
Max. Negotiated Rate	$52,678.49
Rate for Payer: BCBS Commercial	$52,678.49

CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC

Facility

$44,160.03

Service Code	MSDRG 323
Min. Negotiated Rate	$44,160.03
Max. Negotiated Rate	$44,160.03
Rate for Payer: BCBS Commercial	$44,160.03

CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC

Facility

$31,665.10

Service Code	MSDRG 324
Min. Negotiated Rate	$31,665.10
Max. Negotiated Rate	$31,665.10
Rate for Payer: BCBS Commercial	$31,665.10

CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE

Facility

$28,205.88

Service Code	MSDRG 325
Min. Negotiated Rate	$28,205.88
Max. Negotiated Rate	$28,205.88
Rate for Payer: BCBS Commercial	$28,205.88

CORTEF 10 MG TAB (HYDROCORTISONE)

Facility

$5.00

Service Code	NDC 59762007401
Hospital Charge Code	2509206
Hospital Revenue Code	250
Min. Negotiated Rate	$4.10
Max. Negotiated Rate	$4.85
Rate for Payer: Cash Price	$3.90
Rate for Payer: Health Partners Plans Commercial	$4.75
Rate for Payer: UnitedHealthcare Commercial	$4.85
Rate for Payer: WPPA Commercial	$4.10

CORTEF 10 MG TAB (HYDROCORTISONE)

Facility

$5.00

Service Code	NDC 59762007401
Hospital Charge Code	2509206
Hospital Revenue Code	250
Min. Negotiated Rate	$2.31
Max. Negotiated Rate	$4.85
Rate for Payer: Cash Price	$3.90
Rate for Payer: Celtic Commercial/Exchange	$2.31
Rate for Payer: Health Partners Plans Commercial	$4.75
Rate for Payer: UnitedHealthcare Commercial	$4.85
Rate for Payer: WPPA Commercial	$4.20

CORTICOSTERONE

Facility

$70.00

Service Code	HCPCS 82528
Hospital Charge Code	8252800
Hospital Revenue Code	301
Min. Negotiated Rate	$32.34
Max. Negotiated Rate	$67.90
Rate for Payer: BCBS Commercial	$45.03
Rate for Payer: Cash Price	$52.50
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

CORTICOSTERONE

Facility

$70.00

Service Code	HCPCS 82528
Hospital Charge Code	8252800
Hospital Revenue Code	301
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

CORTISOL FREE

Facility

$118.00

Service Code	HCPCS 82530
Hospital Charge Code	8253000
Hospital Revenue Code	301
Min. Negotiated Rate	$96.76
Max. Negotiated Rate	$114.46
Rate for Payer: Cash Price	$88.50
Rate for Payer: Health Partners Plans Commercial	$112.10
Rate for Payer: UnitedHealthcare Commercial	$114.46
Rate for Payer: WPPA Commercial	$96.76

CORTISOL FREE

Facility

$118.00

Service Code	HCPCS 82530
Hospital Charge Code	8253000
Hospital Revenue Code	301
Min. Negotiated Rate	$54.52
Max. Negotiated Rate	$114.46
Rate for Payer: BCBS Commercial	$66.51
Rate for Payer: Cash Price	$88.50
Rate for Payer: Cash Price	$88.50
Rate for Payer: Celtic Commercial/Exchange	$54.52
Rate for Payer: Health Partners Plans Commercial	$112.10
Rate for Payer: UnitedHealthcare Commercial	$114.46
Rate for Payer: WPPA Commercial	$99.12

CORTISOL TOTAL

Facility

$140.00

Service Code	HCPCS 82533
Hospital Charge Code	8253300
Hospital Revenue Code	301
Min. Negotiated Rate	$114.80
Max. Negotiated Rate	$135.80
Rate for Payer: Cash Price	$105.00
Rate for Payer: Health Partners Plans Commercial	$133.00
Rate for Payer: UnitedHealthcare Commercial	$135.80
Rate for Payer: WPPA Commercial	$114.80

CORTISOL TOTAL

Facility

$140.00

Service Code	HCPCS 82533
Hospital Charge Code	8253300
Hospital Revenue Code	301
Min. Negotiated Rate	$60.54
Max. Negotiated Rate	$135.80
Rate for Payer: BCBS Commercial	$60.54
Rate for Payer: Cash Price	$105.00
Rate for Payer: Cash Price	$105.00
Rate for Payer: Celtic Commercial/Exchange	$64.68
Rate for Payer: Health Partners Plans Commercial	$133.00
Rate for Payer: UnitedHealthcare Commercial	$135.80
Rate for Payer: WPPA Commercial	$117.60

CORTISPORIN EAR SOLUTION (PEDIOTIC / NEOMYCIN + POLYMYXIN B SULFATES & HYDROCORTISONE)

Facility

$512.00

Service Code	NDC 61314064610
Hospital Charge Code	2510329
Hospital Revenue Code	250
Min. Negotiated Rate	$236.54
Max. Negotiated Rate	$496.64
Rate for Payer: Cash Price	$384.30
Rate for Payer: Celtic Commercial/Exchange	$236.54
Rate for Payer: Health Partners Plans Commercial	$486.40
Rate for Payer: UnitedHealthcare Commercial	$496.64
Rate for Payer: WPPA Commercial	$430.08

CORTISPORIN EAR SOLUTION (PEDIOTIC / NEOMYCIN + POLYMYXIN B SULFATES & HYDROCORTISONE)

Facility

$512.00

Service Code	NDC 61314064610
Hospital Charge Code	2510329
Hospital Revenue Code	250
Min. Negotiated Rate	$419.84
Max. Negotiated Rate	$496.64
Rate for Payer: Cash Price	$384.30
Rate for Payer: Health Partners Plans Commercial	$486.40
Rate for Payer: UnitedHealthcare Commercial	$496.64
Rate for Payer: WPPA Commercial	$419.84

COSMOPOR ADHESIVE DRESSING 2X2.8IN

Facility

$9.00

Hospital Charge Code	2722588
Hospital Revenue Code	272
Min. Negotiated Rate	$4.16
Max. Negotiated Rate	$8.73
Rate for Payer: Cash Price	$6.75
Rate for Payer: Celtic Commercial/Exchange	$4.16
Rate for Payer: Health Partners Plans Commercial	$8.55
Rate for Payer: UnitedHealthcare Commercial	$8.73
Rate for Payer: WPPA Commercial	$7.56

COSMOPOR ADHESIVE DRESSING 2X2.8IN

Facility

$9.00

Hospital Charge Code	2722588
Hospital Revenue Code	272
Min. Negotiated Rate	$7.38
Max. Negotiated Rate	$8.73
Rate for Payer: Cash Price	$6.75
Rate for Payer: Health Partners Plans Commercial	$8.55
Rate for Payer: UnitedHealthcare Commercial	$8.73
Rate for Payer: WPPA Commercial	$7.38

Know your out-of-pocket cost for care.

All Charges