Ness County Hospital

All Charges

Charge

Type

Setting

Price

CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$57,787.82

Service Code	MSDRG 955
Min. Negotiated Rate	$57,787.82
Max. Negotiated Rate	$57,787.82
Rate for Payer: BCBS Commercial	$57,787.82

CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR

Facility

$50,341.00

Service Code	MSDRG 023
Min. Negotiated Rate	$50,341.00
Max. Negotiated Rate	$50,341.00
Rate for Payer: BCBS Commercial	$50,341.00

CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC

Facility

$34,960.63

Service Code	MSDRG 024
Min. Negotiated Rate	$34,960.63
Max. Negotiated Rate	$34,960.63
Rate for Payer: BCBS Commercial	$34,960.63

CRAN STAT UTI

Facility

$4.00

Hospital Charge Code	2910005
Hospital Revenue Code	272
Min. Negotiated Rate	$3.28
Max. Negotiated Rate	$3.88
Rate for Payer: Cash Price	$3.00
Rate for Payer: Health Partners Plans Commercial	$3.80
Rate for Payer: UnitedHealthcare Commercial	$3.88
Rate for Payer: WPPA Commercial	$3.28

CRAN STAT UTI

Facility

$4.00

Hospital Charge Code	2910005
Hospital Revenue Code	272
Min. Negotiated Rate	$1.85
Max. Negotiated Rate	$3.88
Rate for Payer: Cash Price	$3.00
Rate for Payer: Celtic Commercial/Exchange	$1.85
Rate for Payer: Health Partners Plans Commercial	$3.80
Rate for Payer: UnitedHealthcare Commercial	$3.88
Rate for Payer: WPPA Commercial	$3.36

C-REACTIVE PROTEIN

Facility

$79.00

Service Code	HCPCS 86140
Hospital Charge Code	8614000
Hospital Revenue Code	302
Min. Negotiated Rate	$26.14
Max. Negotiated Rate	$76.63
Rate for Payer: BCBS Commercial	$26.14
Rate for Payer: Cash Price	$59.25
Rate for Payer: Cash Price	$59.25
Rate for Payer: Celtic Commercial/Exchange	$36.50
Rate for Payer: Health Partners Plans Commercial	$75.05
Rate for Payer: UnitedHealthcare Commercial	$76.63
Rate for Payer: WPPA Commercial	$66.36

C-REACTIVE PROTEIN

Facility

$79.00

Service Code	HCPCS 86140
Hospital Charge Code	8614000
Hospital Revenue Code	302
Min. Negotiated Rate	$64.78
Max. Negotiated Rate	$76.63
Rate for Payer: Cash Price	$59.25
Rate for Payer: Health Partners Plans Commercial	$75.05
Rate for Payer: UnitedHealthcare Commercial	$76.63
Rate for Payer: WPPA Commercial	$64.78

C-REACTIVE PROTEIN,done in house

Facility

$80.00

Service Code	HCPCS 86140
Hospital Charge Code	8614001
Hospital Revenue Code	302
Min. Negotiated Rate	$65.60
Max. Negotiated Rate	$77.60
Rate for Payer: Cash Price	$60.00
Rate for Payer: Health Partners Plans Commercial	$76.00
Rate for Payer: UnitedHealthcare Commercial	$77.60
Rate for Payer: WPPA Commercial	$65.60

C-REACTIVE PROTEIN,done in house

Facility

$80.00

Service Code	HCPCS 86140
Hospital Charge Code	8614001
Hospital Revenue Code	302
Min. Negotiated Rate	$26.14
Max. Negotiated Rate	$77.60
Rate for Payer: BCBS Commercial	$26.14
Rate for Payer: Cash Price	$60.00
Rate for Payer: Cash Price	$60.00
Rate for Payer: Celtic Commercial/Exchange	$36.96
Rate for Payer: Health Partners Plans Commercial	$76.00
Rate for Payer: UnitedHealthcare Commercial	$77.60
Rate for Payer: WPPA Commercial	$67.20

C-REACTIVE PROTEIN HIGH SENS.

Facility

$125.00

Service Code	HCPCS 86141
Hospital Charge Code	8614100
Hospital Revenue Code	302
Min. Negotiated Rate	$102.50
Max. Negotiated Rate	$121.25
Rate for Payer: Cash Price	$93.75
Rate for Payer: Health Partners Plans Commercial	$118.75
Rate for Payer: UnitedHealthcare Commercial	$121.25
Rate for Payer: WPPA Commercial	$102.50

C-REACTIVE PROTEIN HIGH SENS.

Facility

$125.00

Service Code	HCPCS 86141
Hospital Charge Code	8614100
Hospital Revenue Code	302
Min. Negotiated Rate	$57.75
Max. Negotiated Rate	$121.25
Rate for Payer: BCBS Commercial	$61.27
Rate for Payer: Cash Price	$93.75
Rate for Payer: Cash Price	$93.75
Rate for Payer: Celtic Commercial/Exchange	$57.75
Rate for Payer: Health Partners Plans Commercial	$118.75
Rate for Payer: UnitedHealthcare Commercial	$121.25
Rate for Payer: WPPA Commercial	$105.00

CREATINE

Facility

$51.00

Service Code	HCPCS 82540
Hospital Charge Code	8254000
Hospital Revenue Code	301
Min. Negotiated Rate	$23.56
Max. Negotiated Rate	$49.47
Rate for Payer: BCBS Commercial	$27.54
Rate for Payer: Cash Price	$38.25
Rate for Payer: Cash Price	$38.25
Rate for Payer: Celtic Commercial/Exchange	$23.56
Rate for Payer: Health Partners Plans Commercial	$48.45
Rate for Payer: UnitedHealthcare Commercial	$49.47
Rate for Payer: WPPA Commercial	$42.84

CREATINE

Facility

$51.00

Service Code	HCPCS 82540
Hospital Charge Code	8254000
Hospital Revenue Code	301
Min. Negotiated Rate	$41.82
Max. Negotiated Rate	$49.47
Rate for Payer: Cash Price	$38.25
Rate for Payer: Health Partners Plans Commercial	$48.45
Rate for Payer: UnitedHealthcare Commercial	$49.47
Rate for Payer: WPPA Commercial	$41.82

CREATINE 24 HR URINE

Facility

$51.00

Service Code	HCPCS 82540
Hospital Charge Code	8254001
Hospital Revenue Code	301
Min. Negotiated Rate	$23.56
Max. Negotiated Rate	$49.47
Rate for Payer: BCBS Commercial	$27.54
Rate for Payer: Cash Price	$38.25
Rate for Payer: Cash Price	$38.25
Rate for Payer: Celtic Commercial/Exchange	$23.56
Rate for Payer: Health Partners Plans Commercial	$48.45
Rate for Payer: UnitedHealthcare Commercial	$49.47
Rate for Payer: WPPA Commercial	$42.84

CREATINE 24 HR URINE

Facility

$51.00

Service Code	HCPCS 82540
Hospital Charge Code	8254001
Hospital Revenue Code	301
Min. Negotiated Rate	$41.82
Max. Negotiated Rate	$49.47
Rate for Payer: Cash Price	$38.25
Rate for Payer: Health Partners Plans Commercial	$48.45
Rate for Payer: UnitedHealthcare Commercial	$49.47
Rate for Payer: WPPA Commercial	$41.82

CREATINE KINASE (CK)(CPK)TOTAL

Facility

$81.00

Service Code	HCPCS 82550
Hospital Charge Code	8255000
Hospital Revenue Code	301
Min. Negotiated Rate	$23.11
Max. Negotiated Rate	$78.57
Rate for Payer: BCBS Commercial	$23.11
Rate for Payer: Cash Price	$60.75
Rate for Payer: Cash Price	$60.75
Rate for Payer: Celtic Commercial/Exchange	$37.42
Rate for Payer: Health Partners Plans Commercial	$76.95
Rate for Payer: UnitedHealthcare Commercial	$78.57
Rate for Payer: WPPA Commercial	$68.04

CREATINE KINASE (CK)(CPK)TOTAL

Facility

$81.00

Service Code	HCPCS 82550
Hospital Charge Code	8255000
Hospital Revenue Code	301
Min. Negotiated Rate	$66.42
Max. Negotiated Rate	$78.57
Rate for Payer: Cash Price	$60.75
Rate for Payer: Health Partners Plans Commercial	$76.95
Rate for Payer: UnitedHealthcare Commercial	$78.57
Rate for Payer: WPPA Commercial	$66.42

CREATINE KINASE, ISOENZYMES

Facility

$86.00

Service Code	HCPCS 82552
Hospital Charge Code	8255200
Hospital Revenue Code	301
Min. Negotiated Rate	$39.73
Max. Negotiated Rate	$83.42
Rate for Payer: BCBS Commercial	$48.80
Rate for Payer: Cash Price	$64.50
Rate for Payer: Cash Price	$64.50
Rate for Payer: Celtic Commercial/Exchange	$39.73
Rate for Payer: Health Partners Plans Commercial	$81.70
Rate for Payer: UnitedHealthcare Commercial	$83.42
Rate for Payer: WPPA Commercial	$72.24

CREATINE KINASE, ISOENZYMES

Facility

$86.00

Service Code	HCPCS 82552
Hospital Charge Code	8255200
Hospital Revenue Code	301
Min. Negotiated Rate	$70.52
Max. Negotiated Rate	$83.42
Rate for Payer: Cash Price	$64.50
Rate for Payer: Health Partners Plans Commercial	$81.70
Rate for Payer: UnitedHealthcare Commercial	$83.42
Rate for Payer: WPPA Commercial	$70.52

CREATINE KINASE MB FRACT.ONLY

Facility

$150.00

Service Code	HCPCS 82553
Hospital Charge Code	8255300
Hospital Revenue Code	301
Min. Negotiated Rate	$123.00
Max. Negotiated Rate	$145.50
Rate for Payer: Cash Price	$112.50
Rate for Payer: Health Partners Plans Commercial	$142.50
Rate for Payer: UnitedHealthcare Commercial	$145.50
Rate for Payer: WPPA Commercial	$123.00

CREATINE KINASE MB FRACT.ONLY

Facility

$150.00

Service Code	HCPCS 82553
Hospital Charge Code	8255300
Hospital Revenue Code	301
Min. Negotiated Rate	$54.02
Max. Negotiated Rate	$145.50
Rate for Payer: BCBS Commercial	$54.02
Rate for Payer: Cash Price	$112.50
Rate for Payer: Cash Price	$112.50
Rate for Payer: Celtic Commercial/Exchange	$69.30
Rate for Payer: Health Partners Plans Commercial	$142.50
Rate for Payer: UnitedHealthcare Commercial	$145.50
Rate for Payer: WPPA Commercial	$126.00

CREATININE BLOOD

Facility

$57.00

Service Code	HCPCS 82565
Hospital Charge Code	8256500
Hospital Revenue Code	301
Min. Negotiated Rate	$46.74
Max. Negotiated Rate	$55.29
Rate for Payer: Cash Price	$42.75
Rate for Payer: Health Partners Plans Commercial	$54.15
Rate for Payer: UnitedHealthcare Commercial	$55.29
Rate for Payer: WPPA Commercial	$46.74

CREATININE BLOOD

Facility

$57.00

Service Code	HCPCS 82565
Hospital Charge Code	8256500
Hospital Revenue Code	301
Min. Negotiated Rate	$11.00
Max. Negotiated Rate	$55.29
Rate for Payer: BCBS Commercial	$11.00
Rate for Payer: Cash Price	$42.75
Rate for Payer: Cash Price	$42.75
Rate for Payer: Celtic Commercial/Exchange	$26.33
Rate for Payer: Health Partners Plans Commercial	$54.15
Rate for Payer: UnitedHealthcare Commercial	$55.29
Rate for Payer: WPPA Commercial	$47.88

CREATININE CLEARANCE

Facility

$66.00

Service Code	HCPCS 82575
Hospital Charge Code	8257500
Hospital Revenue Code	301
Min. Negotiated Rate	$30.49
Max. Negotiated Rate	$64.02
Rate for Payer: BCBS Commercial	$35.11
Rate for Payer: Cash Price	$49.50
Rate for Payer: Cash Price	$49.50
Rate for Payer: Celtic Commercial/Exchange	$30.49
Rate for Payer: Health Partners Plans Commercial	$62.70
Rate for Payer: UnitedHealthcare Commercial	$64.02
Rate for Payer: WPPA Commercial	$55.44

CREATININE CLEARANCE

Facility

$66.00

Service Code	HCPCS 82575
Hospital Charge Code	8257500
Hospital Revenue Code	301
Min. Negotiated Rate	$54.12
Max. Negotiated Rate	$64.02
Rate for Payer: Cash Price	$49.50
Rate for Payer: Health Partners Plans Commercial	$62.70
Rate for Payer: UnitedHealthcare Commercial	$64.02
Rate for Payer: WPPA Commercial	$54.12

Know your out-of-pocket cost for care.

All Charges