Ness County Hospital

All Charges

Charge

Type

Setting

Price

CURLIN TUBING

Facility

$36.00

Hospital Charge Code	2707599
Hospital Revenue Code	270
Min. Negotiated Rate	$29.52
Max. Negotiated Rate	$34.92
Rate for Payer: Cash Price	$27.00
Rate for Payer: Health Partners Plans Commercial	$34.20
Rate for Payer: UnitedHealthcare Commercial	$34.92
Rate for Payer: WPPA Commercial	$29.52

CURLIN TUBING

Facility

$36.00

Hospital Charge Code	2707599
Hospital Revenue Code	270
Min. Negotiated Rate	$16.63
Max. Negotiated Rate	$34.92
Rate for Payer: Cash Price	$27.00
Rate for Payer: Celtic Commercial/Exchange	$16.63
Rate for Payer: Health Partners Plans Commercial	$34.20
Rate for Payer: UnitedHealthcare Commercial	$34.92
Rate for Payer: WPPA Commercial	$30.24

CUSHION

Facility

$58.00

Hospital Charge Code	2700441
Hospital Revenue Code	270
Min. Negotiated Rate	$47.56
Max. Negotiated Rate	$56.26
Rate for Payer: Cash Price	$43.50
Rate for Payer: Health Partners Plans Commercial	$55.10
Rate for Payer: UnitedHealthcare Commercial	$56.26
Rate for Payer: WPPA Commercial	$47.56

CUSHION

Facility

$58.00

Hospital Charge Code	2700441
Hospital Revenue Code	270
Min. Negotiated Rate	$26.80
Max. Negotiated Rate	$56.26
Rate for Payer: Cash Price	$43.50
Rate for Payer: Celtic Commercial/Exchange	$26.80
Rate for Payer: Health Partners Plans Commercial	$55.10
Rate for Payer: UnitedHealthcare Commercial	$56.26
Rate for Payer: WPPA Commercial	$48.72

CUSHION AIR

Facility

$39.00

Hospital Charge Code	2709520
Hospital Revenue Code	270
Min. Negotiated Rate	$18.02
Max. Negotiated Rate	$37.83
Rate for Payer: Cash Price	$29.25
Rate for Payer: Celtic Commercial/Exchange	$18.02
Rate for Payer: Health Partners Plans Commercial	$37.05
Rate for Payer: UnitedHealthcare Commercial	$37.83
Rate for Payer: WPPA Commercial	$32.76

CUSHION AIR

Facility

$39.00

Hospital Charge Code	2709520
Hospital Revenue Code	270
Min. Negotiated Rate	$31.98
Max. Negotiated Rate	$37.83
Rate for Payer: Cash Price	$29.25
Rate for Payer: Health Partners Plans Commercial	$37.05
Rate for Payer: UnitedHealthcare Commercial	$37.83
Rate for Payer: WPPA Commercial	$31.98

CUSHION APEX CORE COCCYX

Facility

$347.00

Hospital Charge Code	2700447
Hospital Revenue Code	990
Min. Negotiated Rate	$160.31
Max. Negotiated Rate	$336.59
Rate for Payer: Cash Price	$260.25
Rate for Payer: Celtic Commercial/Exchange	$160.31
Rate for Payer: Health Partners Plans Commercial	$329.65
Rate for Payer: UnitedHealthcare Commercial	$336.59
Rate for Payer: WPPA Commercial	$291.48

CUSHION APEX CORE COCCYX

Facility

$347.00

Hospital Charge Code	2700447
Hospital Revenue Code	990
Min. Negotiated Rate	$284.54
Max. Negotiated Rate	$336.59
Rate for Payer: Cash Price	$260.25
Rate for Payer: Health Partners Plans Commercial	$329.65
Rate for Payer: UnitedHealthcare Commercial	$336.59
Rate for Payer: WPPA Commercial	$284.54

CUSHION BARIATRIC GEL 20"

Facility

$575.00

Hospital Charge Code	2700445
Hospital Revenue Code	272
Min. Negotiated Rate	$265.65
Max. Negotiated Rate	$557.75
Rate for Payer: Cash Price	$431.25
Rate for Payer: Celtic Commercial/Exchange	$265.65
Rate for Payer: Health Partners Plans Commercial	$546.25
Rate for Payer: UnitedHealthcare Commercial	$557.75
Rate for Payer: WPPA Commercial	$483.00

CUSHION BARIATRIC GEL 20"

Facility

$575.00

Hospital Charge Code	2700445
Hospital Revenue Code	272
Min. Negotiated Rate	$471.50
Max. Negotiated Rate	$557.75
Rate for Payer: Cash Price	$431.25
Rate for Payer: Health Partners Plans Commercial	$546.25
Rate for Payer: UnitedHealthcare Commercial	$557.75
Rate for Payer: WPPA Commercial	$471.50

CUSHION GEL SM/MD

Facility

$84.00

Hospital Charge Code	2700442LTC
Hospital Revenue Code	270
Min. Negotiated Rate	$68.88
Max. Negotiated Rate	$81.48
Rate for Payer: Cash Price	$63.00
Rate for Payer: Health Partners Plans Commercial	$79.80
Rate for Payer: UnitedHealthcare Commercial	$81.48
Rate for Payer: WPPA Commercial	$68.88

CUSHION GEL SM/MD

Facility

$84.00

Hospital Charge Code	2700442LTC
Hospital Revenue Code	270
Min. Negotiated Rate	$38.81
Max. Negotiated Rate	$81.48
Rate for Payer: Cash Price	$63.00
Rate for Payer: Celtic Commercial/Exchange	$38.81
Rate for Payer: Health Partners Plans Commercial	$79.80
Rate for Payer: UnitedHealthcare Commercial	$81.48
Rate for Payer: WPPA Commercial	$70.56

CUSION GEL LG LTC

Facility

$87.00

Hospital Charge Code	2700444LTC
Hospital Revenue Code	270
Min. Negotiated Rate	$40.19
Max. Negotiated Rate	$84.39
Rate for Payer: Cash Price	$65.25
Rate for Payer: Celtic Commercial/Exchange	$40.19
Rate for Payer: Health Partners Plans Commercial	$82.65
Rate for Payer: UnitedHealthcare Commercial	$84.39
Rate for Payer: WPPA Commercial	$73.08

CUSION GEL LG LTC

Facility

$87.00

Hospital Charge Code	2700444LTC
Hospital Revenue Code	270
Min. Negotiated Rate	$71.34
Max. Negotiated Rate	$84.39
Rate for Payer: Cash Price	$65.25
Rate for Payer: Health Partners Plans Commercial	$82.65
Rate for Payer: UnitedHealthcare Commercial	$84.39
Rate for Payer: WPPA Commercial	$71.34

CUTIMED 4X4

Facility

$24.00

Hospital Charge Code	2726357
Hospital Revenue Code	272
Min. Negotiated Rate	$11.09
Max. Negotiated Rate	$23.28
Rate for Payer: Cash Price	$18.00
Rate for Payer: Celtic Commercial/Exchange	$11.09
Rate for Payer: Health Partners Plans Commercial	$22.80
Rate for Payer: UnitedHealthcare Commercial	$23.28
Rate for Payer: WPPA Commercial	$20.16

CUTIMED 4X4

Facility

$24.00

Hospital Charge Code	2726357
Hospital Revenue Code	272
Min. Negotiated Rate	$19.68
Max. Negotiated Rate	$23.28
Rate for Payer: Cash Price	$18.00
Rate for Payer: Health Partners Plans Commercial	$22.80
Rate for Payer: UnitedHealthcare Commercial	$23.28
Rate for Payer: WPPA Commercial	$19.68

CUTIMED SORBACT 4X4

Facility

$18.00

Hospital Charge Code	2726356LTC
Hospital Revenue Code	272
Min. Negotiated Rate	$14.76
Max. Negotiated Rate	$17.46
Rate for Payer: Cash Price	$13.50
Rate for Payer: Health Partners Plans Commercial	$17.10
Rate for Payer: UnitedHealthcare Commercial	$17.46
Rate for Payer: WPPA Commercial	$14.76

CUTIMED SORBACT 4X4

Facility

$18.00

Hospital Charge Code	2726356LTC
Hospital Revenue Code	272
Min. Negotiated Rate	$8.32
Max. Negotiated Rate	$17.46
Rate for Payer: Cash Price	$13.50
Rate for Payer: Celtic Commercial/Exchange	$8.32
Rate for Payer: Health Partners Plans Commercial	$17.10
Rate for Payer: UnitedHealthcare Commercial	$17.46
Rate for Payer: WPPA Commercial	$15.12

CYANIDE

Facility

$81.00

Service Code	HCPCS 82600
Hospital Charge Code	8260000
Hospital Revenue Code	301
Min. Negotiated Rate	$37.42
Max. Negotiated Rate	$78.57
Rate for Payer: BCBS Commercial	$41.72
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

CYANIDE

Facility

$81.00

Service Code	HCPCS 82600
Hospital Charge Code	8260000
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

CYANOCOBALAMIN (VIT. B-12)

Facility

$135.00

Service Code	HCPCS 82607
Hospital Charge Code	8260700
Hospital Revenue Code	301
Min. Negotiated Rate	$110.70
Max. Negotiated Rate	$130.95
Rate for Payer: Cash Price	$101.25
Rate for Payer: Health Partners Plans Commercial	$128.25
Rate for Payer: UnitedHealthcare Commercial	$130.95
Rate for Payer: WPPA Commercial	$110.70

CYANOCOBALAMIN (VIT. B-12)

Facility

$135.00

Service Code	HCPCS 82607
Hospital Charge Code	8260700
Hospital Revenue Code	301
Min. Negotiated Rate	$57.41
Max. Negotiated Rate	$130.95
Rate for Payer: BCBS Commercial	$57.41
Rate for Payer: Cash Price	$101.25
Rate for Payer: Cash Price	$101.25
Rate for Payer: Celtic Commercial/Exchange	$62.37
Rate for Payer: Health Partners Plans Commercial	$128.25
Rate for Payer: UnitedHealthcare Commercial	$130.95
Rate for Payer: WPPA Commercial	$113.40

CYCLIC CITRULLINATED PEPTIDE

Facility

$112.00

Service Code	HCPCS 86200
Hospital Charge Code	8620000
Hospital Revenue Code	302
Min. Negotiated Rate	$27.79
Max. Negotiated Rate	$108.64
Rate for Payer: BCBS Commercial	$27.79
Rate for Payer: Cash Price	$84.00
Rate for Payer: Cash Price	$84.00
Rate for Payer: Celtic Commercial/Exchange	$51.74
Rate for Payer: Health Partners Plans Commercial	$106.40
Rate for Payer: UnitedHealthcare Commercial	$108.64
Rate for Payer: WPPA Commercial	$94.08

CYCLIC CITRULLINATED PEPTIDE

Facility

$112.00

Service Code	HCPCS 86200
Hospital Charge Code	8620000
Hospital Revenue Code	302
Min. Negotiated Rate	$91.84
Max. Negotiated Rate	$108.64
Rate for Payer: Cash Price	$84.00
Rate for Payer: Health Partners Plans Commercial	$106.40
Rate for Payer: UnitedHealthcare Commercial	$108.64
Rate for Payer: WPPA Commercial	$91.84

CYCLOSPORINE A TROUGH, LC/MS/M

Facility

$92.00

Service Code	HCPCS 80158
Hospital Charge Code	8015800
Hospital Revenue Code	300
Min. Negotiated Rate	$75.44
Max. Negotiated Rate	$89.24
Rate for Payer: Cash Price	$69.00
Rate for Payer: Health Partners Plans Commercial	$87.40
Rate for Payer: UnitedHealthcare Commercial	$89.24
Rate for Payer: WPPA Commercial	$75.44

Know your out-of-pocket cost for care.

All Charges