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Package

Chemotherapy portable pump maintenance & refill

Package

Chemotherapy portable pump maintenance & refill

Chemotherapy portable pump maintenance and refill is a clinical service for patients receiving continuous chemotherapy through a wearable infusion device worn outside the hospital. During the visit, a clinician checks the pump, replaces any necessary components, refills the medication reservoir, and confirms the device is delivering treatment safely and at the correct rate. This service allows patients to continue cancer therapy while carrying out daily activities. Regular maintenance visits help ensure uninterrupted and accurate drug delivery.
You'd pay up to
$673 / Case Rate

A single, all-inclusive pricing methodology for a procedure in healthcare contracts, instead of separate charges for each service.

The estimated total cost of care without any insurance coverage or discounts.

$673

Without insurance

What goes into a price?

Negotiated prices across insurers

Lowest
$300
Highest
$1,065
Cash price
up to $673

Self pay or cash prices vary by facility when paying out of pocket without insurance benefits. The chart shows you how the lowest and highest amounts facilities charge for this service if you were paying without insurance benefits. If you're uninsured or not submitting a claim to insurance, you also have the right to a Good Faith Estimate under federal law. Contact the provider for a copy of your Good Faith Estimate or to better understand payment options available to you.

Procedures included in this package

This list includes the services and fees bundled into the Chemotherapy portable pump maintenance & refill Standard Service Package (SSP ON002). The final price for the procedure will depend on which services your provider ultimately performs, your insurance plan and your medical benefits.

Code Code Type Description
HCPCS 96521 Professional Fee Maintenance and Refilling of Portable Pumping System
HCPCS 96521 Facility Fee Maintenance and Refilling of Portable Pumping System

Disclaimer

Hawaii Health Systems Corporation is committed to empowering our patients to make informed decisions about their healthcare. This includes helping patients understand the cost of care and the availability of financial assistance.

In compliance with federal law, we provide a list of standard charges that are reviewed on an annual basis. Charges for hospital services are not equivalent to the actual amount paid by insurance companies or patients. The amount paid for services is based on many factors, including health insurance benefit plans, applicable discounts, and services provided based on each patient's unique needs.

You'd pay up to
$673 / Case Rate

A single, all-inclusive pricing methodology for a procedure in healthcare contracts, instead of separate charges for each service.

The estimated total cost of care without any insurance coverage or discounts.

Disclaimer

Hawaii Health Systems Corporation is committed to empowering our patients to make informed decisions about their healthcare. This includes helping patients understand the cost of care and the availability of financial assistance.

In compliance with federal law, we provide a list of standard charges that are reviewed on an annual basis. Charges for hospital services are not equivalent to the actual amount paid by insurance companies or patients. The amount paid for services is based on many factors, including health insurance benefit plans, applicable discounts, and services provided based on each patient's unique needs.

What’s the difference between an individual procedure and a Standard Service Package (SSP)?

Individual Procedure

Individual procedures, like blood tests, each have unique prices and billing codes (like a CPT or HCPCS code). While they can be billed alone, they're usually grouped with other procedures on a claim. This grouping is what determines the total cost of your care.

Standard Service Package (SSP)

A SSP combines all medical services, materials, and fees associated with a healthcare visit or procedure into a single bundle to offer a more comprehensive estimate.

Contact us to verify your estimate

Have your service name, code, and payment preference ready. If you’re using insurance, you may be asked for insurance details like your Member or Group ID.

Service Chemotherapy portable pump maintenance & refill
Service Code HCPCS 96521
Insurance I'm not using insurance
Location Hilo Benioff Medical Center Main
When you contact us, you can say:
"Hi, I'm calling to verify a price for Chemotherapy portable pump maintenance & refill I found through Hilo Benioff Medical Center Main's price estimate tool. Here is the code I’m looking at: HCPCS 96521. I'm not using insurance, can you confirm the cash pay estimate and help me schedule if needed?"
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