Hilo Benioff Medical Center

All Charges

Charge

Type

Setting

Price

HC CULT ANAEROBIC

Facility

$79.00

Service Code	HCPCS 87075
Hospital Charge Code	3068707501
Hospital Revenue Code	306
Min. Negotiated Rate	$9.47
Max. Negotiated Rate	$76.63
Rate for Payer: AlohaCare Medicaid	$9.47
Rate for Payer: AlohaCare Medicare	$9.47
Rate for Payer: Cash Price	$47.40
Rate for Payer: Cash Price	$47.40
Rate for Payer: Devoted Health Medicare	$10.42
Rate for Payer: Hawaii Medical Service Association ABD	$13.08
Rate for Payer: Hawaii Medical Service Association Commercial	$11.84
Rate for Payer: Hawaii Medical Service Association Medicare	$9.47
Rate for Payer: Hawaii Medical Service Association Non-ABD	$13.73
Rate for Payer: Hawaii Western Management Group Commercial	$9.47
Rate for Payer: Health Management Network Commercial	$67.15
Rate for Payer: Humana Medicare	$9.47
Rate for Payer: Kaiser Permanente Commercial	$49.77
Rate for Payer: Kaiser Permanente Medicaid	$40.29
Rate for Payer: Kaiser Permanente Medicare	$9.47
Rate for Payer: MDX Hawaii PPO	$76.63
Rate for Payer: Ohana Health Plan Medicaid	$10.42
Rate for Payer: Ohana Health Plan Medicare	$9.47
Rate for Payer: UnitedHealthcare Medicaid	$13.08
Rate for Payer: UnitedHealthcare Medicare	$9.47
Rate for Payer: University Health Alliance Commercial	$24.46

HC CULT ANAEROBIC

Facility

$79.00

Service Code	HCPCS 87075
Hospital Charge Code	3068707501
Hospital Revenue Code	306
Min. Negotiated Rate	$67.15
Max. Negotiated Rate	$76.63
Rate for Payer: Cash Price	$47.40
Rate for Payer: Health Management Network Commercial	$67.15
Rate for Payer: MDX Hawaii PPO	$76.63

HC CULT ANAEROBIC ID EA

Facility

$68.00

Service Code	HCPCS 87076
Hospital Charge Code	3068707601
Hospital Revenue Code	306
Min. Negotiated Rate	$8.08
Max. Negotiated Rate	$65.96
Rate for Payer: AlohaCare Medicaid	$8.08
Rate for Payer: AlohaCare Medicare	$8.08
Rate for Payer: Cash Price	$40.80
Rate for Payer: Cash Price	$40.80
Rate for Payer: Devoted Health Medicare	$8.89
Rate for Payer: Hawaii Medical Service Association ABD	$11.16
Rate for Payer: Hawaii Medical Service Association Commercial	$10.10
Rate for Payer: Hawaii Medical Service Association Medicare	$8.08
Rate for Payer: Hawaii Medical Service Association Non-ABD	$13.95
Rate for Payer: Hawaii Western Management Group Commercial	$8.08
Rate for Payer: Health Management Network Commercial	$57.80
Rate for Payer: Humana Medicare	$8.08
Rate for Payer: Kaiser Permanente Commercial	$42.84
Rate for Payer: Kaiser Permanente Medicaid	$34.68
Rate for Payer: Kaiser Permanente Medicare	$8.08
Rate for Payer: MDX Hawaii PPO	$65.96
Rate for Payer: Ohana Health Plan Medicaid	$8.89
Rate for Payer: Ohana Health Plan Medicare	$8.08
Rate for Payer: UnitedHealthcare Medicaid	$11.16
Rate for Payer: UnitedHealthcare Medicare	$8.08
Rate for Payer: University Health Alliance Commercial	$20.89

HC CULT ANAEROBIC ID EA

Facility

$68.00

Service Code	HCPCS 87076
Hospital Charge Code	3068707601
Hospital Revenue Code	306
Min. Negotiated Rate	$57.80
Max. Negotiated Rate	$65.96
Rate for Payer: Cash Price	$40.80
Rate for Payer: Health Management Network Commercial	$57.80
Rate for Payer: MDX Hawaii PPO	$65.96

HC CULT BLOOD

Facility

$87.00

Service Code	HCPCS 87040
Hospital Charge Code	3068704001
Hospital Revenue Code	306
Min. Negotiated Rate	$10.32
Max. Negotiated Rate	$84.39
Rate for Payer: AlohaCare Medicaid	$10.32
Rate for Payer: AlohaCare Medicare	$10.32
Rate for Payer: Cash Price	$52.20
Rate for Payer: Cash Price	$52.20
Rate for Payer: Devoted Health Medicare	$11.35
Rate for Payer: Hawaii Medical Service Association ABD	$14.27
Rate for Payer: Hawaii Medical Service Association Commercial	$12.90
Rate for Payer: Hawaii Medical Service Association Medicare	$10.32
Rate for Payer: Hawaii Medical Service Association Non-ABD	$14.98
Rate for Payer: Hawaii Western Management Group Commercial	$10.32
Rate for Payer: Health Management Network Commercial	$73.95
Rate for Payer: Humana Medicare	$10.32
Rate for Payer: Kaiser Permanente Commercial	$54.81
Rate for Payer: Kaiser Permanente Medicaid	$44.37
Rate for Payer: Kaiser Permanente Medicare	$10.32
Rate for Payer: MDX Hawaii PPO	$84.39
Rate for Payer: Ohana Health Plan Medicaid	$11.35
Rate for Payer: Ohana Health Plan Medicare	$10.32
Rate for Payer: UnitedHealthcare Medicaid	$14.27
Rate for Payer: UnitedHealthcare Medicare	$10.32
Rate for Payer: University Health Alliance Commercial	$26.68

HC CULT BLOOD

Facility

$87.00

Service Code	HCPCS 87040
Hospital Charge Code	3068704001
Hospital Revenue Code	306
Min. Negotiated Rate	$73.95
Max. Negotiated Rate	$84.39
Rate for Payer: Cash Price	$52.20
Rate for Payer: Health Management Network Commercial	$73.95
Rate for Payer: MDX Hawaii PPO	$84.39

HC CULT BLOOD #2

Facility

$87.00

Service Code	HCPCS 87040
Hospital Charge Code	3068704002
Hospital Revenue Code	306
Min. Negotiated Rate	$10.32
Max. Negotiated Rate	$84.39
Rate for Payer: AlohaCare Medicaid	$10.32
Rate for Payer: AlohaCare Medicare	$10.32
Rate for Payer: Cash Price	$52.20
Rate for Payer: Cash Price	$52.20
Rate for Payer: Devoted Health Medicare	$11.35
Rate for Payer: Hawaii Medical Service Association ABD	$14.27
Rate for Payer: Hawaii Medical Service Association Commercial	$12.90
Rate for Payer: Hawaii Medical Service Association Medicare	$10.32
Rate for Payer: Hawaii Medical Service Association Non-ABD	$14.98
Rate for Payer: Hawaii Western Management Group Commercial	$10.32
Rate for Payer: Health Management Network Commercial	$73.95
Rate for Payer: Humana Medicare	$10.32
Rate for Payer: Kaiser Permanente Commercial	$54.81
Rate for Payer: Kaiser Permanente Medicaid	$44.37
Rate for Payer: Kaiser Permanente Medicare	$10.32
Rate for Payer: MDX Hawaii PPO	$84.39
Rate for Payer: Ohana Health Plan Medicaid	$11.35
Rate for Payer: Ohana Health Plan Medicare	$10.32
Rate for Payer: UnitedHealthcare Medicaid	$14.27
Rate for Payer: UnitedHealthcare Medicare	$10.32
Rate for Payer: University Health Alliance Commercial	$26.68

HC CULT BLOOD #2

Facility

$87.00

Service Code	HCPCS 87040
Hospital Charge Code	3068704002
Hospital Revenue Code	306
Min. Negotiated Rate	$73.95
Max. Negotiated Rate	$84.39
Rate for Payer: Cash Price	$52.20
Rate for Payer: Health Management Network Commercial	$73.95
Rate for Payer: MDX Hawaii PPO	$84.39

HC CULT BRONCHIAL

Facility

$72.00

Service Code	HCPCS 87070
Hospital Charge Code	3068707005
Hospital Revenue Code	306
Min. Negotiated Rate	$61.20
Max. Negotiated Rate	$69.84
Rate for Payer: Cash Price	$43.20
Rate for Payer: Health Management Network Commercial	$61.20
Rate for Payer: MDX Hawaii PPO	$69.84

HC CULT BRONCHIAL

Facility

$72.00

Service Code	HCPCS 87070
Hospital Charge Code	3068707005
Hospital Revenue Code	306
Min. Negotiated Rate	$8.62
Max. Negotiated Rate	$69.84
Rate for Payer: AlohaCare Medicaid	$8.62
Rate for Payer: AlohaCare Medicare	$8.62
Rate for Payer: Cash Price	$43.20
Rate for Payer: Cash Price	$43.20
Rate for Payer: Devoted Health Medicare	$9.48
Rate for Payer: Hawaii Medical Service Association ABD	$11.90
Rate for Payer: Hawaii Medical Service Association Commercial	$10.78
Rate for Payer: Hawaii Medical Service Association Medicare	$8.62
Rate for Payer: Hawaii Medical Service Association Non-ABD	$12.50
Rate for Payer: Hawaii Western Management Group Commercial	$8.62
Rate for Payer: Health Management Network Commercial	$61.20
Rate for Payer: Humana Medicare	$8.62
Rate for Payer: Kaiser Permanente Commercial	$45.36
Rate for Payer: Kaiser Permanente Medicaid	$36.72
Rate for Payer: Kaiser Permanente Medicare	$8.62
Rate for Payer: MDX Hawaii PPO	$69.84
Rate for Payer: Ohana Health Plan Medicaid	$9.48
Rate for Payer: Ohana Health Plan Medicare	$8.62
Rate for Payer: UnitedHealthcare Medicaid	$11.90
Rate for Payer: UnitedHealthcare Medicare	$8.62
Rate for Payer: University Health Alliance Commercial	$22.26

HC CULT CATH TIP

Facility

$72.00

Service Code	HCPCS 87070
Hospital Charge Code	3068707001
Hospital Revenue Code	306
Min. Negotiated Rate	$8.62
Max. Negotiated Rate	$69.84
Rate for Payer: AlohaCare Medicaid	$8.62
Rate for Payer: AlohaCare Medicare	$8.62
Rate for Payer: Cash Price	$43.20
Rate for Payer: Cash Price	$43.20
Rate for Payer: Devoted Health Medicare	$9.48
Rate for Payer: Hawaii Medical Service Association ABD	$11.90
Rate for Payer: Hawaii Medical Service Association Commercial	$10.78
Rate for Payer: Hawaii Medical Service Association Medicare	$8.62
Rate for Payer: Hawaii Medical Service Association Non-ABD	$12.50
Rate for Payer: Hawaii Western Management Group Commercial	$8.62
Rate for Payer: Health Management Network Commercial	$61.20
Rate for Payer: Humana Medicare	$8.62
Rate for Payer: Kaiser Permanente Commercial	$45.36
Rate for Payer: Kaiser Permanente Medicaid	$36.72
Rate for Payer: Kaiser Permanente Medicare	$8.62
Rate for Payer: MDX Hawaii PPO	$69.84
Rate for Payer: Ohana Health Plan Medicaid	$9.48
Rate for Payer: Ohana Health Plan Medicare	$8.62
Rate for Payer: UnitedHealthcare Medicaid	$11.90
Rate for Payer: UnitedHealthcare Medicare	$8.62
Rate for Payer: University Health Alliance Commercial	$22.26

HC CULT CATH TIP

Facility

$72.00

Service Code	HCPCS 87070
Hospital Charge Code	3068707001
Hospital Revenue Code	306
Min. Negotiated Rate	$61.20
Max. Negotiated Rate	$69.84
Rate for Payer: Cash Price	$43.20
Rate for Payer: Health Management Network Commercial	$61.20
Rate for Payer: MDX Hawaii PPO	$69.84

HC CULT CSF

Facility

$72.00

Service Code	HCPCS 87070
Hospital Charge Code	3068707007
Hospital Revenue Code	306
Min. Negotiated Rate	$8.62
Max. Negotiated Rate	$69.84
Rate for Payer: AlohaCare Medicaid	$8.62
Rate for Payer: AlohaCare Medicare	$8.62
Rate for Payer: Cash Price	$43.20
Rate for Payer: Cash Price	$43.20
Rate for Payer: Devoted Health Medicare	$9.48
Rate for Payer: Hawaii Medical Service Association ABD	$11.90
Rate for Payer: Hawaii Medical Service Association Commercial	$10.78
Rate for Payer: Hawaii Medical Service Association Medicare	$8.62
Rate for Payer: Hawaii Medical Service Association Non-ABD	$12.50
Rate for Payer: Hawaii Western Management Group Commercial	$8.62
Rate for Payer: Health Management Network Commercial	$61.20
Rate for Payer: Humana Medicare	$8.62
Rate for Payer: Kaiser Permanente Commercial	$45.36
Rate for Payer: Kaiser Permanente Medicaid	$36.72
Rate for Payer: Kaiser Permanente Medicare	$8.62
Rate for Payer: MDX Hawaii PPO	$69.84
Rate for Payer: Ohana Health Plan Medicaid	$9.48
Rate for Payer: Ohana Health Plan Medicare	$8.62
Rate for Payer: UnitedHealthcare Medicaid	$11.90
Rate for Payer: UnitedHealthcare Medicare	$8.62
Rate for Payer: University Health Alliance Commercial	$22.26

HC CULT CSF

Facility

$72.00

Service Code	HCPCS 87070
Hospital Charge Code	3068707007
Hospital Revenue Code	306
Min. Negotiated Rate	$61.20
Max. Negotiated Rate	$69.84
Rate for Payer: Cash Price	$43.20
Rate for Payer: Health Management Network Commercial	$61.20
Rate for Payer: MDX Hawaii PPO	$69.84

HC CULT FLUID

Facility

$72.00

Service Code	HCPCS 87070
Hospital Charge Code	3068707004
Hospital Revenue Code	306
Min. Negotiated Rate	$8.62
Max. Negotiated Rate	$69.84
Rate for Payer: AlohaCare Medicaid	$8.62
Rate for Payer: AlohaCare Medicare	$8.62
Rate for Payer: Cash Price	$43.20
Rate for Payer: Cash Price	$43.20
Rate for Payer: Devoted Health Medicare	$9.48
Rate for Payer: Hawaii Medical Service Association ABD	$11.90
Rate for Payer: Hawaii Medical Service Association Commercial	$10.78
Rate for Payer: Hawaii Medical Service Association Medicare	$8.62
Rate for Payer: Hawaii Medical Service Association Non-ABD	$12.50
Rate for Payer: Hawaii Western Management Group Commercial	$8.62
Rate for Payer: Health Management Network Commercial	$61.20
Rate for Payer: Humana Medicare	$8.62
Rate for Payer: Kaiser Permanente Commercial	$45.36
Rate for Payer: Kaiser Permanente Medicaid	$36.72
Rate for Payer: Kaiser Permanente Medicare	$8.62
Rate for Payer: MDX Hawaii PPO	$69.84
Rate for Payer: Ohana Health Plan Medicaid	$9.48
Rate for Payer: Ohana Health Plan Medicare	$8.62
Rate for Payer: UnitedHealthcare Medicaid	$11.90
Rate for Payer: UnitedHealthcare Medicare	$8.62
Rate for Payer: University Health Alliance Commercial	$22.26

HC CULT FLUID

Facility

$72.00

Service Code	HCPCS 87070
Hospital Charge Code	3068707004
Hospital Revenue Code	306
Min. Negotiated Rate	$61.20
Max. Negotiated Rate	$69.84
Rate for Payer: Cash Price	$43.20
Rate for Payer: Health Management Network Commercial	$61.20
Rate for Payer: MDX Hawaii PPO	$69.84

HC CULT FUNGUS BLOOD

Facility

$172.00

Service Code	HCPCS 87103
Hospital Charge Code	3068710301
Hospital Revenue Code	306
Min. Negotiated Rate	$146.20
Max. Negotiated Rate	$166.84
Rate for Payer: Cash Price	$103.20
Rate for Payer: Health Management Network Commercial	$146.20
Rate for Payer: MDX Hawaii PPO	$166.84

HC CULT FUNGUS BLOOD

Facility

$172.00

Service Code	HCPCS 87103
Hospital Charge Code	3068710301
Hospital Revenue Code	306
Min. Negotiated Rate	$12.46
Max. Negotiated Rate	$166.84
Rate for Payer: AlohaCare Medicaid	$20.46
Rate for Payer: AlohaCare Medicare	$20.46
Rate for Payer: Cash Price	$103.20
Rate for Payer: Cash Price	$103.20
Rate for Payer: Devoted Health Medicare	$22.51
Rate for Payer: Hawaii Medical Service Association ABD	$12.46
Rate for Payer: Hawaii Medical Service Association Commercial	$25.57
Rate for Payer: Hawaii Medical Service Association Medicare	$20.46
Rate for Payer: Hawaii Medical Service Association Non-ABD	$13.08
Rate for Payer: Hawaii Western Management Group Commercial	$20.46
Rate for Payer: Health Management Network Commercial	$146.20
Rate for Payer: Humana Medicare	$20.46
Rate for Payer: Kaiser Permanente Commercial	$108.36
Rate for Payer: Kaiser Permanente Medicaid	$87.72
Rate for Payer: Kaiser Permanente Medicare	$20.46
Rate for Payer: MDX Hawaii PPO	$166.84
Rate for Payer: Ohana Health Plan Medicaid	$22.51
Rate for Payer: Ohana Health Plan Medicare	$20.46
Rate for Payer: UnitedHealthcare Medicaid	$12.46
Rate for Payer: UnitedHealthcare Medicare	$20.46
Rate for Payer: University Health Alliance Commercial	$23.31

HC CULT FUNGUS ID YEAST EA

Facility

$87.00

Service Code	HCPCS 87106
Hospital Charge Code	3068710601
Hospital Revenue Code	306
Min. Negotiated Rate	$10.32
Max. Negotiated Rate	$84.39
Rate for Payer: AlohaCare Medicaid	$10.32
Rate for Payer: AlohaCare Medicare	$10.32
Rate for Payer: Cash Price	$52.20
Rate for Payer: Cash Price	$52.20
Rate for Payer: Devoted Health Medicare	$11.35
Rate for Payer: Hawaii Medical Service Association ABD	$14.27
Rate for Payer: Hawaii Medical Service Association Commercial	$12.90
Rate for Payer: Hawaii Medical Service Association Medicare	$10.32
Rate for Payer: Hawaii Medical Service Association Non-ABD	$14.98
Rate for Payer: Hawaii Western Management Group Commercial	$10.32
Rate for Payer: Health Management Network Commercial	$73.95
Rate for Payer: Humana Medicare	$10.32
Rate for Payer: Kaiser Permanente Commercial	$54.81
Rate for Payer: Kaiser Permanente Medicaid	$44.37
Rate for Payer: Kaiser Permanente Medicare	$10.32
Rate for Payer: MDX Hawaii PPO	$84.39
Rate for Payer: Ohana Health Plan Medicaid	$11.35
Rate for Payer: Ohana Health Plan Medicare	$10.32
Rate for Payer: UnitedHealthcare Medicaid	$14.27
Rate for Payer: UnitedHealthcare Medicare	$10.32
Rate for Payer: University Health Alliance Commercial	$26.68

HC CULT FUNGUS ID YEAST EA

Facility

$87.00

Service Code	HCPCS 87106
Hospital Charge Code	3068710601
Hospital Revenue Code	306
Min. Negotiated Rate	$73.95
Max. Negotiated Rate	$84.39
Rate for Payer: Cash Price	$52.20
Rate for Payer: Health Management Network Commercial	$73.95
Rate for Payer: MDX Hawaii PPO	$84.39

HC CULT FUNGUS/YEAST OTHER

Facility

$71.00

Service Code	HCPCS 87102
Hospital Charge Code	3068710201
Hospital Revenue Code	306
Min. Negotiated Rate	$8.41
Max. Negotiated Rate	$68.87
Rate for Payer: AlohaCare Medicaid	$8.41
Rate for Payer: AlohaCare Medicare	$8.41
Rate for Payer: Cash Price	$42.60
Rate for Payer: Cash Price	$42.60
Rate for Payer: Devoted Health Medicare	$9.25
Rate for Payer: Hawaii Medical Service Association ABD	$11.61
Rate for Payer: Hawaii Medical Service Association Commercial	$10.51
Rate for Payer: Hawaii Medical Service Association Medicare	$8.41
Rate for Payer: Hawaii Medical Service Association Non-ABD	$12.19
Rate for Payer: Hawaii Western Management Group Commercial	$8.41
Rate for Payer: Health Management Network Commercial	$60.35
Rate for Payer: Humana Medicare	$8.41
Rate for Payer: Kaiser Permanente Commercial	$44.73
Rate for Payer: Kaiser Permanente Medicaid	$36.21
Rate for Payer: Kaiser Permanente Medicare	$8.41
Rate for Payer: MDX Hawaii PPO	$68.87
Rate for Payer: Ohana Health Plan Medicaid	$9.25
Rate for Payer: Ohana Health Plan Medicare	$8.41
Rate for Payer: UnitedHealthcare Medicaid	$11.61
Rate for Payer: UnitedHealthcare Medicare	$8.41
Rate for Payer: University Health Alliance Commercial	$21.72

HC CULT FUNGUS/YEAST OTHER

Facility

$71.00

Service Code	HCPCS 87102
Hospital Charge Code	3068710201
Hospital Revenue Code	306
Min. Negotiated Rate	$60.35
Max. Negotiated Rate	$68.87
Rate for Payer: Cash Price	$42.60
Rate for Payer: Health Management Network Commercial	$60.35
Rate for Payer: MDX Hawaii PPO	$68.87

HC CULT GENITAL

Facility

$72.00

Service Code	HCPCS 87070
Hospital Charge Code	3068707002
Hospital Revenue Code	306
Min. Negotiated Rate	$61.20
Max. Negotiated Rate	$69.84
Rate for Payer: Cash Price	$43.20
Rate for Payer: Health Management Network Commercial	$61.20
Rate for Payer: MDX Hawaii PPO	$69.84

HC CULT GENITAL

Facility

$72.00

Service Code	HCPCS 87070
Hospital Charge Code	3068707002
Hospital Revenue Code	306
Min. Negotiated Rate	$8.62
Max. Negotiated Rate	$69.84
Rate for Payer: AlohaCare Medicaid	$8.62
Rate for Payer: AlohaCare Medicare	$8.62
Rate for Payer: Cash Price	$43.20
Rate for Payer: Cash Price	$43.20
Rate for Payer: Devoted Health Medicare	$9.48
Rate for Payer: Hawaii Medical Service Association ABD	$11.90
Rate for Payer: Hawaii Medical Service Association Commercial	$10.78
Rate for Payer: Hawaii Medical Service Association Medicare	$8.62
Rate for Payer: Hawaii Medical Service Association Non-ABD	$12.50
Rate for Payer: Hawaii Western Management Group Commercial	$8.62
Rate for Payer: Health Management Network Commercial	$61.20
Rate for Payer: Humana Medicare	$8.62
Rate for Payer: Kaiser Permanente Commercial	$45.36
Rate for Payer: Kaiser Permanente Medicaid	$36.72
Rate for Payer: Kaiser Permanente Medicare	$8.62
Rate for Payer: MDX Hawaii PPO	$69.84
Rate for Payer: Ohana Health Plan Medicaid	$9.48
Rate for Payer: Ohana Health Plan Medicare	$8.62
Rate for Payer: UnitedHealthcare Medicaid	$11.90
Rate for Payer: UnitedHealthcare Medicare	$8.62
Rate for Payer: University Health Alliance Commercial	$22.26

HC CULT SPUTUM

Facility

$72.00

Service Code	HCPCS 87070
Hospital Charge Code	3068707006
Hospital Revenue Code	306
Min. Negotiated Rate	$8.62
Max. Negotiated Rate	$69.84
Rate for Payer: AlohaCare Medicaid	$8.62
Rate for Payer: AlohaCare Medicare	$8.62
Rate for Payer: Cash Price	$43.20
Rate for Payer: Cash Price	$43.20
Rate for Payer: Devoted Health Medicare	$9.48
Rate for Payer: Hawaii Medical Service Association ABD	$11.90
Rate for Payer: Hawaii Medical Service Association Commercial	$10.78
Rate for Payer: Hawaii Medical Service Association Medicare	$8.62
Rate for Payer: Hawaii Medical Service Association Non-ABD	$12.50
Rate for Payer: Hawaii Western Management Group Commercial	$8.62
Rate for Payer: Health Management Network Commercial	$61.20
Rate for Payer: Humana Medicare	$8.62
Rate for Payer: Kaiser Permanente Commercial	$45.36
Rate for Payer: Kaiser Permanente Medicaid	$36.72
Rate for Payer: Kaiser Permanente Medicare	$8.62
Rate for Payer: MDX Hawaii PPO	$69.84
Rate for Payer: Ohana Health Plan Medicaid	$9.48
Rate for Payer: Ohana Health Plan Medicare	$8.62
Rate for Payer: UnitedHealthcare Medicaid	$11.90
Rate for Payer: UnitedHealthcare Medicare	$8.62
Rate for Payer: University Health Alliance Commercial	$22.26

Know your out-of-pocket cost for care.

All Charges