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Service Code HCPCS 36561
Hospital Charge Code 3613656101
Hospital Revenue Code 361
Min. Negotiated Rate $10,647.10
Max. Negotiated Rate $12,150.22
Rate for Payer: Cash Price $7,515.60
Rate for Payer: Health Management Network Commercial $10,647.10
Rate for Payer: MDX Hawaii PPO $12,150.22
Service Code HCPCS 36558
Hospital Charge Code 3613655801
Hospital Revenue Code 361
Min. Negotiated Rate $456.03
Max. Negotiated Rate $12,150.22
Rate for Payer: AlohaCare Medicaid $3,730.07
Rate for Payer: AlohaCare Medicare $3,730.07
Rate for Payer: Cash Price $7,515.60
Rate for Payer: Cash Price $7,515.60
Rate for Payer: Cash Price $7,515.60
Rate for Payer: Devoted Health Medicare $4,103.08
Rate for Payer: Hawaii Medical Service Association ABD $695.00
Rate for Payer: Hawaii Medical Service Association Commercial $5,509.00
Rate for Payer: Hawaii Medical Service Association Medicare $3,730.07
Rate for Payer: Hawaii Medical Service Association Non-ABD $1,028.67
Rate for Payer: Health Management Network Commercial $10,647.10
Rate for Payer: Humana Medicare $3,730.07
Rate for Payer: Kaiser Permanente Commercial $7,891.38
Rate for Payer: Kaiser Permanente Medicaid $2,837.00
Rate for Payer: Kaiser Permanente Medicare $3,730.07
Rate for Payer: MDX Hawaii PPO $12,150.22
Rate for Payer: Ohana Health Plan Medicaid $4,103.08
Rate for Payer: Ohana Health Plan Medicare $3,730.07
Rate for Payer: UnitedHealthcare Medicaid $456.03
Rate for Payer: UnitedHealthcare Medicare $3,730.07
Rate for Payer: University Health Alliance Commercial $5,160.40
Service Code HCPCS 36558
Hospital Charge Code 3613655801
Hospital Revenue Code 361
Min. Negotiated Rate $10,647.10
Max. Negotiated Rate $12,150.22
Rate for Payer: Cash Price $7,515.60
Rate for Payer: Health Management Network Commercial $10,647.10
Rate for Payer: MDX Hawaii PPO $12,150.22
Service Code HCPCS 37191
Hospital Charge Code 3613719101
Hospital Revenue Code 361
Min. Negotiated Rate $521.33
Max. Negotiated Rate $20,867.61
Rate for Payer: AlohaCare Medicaid $6,573.58
Rate for Payer: AlohaCare Medicare $6,573.58
Rate for Payer: Cash Price $12,907.80
Rate for Payer: Cash Price $12,907.80
Rate for Payer: Cash Price $12,907.80
Rate for Payer: Devoted Health Medicare $7,230.94
Rate for Payer: Hawaii Medical Service Association ABD $695.00
Rate for Payer: Hawaii Medical Service Association Commercial $5,509.00
Rate for Payer: Hawaii Medical Service Association Medicare $6,573.58
Rate for Payer: Hawaii Medical Service Association Non-ABD $1,028.67
Rate for Payer: Health Management Network Commercial $18,286.05
Rate for Payer: Humana Medicare $6,573.58
Rate for Payer: Kaiser Permanente Commercial $13,553.19
Rate for Payer: Kaiser Permanente Medicaid $2,837.00
Rate for Payer: Kaiser Permanente Medicare $6,573.58
Rate for Payer: MDX Hawaii PPO $20,867.61
Rate for Payer: Ohana Health Plan Medicaid $7,230.94
Rate for Payer: Ohana Health Plan Medicare $6,573.58
Rate for Payer: UnitedHealthcare Medicaid $521.33
Rate for Payer: UnitedHealthcare Medicare $6,573.58
Rate for Payer: University Health Alliance Commercial $5,160.40
Service Code HCPCS 37191
Hospital Charge Code 3613719101
Hospital Revenue Code 361
Min. Negotiated Rate $18,286.05
Max. Negotiated Rate $20,867.61
Rate for Payer: Cash Price $12,907.80
Rate for Payer: Health Management Network Commercial $18,286.05
Rate for Payer: MDX Hawaii PPO $20,867.61
Service Code HCPCS 88364
Hospital Charge Code 3108836401
Hospital Revenue Code 310
Min. Negotiated Rate $56.73
Max. Negotiated Rate $728.47
Rate for Payer: Cash Price $450.60
Rate for Payer: Cash Price $450.60
Rate for Payer: Hawaii Medical Service Association ABD $113.46
Rate for Payer: Hawaii Medical Service Association Non-ABD $56.73
Rate for Payer: Hawaii Western Management Group Commercial $713.45
Rate for Payer: Health Management Network Commercial $638.35
Rate for Payer: Kaiser Permanente Commercial $473.13
Rate for Payer: Kaiser Permanente Medicaid $383.01
Rate for Payer: MDX Hawaii PPO $728.47
Rate for Payer: UnitedHealthcare Medicaid $89.48
Rate for Payer: University Health Alliance Commercial $203.04
Service Code HCPCS 88364
Hospital Charge Code 3108836401
Hospital Revenue Code 310
Min. Negotiated Rate $638.35
Max. Negotiated Rate $728.47
Rate for Payer: Cash Price $450.60
Rate for Payer: Health Management Network Commercial $638.35
Rate for Payer: MDX Hawaii PPO $728.47
Service Code HCPCS 33225
Hospital Charge Code 7613322501
Hospital Revenue Code 761
Min. Negotiated Rate $644.55
Max. Negotiated Rate $37,199.50
Rate for Payer: Cash Price $23,010.00
Rate for Payer: Cash Price $23,010.00
Rate for Payer: Hawaii Western Management Group Commercial $36,432.50
Rate for Payer: Health Management Network Commercial $32,597.50
Rate for Payer: Kaiser Permanente Commercial $24,160.50
Rate for Payer: Kaiser Permanente Medicaid $19,558.50
Rate for Payer: MDX Hawaii PPO $37,199.50
Rate for Payer: UnitedHealthcare Medicaid $644.55
Rate for Payer: University Health Alliance Commercial $27,953.31
Service Code HCPCS 33225
Hospital Charge Code 7613322501
Hospital Revenue Code 761
Min. Negotiated Rate $32,597.50
Max. Negotiated Rate $37,199.50
Rate for Payer: Cash Price $23,010.00
Rate for Payer: Health Management Network Commercial $32,597.50
Rate for Payer: MDX Hawaii PPO $37,199.50
Service Code HCPCS 33990
Hospital Charge Code 3603399001
Hospital Revenue Code 360
Min. Negotiated Rate $262.11
Max. Negotiated Rate $12,483.90
Rate for Payer: Cash Price $7,722.00
Rate for Payer: Cash Price $7,722.00
Rate for Payer: Cash Price $7,722.00
Rate for Payer: Health Management Network Commercial $10,939.50
Rate for Payer: Kaiser Permanente Commercial $8,108.10
Rate for Payer: Kaiser Permanente Medicaid $2,837.00
Rate for Payer: MDX Hawaii PPO $12,483.90
Rate for Payer: UnitedHealthcare Medicaid $262.11
Rate for Payer: University Health Alliance Commercial $9,380.94
Service Code HCPCS 33990
Hospital Charge Code 3603399001
Hospital Revenue Code 360
Min. Negotiated Rate $10,939.50
Max. Negotiated Rate $12,483.90
Rate for Payer: Cash Price $7,722.00
Rate for Payer: Health Management Network Commercial $10,939.50
Rate for Payer: MDX Hawaii PPO $12,483.90
Service Code HCPCS 51720
Hospital Charge Code 3615172001
Hospital Revenue Code 361
Min. Negotiated Rate $68.68
Max. Negotiated Rate $2,837.00
Rate for Payer: AlohaCare Medicaid $823.75
Rate for Payer: AlohaCare Medicare $823.75
Rate for Payer: Cash Price $1,593.60
Rate for Payer: Cash Price $1,593.60
Rate for Payer: Cash Price $1,593.60
Rate for Payer: Devoted Health Medicare $906.12
Rate for Payer: Hawaii Medical Service Association ABD $393.00
Rate for Payer: Hawaii Medical Service Association Commercial $2,536.00
Rate for Payer: Hawaii Medical Service Association Medicare $823.75
Rate for Payer: Hawaii Medical Service Association Non-ABD $496.75
Rate for Payer: Health Management Network Commercial $2,257.60
Rate for Payer: Humana Medicare $823.75
Rate for Payer: Kaiser Permanente Commercial $1,673.28
Rate for Payer: Kaiser Permanente Medicaid $2,837.00
Rate for Payer: Kaiser Permanente Medicare $823.75
Rate for Payer: MDX Hawaii PPO $2,576.32
Rate for Payer: Ohana Health Plan Medicaid $906.12
Rate for Payer: Ohana Health Plan Medicare $823.75
Rate for Payer: UnitedHealthcare Medicaid $68.68
Rate for Payer: UnitedHealthcare Medicare $823.75
Rate for Payer: University Health Alliance Commercial $1,935.96
Service Code HCPCS 51720
Hospital Charge Code 3615172001
Hospital Revenue Code 361
Min. Negotiated Rate $2,257.60
Max. Negotiated Rate $2,576.32
Rate for Payer: Cash Price $1,593.60
Rate for Payer: Health Management Network Commercial $2,257.60
Rate for Payer: MDX Hawaii PPO $2,576.32
Service Code HCPCS 86337
Hospital Charge Code 3028633701
Hospital Revenue Code 302
Min. Negotiated Rate $21.41
Max. Negotiated Rate $174.60
Rate for Payer: AlohaCare Medicaid $21.41
Rate for Payer: AlohaCare Medicare $21.41
Rate for Payer: Cash Price $108.00
Rate for Payer: Cash Price $108.00
Rate for Payer: Devoted Health Medicare $23.55
Rate for Payer: Hawaii Medical Service Association ABD $29.59
Rate for Payer: Hawaii Medical Service Association Commercial $26.76
Rate for Payer: Hawaii Medical Service Association Medicare $21.41
Rate for Payer: Hawaii Medical Service Association Non-ABD $31.07
Rate for Payer: Hawaii Western Management Group Commercial $21.41
Rate for Payer: Health Management Network Commercial $153.00
Rate for Payer: Humana Medicare $21.41
Rate for Payer: Kaiser Permanente Commercial $113.40
Rate for Payer: Kaiser Permanente Medicaid $91.80
Rate for Payer: Kaiser Permanente Medicare $21.41
Rate for Payer: MDX Hawaii PPO $174.60
Rate for Payer: Ohana Health Plan Medicaid $23.55
Rate for Payer: Ohana Health Plan Medicare $21.41
Rate for Payer: UnitedHealthcare Medicaid $29.59
Rate for Payer: UnitedHealthcare Medicare $21.41
Rate for Payer: University Health Alliance Commercial $55.35
Service Code HCPCS 86337
Hospital Charge Code 3028633701
Hospital Revenue Code 302
Min. Negotiated Rate $153.00
Max. Negotiated Rate $174.60
Rate for Payer: Cash Price $108.00
Rate for Payer: Health Management Network Commercial $153.00
Rate for Payer: MDX Hawaii PPO $174.60
Service Code HCPCS 12045
Hospital Charge Code 4501204501
Hospital Revenue Code 450
Min. Negotiated Rate $520.00
Max. Negotiated Rate $2,362.92
Rate for Payer: AlohaCare Medicaid $873.10
Rate for Payer: AlohaCare Medicare $873.10
Rate for Payer: Cash Price $1,461.60
Rate for Payer: Cash Price $1,461.60
Rate for Payer: Cash Price $1,461.60
Rate for Payer: Cash Price $1,461.60
Rate for Payer: Devoted Health Medicare $960.41
Rate for Payer: Hawaii Medical Service Association ABD $569.00
Rate for Payer: Hawaii Medical Service Association Commercial $1,600.00
Rate for Payer: Hawaii Medical Service Association Medicare $873.10
Rate for Payer: Hawaii Medical Service Association Non-ABD $520.00
Rate for Payer: Hawaii Western Management Group Commercial $2,314.20
Rate for Payer: Health Management Network Commercial $2,070.60
Rate for Payer: Humana Medicare $873.10
Rate for Payer: Kaiser Permanente Commercial $1,534.68
Rate for Payer: Kaiser Permanente Medicaid $937.50
Rate for Payer: Kaiser Permanente Medicare $873.10
Rate for Payer: MDX Hawaii PPO $2,362.92
Rate for Payer: Ohana Health Plan Medicaid $960.41
Rate for Payer: Ohana Health Plan Medicare $873.10
Rate for Payer: UnitedHealthcare Medicare $873.10
Rate for Payer: University Health Alliance Commercial $1,775.60
Service Code HCPCS 12045
Hospital Charge Code 4501204501
Hospital Revenue Code 450
Min. Negotiated Rate $2,070.60
Max. Negotiated Rate $2,362.92
Rate for Payer: Cash Price $1,461.60
Rate for Payer: Health Management Network Commercial $2,070.60
Rate for Payer: MDX Hawaii PPO $2,362.92
Service Code HCPCS 12046
Hospital Charge Code 4501204601
Hospital Revenue Code 450
Min. Negotiated Rate $340.18
Max. Negotiated Rate $2,362.92
Rate for Payer: AlohaCare Medicaid $873.10
Rate for Payer: AlohaCare Medicare $873.10
Rate for Payer: Cash Price $1,461.60
Rate for Payer: Cash Price $1,461.60
Rate for Payer: Cash Price $1,461.60
Rate for Payer: Cash Price $1,461.60
Rate for Payer: Devoted Health Medicare $960.41
Rate for Payer: Hawaii Medical Service Association ABD $569.00
Rate for Payer: Hawaii Medical Service Association Commercial $1,600.00
Rate for Payer: Hawaii Medical Service Association Medicare $873.10
Rate for Payer: Hawaii Medical Service Association Non-ABD $520.00
Rate for Payer: Hawaii Western Management Group Commercial $2,314.20
Rate for Payer: Health Management Network Commercial $2,070.60
Rate for Payer: Humana Medicare $873.10
Rate for Payer: Kaiser Permanente Commercial $1,534.68
Rate for Payer: Kaiser Permanente Medicaid $937.50
Rate for Payer: Kaiser Permanente Medicare $873.10
Rate for Payer: MDX Hawaii PPO $2,362.92
Rate for Payer: Ohana Health Plan Medicaid $960.41
Rate for Payer: Ohana Health Plan Medicare $873.10
Rate for Payer: UnitedHealthcare Medicaid $340.18
Rate for Payer: UnitedHealthcare Medicare $873.10
Rate for Payer: University Health Alliance Commercial $1,775.60
Service Code HCPCS 12046
Hospital Charge Code 4501204601
Hospital Revenue Code 450
Min. Negotiated Rate $2,070.60
Max. Negotiated Rate $2,362.92
Rate for Payer: Cash Price $1,461.60
Rate for Payer: Health Management Network Commercial $2,070.60
Rate for Payer: MDX Hawaii PPO $2,362.92
Service Code HCPCS 12047
Hospital Charge Code 4501204701
Hospital Revenue Code 450
Min. Negotiated Rate $456.03
Max. Negotiated Rate $6,914.16
Rate for Payer: AlohaCare Medicaid $2,437.45
Rate for Payer: AlohaCare Medicare $2,437.45
Rate for Payer: Cash Price $4,276.80
Rate for Payer: Cash Price $4,276.80
Rate for Payer: Cash Price $4,276.80
Rate for Payer: Cash Price $4,276.80
Rate for Payer: Devoted Health Medicare $2,681.20
Rate for Payer: Hawaii Medical Service Association ABD $569.00
Rate for Payer: Hawaii Medical Service Association Commercial $1,600.00
Rate for Payer: Hawaii Medical Service Association Medicare $2,437.45
Rate for Payer: Hawaii Medical Service Association Non-ABD $520.00
Rate for Payer: Hawaii Western Management Group Commercial $6,771.60
Rate for Payer: Health Management Network Commercial $6,058.80
Rate for Payer: Humana Medicare $2,437.45
Rate for Payer: Kaiser Permanente Commercial $4,490.64
Rate for Payer: Kaiser Permanente Medicaid $937.50
Rate for Payer: Kaiser Permanente Medicare $2,437.45
Rate for Payer: MDX Hawaii PPO $6,914.16
Rate for Payer: Ohana Health Plan Medicaid $2,681.20
Rate for Payer: Ohana Health Plan Medicare $2,437.45
Rate for Payer: UnitedHealthcare Medicaid $456.03
Rate for Payer: UnitedHealthcare Medicare $2,437.45
Rate for Payer: University Health Alliance Commercial $5,195.60
Service Code HCPCS 12047
Hospital Charge Code 4501204701
Hospital Revenue Code 450
Min. Negotiated Rate $6,058.80
Max. Negotiated Rate $6,914.16
Rate for Payer: Cash Price $4,276.80
Rate for Payer: Health Management Network Commercial $6,058.80
Rate for Payer: MDX Hawaii PPO $6,914.16
Service Code HCPCS 12037
Hospital Charge Code 4501203701
Hospital Revenue Code 450
Min. Negotiated Rate $456.03
Max. Negotiated Rate $7,061.60
Rate for Payer: AlohaCare Medicaid $2,437.45
Rate for Payer: AlohaCare Medicare $2,437.45
Rate for Payer: Cash Price $4,368.00
Rate for Payer: Cash Price $4,368.00
Rate for Payer: Cash Price $4,368.00
Rate for Payer: Cash Price $4,368.00
Rate for Payer: Devoted Health Medicare $2,681.20
Rate for Payer: Hawaii Medical Service Association ABD $569.00
Rate for Payer: Hawaii Medical Service Association Commercial $1,600.00
Rate for Payer: Hawaii Medical Service Association Medicare $2,437.45
Rate for Payer: Hawaii Medical Service Association Non-ABD $520.00
Rate for Payer: Hawaii Western Management Group Commercial $6,916.00
Rate for Payer: Health Management Network Commercial $6,188.00
Rate for Payer: Humana Medicare $2,437.45
Rate for Payer: Kaiser Permanente Commercial $4,586.40
Rate for Payer: Kaiser Permanente Medicaid $937.50
Rate for Payer: Kaiser Permanente Medicare $2,437.45
Rate for Payer: MDX Hawaii PPO $7,061.60
Rate for Payer: Ohana Health Plan Medicaid $2,681.20
Rate for Payer: Ohana Health Plan Medicare $2,437.45
Rate for Payer: UnitedHealthcare Medicaid $456.03
Rate for Payer: UnitedHealthcare Medicare $2,437.45
Rate for Payer: University Health Alliance Commercial $5,306.39
Service Code HCPCS 12037
Hospital Charge Code 4501203701
Hospital Revenue Code 450
Min. Negotiated Rate $6,188.00
Max. Negotiated Rate $7,061.60
Rate for Payer: Cash Price $4,368.00
Rate for Payer: Health Management Network Commercial $6,188.00
Rate for Payer: MDX Hawaii PPO $7,061.60
Service Code HCPCS 88334 TC
Hospital Charge Code 3128833401
Hospital Revenue Code 312
Min. Negotiated Rate $9.97
Max. Negotiated Rate $151.32
Rate for Payer: Cash Price $93.60
Rate for Payer: Cash Price $93.60
Rate for Payer: Hawaii Medical Service Association ABD $9.97
Rate for Payer: Hawaii Medical Service Association Non-ABD $11.44
Rate for Payer: Hawaii Western Management Group Commercial $148.20
Rate for Payer: Health Management Network Commercial $132.60
Rate for Payer: Kaiser Permanente Commercial $98.28
Rate for Payer: Kaiser Permanente Medicaid $79.56
Rate for Payer: MDX Hawaii PPO $151.32
Rate for Payer: UnitedHealthcare Medicaid $9.97
Rate for Payer: University Health Alliance Commercial $37.07
Service Code HCPCS 88334 TC
Hospital Charge Code 3128833401
Hospital Revenue Code 312
Min. Negotiated Rate $132.60
Max. Negotiated Rate $151.32
Rate for Payer: Cash Price $93.60
Rate for Payer: Health Management Network Commercial $132.60
Rate for Payer: MDX Hawaii PPO $151.32