Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

MORCELLS MYRIAD PW02NA0500

Facility

OP

$2,013.00

Service Code	HCPCS A2033
Hospital Revenue Code	636
Min. Negotiated Rate	$1,026.63
Max. Negotiated Rate	$1,952.61
Rate for Payer: Cash Price	$1,207.80
Rate for Payer: Hawaii Western Management Group Commercial	$1,912.35
Rate for Payer: Health Management Network Commercial	$1,711.05
Rate for Payer: Kaiser Permanente Commercial	$1,268.19
Rate for Payer: Kaiser Permanente Medicaid	$1,026.63
Rate for Payer: MDX Hawaii PPO	$1,952.61
Rate for Payer: UnitedHealthcare Medicaid	$1,207.80
Rate for Payer: University Health Alliance Commercial	$1,467.28

MORDELLS MYRIAD PW01NA1000

Facility

IP

$3,675.00

Service Code	HCPCS A2033
Hospital Revenue Code	636
Min. Negotiated Rate	$3,123.75
Max. Negotiated Rate	$3,564.75
Rate for Payer: Cash Price	$2,205.00
Rate for Payer: Health Management Network Commercial	$3,123.75
Rate for Payer: MDX Hawaii PPO	$3,564.75

MORDELLS MYRIAD PW01NA1000

Facility

OP

$3,675.00

Service Code	HCPCS A2033
Hospital Revenue Code	636
Min. Negotiated Rate	$1,874.25
Max. Negotiated Rate	$3,564.75
Rate for Payer: Cash Price	$2,205.00
Rate for Payer: Hawaii Western Management Group Commercial	$3,491.25
Rate for Payer: Health Management Network Commercial	$3,123.75
Rate for Payer: Kaiser Permanente Commercial	$2,315.25
Rate for Payer: Kaiser Permanente Medicaid	$1,874.25
Rate for Payer: MDX Hawaii PPO	$3,564.75
Rate for Payer: UnitedHealthcare Medicaid	$2,205.00
Rate for Payer: University Health Alliance Commercial	$2,678.71

MORPHINE 10 MG/5 ML ORAL SOLUTION [5176]

Facility

IP

$6.00

Service Code	NDC 00121090405
Hospital Revenue Code	250
Min. Negotiated Rate	$5.10
Max. Negotiated Rate	$5.82
Rate for Payer: Cash Price	$3.60
Rate for Payer: Health Management Network Commercial	$5.10
Rate for Payer: MDX Hawaii PPO	$5.82

MORPHINE 10 MG/5 ML ORAL SOLUTION [5176]

Facility

IP

$6.00

Service Code	NDC 68094000159
Hospital Revenue Code	250
Min. Negotiated Rate	$5.10
Max. Negotiated Rate	$5.82
Rate for Payer: Cash Price	$3.60
Rate for Payer: Health Management Network Commercial	$5.10
Rate for Payer: MDX Hawaii PPO	$5.82

MORPHINE 10 MG/5 ML ORAL SOLUTION [5176]

Facility

OP

$6.00

Service Code	NDC 00121090405
Hospital Revenue Code	637
Min. Negotiated Rate	$3.06
Max. Negotiated Rate	$5.82
Rate for Payer: Cash Price	$3.60
Rate for Payer: Hawaii Western Management Group Commercial	$5.70
Rate for Payer: Health Management Network Commercial	$5.10
Rate for Payer: Kaiser Permanente Commercial	$3.78
Rate for Payer: Kaiser Permanente Medicaid	$3.06
Rate for Payer: MDX Hawaii PPO	$5.82
Rate for Payer: University Health Alliance Commercial	$4.37

MORPHINE 10 MG/5 ML ORAL SOLUTION [5176]

Facility

OP

$6.00

Service Code	NDC 68094000159
Hospital Revenue Code	637
Min. Negotiated Rate	$3.06
Max. Negotiated Rate	$5.82
Rate for Payer: Cash Price	$3.60
Rate for Payer: Hawaii Western Management Group Commercial	$5.70
Rate for Payer: Health Management Network Commercial	$5.10
Rate for Payer: Kaiser Permanente Commercial	$3.78
Rate for Payer: Kaiser Permanente Medicaid	$3.06
Rate for Payer: MDX Hawaii PPO	$5.82
Rate for Payer: University Health Alliance Commercial	$4.37

MORPHINE 10 MG/5 ML ORAL SOLUTION [5176]

Facility

OP

$6.00

Service Code	NDC 68094000162
Hospital Revenue Code	637
Min. Negotiated Rate	$3.06
Max. Negotiated Rate	$5.82
Rate for Payer: Cash Price	$3.60
Rate for Payer: Hawaii Western Management Group Commercial	$5.70
Rate for Payer: Health Management Network Commercial	$5.10
Rate for Payer: Kaiser Permanente Commercial	$3.78
Rate for Payer: Kaiser Permanente Medicaid	$3.06
Rate for Payer: MDX Hawaii PPO	$5.82
Rate for Payer: University Health Alliance Commercial	$4.37

MORPHINE 10 MG/5 ML ORAL SOLUTION [5176]

Facility

IP

$6.00

Service Code	NDC 68094000162
Hospital Revenue Code	250
Min. Negotiated Rate	$5.10
Max. Negotiated Rate	$5.82
Rate for Payer: Cash Price	$3.60
Rate for Payer: Health Management Network Commercial	$5.10
Rate for Payer: MDX Hawaii PPO	$5.82

MORPHINE 10 MG/ML INTRAVENOUS SOLUTION [27390]

Facility

OP

$11.00

Service Code	HCPCS J2270
Hospital Revenue Code	636
Min. Negotiated Rate	$4.55
Max. Negotiated Rate	$10.67
Rate for Payer: Cash Price	$6.60
Rate for Payer: Cash Price	$6.60
Rate for Payer: Hawaii Medical Service Association ABD	$4.55
Rate for Payer: Hawaii Medical Service Association Non-ABD	$4.55
Rate for Payer: Hawaii Western Management Group Commercial	$10.45
Rate for Payer: Health Management Network Commercial	$9.35
Rate for Payer: Kaiser Permanente Commercial	$6.93
Rate for Payer: Kaiser Permanente Medicaid	$5.61
Rate for Payer: MDX Hawaii PPO	$10.67
Rate for Payer: UnitedHealthcare Medicaid	$6.60
Rate for Payer: University Health Alliance Commercial	$8.02

MORPHINE 10 MG/ML INTRAVENOUS SOLUTION [27390]

Facility

IP

$11.00

Service Code	HCPCS J2270
Hospital Revenue Code	250
Min. Negotiated Rate	$9.35
Max. Negotiated Rate	$10.67
Rate for Payer: Cash Price	$6.60
Rate for Payer: Health Management Network Commercial	$9.35
Rate for Payer: MDX Hawaii PPO	$10.67

MORPHINE 10 MG RECTAL SUPPOSITORY [5180]

Facility

OP

$19.00

Service Code	NDC 00574711212
Hospital Revenue Code	637
Min. Negotiated Rate	$9.69
Max. Negotiated Rate	$18.43
Rate for Payer: Cash Price	$11.40
Rate for Payer: Hawaii Western Management Group Commercial	$18.05
Rate for Payer: Health Management Network Commercial	$16.15
Rate for Payer: Kaiser Permanente Commercial	$11.97
Rate for Payer: Kaiser Permanente Medicaid	$9.69
Rate for Payer: MDX Hawaii PPO	$18.43
Rate for Payer: University Health Alliance Commercial	$13.85

MORPHINE 10 MG RECTAL SUPPOSITORY [5180]

Facility

IP

$19.00

Service Code	NDC 00574711212
Hospital Revenue Code	250
Min. Negotiated Rate	$16.15
Max. Negotiated Rate	$18.43
Rate for Payer: Cash Price	$11.40
Rate for Payer: Health Management Network Commercial	$16.15
Rate for Payer: MDX Hawaii PPO	$18.43

MORPHINE 15 MG IMMEDIATE RELEASE TABLET [5178]

Facility

IP

$4.00

Service Code	NDC 00054023524
Hospital Revenue Code	250
Min. Negotiated Rate	$3.40
Max. Negotiated Rate	$3.88
Rate for Payer: Cash Price	$2.40
Rate for Payer: Health Management Network Commercial	$3.40
Rate for Payer: MDX Hawaii PPO	$3.88

MORPHINE 15 MG IMMEDIATE RELEASE TABLET [5178]

Facility

OP

$4.00

Service Code	NDC 00054023524
Hospital Revenue Code	637
Min. Negotiated Rate	$2.04
Max. Negotiated Rate	$3.88
Rate for Payer: Cash Price	$2.40
Rate for Payer: Hawaii Western Management Group Commercial	$3.80
Rate for Payer: Health Management Network Commercial	$3.40
Rate for Payer: Kaiser Permanente Commercial	$2.52
Rate for Payer: Kaiser Permanente Medicaid	$2.04
Rate for Payer: MDX Hawaii PPO	$3.88
Rate for Payer: University Health Alliance Commercial	$2.92

MORPHINE 2 MG/ML INJECTION SYRINGE [5170]

Facility

OP

$13.00

Service Code	HCPCS J2270
Hospital Revenue Code	636
Min. Negotiated Rate	$4.55
Max. Negotiated Rate	$12.61
Rate for Payer: Cash Price	$7.80
Rate for Payer: Cash Price	$7.80
Rate for Payer: Hawaii Medical Service Association ABD	$4.55
Rate for Payer: Hawaii Medical Service Association Non-ABD	$4.55
Rate for Payer: Hawaii Western Management Group Commercial	$12.35
Rate for Payer: Health Management Network Commercial	$11.05
Rate for Payer: Kaiser Permanente Commercial	$8.19
Rate for Payer: Kaiser Permanente Medicaid	$6.63
Rate for Payer: MDX Hawaii PPO	$12.61
Rate for Payer: UnitedHealthcare Medicaid	$7.80
Rate for Payer: University Health Alliance Commercial	$9.48

MORPHINE 2 MG/ML INJECTION SYRINGE [5170]

Facility

IP

$13.00

Service Code	HCPCS J2270
Hospital Revenue Code	250
Min. Negotiated Rate	$11.05
Max. Negotiated Rate	$12.61
Rate for Payer: Cash Price	$7.80
Rate for Payer: Health Management Network Commercial	$11.05
Rate for Payer: MDX Hawaii PPO	$12.61

MORPHINE 2 MG/ML INJ SYRINGE/CARPUJECT (WRAPPED) [4080549]

Facility

IP

$13.00

Service Code	HCPCS J2270
Hospital Revenue Code	250
Min. Negotiated Rate	$11.05
Max. Negotiated Rate	$12.61
Rate for Payer: Cash Price	$7.80
Rate for Payer: Cash Price	$5.40
Rate for Payer: Health Management Network Commercial	$11.05
Rate for Payer: Health Management Network Commercial	$7.65
Rate for Payer: MDX Hawaii PPO	$12.61
Rate for Payer: MDX Hawaii PPO	$8.73

MORPHINE 2 MG/ML INJ SYRINGE/CARPUJECT (WRAPPED) [4080549]

Facility

OP

$9.00

Service Code	HCPCS J2270
Hospital Revenue Code	636
Min. Negotiated Rate	$4.55
Max. Negotiated Rate	$8.73
Rate for Payer: Cash Price	$5.40
Rate for Payer: Cash Price	$7.80
Rate for Payer: Cash Price	$7.80
Rate for Payer: Cash Price	$5.40
Rate for Payer: Hawaii Medical Service Association ABD	$4.55
Rate for Payer: Hawaii Medical Service Association ABD	$4.55
Rate for Payer: Hawaii Medical Service Association Non-ABD	$4.55
Rate for Payer: Hawaii Medical Service Association Non-ABD	$4.55
Rate for Payer: Hawaii Western Management Group Commercial	$12.35
Rate for Payer: Hawaii Western Management Group Commercial	$8.55
Rate for Payer: Health Management Network Commercial	$7.65
Rate for Payer: Health Management Network Commercial	$11.05
Rate for Payer: Kaiser Permanente Commercial	$5.67
Rate for Payer: Kaiser Permanente Commercial	$8.19
Rate for Payer: Kaiser Permanente Medicaid	$6.63
Rate for Payer: Kaiser Permanente Medicaid	$4.59
Rate for Payer: MDX Hawaii PPO	$12.61
Rate for Payer: MDX Hawaii PPO	$8.73
Rate for Payer: UnitedHealthcare Medicaid	$5.40
Rate for Payer: UnitedHealthcare Medicaid	$7.80
Rate for Payer: University Health Alliance Commercial	$6.56
Rate for Payer: University Health Alliance Commercial	$9.48

MORPHINE 2 MG/ML INTRAVENOUS SYRINGE [119146]

Facility

OP

$9.00

Service Code	HCPCS J2270
Hospital Revenue Code	636
Min. Negotiated Rate	$4.55
Max. Negotiated Rate	$8.73
Rate for Payer: Cash Price	$5.40
Rate for Payer: Cash Price	$5.40
Rate for Payer: Hawaii Medical Service Association ABD	$4.55
Rate for Payer: Hawaii Medical Service Association Non-ABD	$4.55
Rate for Payer: Hawaii Western Management Group Commercial	$8.55
Rate for Payer: Health Management Network Commercial	$7.65
Rate for Payer: Kaiser Permanente Commercial	$5.67
Rate for Payer: Kaiser Permanente Medicaid	$4.59
Rate for Payer: MDX Hawaii PPO	$8.73
Rate for Payer: UnitedHealthcare Medicaid	$5.40
Rate for Payer: University Health Alliance Commercial	$6.56

MORPHINE 2 MG/ML INTRAVENOUS SYRINGE [119146]

Facility

IP

$9.00

Service Code	HCPCS J2270
Hospital Revenue Code	250
Min. Negotiated Rate	$7.65
Max. Negotiated Rate	$8.73
Rate for Payer: Cash Price	$5.40
Rate for Payer: Health Management Network Commercial	$7.65
Rate for Payer: MDX Hawaii PPO	$8.73

MORPHINE 4 MG/ML INJECTION SYRINGE [5172]

Facility

IP

$13.00

Service Code	HCPCS J2270
Hospital Revenue Code	250
Min. Negotiated Rate	$11.05
Max. Negotiated Rate	$12.61
Rate for Payer: Cash Price	$7.80
Rate for Payer: Health Management Network Commercial	$11.05
Rate for Payer: MDX Hawaii PPO	$12.61

MORPHINE 4 MG/ML INJECTION SYRINGE [5172]

Facility

OP

$13.00

Service Code	HCPCS J2270
Hospital Revenue Code	636
Min. Negotiated Rate	$4.55
Max. Negotiated Rate	$12.61
Rate for Payer: Cash Price	$7.80
Rate for Payer: Cash Price	$7.80
Rate for Payer: Hawaii Medical Service Association ABD	$4.55
Rate for Payer: Hawaii Medical Service Association Non-ABD	$4.55
Rate for Payer: Hawaii Western Management Group Commercial	$12.35
Rate for Payer: Health Management Network Commercial	$11.05
Rate for Payer: Kaiser Permanente Commercial	$8.19
Rate for Payer: Kaiser Permanente Medicaid	$6.63
Rate for Payer: MDX Hawaii PPO	$12.61
Rate for Payer: UnitedHealthcare Medicaid	$7.80
Rate for Payer: University Health Alliance Commercial	$9.48

MORPHINE 4 MG/ML INJ SYRINGE/CARPUJECT (WRAPPED) [4080550]

Facility

IP

$9.00

Service Code	HCPCS J2270
Hospital Revenue Code	250
Min. Negotiated Rate	$7.65
Max. Negotiated Rate	$8.73
Rate for Payer: Cash Price	$5.40
Rate for Payer: Cash Price	$7.80
Rate for Payer: Health Management Network Commercial	$11.05
Rate for Payer: Health Management Network Commercial	$7.65
Rate for Payer: MDX Hawaii PPO	$8.73
Rate for Payer: MDX Hawaii PPO	$12.61

MORPHINE 4 MG/ML INJ SYRINGE/CARPUJECT (WRAPPED) [4080550]

Facility

OP

$13.00

Service Code	HCPCS J2270
Hospital Revenue Code	636
Min. Negotiated Rate	$4.55
Max. Negotiated Rate	$12.61
Rate for Payer: Cash Price	$7.80
Rate for Payer: Cash Price	$7.80
Rate for Payer: Cash Price	$5.40
Rate for Payer: Cash Price	$5.40
Rate for Payer: Hawaii Medical Service Association ABD	$4.55
Rate for Payer: Hawaii Medical Service Association ABD	$4.55
Rate for Payer: Hawaii Medical Service Association Non-ABD	$4.55
Rate for Payer: Hawaii Medical Service Association Non-ABD	$4.55
Rate for Payer: Hawaii Western Management Group Commercial	$12.35
Rate for Payer: Hawaii Western Management Group Commercial	$8.55
Rate for Payer: Health Management Network Commercial	$11.05
Rate for Payer: Health Management Network Commercial	$7.65
Rate for Payer: Kaiser Permanente Commercial	$8.19
Rate for Payer: Kaiser Permanente Commercial	$5.67
Rate for Payer: Kaiser Permanente Medicaid	$4.59
Rate for Payer: Kaiser Permanente Medicaid	$6.63
Rate for Payer: MDX Hawaii PPO	$8.73
Rate for Payer: MDX Hawaii PPO	$12.61
Rate for Payer: UnitedHealthcare Medicaid	$7.80
Rate for Payer: UnitedHealthcare Medicaid	$5.40
Rate for Payer: University Health Alliance Commercial	$9.48
Rate for Payer: University Health Alliance Commercial	$6.56

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