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Charge Type Setting Price  
Service Code HCPCS C1713
Hospital Revenue Code 278
Min. Negotiated Rate $1,195.50
Max. Negotiated Rate $2,319.27
Rate for Payer: AlohaCare Medicaid $1,195.50
Rate for Payer: AlohaCare Medicare $1,817.16
Rate for Payer: Cash Price $1,434.60
Rate for Payer: Devoted Health Medicare $2,008.44
Rate for Payer: Hawaii Medical Service Association Medicare $1,817.16
Rate for Payer: Hawaii Western Management Group Commercial $1,673.70
Rate for Payer: Health Management Network Commercial $2,032.35
Rate for Payer: Humana Medicare $1,817.16
Rate for Payer: Kaiser Permanente Commercial $2,151.90
Rate for Payer: Kaiser Permanente Medicaid $1,219.41
Rate for Payer: Kaiser Permanente Medicare $1,817.16
Rate for Payer: MDX Hawaii PPO $2,319.27
Rate for Payer: Ohana Health Plan Medicaid $1,817.16
Rate for Payer: Ohana Health Plan Medicare $1,817.16
Rate for Payer: UnitedHealthcare Medicare $1,817.16
Rate for Payer: University Health Alliance Commercial $1,338.96
Service Code HCPCS C1713
Hospital Revenue Code 278
Min. Negotiated Rate $1,195.50
Max. Negotiated Rate $2,319.27
Rate for Payer: AlohaCare Medicaid $1,195.50
Rate for Payer: AlohaCare Medicare $1,817.16
Rate for Payer: Cash Price $1,434.60
Rate for Payer: Devoted Health Medicare $2,008.44
Rate for Payer: Hawaii Medical Service Association Medicare $1,817.16
Rate for Payer: Hawaii Western Management Group Commercial $1,673.70
Rate for Payer: Health Management Network Commercial $2,032.35
Rate for Payer: Humana Medicare $1,817.16
Rate for Payer: Kaiser Permanente Commercial $2,151.90
Rate for Payer: Kaiser Permanente Medicaid $1,219.41
Rate for Payer: Kaiser Permanente Medicare $1,817.16
Rate for Payer: MDX Hawaii PPO $2,319.27
Rate for Payer: Ohana Health Plan Medicaid $1,817.16
Rate for Payer: Ohana Health Plan Medicare $1,817.16
Rate for Payer: UnitedHealthcare Medicare $1,817.16
Rate for Payer: University Health Alliance Commercial $1,338.96
Service Code HCPCS C1713
Hospital Revenue Code 278
Min. Negotiated Rate $1,338.96
Max. Negotiated Rate $2,319.27
Rate for Payer: Cash Price $1,434.60
Rate for Payer: Hawaii Western Management Group Commercial $1,673.70
Rate for Payer: Health Management Network Commercial $2,032.35
Rate for Payer: Kaiser Permanente Commercial $2,151.90
Rate for Payer: MDX Hawaii PPO $2,319.27
Rate for Payer: University Health Alliance Commercial $1,338.96
Service Code HCPCS C1713
Hospital Revenue Code 278
Min. Negotiated Rate $1,218.00
Max. Negotiated Rate $2,109.75
Rate for Payer: Cash Price $1,305.00
Rate for Payer: Hawaii Western Management Group Commercial $1,522.50
Rate for Payer: Health Management Network Commercial $1,848.75
Rate for Payer: Kaiser Permanente Commercial $1,957.50
Rate for Payer: MDX Hawaii PPO $2,109.75
Rate for Payer: University Health Alliance Commercial $1,218.00
Service Code HCPCS C1713
Hospital Revenue Code 278
Min. Negotiated Rate $1,087.50
Max. Negotiated Rate $2,109.75
Rate for Payer: AlohaCare Medicaid $1,087.50
Rate for Payer: AlohaCare Medicare $1,653.00
Rate for Payer: Cash Price $1,305.00
Rate for Payer: Devoted Health Medicare $1,827.00
Rate for Payer: Hawaii Medical Service Association Medicare $1,653.00
Rate for Payer: Hawaii Western Management Group Commercial $1,522.50
Rate for Payer: Health Management Network Commercial $1,848.75
Rate for Payer: Humana Medicare $1,653.00
Rate for Payer: Kaiser Permanente Commercial $1,957.50
Rate for Payer: Kaiser Permanente Medicaid $1,109.25
Rate for Payer: Kaiser Permanente Medicare $1,653.00
Rate for Payer: MDX Hawaii PPO $2,109.75
Rate for Payer: Ohana Health Plan Medicaid $1,653.00
Rate for Payer: Ohana Health Plan Medicare $1,653.00
Rate for Payer: UnitedHealthcare Medicare $1,653.00
Rate for Payer: University Health Alliance Commercial $1,218.00
Service Code HCPCS C1713
Hospital Revenue Code 278
Min. Negotiated Rate $1,218.00
Max. Negotiated Rate $2,109.75
Rate for Payer: Cash Price $1,305.00
Rate for Payer: Hawaii Western Management Group Commercial $1,522.50
Rate for Payer: Health Management Network Commercial $1,848.75
Rate for Payer: Kaiser Permanente Commercial $1,957.50
Rate for Payer: MDX Hawaii PPO $2,109.75
Rate for Payer: University Health Alliance Commercial $1,218.00
Service Code HCPCS C1713
Hospital Revenue Code 278
Min. Negotiated Rate $1,087.50
Max. Negotiated Rate $2,109.75
Rate for Payer: AlohaCare Medicaid $1,087.50
Rate for Payer: AlohaCare Medicare $1,653.00
Rate for Payer: Cash Price $1,305.00
Rate for Payer: Devoted Health Medicare $1,827.00
Rate for Payer: Hawaii Medical Service Association Medicare $1,653.00
Rate for Payer: Hawaii Western Management Group Commercial $1,522.50
Rate for Payer: Health Management Network Commercial $1,848.75
Rate for Payer: Humana Medicare $1,653.00
Rate for Payer: Kaiser Permanente Commercial $1,957.50
Rate for Payer: Kaiser Permanente Medicaid $1,109.25
Rate for Payer: Kaiser Permanente Medicare $1,653.00
Rate for Payer: MDX Hawaii PPO $2,109.75
Rate for Payer: Ohana Health Plan Medicaid $1,653.00
Rate for Payer: Ohana Health Plan Medicare $1,653.00
Rate for Payer: UnitedHealthcare Medicare $1,653.00
Rate for Payer: University Health Alliance Commercial $1,218.00
Service Code HCPCS C1713
Hospital Revenue Code 278
Min. Negotiated Rate $1,545.60
Max. Negotiated Rate $2,677.20
Rate for Payer: Cash Price $1,656.00
Rate for Payer: Hawaii Western Management Group Commercial $1,932.00
Rate for Payer: Health Management Network Commercial $2,346.00
Rate for Payer: Kaiser Permanente Commercial $2,484.00
Rate for Payer: MDX Hawaii PPO $2,677.20
Rate for Payer: University Health Alliance Commercial $1,545.60
Service Code HCPCS C1713
Hospital Revenue Code 278
Min. Negotiated Rate $1,380.00
Max. Negotiated Rate $2,677.20
Rate for Payer: AlohaCare Medicaid $1,380.00
Rate for Payer: AlohaCare Medicare $2,097.60
Rate for Payer: Cash Price $1,656.00
Rate for Payer: Devoted Health Medicare $2,318.40
Rate for Payer: Hawaii Medical Service Association Medicare $2,097.60
Rate for Payer: Hawaii Western Management Group Commercial $1,932.00
Rate for Payer: Health Management Network Commercial $2,346.00
Rate for Payer: Humana Medicare $2,097.60
Rate for Payer: Kaiser Permanente Commercial $2,484.00
Rate for Payer: Kaiser Permanente Medicaid $1,407.60
Rate for Payer: Kaiser Permanente Medicare $2,097.60
Rate for Payer: MDX Hawaii PPO $2,677.20
Rate for Payer: Ohana Health Plan Medicaid $2,097.60
Rate for Payer: Ohana Health Plan Medicare $2,097.60
Rate for Payer: UnitedHealthcare Medicare $2,097.60
Rate for Payer: University Health Alliance Commercial $1,545.60
Service Code HCPCS C1713
Hospital Revenue Code 278
Min. Negotiated Rate $1,691.20
Max. Negotiated Rate $2,929.40
Rate for Payer: Cash Price $1,812.00
Rate for Payer: Hawaii Western Management Group Commercial $2,114.00
Rate for Payer: Health Management Network Commercial $2,567.00
Rate for Payer: Kaiser Permanente Commercial $2,718.00
Rate for Payer: MDX Hawaii PPO $2,929.40
Rate for Payer: University Health Alliance Commercial $1,691.20
Service Code HCPCS C1713
Hospital Revenue Code 278
Min. Negotiated Rate $1,510.00
Max. Negotiated Rate $2,929.40
Rate for Payer: AlohaCare Medicaid $1,510.00
Rate for Payer: AlohaCare Medicare $2,295.20
Rate for Payer: Cash Price $1,812.00
Rate for Payer: Devoted Health Medicare $2,536.80
Rate for Payer: Hawaii Medical Service Association Medicare $2,295.20
Rate for Payer: Hawaii Western Management Group Commercial $2,114.00
Rate for Payer: Health Management Network Commercial $2,567.00
Rate for Payer: Humana Medicare $2,295.20
Rate for Payer: Kaiser Permanente Commercial $2,718.00
Rate for Payer: Kaiser Permanente Medicaid $1,540.20
Rate for Payer: Kaiser Permanente Medicare $2,295.20
Rate for Payer: MDX Hawaii PPO $2,929.40
Rate for Payer: Ohana Health Plan Medicaid $2,295.20
Rate for Payer: Ohana Health Plan Medicare $2,295.20
Rate for Payer: UnitedHealthcare Medicare $2,295.20
Rate for Payer: University Health Alliance Commercial $1,691.20
Service Code HCPCS C1713
Hospital Revenue Code 278
Min. Negotiated Rate $1,510.00
Max. Negotiated Rate $2,929.40
Rate for Payer: AlohaCare Medicaid $1,510.00
Rate for Payer: AlohaCare Medicare $2,295.20
Rate for Payer: Cash Price $1,812.00
Rate for Payer: Devoted Health Medicare $2,536.80
Rate for Payer: Hawaii Medical Service Association Medicare $2,295.20
Rate for Payer: Hawaii Western Management Group Commercial $2,114.00
Rate for Payer: Health Management Network Commercial $2,567.00
Rate for Payer: Humana Medicare $2,295.20
Rate for Payer: Kaiser Permanente Commercial $2,718.00
Rate for Payer: Kaiser Permanente Medicaid $1,540.20
Rate for Payer: Kaiser Permanente Medicare $2,295.20
Rate for Payer: MDX Hawaii PPO $2,929.40
Rate for Payer: Ohana Health Plan Medicaid $2,295.20
Rate for Payer: Ohana Health Plan Medicare $2,295.20
Rate for Payer: UnitedHealthcare Medicare $2,295.20
Rate for Payer: University Health Alliance Commercial $1,691.20
Service Code HCPCS C1713
Hospital Revenue Code 278
Min. Negotiated Rate $1,691.20
Max. Negotiated Rate $2,929.40
Rate for Payer: Cash Price $1,812.00
Rate for Payer: Hawaii Western Management Group Commercial $2,114.00
Rate for Payer: Health Management Network Commercial $2,567.00
Rate for Payer: Kaiser Permanente Commercial $2,718.00
Rate for Payer: MDX Hawaii PPO $2,929.40
Rate for Payer: University Health Alliance Commercial $1,691.20
Service Code HCPCS C1713
Hospital Revenue Code 278
Min. Negotiated Rate $1,859.20
Max. Negotiated Rate $3,220.40
Rate for Payer: Cash Price $1,992.00
Rate for Payer: Hawaii Western Management Group Commercial $2,324.00
Rate for Payer: Health Management Network Commercial $2,822.00
Rate for Payer: Kaiser Permanente Commercial $2,988.00
Rate for Payer: MDX Hawaii PPO $3,220.40
Rate for Payer: University Health Alliance Commercial $1,859.20
Service Code HCPCS C1713
Hospital Revenue Code 278
Min. Negotiated Rate $1,660.00
Max. Negotiated Rate $3,220.40
Rate for Payer: AlohaCare Medicaid $1,660.00
Rate for Payer: AlohaCare Medicare $2,523.20
Rate for Payer: Cash Price $1,992.00
Rate for Payer: Devoted Health Medicare $2,788.80
Rate for Payer: Hawaii Medical Service Association Medicare $2,523.20
Rate for Payer: Hawaii Western Management Group Commercial $2,324.00
Rate for Payer: Health Management Network Commercial $2,822.00
Rate for Payer: Humana Medicare $2,523.20
Rate for Payer: Kaiser Permanente Commercial $2,988.00
Rate for Payer: Kaiser Permanente Medicaid $1,693.20
Rate for Payer: Kaiser Permanente Medicare $2,523.20
Rate for Payer: MDX Hawaii PPO $3,220.40
Rate for Payer: Ohana Health Plan Medicaid $2,523.20
Rate for Payer: Ohana Health Plan Medicare $2,523.20
Rate for Payer: UnitedHealthcare Medicare $2,523.20
Rate for Payer: University Health Alliance Commercial $1,859.20
Service Code HCPCS C1713
Hospital Revenue Code 278
Min. Negotiated Rate $1,545.60
Max. Negotiated Rate $2,677.20
Rate for Payer: Cash Price $1,656.00
Rate for Payer: Hawaii Western Management Group Commercial $1,932.00
Rate for Payer: Health Management Network Commercial $2,346.00
Rate for Payer: Kaiser Permanente Commercial $2,484.00
Rate for Payer: MDX Hawaii PPO $2,677.20
Rate for Payer: University Health Alliance Commercial $1,545.60
Service Code HCPCS C1713
Hospital Revenue Code 278
Min. Negotiated Rate $1,380.00
Max. Negotiated Rate $2,677.20
Rate for Payer: AlohaCare Medicaid $1,380.00
Rate for Payer: AlohaCare Medicare $2,097.60
Rate for Payer: Cash Price $1,656.00
Rate for Payer: Devoted Health Medicare $2,318.40
Rate for Payer: Hawaii Medical Service Association Medicare $2,097.60
Rate for Payer: Hawaii Western Management Group Commercial $1,932.00
Rate for Payer: Health Management Network Commercial $2,346.00
Rate for Payer: Humana Medicare $2,097.60
Rate for Payer: Kaiser Permanente Commercial $2,484.00
Rate for Payer: Kaiser Permanente Medicaid $1,407.60
Rate for Payer: Kaiser Permanente Medicare $2,097.60
Rate for Payer: MDX Hawaii PPO $2,677.20
Rate for Payer: Ohana Health Plan Medicaid $2,097.60
Rate for Payer: Ohana Health Plan Medicare $2,097.60
Rate for Payer: UnitedHealthcare Medicare $2,097.60
Rate for Payer: University Health Alliance Commercial $1,545.60
Service Code HCPCS C1713
Hospital Revenue Code 278
Min. Negotiated Rate $1,691.20
Max. Negotiated Rate $2,929.40
Rate for Payer: Cash Price $1,812.00
Rate for Payer: Hawaii Western Management Group Commercial $2,114.00
Rate for Payer: Health Management Network Commercial $2,567.00
Rate for Payer: Kaiser Permanente Commercial $2,718.00
Rate for Payer: MDX Hawaii PPO $2,929.40
Rate for Payer: University Health Alliance Commercial $1,691.20
Service Code HCPCS C1713
Hospital Revenue Code 278
Min. Negotiated Rate $1,510.00
Max. Negotiated Rate $2,929.40
Rate for Payer: AlohaCare Medicaid $1,510.00
Rate for Payer: AlohaCare Medicare $2,295.20
Rate for Payer: Cash Price $1,812.00
Rate for Payer: Devoted Health Medicare $2,536.80
Rate for Payer: Hawaii Medical Service Association Medicare $2,295.20
Rate for Payer: Hawaii Western Management Group Commercial $2,114.00
Rate for Payer: Health Management Network Commercial $2,567.00
Rate for Payer: Humana Medicare $2,295.20
Rate for Payer: Kaiser Permanente Commercial $2,718.00
Rate for Payer: Kaiser Permanente Medicaid $1,540.20
Rate for Payer: Kaiser Permanente Medicare $2,295.20
Rate for Payer: MDX Hawaii PPO $2,929.40
Rate for Payer: Ohana Health Plan Medicaid $2,295.20
Rate for Payer: Ohana Health Plan Medicare $2,295.20
Rate for Payer: UnitedHealthcare Medicare $2,295.20
Rate for Payer: University Health Alliance Commercial $1,691.20
Service Code HCPCS C1713
Hospital Revenue Code 278
Min. Negotiated Rate $1,859.20
Max. Negotiated Rate $3,220.40
Rate for Payer: Cash Price $1,992.00
Rate for Payer: Hawaii Western Management Group Commercial $2,324.00
Rate for Payer: Health Management Network Commercial $2,822.00
Rate for Payer: Kaiser Permanente Commercial $2,988.00
Rate for Payer: MDX Hawaii PPO $3,220.40
Rate for Payer: University Health Alliance Commercial $1,859.20
Service Code HCPCS C1713
Hospital Revenue Code 278
Min. Negotiated Rate $1,660.00
Max. Negotiated Rate $3,220.40
Rate for Payer: AlohaCare Medicaid $1,660.00
Rate for Payer: AlohaCare Medicare $2,523.20
Rate for Payer: Cash Price $1,992.00
Rate for Payer: Devoted Health Medicare $2,788.80
Rate for Payer: Hawaii Medical Service Association Medicare $2,523.20
Rate for Payer: Hawaii Western Management Group Commercial $2,324.00
Rate for Payer: Health Management Network Commercial $2,822.00
Rate for Payer: Humana Medicare $2,523.20
Rate for Payer: Kaiser Permanente Commercial $2,988.00
Rate for Payer: Kaiser Permanente Medicaid $1,693.20
Rate for Payer: Kaiser Permanente Medicare $2,523.20
Rate for Payer: MDX Hawaii PPO $3,220.40
Rate for Payer: Ohana Health Plan Medicaid $2,523.20
Rate for Payer: Ohana Health Plan Medicare $2,523.20
Rate for Payer: UnitedHealthcare Medicare $2,523.20
Rate for Payer: University Health Alliance Commercial $1,859.20
Service Code HCPCS C1713
Hospital Revenue Code 278
Min. Negotiated Rate $2,424.80
Max. Negotiated Rate $4,200.10
Rate for Payer: Cash Price $2,598.00
Rate for Payer: Hawaii Western Management Group Commercial $3,031.00
Rate for Payer: Health Management Network Commercial $3,680.50
Rate for Payer: Kaiser Permanente Commercial $3,897.00
Rate for Payer: MDX Hawaii PPO $4,200.10
Rate for Payer: University Health Alliance Commercial $2,424.80
Service Code HCPCS C1713
Hospital Revenue Code 278
Min. Negotiated Rate $2,165.00
Max. Negotiated Rate $4,200.10
Rate for Payer: AlohaCare Medicaid $2,165.00
Rate for Payer: AlohaCare Medicare $3,290.80
Rate for Payer: Cash Price $2,598.00
Rate for Payer: Devoted Health Medicare $3,637.20
Rate for Payer: Hawaii Medical Service Association Medicare $3,290.80
Rate for Payer: Hawaii Western Management Group Commercial $3,031.00
Rate for Payer: Health Management Network Commercial $3,680.50
Rate for Payer: Humana Medicare $3,290.80
Rate for Payer: Kaiser Permanente Commercial $3,897.00
Rate for Payer: Kaiser Permanente Medicaid $2,208.30
Rate for Payer: Kaiser Permanente Medicare $3,290.80
Rate for Payer: MDX Hawaii PPO $4,200.10
Rate for Payer: Ohana Health Plan Medicaid $3,290.80
Rate for Payer: Ohana Health Plan Medicare $3,290.80
Rate for Payer: UnitedHealthcare Medicare $3,290.80
Rate for Payer: University Health Alliance Commercial $2,424.80
Service Code HCPCS C1713
Hospital Revenue Code 278
Min. Negotiated Rate $924.00
Max. Negotiated Rate $1,600.50
Rate for Payer: Cash Price $990.00
Rate for Payer: Hawaii Western Management Group Commercial $1,155.00
Rate for Payer: Health Management Network Commercial $1,402.50
Rate for Payer: Kaiser Permanente Commercial $1,485.00
Rate for Payer: MDX Hawaii PPO $1,600.50
Rate for Payer: University Health Alliance Commercial $924.00
Service Code HCPCS C1713
Hospital Revenue Code 278
Min. Negotiated Rate $825.00
Max. Negotiated Rate $1,600.50
Rate for Payer: AlohaCare Medicaid $825.00
Rate for Payer: AlohaCare Medicare $1,254.00
Rate for Payer: Cash Price $990.00
Rate for Payer: Devoted Health Medicare $1,386.00
Rate for Payer: Hawaii Medical Service Association Medicare $1,254.00
Rate for Payer: Hawaii Western Management Group Commercial $1,155.00
Rate for Payer: Health Management Network Commercial $1,402.50
Rate for Payer: Humana Medicare $1,254.00
Rate for Payer: Kaiser Permanente Commercial $1,485.00
Rate for Payer: Kaiser Permanente Medicaid $841.50
Rate for Payer: Kaiser Permanente Medicare $1,254.00
Rate for Payer: MDX Hawaii PPO $1,600.50
Rate for Payer: Ohana Health Plan Medicaid $1,254.00
Rate for Payer: Ohana Health Plan Medicare $1,254.00
Rate for Payer: UnitedHealthcare Medicare $1,254.00
Rate for Payer: University Health Alliance Commercial $924.00