Kahuku Medical Center

All Charges

Charge

Type

Setting

Price

OTHER DISORDERS OF NERVOUS SYSTEM WITH CC

Facility

$20,881.46

Service Code	MSDRG 092
Min. Negotiated Rate	$20,881.46
Max. Negotiated Rate	$20,881.46
Rate for Payer: Hawaii Medical Service Association Commercial	$20,881.46

OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC

Facility

$24,958.21

Service Code	MSDRG 091
Min. Negotiated Rate	$24,958.21
Max. Negotiated Rate	$24,958.21
Rate for Payer: Hawaii Medical Service Association Commercial	$24,958.21

OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC

Facility

$17,302.46

Service Code	MSDRG 093
Min. Negotiated Rate	$17,302.46
Max. Negotiated Rate	$17,302.46
Rate for Payer: Hawaii Medical Service Association Commercial	$17,302.46

OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT

Facility

$15,904.04

Service Code	MSDRG 124
Min. Negotiated Rate	$15,904.04
Max. Negotiated Rate	$15,904.04
Rate for Payer: Hawaii Medical Service Association Commercial	$15,904.04

OTHER DISORDERS OF THE EYE WITHOUT MCC

Facility

$8,034.98

Service Code	MSDRG 125
Min. Negotiated Rate	$8,034.98
Max. Negotiated Rate	$8,034.98
Rate for Payer: Hawaii Medical Service Association Commercial	$8,034.98

OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC

Facility

$14,813.75

Service Code	MSDRG 155
Min. Negotiated Rate	$14,813.75
Max. Negotiated Rate	$14,813.75
Rate for Payer: Hawaii Medical Service Association Commercial	$14,813.75

OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC

Facility

$14,813.75

Service Code	MSDRG 154
Min. Negotiated Rate	$14,813.75
Max. Negotiated Rate	$14,813.75
Rate for Payer: Hawaii Medical Service Association Commercial	$14,813.75

OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC

Facility

$14,813.75

Service Code	MSDRG 156
Min. Negotiated Rate	$14,813.75
Max. Negotiated Rate	$14,813.75
Rate for Payer: Hawaii Medical Service Association Commercial	$14,813.75

OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC

Facility

$34,533.81

Service Code	MSDRG 144
Min. Negotiated Rate	$34,533.81
Max. Negotiated Rate	$34,533.81
Rate for Payer: Hawaii Medical Service Association Commercial	$34,533.81

OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC

Facility

$100,780.90

Service Code	MSDRG 143
Min. Negotiated Rate	$100,780.90
Max. Negotiated Rate	$100,780.90
Rate for Payer: Hawaii Medical Service Association Commercial	$100,780.90

OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC

Facility

$22,256.18

Service Code	MSDRG 145
Min. Negotiated Rate	$22,256.18
Max. Negotiated Rate	$22,256.18
Rate for Payer: Hawaii Medical Service Association Commercial	$22,256.18

OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC

Facility

$27,849.85

Service Code	MSDRG 629
Min. Negotiated Rate	$27,849.85
Max. Negotiated Rate	$27,849.85
Rate for Payer: Hawaii Medical Service Association Commercial	$27,849.85

OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC

Facility

$39,203.11

Service Code	MSDRG 628
Min. Negotiated Rate	$39,203.11
Max. Negotiated Rate	$39,203.11
Rate for Payer: Hawaii Medical Service Association Commercial	$39,203.11

OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC

Facility

$26,498.84

Service Code	MSDRG 630
Min. Negotiated Rate	$26,498.84
Max. Negotiated Rate	$26,498.84
Rate for Payer: Hawaii Medical Service Association Commercial	$26,498.84

OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC

Facility

$132,162.35

Service Code	MSDRG 319
Min. Negotiated Rate	$132,162.35
Max. Negotiated Rate	$132,162.35
Rate for Payer: Hawaii Medical Service Association Commercial	$132,162.35

OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC

Facility

$132,162.35

Service Code	MSDRG 320
Min. Negotiated Rate	$132,162.35
Max. Negotiated Rate	$132,162.35
Rate for Payer: Hawaii Medical Service Association Commercial	$132,162.35

OTHER FACTORS INFLUENCING HEALTH STATUS

Facility

$11,424.36

Service Code	MSDRG 951
Min. Negotiated Rate	$11,424.36
Max. Negotiated Rate	$11,424.36
Rate for Payer: Hawaii Medical Service Association Commercial	$11,424.36

OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC

Facility

$33,064.29

Service Code	MSDRG 749
Min. Negotiated Rate	$33,064.29
Max. Negotiated Rate	$33,064.29
Rate for Payer: Hawaii Medical Service Association Commercial	$33,064.29

OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC

Facility

$33,064.29

Service Code	MSDRG 750
Min. Negotiated Rate	$33,064.29
Max. Negotiated Rate	$33,064.29
Rate for Payer: Hawaii Medical Service Association Commercial	$33,064.29

OTHER HEART ASSIST SYSTEM IMPLANT

Facility

$170,630.70

Service Code	MSDRG 215
Min. Negotiated Rate	$170,630.70
Max. Negotiated Rate	$170,630.70
Rate for Payer: Hawaii Medical Service Association Commercial	$170,630.70

OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC

Facility

$96,822.67

Service Code	MSDRG 424
Min. Negotiated Rate	$96,822.67
Max. Negotiated Rate	$96,822.67
Rate for Payer: Hawaii Medical Service Association Commercial	$96,822.67

OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC

Facility

$96,822.67

Service Code	MSDRG 423
Min. Negotiated Rate	$96,822.67
Max. Negotiated Rate	$96,822.67
Rate for Payer: Hawaii Medical Service Association Commercial	$96,822.67

OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC

Facility

$96,822.67

Service Code	MSDRG 425
Min. Negotiated Rate	$96,822.67
Max. Negotiated Rate	$96,822.67
Rate for Payer: Hawaii Medical Service Association Commercial	$96,822.67

OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC

Facility

$57,192.93

Service Code	MSDRG 868
Min. Negotiated Rate	$57,192.93
Max. Negotiated Rate	$57,192.93
Rate for Payer: Hawaii Medical Service Association Commercial	$57,192.93

OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC

Facility

$57,192.93

Service Code	MSDRG 867
Min. Negotiated Rate	$57,192.93
Max. Negotiated Rate	$57,192.93
Rate for Payer: Hawaii Medical Service Association Commercial	$57,192.93

Know your out-of-pocket cost for care.

All Charges