|
OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$57,192.93
|
|
|
Service Code
|
MSDRG 869
|
| Min. Negotiated Rate |
$57,192.93 |
| Max. Negotiated Rate |
$57,192.93 |
| Rate for Payer: Hawaii Medical Service Association Commercial |
$57,192.93
|
|
|
OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC
|
Facility
|
IP
|
$39,606.04
|
|
|
Service Code
|
MSDRG 922
|
| Min. Negotiated Rate |
$39,606.04 |
| Max. Negotiated Rate |
$39,606.04 |
| Rate for Payer: Hawaii Medical Service Association Commercial |
$39,606.04
|
|
|
OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC
|
Facility
|
IP
|
$17,539.48
|
|
|
Service Code
|
MSDRG 923
|
| Min. Negotiated Rate |
$17,539.48 |
| Max. Negotiated Rate |
$17,539.48 |
| Rate for Payer: Hawaii Medical Service Association Commercial |
$17,539.48
|
|
|
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC
|
Facility
|
IP
|
$21,876.95
|
|
|
Service Code
|
MSDRG 699
|
| Min. Negotiated Rate |
$21,876.95 |
| Max. Negotiated Rate |
$21,876.95 |
| Rate for Payer: Hawaii Medical Service Association Commercial |
$21,876.95
|
|
|
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC
|
Facility
|
IP
|
$21,900.65
|
|
|
Service Code
|
MSDRG 698
|
| Min. Negotiated Rate |
$21,900.65 |
| Max. Negotiated Rate |
$21,900.65 |
| Rate for Payer: Hawaii Medical Service Association Commercial |
$21,900.65
|
|
|
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$17,160.25
|
|
|
Service Code
|
MSDRG 700
|
| Min. Negotiated Rate |
$17,160.25 |
| Max. Negotiated Rate |
$17,160.25 |
| Rate for Payer: Hawaii Medical Service Association Commercial |
$17,160.25
|
|
|
OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC
|
Facility
|
IP
|
$54,988.64
|
|
|
Service Code
|
MSDRG 674
|
| Min. Negotiated Rate |
$54,988.64 |
| Max. Negotiated Rate |
$54,988.64 |
| Rate for Payer: Hawaii Medical Service Association Commercial |
$54,988.64
|
|
|
OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC
|
Facility
|
IP
|
$54,988.64
|
|
|
Service Code
|
MSDRG 673
|
| Min. Negotiated Rate |
$54,988.64 |
| Max. Negotiated Rate |
$54,988.64 |
| Rate for Payer: Hawaii Medical Service Association Commercial |
$54,988.64
|
|
|
OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$54,988.64
|
|
|
Service Code
|
MSDRG 675
|
| Min. Negotiated Rate |
$54,988.64 |
| Max. Negotiated Rate |
$54,988.64 |
| Rate for Payer: Hawaii Medical Service Association Commercial |
$54,988.64
|
|
|
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC
|
Facility
|
IP
|
$96,040.50
|
|
|
Service Code
|
MSDRG 271
|
| Min. Negotiated Rate |
$96,040.50 |
| Max. Negotiated Rate |
$96,040.50 |
| Rate for Payer: Hawaii Medical Service Association Commercial |
$96,040.50
|
|
|
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC
|
Facility
|
IP
|
$111,280.89
|
|
|
Service Code
|
MSDRG 270
|
| Min. Negotiated Rate |
$111,280.89 |
| Max. Negotiated Rate |
$111,280.89 |
| Rate for Payer: Hawaii Medical Service Association Commercial |
$111,280.89
|
|
|
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$96,040.50
|
|
|
Service Code
|
MSDRG 272
|
| Min. Negotiated Rate |
$96,040.50 |
| Max. Negotiated Rate |
$96,040.50 |
| Rate for Payer: Hawaii Medical Service Association Commercial |
$96,040.50
|
|
|
OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC
|
Facility
|
IP
|
$13,344.23
|
|
|
Service Code
|
MSDRG 729
|
| Min. Negotiated Rate |
$13,344.23 |
| Max. Negotiated Rate |
$13,344.23 |
| Rate for Payer: Hawaii Medical Service Association Commercial |
$13,344.23
|
|
|
OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$13,344.23
|
|
|
Service Code
|
MSDRG 730
|
| Min. Negotiated Rate |
$13,344.23 |
| Max. Negotiated Rate |
$13,344.23 |
| Rate for Payer: Hawaii Medical Service Association Commercial |
$13,344.23
|
|
|
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC
|
Facility
|
IP
|
$26,380.33
|
|
|
Service Code
|
MSDRG 717
|
| Min. Negotiated Rate |
$26,380.33 |
| Max. Negotiated Rate |
$26,380.33 |
| Rate for Payer: Hawaii Medical Service Association Commercial |
$26,380.33
|
|
|
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$26,380.33
|
|
|
Service Code
|
MSDRG 718
|
| Min. Negotiated Rate |
$26,380.33 |
| Max. Negotiated Rate |
$26,380.33 |
| Rate for Payer: Hawaii Medical Service Association Commercial |
$26,380.33
|
|
|
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC
|
Facility
|
IP
|
$41,597.01
|
|
|
Service Code
|
MSDRG 715
|
| Min. Negotiated Rate |
$41,597.01 |
| Max. Negotiated Rate |
$41,597.01 |
| Rate for Payer: Hawaii Medical Service Association Commercial |
$41,597.01
|
|
|
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$41,597.01
|
|
|
Service Code
|
MSDRG 716
|
| Min. Negotiated Rate |
$41,597.01 |
| Max. Negotiated Rate |
$41,597.01 |
| Rate for Payer: Hawaii Medical Service Association Commercial |
$41,597.01
|
|
|
OTHER MENTAL DISORDER DIAGNOSES
|
Facility
|
IP
|
$36,477.38
|
|
|
Service Code
|
MSDRG 887
|
| Min. Negotiated Rate |
$36,477.38 |
| Max. Negotiated Rate |
$36,477.38 |
| Rate for Payer: Hawaii Medical Service Association Commercial |
$36,477.38
|
|
|
OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC
|
Facility
|
IP
|
$41,928.84
|
|
|
Service Code
|
MSDRG 964
|
| Min. Negotiated Rate |
$41,928.84 |
| Max. Negotiated Rate |
$41,928.84 |
| Rate for Payer: Hawaii Medical Service Association Commercial |
$41,928.84
|
|
|
OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC
|
Facility
|
IP
|
$41,928.84
|
|
|
Service Code
|
MSDRG 963
|
| Min. Negotiated Rate |
$41,928.84 |
| Max. Negotiated Rate |
$41,928.84 |
| Rate for Payer: Hawaii Medical Service Association Commercial |
$41,928.84
|
|
|
OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC
|
Facility
|
IP
|
$41,928.84
|
|
|
Service Code
|
MSDRG 965
|
| Min. Negotiated Rate |
$41,928.84 |
| Max. Negotiated Rate |
$41,928.84 |
| Rate for Payer: Hawaii Medical Service Association Commercial |
$41,928.84
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC
|
Facility
|
IP
|
$16,686.21
|
|
|
Service Code
|
MSDRG 565
|
| Min. Negotiated Rate |
$16,686.21 |
| Max. Negotiated Rate |
$16,686.21 |
| Rate for Payer: Hawaii Medical Service Association Commercial |
$16,686.21
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC
|
Facility
|
IP
|
$16,686.21
|
|
|
Service Code
|
MSDRG 564
|
| Min. Negotiated Rate |
$16,686.21 |
| Max. Negotiated Rate |
$16,686.21 |
| Rate for Payer: Hawaii Medical Service Association Commercial |
$16,686.21
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$16,686.21
|
|
|
Service Code
|
MSDRG 566
|
| Min. Negotiated Rate |
$16,686.21 |
| Max. Negotiated Rate |
$16,686.21 |
| Rate for Payer: Hawaii Medical Service Association Commercial |
$16,686.21
|
|