Kahuku Medical Center

All Charges

Charge

Type

Setting

Price

SPINE CERVICAL COMP

Facility

$581.00

Service Code	HCPCS 72052
Hospital Charge Code	424720520
Hospital Revenue Code	320
Min. Negotiated Rate	$39.85
Max. Negotiated Rate	$563.57
Rate for Payer: AlohaCare Medicaid	$290.50
Rate for Payer: AlohaCare Medicare	$244.02
Rate for Payer: Cash Price	$377.65
Rate for Payer: Cash Price	$377.65
Rate for Payer: Deseret Mutual Benefit Administrators Commercial	$534.52
Rate for Payer: Devoted Health Medicare	$244.02
Rate for Payer: Hawaii Medical Service Association ABD/Non-ABD	$39.85
Rate for Payer: Hawaii Medical Service Association Commercial	$154.38
Rate for Payer: Hawaii Medical Service Association Medicare	$244.02
Rate for Payer: Hawaii Western Management Group Commercial	$123.50
Rate for Payer: Health Management Network Commercial	$493.85
Rate for Payer: Humana Medicare	$244.02
Rate for Payer: Kaiser Permanente Commercial	$522.90
Rate for Payer: Kaiser Permanente Medicaid	$296.31
Rate for Payer: Kaiser Permanente Medicare	$244.02
Rate for Payer: MDX Hawaii PPO	$563.57
Rate for Payer: Ohana Health Plan Medicaid	$244.02
Rate for Payer: Ohana Health Plan Medicare	$244.02
Rate for Payer: UnitedHealthcare Medicaid	$39.85
Rate for Payer: UnitedHealthcare Medicare	$244.02
Rate for Payer: University Health Alliance Commercial	$132.40

SPINE CERVICAL COMP

Facility

$581.00

Service Code	HCPCS 72052
Hospital Charge Code	424720520
Hospital Revenue Code	320
Min. Negotiated Rate	$493.85
Max. Negotiated Rate	$563.57
Rate for Payer: Cash Price	$377.65
Rate for Payer: Health Management Network Commercial	$493.85
Rate for Payer: Kaiser Permanente Commercial	$522.90
Rate for Payer: MDX Hawaii PPO	$563.57

SPINE ENTIRE SURVEY AP LAT

Facility

$581.00

Service Code	HCPCS 72082
Hospital Charge Code	424720820
Hospital Revenue Code	320
Min. Negotiated Rate	$493.85
Max. Negotiated Rate	$563.57
Rate for Payer: Cash Price	$377.65
Rate for Payer: Health Management Network Commercial	$493.85
Rate for Payer: Kaiser Permanente Commercial	$522.90
Rate for Payer: MDX Hawaii PPO	$563.57

SPINE ENTIRE SURVEY AP LAT

Facility

$581.00

Service Code	HCPCS 72082
Hospital Charge Code	424720820
Hospital Revenue Code	320
Min. Negotiated Rate	$32.11
Max. Negotiated Rate	$563.57
Rate for Payer: AlohaCare Medicaid	$290.50
Rate for Payer: AlohaCare Medicare	$244.02
Rate for Payer: Cash Price	$377.65
Rate for Payer: Cash Price	$377.65
Rate for Payer: Deseret Mutual Benefit Administrators Commercial	$534.52
Rate for Payer: Devoted Health Medicare	$244.02
Rate for Payer: Hawaii Medical Service Association ABD/Non-ABD	$32.11
Rate for Payer: Hawaii Medical Service Association Commercial	$154.38
Rate for Payer: Hawaii Medical Service Association Medicare	$244.02
Rate for Payer: Hawaii Western Management Group Commercial	$123.50
Rate for Payer: Health Management Network Commercial	$493.85
Rate for Payer: Humana Medicare	$244.02
Rate for Payer: Kaiser Permanente Commercial	$522.90
Rate for Payer: Kaiser Permanente Medicaid	$296.31
Rate for Payer: Kaiser Permanente Medicare	$244.02
Rate for Payer: MDX Hawaii PPO	$563.57
Rate for Payer: Ohana Health Plan Medicaid	$244.02
Rate for Payer: Ohana Health Plan Medicare	$244.02
Rate for Payer: UnitedHealthcare Medicaid	$47.15
Rate for Payer: UnitedHealthcare Medicare	$244.02
Rate for Payer: University Health Alliance Commercial	$130.35

SPINE LS BENDING ONLY MIN 4 VI

Facility

$581.00

Service Code	HCPCS 72120
Hospital Charge Code	424721200
Hospital Revenue Code	320
Min. Negotiated Rate	$493.85
Max. Negotiated Rate	$563.57
Rate for Payer: Cash Price	$377.65
Rate for Payer: Health Management Network Commercial	$493.85
Rate for Payer: Kaiser Permanente Commercial	$522.90
Rate for Payer: MDX Hawaii PPO	$563.57

SPINE LS BENDING ONLY MIN 4 VI

Facility

$581.00

Service Code	HCPCS 72120
Hospital Charge Code	424721200
Hospital Revenue Code	320
Min. Negotiated Rate	$29.64
Max. Negotiated Rate	$563.57
Rate for Payer: AlohaCare Medicaid	$290.50
Rate for Payer: AlohaCare Medicare	$244.02
Rate for Payer: Cash Price	$377.65
Rate for Payer: Cash Price	$377.65
Rate for Payer: Deseret Mutual Benefit Administrators Commercial	$534.52
Rate for Payer: Devoted Health Medicare	$244.02
Rate for Payer: Hawaii Medical Service Association ABD/Non-ABD	$29.64
Rate for Payer: Hawaii Medical Service Association Commercial	$154.38
Rate for Payer: Hawaii Medical Service Association Medicare	$244.02
Rate for Payer: Hawaii Western Management Group Commercial	$123.50
Rate for Payer: Health Management Network Commercial	$493.85
Rate for Payer: Humana Medicare	$244.02
Rate for Payer: Kaiser Permanente Commercial	$522.90
Rate for Payer: Kaiser Permanente Medicaid	$296.31
Rate for Payer: Kaiser Permanente Medicare	$244.02
Rate for Payer: MDX Hawaii PPO	$563.57
Rate for Payer: Ohana Health Plan Medicaid	$244.02
Rate for Payer: Ohana Health Plan Medicare	$244.02
Rate for Payer: UnitedHealthcare Medicaid	$29.64
Rate for Payer: UnitedHealthcare Medicare	$244.02
Rate for Payer: University Health Alliance Commercial	$97.90

SPINE LUMBOSACRAL 2 OR 3 VWS

Facility

$397.00

Service Code	HCPCS 72100
Hospital Charge Code	424721000
Hospital Revenue Code	320
Min. Negotiated Rate	$21.96
Max. Negotiated Rate	$385.09
Rate for Payer: AlohaCare Medicaid	$198.50
Rate for Payer: AlohaCare Medicare	$166.74
Rate for Payer: Cash Price	$258.05
Rate for Payer: Cash Price	$258.05
Rate for Payer: Deseret Mutual Benefit Administrators Commercial	$365.24
Rate for Payer: Devoted Health Medicare	$166.74
Rate for Payer: Hawaii Medical Service Association ABD/Non-ABD	$21.96
Rate for Payer: Hawaii Medical Service Association Commercial	$154.38
Rate for Payer: Hawaii Medical Service Association Medicare	$166.74
Rate for Payer: Hawaii Western Management Group Commercial	$123.50
Rate for Payer: Health Management Network Commercial	$337.45
Rate for Payer: Humana Medicare	$166.74
Rate for Payer: Kaiser Permanente Commercial	$357.30
Rate for Payer: Kaiser Permanente Medicaid	$202.47
Rate for Payer: Kaiser Permanente Medicare	$166.74
Rate for Payer: MDX Hawaii PPO	$385.09
Rate for Payer: Ohana Health Plan Medicaid	$166.74
Rate for Payer: Ohana Health Plan Medicare	$166.74
Rate for Payer: UnitedHealthcare Medicaid	$21.96
Rate for Payer: UnitedHealthcare Medicare	$166.74
Rate for Payer: University Health Alliance Commercial	$77.64

SPINE LUMBOSACRAL 2 OR 3 VWS

Facility

$397.00

Service Code	HCPCS 72100
Hospital Charge Code	424721000
Hospital Revenue Code	320
Min. Negotiated Rate	$337.45
Max. Negotiated Rate	$385.09
Rate for Payer: Cash Price	$258.05
Rate for Payer: Health Management Network Commercial	$337.45
Rate for Payer: Kaiser Permanente Commercial	$357.30
Rate for Payer: MDX Hawaii PPO	$385.09

SPINE LUMBOSACRAL COMP

Facility

$675.00

Service Code	HCPCS 72114
Hospital Charge Code	424721140
Hospital Revenue Code	320
Min. Negotiated Rate	$39.30
Max. Negotiated Rate	$654.75
Rate for Payer: AlohaCare Medicaid	$337.50
Rate for Payer: AlohaCare Medicare	$283.50
Rate for Payer: Cash Price	$438.75
Rate for Payer: Cash Price	$438.75
Rate for Payer: Deseret Mutual Benefit Administrators Commercial	$621.00
Rate for Payer: Devoted Health Medicare	$283.50
Rate for Payer: Hawaii Medical Service Association ABD/Non-ABD	$39.30
Rate for Payer: Hawaii Medical Service Association Commercial	$154.38
Rate for Payer: Hawaii Medical Service Association Medicare	$283.50
Rate for Payer: Hawaii Western Management Group Commercial	$123.50
Rate for Payer: Health Management Network Commercial	$573.75
Rate for Payer: Humana Medicare	$283.50
Rate for Payer: Kaiser Permanente Commercial	$607.50
Rate for Payer: Kaiser Permanente Medicaid	$344.25
Rate for Payer: Kaiser Permanente Medicare	$283.50
Rate for Payer: MDX Hawaii PPO	$654.75
Rate for Payer: Ohana Health Plan Medicaid	$283.50
Rate for Payer: Ohana Health Plan Medicare	$283.50
Rate for Payer: UnitedHealthcare Medicaid	$39.30
Rate for Payer: UnitedHealthcare Medicare	$283.50
Rate for Payer: University Health Alliance Commercial	$141.23

SPINE LUMBOSACRAL COMP

Facility

$675.00

Service Code	HCPCS 72114
Hospital Charge Code	424721140
Hospital Revenue Code	320
Min. Negotiated Rate	$573.75
Max. Negotiated Rate	$654.75
Rate for Payer: Cash Price	$438.75
Rate for Payer: Health Management Network Commercial	$573.75
Rate for Payer: Kaiser Permanente Commercial	$607.50
Rate for Payer: MDX Hawaii PPO	$654.75

SPINE LUMBOSACRAL MIN 4 VWS

Facility

$581.00

Service Code	HCPCS 72110
Hospital Charge Code	424721100
Hospital Revenue Code	320
Min. Negotiated Rate	$32.35
Max. Negotiated Rate	$563.57
Rate for Payer: AlohaCare Medicaid	$290.50
Rate for Payer: AlohaCare Medicare	$244.02
Rate for Payer: Cash Price	$377.65
Rate for Payer: Cash Price	$377.65
Rate for Payer: Deseret Mutual Benefit Administrators Commercial	$534.52
Rate for Payer: Devoted Health Medicare	$244.02
Rate for Payer: Hawaii Medical Service Association ABD/Non-ABD	$32.35
Rate for Payer: Hawaii Medical Service Association Commercial	$154.38
Rate for Payer: Hawaii Medical Service Association Medicare	$244.02
Rate for Payer: Hawaii Western Management Group Commercial	$123.50
Rate for Payer: Health Management Network Commercial	$493.85
Rate for Payer: Humana Medicare	$244.02
Rate for Payer: Kaiser Permanente Commercial	$522.90
Rate for Payer: Kaiser Permanente Medicaid	$296.31
Rate for Payer: Kaiser Permanente Medicare	$244.02
Rate for Payer: MDX Hawaii PPO	$563.57
Rate for Payer: Ohana Health Plan Medicaid	$244.02
Rate for Payer: Ohana Health Plan Medicare	$244.02
Rate for Payer: UnitedHealthcare Medicaid	$32.35
Rate for Payer: UnitedHealthcare Medicare	$244.02
Rate for Payer: University Health Alliance Commercial	$108.35

SPINE LUMBOSACRAL MIN 4 VWS

Facility

$581.00

Service Code	HCPCS 72110
Hospital Charge Code	424721100
Hospital Revenue Code	320
Min. Negotiated Rate	$493.85
Max. Negotiated Rate	$563.57
Rate for Payer: Cash Price	$377.65
Rate for Payer: Health Management Network Commercial	$493.85
Rate for Payer: Kaiser Permanente Commercial	$522.90
Rate for Payer: MDX Hawaii PPO	$563.57

SPINE SGL VW SPECIFY LEVEL

Facility

$369.00

Service Code	HCPCS 72020
Hospital Charge Code	424720200
Hospital Revenue Code	320
Min. Negotiated Rate	$14.98
Max. Negotiated Rate	$357.93
Rate for Payer: AlohaCare Medicaid	$184.50
Rate for Payer: AlohaCare Medicare	$154.98
Rate for Payer: Cash Price	$239.85
Rate for Payer: Cash Price	$239.85
Rate for Payer: Deseret Mutual Benefit Administrators Commercial	$339.48
Rate for Payer: Devoted Health Medicare	$154.98
Rate for Payer: Hawaii Medical Service Association ABD/Non-ABD	$14.98
Rate for Payer: Hawaii Medical Service Association Commercial	$128.51
Rate for Payer: Hawaii Medical Service Association Medicare	$154.98
Rate for Payer: Hawaii Western Management Group Commercial	$102.81
Rate for Payer: Health Management Network Commercial	$313.65
Rate for Payer: Humana Medicare	$154.98
Rate for Payer: Kaiser Permanente Commercial	$332.10
Rate for Payer: Kaiser Permanente Medicaid	$188.19
Rate for Payer: Kaiser Permanente Medicare	$154.98
Rate for Payer: MDX Hawaii PPO	$357.93
Rate for Payer: Ohana Health Plan Medicaid	$154.98
Rate for Payer: Ohana Health Plan Medicare	$154.98
Rate for Payer: UnitedHealthcare Medicaid	$14.98
Rate for Payer: UnitedHealthcare Medicare	$154.98
Rate for Payer: University Health Alliance Commercial	$48.36

SPINE SGL VW SPECIFY LEVEL

Facility

$369.00

Service Code	HCPCS 72020
Hospital Charge Code	424720200
Hospital Revenue Code	320
Min. Negotiated Rate	$313.65
Max. Negotiated Rate	$357.93
Rate for Payer: Cash Price	$239.85
Rate for Payer: Health Management Network Commercial	$313.65
Rate for Payer: Kaiser Permanente Commercial	$332.10
Rate for Payer: MDX Hawaii PPO	$357.93

SPINE THORACIC 2 VWS

Facility

$431.00

Service Code	HCPCS 72070
Hospital Charge Code	424720700
Hospital Revenue Code	320
Min. Negotiated Rate	$21.34
Max. Negotiated Rate	$418.07
Rate for Payer: AlohaCare Medicaid	$215.50
Rate for Payer: AlohaCare Medicare	$181.02
Rate for Payer: Cash Price	$280.15
Rate for Payer: Cash Price	$280.15
Rate for Payer: Deseret Mutual Benefit Administrators Commercial	$396.52
Rate for Payer: Devoted Health Medicare	$181.02
Rate for Payer: Hawaii Medical Service Association ABD/Non-ABD	$21.34
Rate for Payer: Hawaii Medical Service Association Commercial	$154.38
Rate for Payer: Hawaii Medical Service Association Medicare	$181.02
Rate for Payer: Hawaii Western Management Group Commercial	$123.50
Rate for Payer: Health Management Network Commercial	$366.35
Rate for Payer: Humana Medicare	$181.02
Rate for Payer: Kaiser Permanente Commercial	$387.90
Rate for Payer: Kaiser Permanente Medicaid	$219.81
Rate for Payer: Kaiser Permanente Medicare	$181.02
Rate for Payer: MDX Hawaii PPO	$418.07
Rate for Payer: Ohana Health Plan Medicaid	$181.02
Rate for Payer: Ohana Health Plan Medicare	$181.02
Rate for Payer: UnitedHealthcare Medicaid	$21.34
Rate for Payer: UnitedHealthcare Medicare	$181.02
Rate for Payer: University Health Alliance Commercial	$70.43

SPINE THORACIC 2 VWS

Facility

$431.00

Service Code	HCPCS 72070
Hospital Charge Code	424720700
Hospital Revenue Code	320
Min. Negotiated Rate	$366.35
Max. Negotiated Rate	$418.07
Rate for Payer: Cash Price	$280.15
Rate for Payer: Health Management Network Commercial	$366.35
Rate for Payer: Kaiser Permanente Commercial	$387.90
Rate for Payer: MDX Hawaii PPO	$418.07

SPINE THRCOUMBR 2 VWS

Facility

$338.00

Service Code	HCPCS 72080
Hospital Charge Code	42472080
Hospital Revenue Code	320
Min. Negotiated Rate	$287.30
Max. Negotiated Rate	$327.86
Rate for Payer: Cash Price	$219.70
Rate for Payer: Health Management Network Commercial	$287.30
Rate for Payer: Kaiser Permanente Commercial	$304.20
Rate for Payer: MDX Hawaii PPO	$327.86

SPINE THRCOUMBR 2 VWS

Facility

$338.00

Service Code	HCPCS 72080
Hospital Charge Code	42472080
Hospital Revenue Code	320
Min. Negotiated Rate	$21.96
Max. Negotiated Rate	$327.86
Rate for Payer: AlohaCare Medicaid	$169.00
Rate for Payer: AlohaCare Medicare	$141.96
Rate for Payer: Cash Price	$219.70
Rate for Payer: Cash Price	$219.70
Rate for Payer: Deseret Mutual Benefit Administrators Commercial	$310.96
Rate for Payer: Devoted Health Medicare	$141.96
Rate for Payer: Hawaii Medical Service Association ABD/Non-ABD	$21.96
Rate for Payer: Hawaii Medical Service Association Commercial	$128.51
Rate for Payer: Hawaii Medical Service Association Medicare	$141.96
Rate for Payer: Hawaii Western Management Group Commercial	$102.81
Rate for Payer: Health Management Network Commercial	$287.30
Rate for Payer: Humana Medicare	$141.96
Rate for Payer: Kaiser Permanente Commercial	$304.20
Rate for Payer: Kaiser Permanente Medicaid	$172.38
Rate for Payer: Kaiser Permanente Medicare	$141.96
Rate for Payer: MDX Hawaii PPO	$327.86
Rate for Payer: Ohana Health Plan Medicaid	$141.96
Rate for Payer: Ohana Health Plan Medicare	$141.96
Rate for Payer: UnitedHealthcare Medicaid	$21.96
Rate for Payer: UnitedHealthcare Medicare	$141.96
Rate for Payer: University Health Alliance Commercial	$72.83

SPIROMETER

Facility

$6.00

Hospital Charge Code	8276
Hospital Revenue Code	270
Min. Negotiated Rate	$2.52
Max. Negotiated Rate	$5.82
Rate for Payer: AlohaCare Medicaid	$3.00
Rate for Payer: AlohaCare Medicare	$2.52
Rate for Payer: Cash Price	$3.90
Rate for Payer: Deseret Mutual Benefit Administrators Commercial	$5.52
Rate for Payer: Devoted Health Medicare	$2.52
Rate for Payer: Hawaii Medical Service Association Medicare	$2.52
Rate for Payer: Hawaii Western Management Group Commercial	$5.70
Rate for Payer: Health Management Network Commercial	$5.10
Rate for Payer: Humana Medicare	$2.52
Rate for Payer: Kaiser Permanente Commercial	$5.40
Rate for Payer: Kaiser Permanente Medicaid	$3.06
Rate for Payer: Kaiser Permanente Medicare	$2.52
Rate for Payer: MDX Hawaii PPO	$5.82
Rate for Payer: Ohana Health Plan Medicaid	$2.52
Rate for Payer: Ohana Health Plan Medicare	$2.52
Rate for Payer: UnitedHealthcare Medicare	$2.52
Rate for Payer: University Health Alliance Commercial	$4.37

SPIROMETER

Facility

$6.00

Hospital Charge Code	8276
Hospital Revenue Code	270
Min. Negotiated Rate	$5.10
Max. Negotiated Rate	$5.82
Rate for Payer: Cash Price	$3.90
Rate for Payer: Health Management Network Commercial	$5.10
Rate for Payer: Kaiser Permanente Commercial	$5.40
Rate for Payer: MDX Hawaii PPO	$5.82

SPIROMETRY TEST RESULTS FEV/FVC <70% W/COPD

Professional

Both

$0.01

Service Code	HCPCS 3025F
Hospital Revenue Code	521
Min. Negotiated Rate	$0.01
Max. Negotiated Rate	$290.48
Rate for Payer: Cash Price	$0.01
Rate for Payer: Cash Price	$0.01
Rate for Payer: Hawaii Medical Service Association ABD/Non-ABD	$290.48
Rate for Payer: Hawaii Medical Service Association Medicare	$152.00
Rate for Payer: Hawaii Medical Service Association Medicare	$273.13
Rate for Payer: Health Management Network Commercial	$0.01
Rate for Payer: Kaiser Permanente Commercial	$273.13
Rate for Payer: Kaiser Permanente Commercial	$152.00
Rate for Payer: Kaiser Permanente Medicaid	$290.48
Rate for Payer: Kaiser Permanente Medicare	$152.00
Rate for Payer: Kaiser Permanente Medicare	$273.13
Rate for Payer: UnitedHealthcare Medicaid	$290.48
Rate for Payer: UnitedHealthcare Medicare	$152.00
Rate for Payer: UnitedHealthcare Medicare	$273.13

Spirometry with Graph Recording

Facility

$341.00

Service Code	HCPCS 94010
Hospital Charge Code	429940100
Hospital Revenue Code	460
Min. Negotiated Rate	$289.85
Max. Negotiated Rate	$330.77
Rate for Payer: Cash Price	$221.65
Rate for Payer: Health Management Network Commercial	$289.85
Rate for Payer: Kaiser Permanente Commercial	$306.90
Rate for Payer: MDX Hawaii PPO	$330.77

Spirometry with Graph Recording

Facility

$341.00

Service Code	HCPCS 94010
Hospital Charge Code	429940100
Hospital Revenue Code	460
Min. Negotiated Rate	$16.03
Max. Negotiated Rate	$330.77
Rate for Payer: AlohaCare Medicaid	$170.50
Rate for Payer: AlohaCare Medicare	$143.22
Rate for Payer: Cash Price	$221.65
Rate for Payer: Cash Price	$221.65
Rate for Payer: Deseret Mutual Benefit Administrators Commercial	$313.72
Rate for Payer: Devoted Health Medicare	$143.22
Rate for Payer: Hawaii Medical Service Association ABD/Non-ABD	$16.03
Rate for Payer: Hawaii Medical Service Association Commercial	$318.85
Rate for Payer: Hawaii Medical Service Association Medicare	$143.22
Rate for Payer: Hawaii Western Management Group Commercial	$323.95
Rate for Payer: Health Management Network Commercial	$289.85
Rate for Payer: Humana Medicare	$143.22
Rate for Payer: Kaiser Permanente Commercial	$306.90
Rate for Payer: Kaiser Permanente Medicaid	$173.91
Rate for Payer: Kaiser Permanente Medicare	$143.22
Rate for Payer: MDX Hawaii PPO	$330.77
Rate for Payer: Ohana Health Plan Medicaid	$143.22
Rate for Payer: Ohana Health Plan Medicare	$143.22
Rate for Payer: UnitedHealthcare Medicaid	$16.03
Rate for Payer: UnitedHealthcare Medicare	$143.22
Rate for Payer: University Health Alliance Commercial	$248.55

spironolactone 100 mg Tab [KMC]

Facility

$3.50

Service Code	NDC 60687048701
Hospital Revenue Code	250
Min. Negotiated Rate	$2.98
Max. Negotiated Rate	$3.40
Rate for Payer: Cash Price	$2.28
Rate for Payer: Health Management Network Commercial	$2.98
Rate for Payer: Kaiser Permanente Commercial	$3.15
Rate for Payer: MDX Hawaii PPO	$3.40

spironolactone 100 mg Tab [KMC]

Facility

$3.50

Service Code	NDC 60687048701
Hospital Revenue Code	250
Min. Negotiated Rate	$1.47
Max. Negotiated Rate	$3.40
Rate for Payer: AlohaCare Medicaid	$1.75
Rate for Payer: AlohaCare Medicare	$1.47
Rate for Payer: Cash Price	$2.28
Rate for Payer: Deseret Mutual Benefit Administrators Commercial	$3.22
Rate for Payer: Devoted Health Medicare	$1.47
Rate for Payer: Hawaii Medical Service Association Medicare	$1.47
Rate for Payer: Hawaii Western Management Group Commercial	$3.33
Rate for Payer: Health Management Network Commercial	$2.98
Rate for Payer: Humana Medicare	$1.47
Rate for Payer: Kaiser Permanente Commercial	$3.15
Rate for Payer: Kaiser Permanente Medicaid	$1.78
Rate for Payer: Kaiser Permanente Medicare	$1.47
Rate for Payer: MDX Hawaii PPO	$3.40
Rate for Payer: Ohana Health Plan Medicaid	$1.47
Rate for Payer: Ohana Health Plan Medicare	$1.47
Rate for Payer: UnitedHealthcare Medicaid	$2.10
Rate for Payer: UnitedHealthcare Medicare	$1.47
Rate for Payer: University Health Alliance Commercial	$2.55

Know your out-of-pocket cost for care.

All Charges