Kau Hospital

All Charges

Charge

Type

Setting

Price

NEEDLE DELIVERY SYSTEM 8GA

Facility

$282.00

Hospital Revenue Code	272
Min. Negotiated Rate	$87.42
Max. Negotiated Rate	$273.54
Rate for Payer: AlohaCare Medicaid	$141.00
Rate for Payer: AlohaCare Medicare	$87.42
Rate for Payer: Cash Price	$169.20
Rate for Payer: Devoted Health Medicare	$95.88
Rate for Payer: Hawaii Medical Service Association Medicare	$87.42
Rate for Payer: Hawaii Western Management Group Commercial	$267.90
Rate for Payer: Health Management Network Commercial	$239.70
Rate for Payer: Humana Medicare	$87.42
Rate for Payer: Kaiser Permanente Commercial	$253.80
Rate for Payer: Kaiser Permanente Medicaid	$143.82
Rate for Payer: Kaiser Permanente Medicare	$87.42
Rate for Payer: MDX Hawaii PPO	$273.54
Rate for Payer: Ohana Health Plan Medicaid	$87.42
Rate for Payer: Ohana Health Plan Medicare	$87.42
Rate for Payer: UnitedHealthcare Medicare	$87.42
Rate for Payer: University Health Alliance Commercial	$205.55

NEEDLE FORMENT 18.5X5.0 041839

Facility

$240.00

Hospital Revenue Code	272
Min. Negotiated Rate	$74.40
Max. Negotiated Rate	$232.80
Rate for Payer: AlohaCare Medicaid	$120.00
Rate for Payer: AlohaCare Medicare	$74.40
Rate for Payer: Cash Price	$144.00
Rate for Payer: Devoted Health Medicare	$81.60
Rate for Payer: Hawaii Medical Service Association Medicare	$74.40
Rate for Payer: Hawaii Western Management Group Commercial	$228.00
Rate for Payer: Health Management Network Commercial	$204.00
Rate for Payer: Humana Medicare	$74.40
Rate for Payer: Kaiser Permanente Commercial	$216.00
Rate for Payer: Kaiser Permanente Medicaid	$122.40
Rate for Payer: Kaiser Permanente Medicare	$74.40
Rate for Payer: MDX Hawaii PPO	$232.80
Rate for Payer: Ohana Health Plan Medicaid	$74.40
Rate for Payer: Ohana Health Plan Medicare	$74.40
Rate for Payer: UnitedHealthcare Medicare	$74.40
Rate for Payer: University Health Alliance Commercial	$174.94

NEEDLE FORMENT 18.5X5.0 041839

Facility

$240.00

Hospital Revenue Code	272
Min. Negotiated Rate	$204.00
Max. Negotiated Rate	$232.80
Rate for Payer: Cash Price	$144.00
Rate for Payer: Health Management Network Commercial	$204.00
Rate for Payer: Kaiser Permanente Commercial	$216.00
Rate for Payer: MDX Hawaii PPO	$232.80

NEEDLE GUIDE W/COVER

Facility

$102.00

Hospital Revenue Code	272
Min. Negotiated Rate	$31.62
Max. Negotiated Rate	$98.94
Rate for Payer: AlohaCare Medicaid	$51.00
Rate for Payer: AlohaCare Medicare	$31.62
Rate for Payer: Cash Price	$61.20
Rate for Payer: Devoted Health Medicare	$34.68
Rate for Payer: Hawaii Medical Service Association Medicare	$31.62
Rate for Payer: Hawaii Western Management Group Commercial	$96.90
Rate for Payer: Health Management Network Commercial	$86.70
Rate for Payer: Humana Medicare	$31.62
Rate for Payer: Kaiser Permanente Commercial	$91.80
Rate for Payer: Kaiser Permanente Medicaid	$52.02
Rate for Payer: Kaiser Permanente Medicare	$31.62
Rate for Payer: MDX Hawaii PPO	$98.94
Rate for Payer: Ohana Health Plan Medicaid	$31.62
Rate for Payer: Ohana Health Plan Medicare	$31.62
Rate for Payer: UnitedHealthcare Medicare	$31.62
Rate for Payer: University Health Alliance Commercial	$74.35

NEEDLE GUIDE W/COVER

Facility

$102.00

Hospital Revenue Code	272
Min. Negotiated Rate	$86.70
Max. Negotiated Rate	$98.94
Rate for Payer: Cash Price	$61.20
Rate for Payer: Health Management Network Commercial	$86.70
Rate for Payer: Kaiser Permanente Commercial	$91.80
Rate for Payer: MDX Hawaii PPO	$98.94

NEEDLE INJECTION THERAPY CATH

Facility

$156.00

Service Code	HCPCS C1889
Hospital Revenue Code	272
Min. Negotiated Rate	$132.60
Max. Negotiated Rate	$151.32
Rate for Payer: Cash Price	$93.60
Rate for Payer: Health Management Network Commercial	$132.60
Rate for Payer: Kaiser Permanente Commercial	$140.40
Rate for Payer: MDX Hawaii PPO	$151.32

NEEDLE INJECTION THERAPY CATH

Facility

$156.00

Service Code	HCPCS C1889
Hospital Revenue Code	272
Min. Negotiated Rate	$48.36
Max. Negotiated Rate	$151.32
Rate for Payer: AlohaCare Medicaid	$78.00
Rate for Payer: AlohaCare Medicare	$48.36
Rate for Payer: Cash Price	$93.60
Rate for Payer: Devoted Health Medicare	$53.04
Rate for Payer: Hawaii Medical Service Association Medicare	$48.36
Rate for Payer: Hawaii Western Management Group Commercial	$148.20
Rate for Payer: Health Management Network Commercial	$132.60
Rate for Payer: Humana Medicare	$48.36
Rate for Payer: Kaiser Permanente Commercial	$140.40
Rate for Payer: Kaiser Permanente Medicaid	$79.56
Rate for Payer: Kaiser Permanente Medicare	$48.36
Rate for Payer: MDX Hawaii PPO	$151.32
Rate for Payer: Ohana Health Plan Medicaid	$48.36
Rate for Payer: Ohana Health Plan Medicare	$48.36
Rate for Payer: UnitedHealthcare Medicare	$48.36
Rate for Payer: University Health Alliance Commercial	$113.71

NEEDLE INSUFF 14G

Facility

$92.00

Hospital Revenue Code	272
Min. Negotiated Rate	$28.52
Max. Negotiated Rate	$89.24
Rate for Payer: AlohaCare Medicaid	$46.00
Rate for Payer: AlohaCare Medicare	$28.52
Rate for Payer: Cash Price	$55.20
Rate for Payer: Devoted Health Medicare	$31.28
Rate for Payer: Hawaii Medical Service Association Medicare	$28.52
Rate for Payer: Hawaii Western Management Group Commercial	$87.40
Rate for Payer: Health Management Network Commercial	$78.20
Rate for Payer: Humana Medicare	$28.52
Rate for Payer: Kaiser Permanente Commercial	$82.80
Rate for Payer: Kaiser Permanente Medicaid	$46.92
Rate for Payer: Kaiser Permanente Medicare	$28.52
Rate for Payer: MDX Hawaii PPO	$89.24
Rate for Payer: Ohana Health Plan Medicaid	$28.52
Rate for Payer: Ohana Health Plan Medicare	$28.52
Rate for Payer: UnitedHealthcare Medicare	$28.52
Rate for Payer: University Health Alliance Commercial	$67.06

NEEDLE INSUFF 14G

Facility

$92.00

Hospital Revenue Code	272
Min. Negotiated Rate	$78.20
Max. Negotiated Rate	$89.24
Rate for Payer: Cash Price	$55.20
Rate for Payer: Health Management Network Commercial	$78.20
Rate for Payer: Kaiser Permanente Commercial	$82.80
Rate for Payer: MDX Hawaii PPO	$89.24

NEEDLE INSUFF 14G LONG

Facility

$96.00

Hospital Revenue Code	272
Min. Negotiated Rate	$81.60
Max. Negotiated Rate	$93.12
Rate for Payer: Cash Price	$57.60
Rate for Payer: Health Management Network Commercial	$81.60
Rate for Payer: Kaiser Permanente Commercial	$86.40
Rate for Payer: MDX Hawaii PPO	$93.12

NEEDLE INSUFF 14G LONG

Facility

$96.00

Hospital Revenue Code	272
Min. Negotiated Rate	$29.76
Max. Negotiated Rate	$93.12
Rate for Payer: AlohaCare Medicaid	$48.00
Rate for Payer: AlohaCare Medicare	$29.76
Rate for Payer: Cash Price	$57.60
Rate for Payer: Devoted Health Medicare	$32.64
Rate for Payer: Hawaii Medical Service Association Medicare	$29.76
Rate for Payer: Hawaii Western Management Group Commercial	$91.20
Rate for Payer: Health Management Network Commercial	$81.60
Rate for Payer: Humana Medicare	$29.76
Rate for Payer: Kaiser Permanente Commercial	$86.40
Rate for Payer: Kaiser Permanente Medicaid	$48.96
Rate for Payer: Kaiser Permanente Medicare	$29.76
Rate for Payer: MDX Hawaii PPO	$93.12
Rate for Payer: Ohana Health Plan Medicaid	$29.76
Rate for Payer: Ohana Health Plan Medicare	$29.76
Rate for Payer: UnitedHealthcare Medicare	$29.76
Rate for Payer: University Health Alliance Commercial	$69.97

NEEDLE INTRODUCER 15G

Facility

$108.00

Service Code	HCPCS C1894
Hospital Revenue Code	272
Min. Negotiated Rate	$91.80
Max. Negotiated Rate	$104.76
Rate for Payer: Cash Price	$64.80
Rate for Payer: Health Management Network Commercial	$91.80
Rate for Payer: Kaiser Permanente Commercial	$97.20
Rate for Payer: MDX Hawaii PPO	$104.76

NEEDLE INTRODUCER 15G

Facility

$108.00

Service Code	HCPCS C1894
Hospital Revenue Code	272
Min. Negotiated Rate	$33.48
Max. Negotiated Rate	$104.76
Rate for Payer: AlohaCare Medicaid	$54.00
Rate for Payer: AlohaCare Medicare	$33.48
Rate for Payer: Cash Price	$64.80
Rate for Payer: Devoted Health Medicare	$36.72
Rate for Payer: Hawaii Medical Service Association Medicare	$33.48
Rate for Payer: Hawaii Western Management Group Commercial	$102.60
Rate for Payer: Health Management Network Commercial	$91.80
Rate for Payer: Humana Medicare	$33.48
Rate for Payer: Kaiser Permanente Commercial	$97.20
Rate for Payer: Kaiser Permanente Medicaid	$55.08
Rate for Payer: Kaiser Permanente Medicare	$33.48
Rate for Payer: MDX Hawaii PPO	$104.76
Rate for Payer: Ohana Health Plan Medicaid	$33.48
Rate for Payer: Ohana Health Plan Medicare	$33.48
Rate for Payer: UnitedHealthcare Medicare	$33.48
Rate for Payer: University Health Alliance Commercial	$78.72

NEEDLE MARROW/ASP 11GX4

Facility

$127.00

Hospital Revenue Code	272
Min. Negotiated Rate	$107.95
Max. Negotiated Rate	$123.19
Rate for Payer: Cash Price	$76.20
Rate for Payer: Health Management Network Commercial	$107.95
Rate for Payer: Kaiser Permanente Commercial	$114.30
Rate for Payer: MDX Hawaii PPO	$123.19

NEEDLE MARROW/ASP 11GX4

Facility

$127.00

Hospital Revenue Code	272
Min. Negotiated Rate	$39.37
Max. Negotiated Rate	$123.19
Rate for Payer: AlohaCare Medicaid	$63.50
Rate for Payer: AlohaCare Medicare	$39.37
Rate for Payer: Cash Price	$76.20
Rate for Payer: Devoted Health Medicare	$43.18
Rate for Payer: Hawaii Medical Service Association Medicare	$39.37
Rate for Payer: Hawaii Western Management Group Commercial	$120.65
Rate for Payer: Health Management Network Commercial	$107.95
Rate for Payer: Humana Medicare	$39.37
Rate for Payer: Kaiser Permanente Commercial	$114.30
Rate for Payer: Kaiser Permanente Medicaid	$64.77
Rate for Payer: Kaiser Permanente Medicare	$39.37
Rate for Payer: MDX Hawaii PPO	$123.19
Rate for Payer: Ohana Health Plan Medicaid	$39.37
Rate for Payer: Ohana Health Plan Medicare	$39.37
Rate for Payer: UnitedHealthcare Medicare	$39.37
Rate for Payer: University Health Alliance Commercial	$92.57

NEEDLE MARROW/ASP 13GX2

Facility

$123.00

Hospital Revenue Code	272
Min. Negotiated Rate	$38.13
Max. Negotiated Rate	$119.31
Rate for Payer: AlohaCare Medicaid	$61.50
Rate for Payer: AlohaCare Medicare	$38.13
Rate for Payer: Cash Price	$73.80
Rate for Payer: Devoted Health Medicare	$41.82
Rate for Payer: Hawaii Medical Service Association Medicare	$38.13
Rate for Payer: Hawaii Western Management Group Commercial	$116.85
Rate for Payer: Health Management Network Commercial	$104.55
Rate for Payer: Humana Medicare	$38.13
Rate for Payer: Kaiser Permanente Commercial	$110.70
Rate for Payer: Kaiser Permanente Medicaid	$62.73
Rate for Payer: Kaiser Permanente Medicare	$38.13
Rate for Payer: MDX Hawaii PPO	$119.31
Rate for Payer: Ohana Health Plan Medicaid	$38.13
Rate for Payer: Ohana Health Plan Medicare	$38.13
Rate for Payer: UnitedHealthcare Medicare	$38.13
Rate for Payer: University Health Alliance Commercial	$89.65

NEEDLE MARROW/ASP 13GX2

Facility

$123.00

Hospital Revenue Code	272
Min. Negotiated Rate	$104.55
Max. Negotiated Rate	$119.31
Rate for Payer: Cash Price	$73.80
Rate for Payer: Health Management Network Commercial	$104.55
Rate for Payer: Kaiser Permanente Commercial	$110.70
Rate for Payer: MDX Hawaii PPO	$119.31

NEEDLE MARROW/ASP 13GX3.5

Facility

$92.00

Hospital Revenue Code	272
Min. Negotiated Rate	$78.20
Max. Negotiated Rate	$89.24
Rate for Payer: Cash Price	$55.20
Rate for Payer: Health Management Network Commercial	$78.20
Rate for Payer: Kaiser Permanente Commercial	$82.80
Rate for Payer: MDX Hawaii PPO	$89.24

NEEDLE MARROW/ASP 13GX3.5

Facility

$92.00

Hospital Revenue Code	272
Min. Negotiated Rate	$28.52
Max. Negotiated Rate	$89.24
Rate for Payer: AlohaCare Medicaid	$46.00
Rate for Payer: AlohaCare Medicare	$28.52
Rate for Payer: Cash Price	$55.20
Rate for Payer: Devoted Health Medicare	$31.28
Rate for Payer: Hawaii Medical Service Association Medicare	$28.52
Rate for Payer: Hawaii Western Management Group Commercial	$87.40
Rate for Payer: Health Management Network Commercial	$78.20
Rate for Payer: Humana Medicare	$28.52
Rate for Payer: Kaiser Permanente Commercial	$82.80
Rate for Payer: Kaiser Permanente Medicaid	$46.92
Rate for Payer: Kaiser Permanente Medicare	$28.52
Rate for Payer: MDX Hawaii PPO	$89.24
Rate for Payer: Ohana Health Plan Medicaid	$28.52
Rate for Payer: Ohana Health Plan Medicare	$28.52
Rate for Payer: UnitedHealthcare Medicare	$28.52
Rate for Payer: University Health Alliance Commercial	$67.06

NEEDLE SCORPION

Facility

$669.00

Hospital Revenue Code	272
Min. Negotiated Rate	$568.65
Max. Negotiated Rate	$648.93
Rate for Payer: Cash Price	$401.40
Rate for Payer: Health Management Network Commercial	$568.65
Rate for Payer: Kaiser Permanente Commercial	$602.10
Rate for Payer: MDX Hawaii PPO	$648.93

NEEDLE SCORPION

Facility

$669.00

Hospital Revenue Code	272
Min. Negotiated Rate	$207.39
Max. Negotiated Rate	$648.93
Rate for Payer: AlohaCare Medicaid	$334.50
Rate for Payer: AlohaCare Medicare	$207.39
Rate for Payer: Cash Price	$401.40
Rate for Payer: Devoted Health Medicare	$227.46
Rate for Payer: Hawaii Medical Service Association Medicare	$207.39
Rate for Payer: Hawaii Western Management Group Commercial	$635.55
Rate for Payer: Health Management Network Commercial	$568.65
Rate for Payer: Humana Medicare	$207.39
Rate for Payer: Kaiser Permanente Commercial	$602.10
Rate for Payer: Kaiser Permanente Medicaid	$341.19
Rate for Payer: Kaiser Permanente Medicare	$207.39
Rate for Payer: MDX Hawaii PPO	$648.93
Rate for Payer: Ohana Health Plan Medicaid	$207.39
Rate for Payer: Ohana Health Plan Medicare	$207.39
Rate for Payer: UnitedHealthcare Medicare	$207.39
Rate for Payer: University Health Alliance Commercial	$487.63

NEEDLE SCORPION KNEE AR-12990N

Facility

$2,048.00

Hospital Revenue Code	272
Min. Negotiated Rate	$1,740.80
Max. Negotiated Rate	$1,986.56
Rate for Payer: Cash Price	$1,228.80
Rate for Payer: Health Management Network Commercial	$1,740.80
Rate for Payer: Kaiser Permanente Commercial	$1,843.20
Rate for Payer: MDX Hawaii PPO	$1,986.56

NEEDLE SCORPION KNEE AR-12990N

Facility

$2,048.00

Hospital Revenue Code	272
Min. Negotiated Rate	$634.88
Max. Negotiated Rate	$1,986.56
Rate for Payer: AlohaCare Medicaid	$1,024.00
Rate for Payer: AlohaCare Medicare	$634.88
Rate for Payer: Cash Price	$1,228.80
Rate for Payer: Devoted Health Medicare	$696.32
Rate for Payer: Hawaii Medical Service Association Medicare	$634.88
Rate for Payer: Hawaii Western Management Group Commercial	$1,945.60
Rate for Payer: Health Management Network Commercial	$1,740.80
Rate for Payer: Humana Medicare	$634.88
Rate for Payer: Kaiser Permanente Commercial	$1,843.20
Rate for Payer: Kaiser Permanente Medicaid	$1,044.48
Rate for Payer: Kaiser Permanente Medicare	$634.88
Rate for Payer: MDX Hawaii PPO	$1,986.56
Rate for Payer: Ohana Health Plan Medicaid	$634.88
Rate for Payer: Ohana Health Plan Medicare	$634.88
Rate for Payer: UnitedHealthcare Medicare	$634.88
Rate for Payer: University Health Alliance Commercial	$1,492.79

NEEDLE SPINAL 22GX3.5

Facility

$66.00

Hospital Revenue Code	272
Min. Negotiated Rate	$20.46
Max. Negotiated Rate	$64.02
Rate for Payer: AlohaCare Medicaid	$33.00
Rate for Payer: AlohaCare Medicare	$20.46
Rate for Payer: Cash Price	$39.60
Rate for Payer: Devoted Health Medicare	$22.44
Rate for Payer: Hawaii Medical Service Association Medicare	$20.46
Rate for Payer: Hawaii Western Management Group Commercial	$62.70
Rate for Payer: Health Management Network Commercial	$56.10
Rate for Payer: Humana Medicare	$20.46
Rate for Payer: Kaiser Permanente Commercial	$59.40
Rate for Payer: Kaiser Permanente Medicaid	$33.66
Rate for Payer: Kaiser Permanente Medicare	$20.46
Rate for Payer: MDX Hawaii PPO	$64.02
Rate for Payer: Ohana Health Plan Medicaid	$20.46
Rate for Payer: Ohana Health Plan Medicare	$20.46
Rate for Payer: UnitedHealthcare Medicare	$20.46
Rate for Payer: University Health Alliance Commercial	$48.11

NEEDLE SPINAL 22GX3.5

Facility

$66.00

Hospital Revenue Code	272
Min. Negotiated Rate	$56.10
Max. Negotiated Rate	$64.02
Rate for Payer: Cash Price	$39.60
Rate for Payer: Health Management Network Commercial	$56.10
Rate for Payer: Kaiser Permanente Commercial	$59.40
Rate for Payer: MDX Hawaii PPO	$64.02

Know your out-of-pocket cost for care.

All Charges