|
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
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$61,435.58
|
|
|
Service Code
|
MSDRG 516
|
| Min. Negotiated Rate |
$61,435.58 |
| Max. Negotiated Rate |
$61,435.58 |
| Rate for Payer: Hawaii Medical Service Association Commercial |
$61,435.58
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$61,435.58
|
|
|
Service Code
|
MSDRG 515
|
| Min. Negotiated Rate |
$61,435.58 |
| Max. Negotiated Rate |
$61,435.58 |
| Rate for Payer: Hawaii Medical Service Association Commercial |
$61,435.58
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$34,083.48
|
|
|
Service Code
|
MSDRG 517
|
| Min. Negotiated Rate |
$34,083.48 |
| Max. Negotiated Rate |
$34,083.48 |
| Rate for Payer: Hawaii Medical Service Association Commercial |
$34,083.48
|
|
|
OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC
|
Facility
|
IP
|
$41,620.71
|
|
|
Service Code
|
MSDRG 844
|
| Min. Negotiated Rate |
$41,620.71 |
| Max. Negotiated Rate |
$41,620.71 |
| Rate for Payer: Hawaii Medical Service Association Commercial |
$41,620.71
|
|
|
OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC
|
Facility
|
IP
|
$46,052.99
|
|
|
Service Code
|
MSDRG 843
|
| Min. Negotiated Rate |
$46,052.99 |
| Max. Negotiated Rate |
$46,052.99 |
| Rate for Payer: Hawaii Medical Service Association Commercial |
$46,052.99
|
|
|
OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$41,620.71
|
|
|
Service Code
|
MSDRG 845
|
| Min. Negotiated Rate |
$41,620.71 |
| Max. Negotiated Rate |
$41,620.71 |
| Rate for Payer: Hawaii Medical Service Association Commercial |
$41,620.71
|
|
|
OTHER O.R. PROCEDURES FOR INJURIES WITH CC
|
Facility
|
IP
|
$44,370.14
|
|
|
Service Code
|
MSDRG 908
|
| Min. Negotiated Rate |
$44,370.14 |
| Max. Negotiated Rate |
$44,370.14 |
| Rate for Payer: Hawaii Medical Service Association Commercial |
$44,370.14
|
|
|
OTHER O.R. PROCEDURES FOR INJURIES WITH MCC
|
Facility
|
IP
|
$47,475.11
|
|
|
Service Code
|
MSDRG 907
|
| Min. Negotiated Rate |
$47,475.11 |
| Max. Negotiated Rate |
$47,475.11 |
| Rate for Payer: Hawaii Medical Service Association Commercial |
$47,475.11
|
|
|
OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC
|
Facility
|
IP
|
$22,990.94
|
|
|
Service Code
|
MSDRG 909
|
| Min. Negotiated Rate |
$22,990.94 |
| Max. Negotiated Rate |
$22,990.94 |
| Rate for Payer: Hawaii Medical Service Association Commercial |
$22,990.94
|
|
|
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC
|
Facility
|
IP
|
$152,759.39
|
|
|
Service Code
|
MSDRG 958
|
| Min. Negotiated Rate |
$152,759.39 |
| Max. Negotiated Rate |
$152,759.39 |
| Rate for Payer: Hawaii Medical Service Association Commercial |
$152,759.39
|
|
|
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC
|
Facility
|
IP
|
$152,759.39
|
|
|
Service Code
|
MSDRG 957
|
| Min. Negotiated Rate |
$152,759.39 |
| Max. Negotiated Rate |
$152,759.39 |
| Rate for Payer: Hawaii Medical Service Association Commercial |
$152,759.39
|
|
|
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC
|
Facility
|
IP
|
$152,759.39
|
|
|
Service Code
|
MSDRG 959
|
| Min. Negotiated Rate |
$152,759.39 |
| Max. Negotiated Rate |
$152,759.39 |
| Rate for Payer: Hawaii Medical Service Association Commercial |
$152,759.39
|
|
|
OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC
|
Facility
|
IP
|
$42,260.67
|
|
|
Service Code
|
MSDRG 803
|
| Min. Negotiated Rate |
$42,260.67 |
| Max. Negotiated Rate |
$42,260.67 |
| Rate for Payer: Hawaii Medical Service Association Commercial |
$42,260.67
|
|
|
OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC
|
Facility
|
IP
|
$42,260.67
|
|
|
Service Code
|
MSDRG 802
|
| Min. Negotiated Rate |
$42,260.67 |
| Max. Negotiated Rate |
$42,260.67 |
| Rate for Payer: Hawaii Medical Service Association Commercial |
$42,260.67
|
|
|
OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC
|
Facility
|
IP
|
$42,260.67
|
|
|
Service Code
|
MSDRG 804
|
| Min. Negotiated Rate |
$42,260.67 |
| Max. Negotiated Rate |
$42,260.67 |
| Rate for Payer: Hawaii Medical Service Association Commercial |
$42,260.67
|
|
|
OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC
|
Facility
|
IP
|
$20,454.83
|
|
|
Service Code
|
MSDRG 205
|
| Min. Negotiated Rate |
$20,454.83 |
| Max. Negotiated Rate |
$20,454.83 |
| Rate for Payer: Hawaii Medical Service Association Commercial |
$20,454.83
|
|
|
OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC
|
Facility
|
IP
|
$17,634.29
|
|
|
Service Code
|
MSDRG 206
|
| Min. Negotiated Rate |
$17,634.29 |
| Max. Negotiated Rate |
$17,634.29 |
| Rate for Payer: Hawaii Medical Service Association Commercial |
$17,634.29
|
|