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Charge Type Setting Price  
Service Code HCPCS S0145
Hospital Revenue Code 636
Min. Negotiated Rate $569.47
Max. Negotiated Rate $1,781.89
Rate for Payer: AlohaCare Medicaid $918.50
Rate for Payer: AlohaCare Medicare $569.47
Rate for Payer: Cash Price $1,102.20
Rate for Payer: Devoted Health Medicare $624.58
Rate for Payer: Hawaii Medical Service Association Medicare $569.47
Rate for Payer: Hawaii Western Management Group Commercial $1,745.15
Rate for Payer: Health Management Network Commercial $1,561.45
Rate for Payer: Humana Medicare $569.47
Rate for Payer: Kaiser Permanente Commercial $1,653.30
Rate for Payer: Kaiser Permanente Medicaid $936.87
Rate for Payer: Kaiser Permanente Medicare $569.47
Rate for Payer: MDX Hawaii PPO $1,781.89
Rate for Payer: Ohana Health Plan Medicaid $569.47
Rate for Payer: Ohana Health Plan Medicare $569.47
Rate for Payer: UnitedHealthcare Medicaid $1,102.20
Rate for Payer: UnitedHealthcare Medicare $569.47
Rate for Payer: University Health Alliance Commercial $1,338.99
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
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
Service Code HCPCS C1776
Hospital Revenue Code 278
Min. Negotiated Rate $1,190.40
Max. Negotiated Rate $3,724.80
Rate for Payer: AlohaCare Medicaid $1,920.00
Rate for Payer: AlohaCare Medicare $1,190.40
Rate for Payer: Cash Price $2,304.00
Rate for Payer: Devoted Health Medicare $1,305.60
Rate for Payer: Hawaii Medical Service Association Medicare $1,190.40
Rate for Payer: Hawaii Western Management Group Commercial $2,688.00
Rate for Payer: Health Management Network Commercial $3,264.00
Rate for Payer: Humana Medicare $1,190.40
Rate for Payer: Kaiser Permanente Commercial $3,456.00
Rate for Payer: Kaiser Permanente Medicaid $1,958.40
Rate for Payer: Kaiser Permanente Medicare $1,190.40
Rate for Payer: MDX Hawaii PPO $3,724.80
Rate for Payer: Ohana Health Plan Medicaid $1,190.40
Rate for Payer: Ohana Health Plan Medicare $1,190.40
Rate for Payer: UnitedHealthcare Medicare $1,190.40
Rate for Payer: University Health Alliance Commercial $2,150.40
Service Code HCPCS C1776
Hospital Revenue Code 278
Min. Negotiated Rate $2,150.40
Max. Negotiated Rate $3,724.80
Rate for Payer: Cash Price $2,304.00
Rate for Payer: Hawaii Western Management Group Commercial $2,688.00
Rate for Payer: Health Management Network Commercial $3,264.00
Rate for Payer: Kaiser Permanente Commercial $3,456.00
Rate for Payer: MDX Hawaii PPO $3,724.80
Rate for Payer: University Health Alliance Commercial $2,150.40
Service Code HCPCS C1713
Hospital Revenue Code 278
Min. Negotiated Rate $186.00
Max. Negotiated Rate $582.00
Rate for Payer: AlohaCare Medicaid $300.00
Rate for Payer: AlohaCare Medicare $186.00
Rate for Payer: Cash Price $360.00
Rate for Payer: Devoted Health Medicare $204.00
Rate for Payer: Hawaii Medical Service Association Medicare $186.00
Rate for Payer: Hawaii Western Management Group Commercial $420.00
Rate for Payer: Health Management Network Commercial $510.00
Rate for Payer: Humana Medicare $186.00
Rate for Payer: Kaiser Permanente Commercial $540.00
Rate for Payer: Kaiser Permanente Medicaid $306.00
Rate for Payer: Kaiser Permanente Medicare $186.00
Rate for Payer: MDX Hawaii PPO $582.00
Rate for Payer: Ohana Health Plan Medicaid $186.00
Rate for Payer: Ohana Health Plan Medicare $186.00
Rate for Payer: UnitedHealthcare Medicare $186.00
Rate for Payer: University Health Alliance Commercial $336.00
Service Code HCPCS C1713
Hospital Revenue Code 278
Min. Negotiated Rate $336.00
Max. Negotiated Rate $582.00
Rate for Payer: Cash Price $360.00
Rate for Payer: Hawaii Western Management Group Commercial $420.00
Rate for Payer: Health Management Network Commercial $510.00
Rate for Payer: Kaiser Permanente Commercial $540.00
Rate for Payer: MDX Hawaii PPO $582.00
Rate for Payer: University Health Alliance Commercial $336.00
Service Code HCPCS C1713
Hospital Revenue Code 278
Min. Negotiated Rate $336.00
Max. Negotiated Rate $582.00
Rate for Payer: Cash Price $360.00
Rate for Payer: Hawaii Western Management Group Commercial $420.00
Rate for Payer: Health Management Network Commercial $510.00
Rate for Payer: Kaiser Permanente Commercial $540.00
Rate for Payer: MDX Hawaii PPO $582.00
Rate for Payer: University Health Alliance Commercial $336.00
Service Code HCPCS C1713
Hospital Revenue Code 278
Min. Negotiated Rate $186.00
Max. Negotiated Rate $582.00
Rate for Payer: AlohaCare Medicaid $300.00
Rate for Payer: AlohaCare Medicare $186.00
Rate for Payer: Cash Price $360.00
Rate for Payer: Devoted Health Medicare $204.00
Rate for Payer: Hawaii Medical Service Association Medicare $186.00
Rate for Payer: Hawaii Western Management Group Commercial $420.00
Rate for Payer: Health Management Network Commercial $510.00
Rate for Payer: Humana Medicare $186.00
Rate for Payer: Kaiser Permanente Commercial $540.00
Rate for Payer: Kaiser Permanente Medicaid $306.00
Rate for Payer: Kaiser Permanente Medicare $186.00
Rate for Payer: MDX Hawaii PPO $582.00
Rate for Payer: Ohana Health Plan Medicaid $186.00
Rate for Payer: Ohana Health Plan Medicare $186.00
Rate for Payer: UnitedHealthcare Medicare $186.00
Rate for Payer: University Health Alliance Commercial $336.00
Service Code HCPCS C1713
Hospital Revenue Code 278
Min. Negotiated Rate $233.52
Max. Negotiated Rate $404.49
Rate for Payer: Cash Price $250.20
Rate for Payer: Hawaii Western Management Group Commercial $291.90
Rate for Payer: Health Management Network Commercial $354.45
Rate for Payer: Kaiser Permanente Commercial $375.30
Rate for Payer: MDX Hawaii PPO $404.49
Rate for Payer: University Health Alliance Commercial $233.52
Service Code HCPCS C1713
Hospital Revenue Code 278
Min. Negotiated Rate $129.27
Max. Negotiated Rate $404.49
Rate for Payer: AlohaCare Medicaid $208.50
Rate for Payer: AlohaCare Medicare $129.27
Rate for Payer: Cash Price $250.20
Rate for Payer: Devoted Health Medicare $141.78
Rate for Payer: Hawaii Medical Service Association Medicare $129.27
Rate for Payer: Hawaii Western Management Group Commercial $291.90
Rate for Payer: Health Management Network Commercial $354.45
Rate for Payer: Humana Medicare $129.27
Rate for Payer: Kaiser Permanente Commercial $375.30
Rate for Payer: Kaiser Permanente Medicaid $212.67
Rate for Payer: Kaiser Permanente Medicare $129.27
Rate for Payer: MDX Hawaii PPO $404.49
Rate for Payer: Ohana Health Plan Medicaid $129.27
Rate for Payer: Ohana Health Plan Medicare $129.27
Rate for Payer: UnitedHealthcare Medicare $129.27
Rate for Payer: University Health Alliance Commercial $233.52
Service Code HCPCS C1776
Hospital Revenue Code 278
Min. Negotiated Rate $1,190.40
Max. Negotiated Rate $3,724.80
Rate for Payer: AlohaCare Medicaid $1,920.00
Rate for Payer: AlohaCare Medicare $1,190.40
Rate for Payer: Cash Price $2,304.00
Rate for Payer: Devoted Health Medicare $1,305.60
Rate for Payer: Hawaii Medical Service Association Medicare $1,190.40
Rate for Payer: Hawaii Western Management Group Commercial $2,688.00
Rate for Payer: Health Management Network Commercial $3,264.00
Rate for Payer: Humana Medicare $1,190.40
Rate for Payer: Kaiser Permanente Commercial $3,456.00
Rate for Payer: Kaiser Permanente Medicaid $1,958.40
Rate for Payer: Kaiser Permanente Medicare $1,190.40
Rate for Payer: MDX Hawaii PPO $3,724.80
Rate for Payer: Ohana Health Plan Medicaid $1,190.40
Rate for Payer: Ohana Health Plan Medicare $1,190.40
Rate for Payer: UnitedHealthcare Medicare $1,190.40
Rate for Payer: University Health Alliance Commercial $2,150.40
Service Code HCPCS C1776
Hospital Revenue Code 278
Min. Negotiated Rate $2,150.40
Max. Negotiated Rate $3,724.80
Rate for Payer: Cash Price $2,304.00
Rate for Payer: Hawaii Western Management Group Commercial $2,688.00
Rate for Payer: Health Management Network Commercial $3,264.00
Rate for Payer: Kaiser Permanente Commercial $3,456.00
Rate for Payer: MDX Hawaii PPO $3,724.80
Rate for Payer: University Health Alliance Commercial $2,150.40
Service Code MSDRG 734
Min. Negotiated Rate $39,487.53
Max. Negotiated Rate $39,487.53
Rate for Payer: Hawaii Medical Service Association Commercial $39,487.53
Service Code MSDRG 735
Min. Negotiated Rate $39,487.53
Max. Negotiated Rate $39,487.53
Rate for Payer: Hawaii Medical Service Association Commercial $39,487.53
Service Code HCPCS J9271
Hospital Revenue Code 636
Min. Negotiated Rate $58.56
Max. Negotiated Rate $14,489.86
Rate for Payer: AlohaCare Medicaid $7,469.00
Rate for Payer: AlohaCare Medicaid $3,859.50
Rate for Payer: AlohaCare Medicare $2,392.89
Rate for Payer: AlohaCare Medicare $4,630.78
Rate for Payer: Cash Price $8,962.80
Rate for Payer: Cash Price $8,962.80
Rate for Payer: Cash Price $4,631.40
Rate for Payer: Cash Price $4,631.40
Rate for Payer: Devoted Health Medicare $5,078.92
Rate for Payer: Devoted Health Medicare $2,624.46
Rate for Payer: Hawaii Medical Service Association ABD $58.56
Rate for Payer: Hawaii Medical Service Association ABD $58.56
Rate for Payer: Hawaii Medical Service Association Commercial $76.56
Rate for Payer: Hawaii Medical Service Association Commercial $76.56
Rate for Payer: Hawaii Medical Service Association Medicare $4,630.78
Rate for Payer: Hawaii Medical Service Association Medicare $2,392.89
Rate for Payer: Hawaii Medical Service Association Non-ABD $58.56
Rate for Payer: Hawaii Medical Service Association Non-ABD $58.56
Rate for Payer: Hawaii Western Management Group Commercial $14,191.10
Rate for Payer: Hawaii Western Management Group Commercial $7,333.05
Rate for Payer: Health Management Network Commercial $12,697.30
Rate for Payer: Health Management Network Commercial $6,561.15
Rate for Payer: Humana Medicare $4,630.78
Rate for Payer: Humana Medicare $2,392.89
Rate for Payer: Kaiser Permanente Commercial $13,444.20
Rate for Payer: Kaiser Permanente Commercial $6,947.10
Rate for Payer: Kaiser Permanente Medicaid $7,618.38
Rate for Payer: Kaiser Permanente Medicaid $3,936.69
Rate for Payer: Kaiser Permanente Medicare $4,630.78
Rate for Payer: Kaiser Permanente Medicare $2,392.89
Rate for Payer: MDX Hawaii PPO $14,489.86
Rate for Payer: MDX Hawaii PPO $7,487.43
Rate for Payer: Ohana Health Plan Medicaid $2,392.89
Rate for Payer: Ohana Health Plan Medicaid $4,630.78
Rate for Payer: Ohana Health Plan Medicare $4,630.78
Rate for Payer: Ohana Health Plan Medicare $2,392.89
Rate for Payer: UnitedHealthcare Medicaid $8,962.80
Rate for Payer: UnitedHealthcare Medicaid $4,631.40
Rate for Payer: UnitedHealthcare Medicare $2,392.89
Rate for Payer: UnitedHealthcare Medicare $4,630.78
Rate for Payer: University Health Alliance Commercial $10,888.31
Rate for Payer: University Health Alliance Commercial $5,626.38
Service Code HCPCS J9271
Hospital Revenue Code 250
Min. Negotiated Rate $12,697.30
Max. Negotiated Rate $14,489.86
Rate for Payer: Cash Price $8,962.80
Rate for Payer: Cash Price $4,631.40
Rate for Payer: Health Management Network Commercial $6,561.15
Rate for Payer: Health Management Network Commercial $12,697.30
Rate for Payer: Kaiser Permanente Commercial $13,444.20
Rate for Payer: Kaiser Permanente Commercial $6,947.10
Rate for Payer: MDX Hawaii PPO $14,489.86
Rate for Payer: MDX Hawaii PPO $7,487.43
Service Code HCPCS J9305
Hospital Revenue Code 250
Min. Negotiated Rate $76.50
Max. Negotiated Rate $87.30
Rate for Payer: Cash Price $54.00
Rate for Payer: Health Management Network Commercial $76.50
Rate for Payer: Kaiser Permanente Commercial $81.00
Rate for Payer: MDX Hawaii PPO $87.30
Service Code HCPCS J9305
Hospital Revenue Code 636
Min. Negotiated Rate $3.73
Max. Negotiated Rate $87.30
Rate for Payer: AlohaCare Medicaid $45.00
Rate for Payer: AlohaCare Medicare $27.90
Rate for Payer: Cash Price $54.00
Rate for Payer: Cash Price $54.00
Rate for Payer: Devoted Health Medicare $30.60
Rate for Payer: Hawaii Medical Service Association ABD $3.73
Rate for Payer: Hawaii Medical Service Association Commercial $5.05
Rate for Payer: Hawaii Medical Service Association Medicare $27.90
Rate for Payer: Hawaii Medical Service Association Non-ABD $3.73
Rate for Payer: Hawaii Western Management Group Commercial $85.50
Rate for Payer: Health Management Network Commercial $76.50
Rate for Payer: Humana Medicare $27.90
Rate for Payer: Kaiser Permanente Commercial $81.00
Rate for Payer: Kaiser Permanente Medicaid $45.90
Rate for Payer: Kaiser Permanente Medicare $27.90
Rate for Payer: MDX Hawaii PPO $87.30
Rate for Payer: Ohana Health Plan Medicaid $27.90
Rate for Payer: Ohana Health Plan Medicare $27.90
Rate for Payer: UnitedHealthcare Medicaid $54.00
Rate for Payer: UnitedHealthcare Medicare $27.90
Rate for Payer: University Health Alliance Commercial $65.60
Service Code HCPCS J9305
Hospital Revenue Code 250
Min. Negotiated Rate $229.50
Max. Negotiated Rate $261.90
Rate for Payer: Cash Price $162.00
Rate for Payer: Health Management Network Commercial $229.50
Rate for Payer: Kaiser Permanente Commercial $243.00
Rate for Payer: MDX Hawaii PPO $261.90
Service Code HCPCS J9305
Hospital Revenue Code 636
Min. Negotiated Rate $3.73
Max. Negotiated Rate $261.90
Rate for Payer: AlohaCare Medicaid $135.00
Rate for Payer: AlohaCare Medicare $83.70
Rate for Payer: Cash Price $162.00
Rate for Payer: Cash Price $162.00
Rate for Payer: Devoted Health Medicare $91.80
Rate for Payer: Hawaii Medical Service Association ABD $3.73
Rate for Payer: Hawaii Medical Service Association Commercial $5.05
Rate for Payer: Hawaii Medical Service Association Medicare $83.70
Rate for Payer: Hawaii Medical Service Association Non-ABD $3.73
Rate for Payer: Hawaii Western Management Group Commercial $256.50
Rate for Payer: Health Management Network Commercial $229.50
Rate for Payer: Humana Medicare $83.70
Rate for Payer: Kaiser Permanente Commercial $243.00
Rate for Payer: Kaiser Permanente Medicaid $137.70
Rate for Payer: Kaiser Permanente Medicare $83.70
Rate for Payer: MDX Hawaii PPO $261.90
Rate for Payer: Ohana Health Plan Medicaid $83.70
Rate for Payer: Ohana Health Plan Medicare $83.70
Rate for Payer: UnitedHealthcare Medicaid $162.00
Rate for Payer: UnitedHealthcare Medicare $83.70
Rate for Payer: University Health Alliance Commercial $196.80
Service Code HCPCS J9305
Hospital Revenue Code 636
Min. Negotiated Rate $3.73
Max. Negotiated Rate $261.90
Rate for Payer: AlohaCare Medicaid $135.00
Rate for Payer: AlohaCare Medicare $83.70
Rate for Payer: Cash Price $162.00
Rate for Payer: Cash Price $162.00
Rate for Payer: Devoted Health Medicare $91.80
Rate for Payer: Hawaii Medical Service Association ABD $3.73
Rate for Payer: Hawaii Medical Service Association Commercial $5.05
Rate for Payer: Hawaii Medical Service Association Medicare $83.70
Rate for Payer: Hawaii Medical Service Association Non-ABD $3.73
Rate for Payer: Hawaii Western Management Group Commercial $256.50
Rate for Payer: Health Management Network Commercial $229.50
Rate for Payer: Humana Medicare $83.70
Rate for Payer: Kaiser Permanente Commercial $243.00
Rate for Payer: Kaiser Permanente Medicaid $137.70
Rate for Payer: Kaiser Permanente Medicare $83.70
Rate for Payer: MDX Hawaii PPO $261.90
Rate for Payer: Ohana Health Plan Medicaid $83.70
Rate for Payer: Ohana Health Plan Medicare $83.70
Rate for Payer: UnitedHealthcare Medicaid $162.00
Rate for Payer: UnitedHealthcare Medicare $83.70
Rate for Payer: University Health Alliance Commercial $196.80
Service Code HCPCS J9305
Hospital Revenue Code 250
Min. Negotiated Rate $229.50
Max. Negotiated Rate $261.90
Rate for Payer: Cash Price $162.00
Rate for Payer: Health Management Network Commercial $229.50
Rate for Payer: Kaiser Permanente Commercial $243.00
Rate for Payer: MDX Hawaii PPO $261.90
Hospital Revenue Code 272
Min. Negotiated Rate $175.95
Max. Negotiated Rate $200.79
Rate for Payer: Cash Price $124.20
Rate for Payer: Health Management Network Commercial $175.95
Rate for Payer: Kaiser Permanente Commercial $186.30
Rate for Payer: MDX Hawaii PPO $200.79
Hospital Revenue Code 272
Min. Negotiated Rate $64.17
Max. Negotiated Rate $200.79
Rate for Payer: AlohaCare Medicaid $103.50
Rate for Payer: AlohaCare Medicare $64.17
Rate for Payer: Cash Price $124.20
Rate for Payer: Devoted Health Medicare $70.38
Rate for Payer: Hawaii Medical Service Association Medicare $64.17
Rate for Payer: Hawaii Western Management Group Commercial $196.65
Rate for Payer: Health Management Network Commercial $175.95
Rate for Payer: Humana Medicare $64.17
Rate for Payer: Kaiser Permanente Commercial $186.30
Rate for Payer: Kaiser Permanente Medicaid $105.57
Rate for Payer: Kaiser Permanente Medicare $64.17
Rate for Payer: MDX Hawaii PPO $200.79
Rate for Payer: Ohana Health Plan Medicaid $64.17
Rate for Payer: Ohana Health Plan Medicare $64.17
Rate for Payer: UnitedHealthcare Medicare $64.17
Rate for Payer: University Health Alliance Commercial $150.88