Kau Hospital

All Charges

Charge

Type

Setting

Price

PERSONA FEM PS POR NRW SZ10 L

Facility

$19,974.00

Service Code	HCPCS C1776
Hospital Revenue Code	278
Min. Negotiated Rate	$11,185.44
Max. Negotiated Rate	$19,374.78
Rate for Payer: Cash Price	$11,984.40
Rate for Payer: Hawaii Western Management Group Commercial	$13,981.80
Rate for Payer: Health Management Network Commercial	$16,977.90
Rate for Payer: Kaiser Permanente Commercial	$17,976.60
Rate for Payer: MDX Hawaii PPO	$19,374.78
Rate for Payer: University Health Alliance Commercial	$11,185.44

PERSONA FEM PS POR NRW SZ10 R

Facility

$19,974.00

Service Code	HCPCS C1776
Hospital Revenue Code	278
Min. Negotiated Rate	$6,191.94
Max. Negotiated Rate	$19,374.78
Rate for Payer: AlohaCare Medicaid	$9,987.00
Rate for Payer: AlohaCare Medicaid	$4,655.00
Rate for Payer: AlohaCare Medicare	$6,191.94
Rate for Payer: AlohaCare Medicare	$2,886.10
Rate for Payer: Cash Price	$11,984.40
Rate for Payer: Cash Price	$5,586.00
Rate for Payer: Devoted Health Medicare	$6,791.16
Rate for Payer: Devoted Health Medicare	$3,165.40
Rate for Payer: Hawaii Medical Service Association Medicare	$2,886.10
Rate for Payer: Hawaii Medical Service Association Medicare	$6,191.94
Rate for Payer: Hawaii Western Management Group Commercial	$6,517.00
Rate for Payer: Hawaii Western Management Group Commercial	$13,981.80
Rate for Payer: Health Management Network Commercial	$16,977.90
Rate for Payer: Health Management Network Commercial	$7,913.50
Rate for Payer: Humana Medicare	$6,191.94
Rate for Payer: Humana Medicare	$2,886.10
Rate for Payer: Kaiser Permanente Commercial	$8,379.00
Rate for Payer: Kaiser Permanente Commercial	$17,976.60
Rate for Payer: Kaiser Permanente Medicaid	$10,186.74
Rate for Payer: Kaiser Permanente Medicaid	$4,748.10
Rate for Payer: Kaiser Permanente Medicare	$6,191.94
Rate for Payer: Kaiser Permanente Medicare	$2,886.10
Rate for Payer: MDX Hawaii PPO	$19,374.78
Rate for Payer: MDX Hawaii PPO	$9,030.70
Rate for Payer: Ohana Health Plan Medicaid	$6,191.94
Rate for Payer: Ohana Health Plan Medicaid	$2,886.10
Rate for Payer: Ohana Health Plan Medicare	$2,886.10
Rate for Payer: Ohana Health Plan Medicare	$6,191.94
Rate for Payer: UnitedHealthcare Medicare	$6,191.94
Rate for Payer: UnitedHealthcare Medicare	$2,886.10
Rate for Payer: University Health Alliance Commercial	$11,185.44
Rate for Payer: University Health Alliance Commercial	$5,213.60

PERSONA FEM PS POR NRW SZ10 R

Facility

$19,974.00

Service Code	HCPCS C1776
Hospital Revenue Code	278
Min. Negotiated Rate	$11,185.44
Max. Negotiated Rate	$19,374.78
Rate for Payer: Cash Price	$11,984.40
Rate for Payer: Cash Price	$5,586.00
Rate for Payer: Hawaii Western Management Group Commercial	$13,981.80
Rate for Payer: Hawaii Western Management Group Commercial	$6,517.00
Rate for Payer: Health Management Network Commercial	$16,977.90
Rate for Payer: Health Management Network Commercial	$7,913.50
Rate for Payer: Kaiser Permanente Commercial	$8,379.00
Rate for Payer: Kaiser Permanente Commercial	$17,976.60
Rate for Payer: MDX Hawaii PPO	$19,374.78
Rate for Payer: MDX Hawaii PPO	$9,030.70
Rate for Payer: University Health Alliance Commercial	$5,213.60
Rate for Payer: University Health Alliance Commercial	$11,185.44

PERSONA FEM PS POR NRW SZ11 L

Facility

$19,974.00

Service Code	HCPCS C1776
Hospital Revenue Code	278
Min. Negotiated Rate	$11,185.44
Max. Negotiated Rate	$19,374.78
Rate for Payer: Cash Price	$11,984.40
Rate for Payer: Hawaii Western Management Group Commercial	$13,981.80
Rate for Payer: Health Management Network Commercial	$16,977.90
Rate for Payer: Kaiser Permanente Commercial	$17,976.60
Rate for Payer: MDX Hawaii PPO	$19,374.78
Rate for Payer: University Health Alliance Commercial	$11,185.44

PERSONA FEM PS POR NRW SZ11 L

Facility

$19,974.00

Service Code	HCPCS C1776
Hospital Revenue Code	278
Min. Negotiated Rate	$6,191.94
Max. Negotiated Rate	$19,374.78
Rate for Payer: AlohaCare Medicaid	$9,987.00
Rate for Payer: AlohaCare Medicare	$6,191.94
Rate for Payer: Cash Price	$11,984.40
Rate for Payer: Devoted Health Medicare	$6,791.16
Rate for Payer: Hawaii Medical Service Association Medicare	$6,191.94
Rate for Payer: Hawaii Western Management Group Commercial	$13,981.80
Rate for Payer: Health Management Network Commercial	$16,977.90
Rate for Payer: Humana Medicare	$6,191.94
Rate for Payer: Kaiser Permanente Commercial	$17,976.60
Rate for Payer: Kaiser Permanente Medicaid	$10,186.74
Rate for Payer: Kaiser Permanente Medicare	$6,191.94
Rate for Payer: MDX Hawaii PPO	$19,374.78
Rate for Payer: Ohana Health Plan Medicaid	$6,191.94
Rate for Payer: Ohana Health Plan Medicare	$6,191.94
Rate for Payer: UnitedHealthcare Medicare	$6,191.94
Rate for Payer: University Health Alliance Commercial	$11,185.44

PERSONA FEM PS POR NRW SZ11 R

Facility

$19,974.00

Service Code	HCPCS C1776
Hospital Revenue Code	278
Min. Negotiated Rate	$11,185.44
Max. Negotiated Rate	$19,374.78
Rate for Payer: Cash Price	$11,984.40
Rate for Payer: Hawaii Western Management Group Commercial	$13,981.80
Rate for Payer: Health Management Network Commercial	$16,977.90
Rate for Payer: Kaiser Permanente Commercial	$17,976.60
Rate for Payer: MDX Hawaii PPO	$19,374.78
Rate for Payer: University Health Alliance Commercial	$11,185.44

PERSONA FEM PS POR NRW SZ11 R

Facility

$19,974.00

Service Code	HCPCS C1776
Hospital Revenue Code	278
Min. Negotiated Rate	$6,191.94
Max. Negotiated Rate	$19,374.78
Rate for Payer: AlohaCare Medicaid	$9,987.00
Rate for Payer: AlohaCare Medicare	$6,191.94
Rate for Payer: Cash Price	$11,984.40
Rate for Payer: Devoted Health Medicare	$6,791.16
Rate for Payer: Hawaii Medical Service Association Medicare	$6,191.94
Rate for Payer: Hawaii Western Management Group Commercial	$13,981.80
Rate for Payer: Health Management Network Commercial	$16,977.90
Rate for Payer: Humana Medicare	$6,191.94
Rate for Payer: Kaiser Permanente Commercial	$17,976.60
Rate for Payer: Kaiser Permanente Medicaid	$10,186.74
Rate for Payer: Kaiser Permanente Medicare	$6,191.94
Rate for Payer: MDX Hawaii PPO	$19,374.78
Rate for Payer: Ohana Health Plan Medicaid	$6,191.94
Rate for Payer: Ohana Health Plan Medicare	$6,191.94
Rate for Payer: UnitedHealthcare Medicare	$6,191.94
Rate for Payer: University Health Alliance Commercial	$11,185.44

PERSONA FEM PS POR NRW SZ1 L

Facility

$19,974.00

Service Code	HCPCS C1776
Hospital Revenue Code	278
Min. Negotiated Rate	$6,191.94
Max. Negotiated Rate	$19,374.78
Rate for Payer: AlohaCare Medicaid	$9,987.00
Rate for Payer: AlohaCare Medicare	$6,191.94
Rate for Payer: Cash Price	$11,984.40
Rate for Payer: Devoted Health Medicare	$6,791.16
Rate for Payer: Hawaii Medical Service Association Medicare	$6,191.94
Rate for Payer: Hawaii Western Management Group Commercial	$13,981.80
Rate for Payer: Health Management Network Commercial	$16,977.90
Rate for Payer: Humana Medicare	$6,191.94
Rate for Payer: Kaiser Permanente Commercial	$17,976.60
Rate for Payer: Kaiser Permanente Medicaid	$10,186.74
Rate for Payer: Kaiser Permanente Medicare	$6,191.94
Rate for Payer: MDX Hawaii PPO	$19,374.78
Rate for Payer: Ohana Health Plan Medicaid	$6,191.94
Rate for Payer: Ohana Health Plan Medicare	$6,191.94
Rate for Payer: UnitedHealthcare Medicare	$6,191.94
Rate for Payer: University Health Alliance Commercial	$11,185.44

PERSONA FEM PS POR NRW SZ1 L

Facility

$19,974.00

Service Code	HCPCS C1776
Hospital Revenue Code	278
Min. Negotiated Rate	$11,185.44
Max. Negotiated Rate	$19,374.78
Rate for Payer: Cash Price	$11,984.40
Rate for Payer: Hawaii Western Management Group Commercial	$13,981.80
Rate for Payer: Health Management Network Commercial	$16,977.90
Rate for Payer: Kaiser Permanente Commercial	$17,976.60
Rate for Payer: MDX Hawaii PPO	$19,374.78
Rate for Payer: University Health Alliance Commercial	$11,185.44

PERSONA FEM PS POR NRW SZ1 R

Facility

$19,974.00

Service Code	HCPCS C1776
Hospital Revenue Code	278
Min. Negotiated Rate	$11,185.44
Max. Negotiated Rate	$19,374.78
Rate for Payer: Cash Price	$11,984.40
Rate for Payer: Hawaii Western Management Group Commercial	$13,981.80
Rate for Payer: Health Management Network Commercial	$16,977.90
Rate for Payer: Kaiser Permanente Commercial	$17,976.60
Rate for Payer: MDX Hawaii PPO	$19,374.78
Rate for Payer: University Health Alliance Commercial	$11,185.44

PERSONA FEM PS POR NRW SZ1 R

Facility

$19,974.00

Service Code	HCPCS C1776
Hospital Revenue Code	278
Min. Negotiated Rate	$6,191.94
Max. Negotiated Rate	$19,374.78
Rate for Payer: AlohaCare Medicaid	$9,987.00
Rate for Payer: AlohaCare Medicare	$6,191.94
Rate for Payer: Cash Price	$11,984.40
Rate for Payer: Devoted Health Medicare	$6,791.16
Rate for Payer: Hawaii Medical Service Association Medicare	$6,191.94
Rate for Payer: Hawaii Western Management Group Commercial	$13,981.80
Rate for Payer: Health Management Network Commercial	$16,977.90
Rate for Payer: Humana Medicare	$6,191.94
Rate for Payer: Kaiser Permanente Commercial	$17,976.60
Rate for Payer: Kaiser Permanente Medicaid	$10,186.74
Rate for Payer: Kaiser Permanente Medicare	$6,191.94
Rate for Payer: MDX Hawaii PPO	$19,374.78
Rate for Payer: Ohana Health Plan Medicaid	$6,191.94
Rate for Payer: Ohana Health Plan Medicare	$6,191.94
Rate for Payer: UnitedHealthcare Medicare	$6,191.94
Rate for Payer: University Health Alliance Commercial	$11,185.44

PERSONA FEM PS POR NRW SZ2 L

Facility

$19,974.00

Service Code	HCPCS C1776
Hospital Revenue Code	278
Min. Negotiated Rate	$11,185.44
Max. Negotiated Rate	$19,374.78
Rate for Payer: Cash Price	$11,984.40
Rate for Payer: Hawaii Western Management Group Commercial	$13,981.80
Rate for Payer: Health Management Network Commercial	$16,977.90
Rate for Payer: Kaiser Permanente Commercial	$17,976.60
Rate for Payer: MDX Hawaii PPO	$19,374.78
Rate for Payer: University Health Alliance Commercial	$11,185.44

PERSONA FEM PS POR NRW SZ2 L

Facility

$19,974.00

Service Code	HCPCS C1776
Hospital Revenue Code	278
Min. Negotiated Rate	$6,191.94
Max. Negotiated Rate	$19,374.78
Rate for Payer: AlohaCare Medicaid	$9,987.00
Rate for Payer: AlohaCare Medicare	$6,191.94
Rate for Payer: Cash Price	$11,984.40
Rate for Payer: Devoted Health Medicare	$6,791.16
Rate for Payer: Hawaii Medical Service Association Medicare	$6,191.94
Rate for Payer: Hawaii Western Management Group Commercial	$13,981.80
Rate for Payer: Health Management Network Commercial	$16,977.90
Rate for Payer: Humana Medicare	$6,191.94
Rate for Payer: Kaiser Permanente Commercial	$17,976.60
Rate for Payer: Kaiser Permanente Medicaid	$10,186.74
Rate for Payer: Kaiser Permanente Medicare	$6,191.94
Rate for Payer: MDX Hawaii PPO	$19,374.78
Rate for Payer: Ohana Health Plan Medicaid	$6,191.94
Rate for Payer: Ohana Health Plan Medicare	$6,191.94
Rate for Payer: UnitedHealthcare Medicare	$6,191.94
Rate for Payer: University Health Alliance Commercial	$11,185.44

PERSONA FEM PS POR NRW SZ2 R

Facility

$19,974.00

Service Code	HCPCS C1776
Hospital Revenue Code	278
Min. Negotiated Rate	$11,185.44
Max. Negotiated Rate	$19,374.78
Rate for Payer: Cash Price	$11,984.40
Rate for Payer: Hawaii Western Management Group Commercial	$13,981.80
Rate for Payer: Health Management Network Commercial	$16,977.90
Rate for Payer: Kaiser Permanente Commercial	$17,976.60
Rate for Payer: MDX Hawaii PPO	$19,374.78
Rate for Payer: University Health Alliance Commercial	$11,185.44

PERSONA FEM PS POR NRW SZ2 R

Facility

$19,974.00

Service Code	HCPCS C1776
Hospital Revenue Code	278
Min. Negotiated Rate	$6,191.94
Max. Negotiated Rate	$19,374.78
Rate for Payer: AlohaCare Medicaid	$9,987.00
Rate for Payer: AlohaCare Medicare	$6,191.94
Rate for Payer: Cash Price	$11,984.40
Rate for Payer: Devoted Health Medicare	$6,791.16
Rate for Payer: Hawaii Medical Service Association Medicare	$6,191.94
Rate for Payer: Hawaii Western Management Group Commercial	$13,981.80
Rate for Payer: Health Management Network Commercial	$16,977.90
Rate for Payer: Humana Medicare	$6,191.94
Rate for Payer: Kaiser Permanente Commercial	$17,976.60
Rate for Payer: Kaiser Permanente Medicaid	$10,186.74
Rate for Payer: Kaiser Permanente Medicare	$6,191.94
Rate for Payer: MDX Hawaii PPO	$19,374.78
Rate for Payer: Ohana Health Plan Medicaid	$6,191.94
Rate for Payer: Ohana Health Plan Medicare	$6,191.94
Rate for Payer: UnitedHealthcare Medicare	$6,191.94
Rate for Payer: University Health Alliance Commercial	$11,185.44

PERSONA FEM PS POR NRW SZ3 L

Facility

$19,974.00

Service Code	HCPCS C1776
Hospital Revenue Code	278
Min. Negotiated Rate	$6,191.94
Max. Negotiated Rate	$19,374.78
Rate for Payer: AlohaCare Medicaid	$9,987.00
Rate for Payer: AlohaCare Medicare	$6,191.94
Rate for Payer: Cash Price	$11,984.40
Rate for Payer: Devoted Health Medicare	$6,791.16
Rate for Payer: Hawaii Medical Service Association Medicare	$6,191.94
Rate for Payer: Hawaii Western Management Group Commercial	$13,981.80
Rate for Payer: Health Management Network Commercial	$16,977.90
Rate for Payer: Humana Medicare	$6,191.94
Rate for Payer: Kaiser Permanente Commercial	$17,976.60
Rate for Payer: Kaiser Permanente Medicaid	$10,186.74
Rate for Payer: Kaiser Permanente Medicare	$6,191.94
Rate for Payer: MDX Hawaii PPO	$19,374.78
Rate for Payer: Ohana Health Plan Medicaid	$6,191.94
Rate for Payer: Ohana Health Plan Medicare	$6,191.94
Rate for Payer: UnitedHealthcare Medicare	$6,191.94
Rate for Payer: University Health Alliance Commercial	$11,185.44

PERSONA FEM PS POR NRW SZ3 L

Facility

$19,974.00

Service Code	HCPCS C1776
Hospital Revenue Code	278
Min. Negotiated Rate	$11,185.44
Max. Negotiated Rate	$19,374.78
Rate for Payer: Cash Price	$11,984.40
Rate for Payer: Hawaii Western Management Group Commercial	$13,981.80
Rate for Payer: Health Management Network Commercial	$16,977.90
Rate for Payer: Kaiser Permanente Commercial	$17,976.60
Rate for Payer: MDX Hawaii PPO	$19,374.78
Rate for Payer: University Health Alliance Commercial	$11,185.44

PERSONA FEM PS POR NRW SZ3 R

Facility

$19,974.00

Service Code	HCPCS C1776
Hospital Revenue Code	278
Min. Negotiated Rate	$11,185.44
Max. Negotiated Rate	$19,374.78
Rate for Payer: Cash Price	$11,984.40
Rate for Payer: Hawaii Western Management Group Commercial	$13,981.80
Rate for Payer: Health Management Network Commercial	$16,977.90
Rate for Payer: Kaiser Permanente Commercial	$17,976.60
Rate for Payer: MDX Hawaii PPO	$19,374.78
Rate for Payer: University Health Alliance Commercial	$11,185.44

PERSONA FEM PS POR NRW SZ3 R

Facility

$19,974.00

Service Code	HCPCS C1776
Hospital Revenue Code	278
Min. Negotiated Rate	$6,191.94
Max. Negotiated Rate	$19,374.78
Rate for Payer: AlohaCare Medicaid	$9,987.00
Rate for Payer: AlohaCare Medicare	$6,191.94
Rate for Payer: Cash Price	$11,984.40
Rate for Payer: Devoted Health Medicare	$6,791.16
Rate for Payer: Hawaii Medical Service Association Medicare	$6,191.94
Rate for Payer: Hawaii Western Management Group Commercial	$13,981.80
Rate for Payer: Health Management Network Commercial	$16,977.90
Rate for Payer: Humana Medicare	$6,191.94
Rate for Payer: Kaiser Permanente Commercial	$17,976.60
Rate for Payer: Kaiser Permanente Medicaid	$10,186.74
Rate for Payer: Kaiser Permanente Medicare	$6,191.94
Rate for Payer: MDX Hawaii PPO	$19,374.78
Rate for Payer: Ohana Health Plan Medicaid	$6,191.94
Rate for Payer: Ohana Health Plan Medicare	$6,191.94
Rate for Payer: UnitedHealthcare Medicare	$6,191.94
Rate for Payer: University Health Alliance Commercial	$11,185.44

PERSONA FEM PS POR NRW SZ4 L

Facility

$19,974.00

Service Code	HCPCS C1776
Hospital Revenue Code	278
Min. Negotiated Rate	$11,185.44
Max. Negotiated Rate	$19,374.78
Rate for Payer: Cash Price	$11,984.40
Rate for Payer: Hawaii Western Management Group Commercial	$13,981.80
Rate for Payer: Health Management Network Commercial	$16,977.90
Rate for Payer: Kaiser Permanente Commercial	$17,976.60
Rate for Payer: MDX Hawaii PPO	$19,374.78
Rate for Payer: University Health Alliance Commercial	$11,185.44

PERSONA FEM PS POR NRW SZ4 L

Facility

$19,974.00

Service Code	HCPCS C1776
Hospital Revenue Code	278
Min. Negotiated Rate	$6,191.94
Max. Negotiated Rate	$19,374.78
Rate for Payer: AlohaCare Medicaid	$9,987.00
Rate for Payer: AlohaCare Medicare	$6,191.94
Rate for Payer: Cash Price	$11,984.40
Rate for Payer: Devoted Health Medicare	$6,791.16
Rate for Payer: Hawaii Medical Service Association Medicare	$6,191.94
Rate for Payer: Hawaii Western Management Group Commercial	$13,981.80
Rate for Payer: Health Management Network Commercial	$16,977.90
Rate for Payer: Humana Medicare	$6,191.94
Rate for Payer: Kaiser Permanente Commercial	$17,976.60
Rate for Payer: Kaiser Permanente Medicaid	$10,186.74
Rate for Payer: Kaiser Permanente Medicare	$6,191.94
Rate for Payer: MDX Hawaii PPO	$19,374.78
Rate for Payer: Ohana Health Plan Medicaid	$6,191.94
Rate for Payer: Ohana Health Plan Medicare	$6,191.94
Rate for Payer: UnitedHealthcare Medicare	$6,191.94
Rate for Payer: University Health Alliance Commercial	$11,185.44

PERSONA FEM PS POR NRW SZ4 R

Facility

$19,974.00

Service Code	HCPCS C1776
Hospital Revenue Code	278
Min. Negotiated Rate	$11,185.44
Max. Negotiated Rate	$19,374.78
Rate for Payer: Cash Price	$11,984.40
Rate for Payer: Hawaii Western Management Group Commercial	$13,981.80
Rate for Payer: Health Management Network Commercial	$16,977.90
Rate for Payer: Kaiser Permanente Commercial	$17,976.60
Rate for Payer: MDX Hawaii PPO	$19,374.78
Rate for Payer: University Health Alliance Commercial	$11,185.44

PERSONA FEM PS POR NRW SZ4 R

Facility

$19,974.00

Service Code	HCPCS C1776
Hospital Revenue Code	278
Min. Negotiated Rate	$6,191.94
Max. Negotiated Rate	$19,374.78
Rate for Payer: AlohaCare Medicaid	$9,987.00
Rate for Payer: AlohaCare Medicare	$6,191.94
Rate for Payer: Cash Price	$11,984.40
Rate for Payer: Devoted Health Medicare	$6,791.16
Rate for Payer: Hawaii Medical Service Association Medicare	$6,191.94
Rate for Payer: Hawaii Western Management Group Commercial	$13,981.80
Rate for Payer: Health Management Network Commercial	$16,977.90
Rate for Payer: Humana Medicare	$6,191.94
Rate for Payer: Kaiser Permanente Commercial	$17,976.60
Rate for Payer: Kaiser Permanente Medicaid	$10,186.74
Rate for Payer: Kaiser Permanente Medicare	$6,191.94
Rate for Payer: MDX Hawaii PPO	$19,374.78
Rate for Payer: Ohana Health Plan Medicaid	$6,191.94
Rate for Payer: Ohana Health Plan Medicare	$6,191.94
Rate for Payer: UnitedHealthcare Medicare	$6,191.94
Rate for Payer: University Health Alliance Commercial	$11,185.44

PERSONA FEM PS POR NRW SZ5 L

Facility

$19,974.00

Service Code	HCPCS C1776
Hospital Revenue Code	278
Min. Negotiated Rate	$11,185.44
Max. Negotiated Rate	$19,374.78
Rate for Payer: Cash Price	$11,984.40
Rate for Payer: Hawaii Western Management Group Commercial	$13,981.80
Rate for Payer: Health Management Network Commercial	$16,977.90
Rate for Payer: Kaiser Permanente Commercial	$17,976.60
Rate for Payer: MDX Hawaii PPO	$19,374.78
Rate for Payer: University Health Alliance Commercial	$11,185.44

PERSONA FEM PS POR NRW SZ5 L

Facility

$19,974.00

Service Code	HCPCS C1776
Hospital Revenue Code	278
Min. Negotiated Rate	$6,191.94
Max. Negotiated Rate	$19,374.78
Rate for Payer: AlohaCare Medicaid	$9,987.00
Rate for Payer: AlohaCare Medicare	$6,191.94
Rate for Payer: Cash Price	$11,984.40
Rate for Payer: Devoted Health Medicare	$6,791.16
Rate for Payer: Hawaii Medical Service Association Medicare	$6,191.94
Rate for Payer: Hawaii Western Management Group Commercial	$13,981.80
Rate for Payer: Health Management Network Commercial	$16,977.90
Rate for Payer: Humana Medicare	$6,191.94
Rate for Payer: Kaiser Permanente Commercial	$17,976.60
Rate for Payer: Kaiser Permanente Medicaid	$10,186.74
Rate for Payer: Kaiser Permanente Medicare	$6,191.94
Rate for Payer: MDX Hawaii PPO	$19,374.78
Rate for Payer: Ohana Health Plan Medicaid	$6,191.94
Rate for Payer: Ohana Health Plan Medicare	$6,191.94
Rate for Payer: UnitedHealthcare Medicare	$6,191.94
Rate for Payer: University Health Alliance Commercial	$11,185.44

Know your out-of-pocket cost for care.

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