Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

metroNIDAZOLE-ns 500 mg/100 ml premix [HHSC]

Facility

OP

$14.66

Service Code	NDC 00409781124
Hospital Charge Code	2500547
Hospital Revenue Code	250
Min. Negotiated Rate	$7.33
Max. Negotiated Rate	$14.22
Rate for Payer: AlohaCare Medicaid	$7.33
Rate for Payer: AlohaCare Medicare	$7.33
Rate for Payer: Cash Price	$9.53
Rate for Payer: Devoted Health Medicare	$8.06
Rate for Payer: Hawaii Medical Service Association Medicare	$7.33
Rate for Payer: Hawaii Western Management Group Commercial	$13.93
Rate for Payer: Health Management Network Commercial	$12.46
Rate for Payer: Humana Medicare	$7.33
Rate for Payer: Kaiser Permanente Commercial	$13.19
Rate for Payer: Kaiser Permanente Medicaid	$7.48
Rate for Payer: Kaiser Permanente Medicare	$7.33
Rate for Payer: MDX Hawaii PPO	$14.22
Rate for Payer: Ohana Health Plan Medicaid	$7.33
Rate for Payer: Ohana Health Plan Medicare	$7.33
Rate for Payer: UnitedHealthcare Medicaid	$8.80
Rate for Payer: UnitedHealthcare Medicare	$7.33
Rate for Payer: University Health Alliance Commercial	$10.69

metroNIDAZOLE-ns 500 mg/100 ml premix [HHSC]

Facility

OP

$12.14

Service Code	NDC 00409781110
Hospital Charge Code	2500547
Hospital Revenue Code	250
Min. Negotiated Rate	$6.07
Max. Negotiated Rate	$11.78
Rate for Payer: AlohaCare Medicaid	$6.07
Rate for Payer: AlohaCare Medicare	$6.07
Rate for Payer: Cash Price	$7.89
Rate for Payer: Devoted Health Medicare	$6.68
Rate for Payer: Hawaii Medical Service Association Medicare	$6.07
Rate for Payer: Hawaii Western Management Group Commercial	$11.53
Rate for Payer: Health Management Network Commercial	$10.32
Rate for Payer: Humana Medicare	$6.07
Rate for Payer: Kaiser Permanente Commercial	$10.93
Rate for Payer: Kaiser Permanente Medicaid	$6.19
Rate for Payer: Kaiser Permanente Medicare	$6.07
Rate for Payer: MDX Hawaii PPO	$11.78
Rate for Payer: Ohana Health Plan Medicaid	$6.07
Rate for Payer: Ohana Health Plan Medicare	$6.07
Rate for Payer: UnitedHealthcare Medicaid	$7.28
Rate for Payer: UnitedHealthcare Medicare	$6.07
Rate for Payer: University Health Alliance Commercial	$8.85

metroNIDAZOLE-ns 500 mg/100 ml premix [HHSC]

Facility

IP

$15.29

Service Code	NDC 25021013182
Hospital Charge Code	2500547
Hospital Revenue Code	250
Min. Negotiated Rate	$13.00
Max. Negotiated Rate	$14.83
Rate for Payer: Cash Price	$9.94
Rate for Payer: Health Management Network Commercial	$13.00
Rate for Payer: Kaiser Permanente Commercial	$13.76
Rate for Payer: MDX Hawaii PPO	$14.83

metroNIDAZOLE-ns 500 mg/100 ml premix [HHSC]

Facility

IP

$12.81

Service Code	NDC 00409015224
Hospital Charge Code	2500547
Hospital Revenue Code	250
Min. Negotiated Rate	$10.89
Max. Negotiated Rate	$12.43
Rate for Payer: Cash Price	$8.33
Rate for Payer: Health Management Network Commercial	$10.89
Rate for Payer: Kaiser Permanente Commercial	$11.53
Rate for Payer: MDX Hawaii PPO	$12.43

metroNIDAZOLE-ns 500 mg/100 ml premix [HHSC]

Facility

IP

$14.66

Service Code	NDC 00409781124
Hospital Charge Code	2500547
Hospital Revenue Code	250
Min. Negotiated Rate	$12.46
Max. Negotiated Rate	$14.22
Rate for Payer: Cash Price	$9.53
Rate for Payer: Health Management Network Commercial	$12.46
Rate for Payer: Kaiser Permanente Commercial	$13.19
Rate for Payer: MDX Hawaii PPO	$14.22

metroNIDAZOLE-ns 500 mg/100 ml premix [HHSC]

Facility

OP

$13.01

Service Code	NDC 00264553532
Hospital Charge Code	2500547
Hospital Revenue Code	250
Min. Negotiated Rate	$6.50
Max. Negotiated Rate	$12.62
Rate for Payer: AlohaCare Medicaid	$6.50
Rate for Payer: AlohaCare Medicare	$6.50
Rate for Payer: Cash Price	$8.46
Rate for Payer: Devoted Health Medicare	$7.16
Rate for Payer: Hawaii Medical Service Association Medicare	$6.50
Rate for Payer: Hawaii Western Management Group Commercial	$12.36
Rate for Payer: Health Management Network Commercial	$11.06
Rate for Payer: Humana Medicare	$6.50
Rate for Payer: Kaiser Permanente Commercial	$11.71
Rate for Payer: Kaiser Permanente Medicaid	$6.64
Rate for Payer: Kaiser Permanente Medicare	$6.50
Rate for Payer: MDX Hawaii PPO	$12.62
Rate for Payer: Ohana Health Plan Medicaid	$6.50
Rate for Payer: Ohana Health Plan Medicare	$6.50
Rate for Payer: UnitedHealthcare Medicaid	$7.81
Rate for Payer: UnitedHealthcare Medicare	$6.50
Rate for Payer: University Health Alliance Commercial	$9.48

metroNIDAZOLE-ns 500 mg/100 ml premix [HHSC]

Facility

OP

$15.29

Service Code	NDC 25021013182
Hospital Charge Code	2500547
Hospital Revenue Code	250
Min. Negotiated Rate	$7.64
Max. Negotiated Rate	$14.83
Rate for Payer: AlohaCare Medicaid	$7.64
Rate for Payer: AlohaCare Medicare	$7.64
Rate for Payer: Cash Price	$9.94
Rate for Payer: Devoted Health Medicare	$8.41
Rate for Payer: Hawaii Medical Service Association Medicare	$7.64
Rate for Payer: Hawaii Western Management Group Commercial	$14.53
Rate for Payer: Health Management Network Commercial	$13.00
Rate for Payer: Humana Medicare	$7.64
Rate for Payer: Kaiser Permanente Commercial	$13.76
Rate for Payer: Kaiser Permanente Medicaid	$7.80
Rate for Payer: Kaiser Permanente Medicare	$7.64
Rate for Payer: MDX Hawaii PPO	$14.83
Rate for Payer: Ohana Health Plan Medicaid	$7.64
Rate for Payer: Ohana Health Plan Medicare	$7.64
Rate for Payer: UnitedHealthcare Medicaid	$9.17
Rate for Payer: UnitedHealthcare Medicare	$7.64
Rate for Payer: University Health Alliance Commercial	$11.14

metroNIDAZOLE-ns 500 mg/100 ml premix [HHSC]

Facility

IP

$13.01

Service Code	NDC 00264553532
Hospital Charge Code	2500547
Hospital Revenue Code	250
Min. Negotiated Rate	$11.06
Max. Negotiated Rate	$12.62
Rate for Payer: Cash Price	$8.46
Rate for Payer: Health Management Network Commercial	$11.06
Rate for Payer: Kaiser Permanente Commercial	$11.71
Rate for Payer: MDX Hawaii PPO	$12.62

metroNIDAZOLE-ns 500 mg/100 ml premix [HHSC]

Facility

IP

$15.29

Service Code	NDC 00338105548
Hospital Charge Code	2500547
Hospital Revenue Code	250
Min. Negotiated Rate	$13.00
Max. Negotiated Rate	$14.83
Rate for Payer: Cash Price	$9.94
Rate for Payer: Health Management Network Commercial	$13.00
Rate for Payer: Kaiser Permanente Commercial	$13.76
Rate for Payer: MDX Hawaii PPO	$14.83

metroNIDAZOLE-ns 500 mg/100 ml premix [HHSC]

Facility

OP

$15.29

Service Code	NDC 00338105548
Hospital Charge Code	2500547
Hospital Revenue Code	250
Min. Negotiated Rate	$7.64
Max. Negotiated Rate	$14.83
Rate for Payer: AlohaCare Medicaid	$7.64
Rate for Payer: AlohaCare Medicare	$7.64
Rate for Payer: Cash Price	$9.94
Rate for Payer: Devoted Health Medicare	$8.41
Rate for Payer: Hawaii Medical Service Association Medicare	$7.64
Rate for Payer: Hawaii Western Management Group Commercial	$14.53
Rate for Payer: Health Management Network Commercial	$13.00
Rate for Payer: Humana Medicare	$7.64
Rate for Payer: Kaiser Permanente Commercial	$13.76
Rate for Payer: Kaiser Permanente Medicaid	$7.80
Rate for Payer: Kaiser Permanente Medicare	$7.64
Rate for Payer: MDX Hawaii PPO	$14.83
Rate for Payer: Ohana Health Plan Medicaid	$7.64
Rate for Payer: Ohana Health Plan Medicare	$7.64
Rate for Payer: UnitedHealthcare Medicaid	$9.17
Rate for Payer: UnitedHealthcare Medicare	$7.64
Rate for Payer: University Health Alliance Commercial	$11.14

MG Breast Biopsy w/ Stereo Guide Left

Facility

OP

$2,871.00

Service Code	HCPCS 19081 LT
Hospital Charge Code	2425835
Hospital Revenue Code	361
Min. Negotiated Rate	$393.00
Max. Negotiated Rate	$5,160.40
Rate for Payer: AlohaCare Medicaid	$1,435.50
Rate for Payer: AlohaCare Medicare	$1,435.50
Rate for Payer: Cash Price	$1,866.15
Rate for Payer: Cash Price	$1,866.15
Rate for Payer: Devoted Health Medicare	$1,579.05
Rate for Payer: Hawaii Medical Service Association ABD	$393.00
Rate for Payer: Hawaii Medical Service Association Commercial	$2,389.00
Rate for Payer: Hawaii Medical Service Association Medicare	$1,435.50
Rate for Payer: Hawaii Medical Service Association Non-ABD	$407.95
Rate for Payer: Health Management Network Commercial	$2,440.35
Rate for Payer: Humana Medicare	$1,435.50
Rate for Payer: Kaiser Permanente Commercial	$2,583.90
Rate for Payer: Kaiser Permanente Medicaid	$2,837.00
Rate for Payer: Kaiser Permanente Medicare	$1,435.50
Rate for Payer: MDX Hawaii PPO	$2,784.87
Rate for Payer: Ohana Health Plan Medicaid	$1,435.50
Rate for Payer: Ohana Health Plan Medicare	$1,435.50
Rate for Payer: UnitedHealthcare Medicaid	$456.03
Rate for Payer: UnitedHealthcare Medicare	$1,435.50
Rate for Payer: University Health Alliance Commercial	$5,160.40

MG Breast Biopsy w/ Stereo Guide Left

Facility

IP

$2,871.00

Service Code	HCPCS 19081 LT
Hospital Charge Code	2425835
Hospital Revenue Code	361
Min. Negotiated Rate	$2,440.35
Max. Negotiated Rate	$2,784.87
Rate for Payer: Cash Price	$1,866.15
Rate for Payer: Health Management Network Commercial	$2,440.35
Rate for Payer: Kaiser Permanente Commercial	$2,583.90
Rate for Payer: MDX Hawaii PPO	$2,784.87

MG Breast Biopsy w/ Stereo Guide Left.

Facility

OP

$2,871.00

Service Code	HCPCS 19081 LT
Hospital Charge Code	8033157
Hospital Revenue Code	361
Min. Negotiated Rate	$393.00
Max. Negotiated Rate	$5,160.40
Rate for Payer: AlohaCare Medicaid	$1,435.50
Rate for Payer: AlohaCare Medicare	$1,435.50
Rate for Payer: Cash Price	$1,866.15
Rate for Payer: Cash Price	$1,866.15
Rate for Payer: Devoted Health Medicare	$1,579.05
Rate for Payer: Hawaii Medical Service Association ABD	$393.00
Rate for Payer: Hawaii Medical Service Association Commercial	$2,389.00
Rate for Payer: Hawaii Medical Service Association Medicare	$1,435.50
Rate for Payer: Hawaii Medical Service Association Non-ABD	$407.95
Rate for Payer: Health Management Network Commercial	$2,440.35
Rate for Payer: Humana Medicare	$1,435.50
Rate for Payer: Kaiser Permanente Commercial	$2,583.90
Rate for Payer: Kaiser Permanente Medicaid	$2,837.00
Rate for Payer: Kaiser Permanente Medicare	$1,435.50
Rate for Payer: MDX Hawaii PPO	$2,784.87
Rate for Payer: Ohana Health Plan Medicaid	$1,435.50
Rate for Payer: Ohana Health Plan Medicare	$1,435.50
Rate for Payer: UnitedHealthcare Medicaid	$456.03
Rate for Payer: UnitedHealthcare Medicare	$1,435.50
Rate for Payer: University Health Alliance Commercial	$5,160.40

MG Breast Biopsy w/ Stereo Guide Left.

Facility

IP

$2,871.00

Service Code	HCPCS 19081 LT
Hospital Charge Code	8033157
Hospital Revenue Code	361
Min. Negotiated Rate	$2,440.35
Max. Negotiated Rate	$2,784.87
Rate for Payer: Cash Price	$1,866.15
Rate for Payer: Health Management Network Commercial	$2,440.35
Rate for Payer: Kaiser Permanente Commercial	$2,583.90
Rate for Payer: MDX Hawaii PPO	$2,784.87

MG Breast Biopsy w/ Stereo Guide Left - Report

Professional

Both

$2,299.00

Service Code	HCPCS 19081 26
Hospital Charge Code	2425837
Hospital Revenue Code	975
Min. Negotiated Rate	$160.43
Max. Negotiated Rate	$1,954.15
Rate for Payer: AlohaCare Medicaid	$160.43
Rate for Payer: Cash Price	$1,494.35
Rate for Payer: Cash Price	$1,494.35
Rate for Payer: Hawaii Medical Service Association ABD	$160.43
Rate for Payer: Hawaii Medical Service Association Commercial	$277.22
Rate for Payer: Hawaii Medical Service Association Non-ABD	$160.43
Rate for Payer: Hawaii Western Management Group Commercial	$758.42
Rate for Payer: Health Management Network Commercial	$1,954.15
Rate for Payer: Ohana Health Plan Medicaid	$160.43
Rate for Payer: UnitedHealthcare Medicaid	$160.43
Rate for Payer: University Health Alliance Commercial	$275.00

MG Breast Biopsy w/ Stereo Guide Left. - Report

Professional

Both

$2,299.00

Service Code	HCPCS 19081 26
Hospital Charge Code	8033159
Hospital Revenue Code	975
Min. Negotiated Rate	$160.43
Max. Negotiated Rate	$1,954.15
Rate for Payer: AlohaCare Medicaid	$160.43
Rate for Payer: Cash Price	$1,494.35
Rate for Payer: Cash Price	$1,494.35
Rate for Payer: Hawaii Medical Service Association ABD	$160.43
Rate for Payer: Hawaii Medical Service Association Commercial	$277.22
Rate for Payer: Hawaii Medical Service Association Non-ABD	$160.43
Rate for Payer: Hawaii Western Management Group Commercial	$758.42
Rate for Payer: Health Management Network Commercial	$1,954.15
Rate for Payer: Ohana Health Plan Medicaid	$160.43
Rate for Payer: UnitedHealthcare Medicaid	$160.43
Rate for Payer: University Health Alliance Commercial	$275.00

MG Breast Biopsy w/ Stereo Guide Right

Facility

IP

$2,871.00

Service Code	HCPCS 19081 RT
Hospital Charge Code	2425838
Hospital Revenue Code	361
Min. Negotiated Rate	$2,440.35
Max. Negotiated Rate	$2,784.87
Rate for Payer: Cash Price	$1,866.15
Rate for Payer: Health Management Network Commercial	$2,440.35
Rate for Payer: Kaiser Permanente Commercial	$2,583.90
Rate for Payer: MDX Hawaii PPO	$2,784.87

MG Breast Biopsy w/ Stereo Guide Right

Facility

OP

$2,871.00

Service Code	HCPCS 19081 RT
Hospital Charge Code	2425838
Hospital Revenue Code	361
Min. Negotiated Rate	$393.00
Max. Negotiated Rate	$5,160.40
Rate for Payer: AlohaCare Medicaid	$1,435.50
Rate for Payer: AlohaCare Medicare	$1,435.50
Rate for Payer: Cash Price	$1,866.15
Rate for Payer: Cash Price	$1,866.15
Rate for Payer: Devoted Health Medicare	$1,579.05
Rate for Payer: Hawaii Medical Service Association ABD	$393.00
Rate for Payer: Hawaii Medical Service Association Commercial	$2,389.00
Rate for Payer: Hawaii Medical Service Association Medicare	$1,435.50
Rate for Payer: Hawaii Medical Service Association Non-ABD	$407.95
Rate for Payer: Health Management Network Commercial	$2,440.35
Rate for Payer: Humana Medicare	$1,435.50
Rate for Payer: Kaiser Permanente Commercial	$2,583.90
Rate for Payer: Kaiser Permanente Medicaid	$2,837.00
Rate for Payer: Kaiser Permanente Medicare	$1,435.50
Rate for Payer: MDX Hawaii PPO	$2,784.87
Rate for Payer: Ohana Health Plan Medicaid	$1,435.50
Rate for Payer: Ohana Health Plan Medicare	$1,435.50
Rate for Payer: UnitedHealthcare Medicaid	$456.03
Rate for Payer: UnitedHealthcare Medicare	$1,435.50
Rate for Payer: University Health Alliance Commercial	$5,160.40

MG Breast Biopsy w/ Stereo Guide Right.

Facility

IP

$2,871.00

Service Code	HCPCS 19081 RT
Hospital Charge Code	8033160
Hospital Revenue Code	361
Min. Negotiated Rate	$2,440.35
Max. Negotiated Rate	$2,784.87
Rate for Payer: Cash Price	$1,866.15
Rate for Payer: Health Management Network Commercial	$2,440.35
Rate for Payer: Kaiser Permanente Commercial	$2,583.90
Rate for Payer: MDX Hawaii PPO	$2,784.87

MG Breast Biopsy w/ Stereo Guide Right.

Facility

OP

$2,871.00

Service Code	HCPCS 19081 RT
Hospital Charge Code	8033160
Hospital Revenue Code	361
Min. Negotiated Rate	$393.00
Max. Negotiated Rate	$5,160.40
Rate for Payer: AlohaCare Medicaid	$1,435.50
Rate for Payer: AlohaCare Medicare	$1,435.50
Rate for Payer: Cash Price	$1,866.15
Rate for Payer: Cash Price	$1,866.15
Rate for Payer: Devoted Health Medicare	$1,579.05
Rate for Payer: Hawaii Medical Service Association ABD	$393.00
Rate for Payer: Hawaii Medical Service Association Commercial	$2,389.00
Rate for Payer: Hawaii Medical Service Association Medicare	$1,435.50
Rate for Payer: Hawaii Medical Service Association Non-ABD	$407.95
Rate for Payer: Health Management Network Commercial	$2,440.35
Rate for Payer: Humana Medicare	$1,435.50
Rate for Payer: Kaiser Permanente Commercial	$2,583.90
Rate for Payer: Kaiser Permanente Medicaid	$2,837.00
Rate for Payer: Kaiser Permanente Medicare	$1,435.50
Rate for Payer: MDX Hawaii PPO	$2,784.87
Rate for Payer: Ohana Health Plan Medicaid	$1,435.50
Rate for Payer: Ohana Health Plan Medicare	$1,435.50
Rate for Payer: UnitedHealthcare Medicaid	$456.03
Rate for Payer: UnitedHealthcare Medicare	$1,435.50
Rate for Payer: University Health Alliance Commercial	$5,160.40

MG Breast Biopsy w/ Stereo Guide Right - Report

Professional

Both

$2,299.00

Service Code	HCPCS 19081 26
Hospital Charge Code	2425840
Hospital Revenue Code	975
Min. Negotiated Rate	$160.43
Max. Negotiated Rate	$1,954.15
Rate for Payer: AlohaCare Medicaid	$160.43
Rate for Payer: Cash Price	$1,494.35
Rate for Payer: Cash Price	$1,494.35
Rate for Payer: Hawaii Medical Service Association ABD	$160.43
Rate for Payer: Hawaii Medical Service Association Commercial	$277.22
Rate for Payer: Hawaii Medical Service Association Non-ABD	$160.43
Rate for Payer: Hawaii Western Management Group Commercial	$758.42
Rate for Payer: Health Management Network Commercial	$1,954.15
Rate for Payer: Ohana Health Plan Medicaid	$160.43
Rate for Payer: UnitedHealthcare Medicaid	$160.43
Rate for Payer: University Health Alliance Commercial	$275.00

MG Breast Biopsy w/ Stereo Guide Right. - Report

Professional

Both

$2,299.00

Service Code	HCPCS 19081 26
Hospital Charge Code	8033162
Hospital Revenue Code	975
Min. Negotiated Rate	$160.43
Max. Negotiated Rate	$1,954.15
Rate for Payer: AlohaCare Medicaid	$160.43
Rate for Payer: Cash Price	$1,494.35
Rate for Payer: Cash Price	$1,494.35
Rate for Payer: Hawaii Medical Service Association ABD	$160.43
Rate for Payer: Hawaii Medical Service Association Commercial	$277.22
Rate for Payer: Hawaii Medical Service Association Non-ABD	$160.43
Rate for Payer: Hawaii Western Management Group Commercial	$758.42
Rate for Payer: Health Management Network Commercial	$1,954.15
Rate for Payer: Ohana Health Plan Medicaid	$160.43
Rate for Payer: UnitedHealthcare Medicaid	$160.43
Rate for Payer: University Health Alliance Commercial	$275.00

MG Breast Needle Localization

Facility

OP

$5,146.00

Service Code	HCPCS 19281
Hospital Charge Code	8127564
Hospital Revenue Code	361
Min. Negotiated Rate	$456.03
Max. Negotiated Rate	$5,655.00
Rate for Payer: AlohaCare Medicaid	$2,573.00
Rate for Payer: AlohaCare Medicare	$2,573.00
Rate for Payer: Cash Price	$3,344.90
Rate for Payer: Cash Price	$3,344.90
Rate for Payer: Devoted Health Medicare	$2,830.30
Rate for Payer: Hawaii Medical Service Association ABD	$695.00
Rate for Payer: Hawaii Medical Service Association Commercial	$5,655.00
Rate for Payer: Hawaii Medical Service Association Medicare	$2,573.00
Rate for Payer: Hawaii Medical Service Association Non-ABD	$700.72
Rate for Payer: Health Management Network Commercial	$4,374.10
Rate for Payer: Humana Medicare	$2,573.00
Rate for Payer: Kaiser Permanente Commercial	$4,631.40
Rate for Payer: Kaiser Permanente Medicaid	$2,837.00
Rate for Payer: Kaiser Permanente Medicare	$2,573.00
Rate for Payer: MDX Hawaii PPO	$4,991.62
Rate for Payer: Ohana Health Plan Medicaid	$2,573.00
Rate for Payer: Ohana Health Plan Medicare	$2,573.00
Rate for Payer: UnitedHealthcare Medicaid	$456.03
Rate for Payer: UnitedHealthcare Medicare	$2,573.00
Rate for Payer: University Health Alliance Commercial	$3,750.92

MG Breast Needle Localization

Facility

IP

$5,146.00

Service Code	HCPCS 19281
Hospital Charge Code	8127564
Hospital Revenue Code	361
Min. Negotiated Rate	$4,374.10
Max. Negotiated Rate	$4,991.62
Rate for Payer: Cash Price	$3,344.90
Rate for Payer: Health Management Network Commercial	$4,374.10
Rate for Payer: Kaiser Permanente Commercial	$4,631.40
Rate for Payer: MDX Hawaii PPO	$4,991.62

MG Breast Needle Localization - Report

Professional

Both

$2,299.00

Service Code	HCPCS 19281
Hospital Charge Code	8127566
Hospital Revenue Code	972
Min. Negotiated Rate	$82.10
Max. Negotiated Rate	$1,954.15
Rate for Payer: AlohaCare Medicaid	$97.09
Rate for Payer: AlohaCare Medicare	$82.10
Rate for Payer: Cash Price	$1,494.35
Rate for Payer: Cash Price	$1,494.35
Rate for Payer: Devoted Health Medicare	$90.31
Rate for Payer: Hawaii Medical Service Association ABD	$97.09
Rate for Payer: Hawaii Medical Service Association Commercial	$165.43
Rate for Payer: Hawaii Medical Service Association Medicare	$82.10
Rate for Payer: Hawaii Medical Service Association Non-ABD	$97.09
Rate for Payer: Hawaii Western Management Group Commercial	$270.14
Rate for Payer: Health Management Network Commercial	$1,954.15
Rate for Payer: Kaiser Permanente Commercial	$90.31
Rate for Payer: Kaiser Permanente Medicaid	$90.31
Rate for Payer: Kaiser Permanente Medicare	$90.31
Rate for Payer: Ohana Health Plan Medicaid	$97.09
Rate for Payer: Ohana Health Plan Medicare	$82.10
Rate for Payer: UnitedHealthcare Medicaid	$97.09
Rate for Payer: UnitedHealthcare Medicare	$82.10
Rate for Payer: University Health Alliance Commercial	$105.35

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