Kauai Veterans Memorial Hospital

All Charges

Charge

Type

Setting

Price

OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC

Facility

$11,116.26

Service Code	MSDRG 819
Min. Negotiated Rate	$11,116.26
Max. Negotiated Rate	$11,116.26
Rate for Payer: Hawaii Medical Service Association Commercial	$11,116.26

OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC

Facility

$10,019.93

Service Code	MSDRG 832
Min. Negotiated Rate	$10,019.93
Max. Negotiated Rate	$10,019.93
Rate for Payer: Hawaii Medical Service Association Commercial	$10,019.93

OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC

Facility

$10,019.93

Service Code	MSDRG 831
Min. Negotiated Rate	$10,019.93
Max. Negotiated Rate	$10,019.93
Rate for Payer: Hawaii Medical Service Association Commercial	$10,019.93

OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC

Facility

$9,866.95

Service Code	MSDRG 833
Min. Negotiated Rate	$9,866.95
Max. Negotiated Rate	$9,866.95
Rate for Payer: Hawaii Medical Service Association Commercial	$9,866.95

OTHER CARDIOTHORACIC PROCEDURES WITH MCC

Facility

$121,207.98

Service Code	MSDRG 228
Min. Negotiated Rate	$121,207.98
Max. Negotiated Rate	$121,207.98
Rate for Payer: Hawaii Medical Service Association Commercial	$121,207.98

OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC

Facility

$121,207.98

Service Code	MSDRG 229
Min. Negotiated Rate	$121,207.98
Max. Negotiated Rate	$121,207.98
Rate for Payer: Hawaii Medical Service Association Commercial	$121,207.98

OTHER CEREBROVASCULAR DISORDERS WITH CC

Facility

$28,224.07

Service Code	MSDRG 071
Min. Negotiated Rate	$28,224.07
Max. Negotiated Rate	$28,224.07
Rate for Payer: Hawaii Medical Service Association Commercial	$28,224.07

OTHER CEREBROVASCULAR DISORDERS WITH MCC

Facility

$30,085.28

Service Code	MSDRG 070
Min. Negotiated Rate	$30,085.28
Max. Negotiated Rate	$30,085.28
Rate for Payer: Hawaii Medical Service Association Commercial	$30,085.28

OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC

Facility

$17,464.76

Service Code	MSDRG 072
Min. Negotiated Rate	$17,464.76
Max. Negotiated Rate	$17,464.76
Rate for Payer: Hawaii Medical Service Association Commercial	$17,464.76

OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC

Facility

$28,657.50

Service Code	MSDRG 315
Min. Negotiated Rate	$28,657.50
Max. Negotiated Rate	$28,657.50
Rate for Payer: Hawaii Medical Service Association Commercial	$28,657.50

OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC

Facility

$42,731.30

Service Code	MSDRG 314
Min. Negotiated Rate	$42,731.30
Max. Negotiated Rate	$42,731.30
Rate for Payer: Hawaii Medical Service Association Commercial	$42,731.30

OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC

Facility

$18,280.63

Service Code	MSDRG 316
Min. Negotiated Rate	$18,280.63
Max. Negotiated Rate	$18,280.63
Rate for Payer: Hawaii Medical Service Association Commercial	$18,280.63

OTHER CIRCULATORY SYSTEM O.R. PROCEDURES

Facility

$173,984.70

Service Code	MSDRG 264
Min. Negotiated Rate	$173,984.70
Max. Negotiated Rate	$173,984.70
Rate for Payer: Hawaii Medical Service Association Commercial	$173,984.70

OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC

Facility

$19,708.41

Service Code	MSDRG 394
Min. Negotiated Rate	$19,708.41
Max. Negotiated Rate	$19,708.41
Rate for Payer: Hawaii Medical Service Association Commercial	$19,708.41

OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC

Facility

$27,178.74

Service Code	MSDRG 393
Min. Negotiated Rate	$27,178.74
Max. Negotiated Rate	$27,178.74
Rate for Payer: Hawaii Medical Service Association Commercial	$27,178.74

OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC

Facility

$17,949.18

Service Code	MSDRG 395
Min. Negotiated Rate	$17,949.18
Max. Negotiated Rate	$17,949.18
Rate for Payer: Hawaii Medical Service Association Commercial	$17,949.18

OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC

Facility

$62,414.21

Service Code	MSDRG 357
Min. Negotiated Rate	$62,414.21
Max. Negotiated Rate	$62,414.21
Rate for Payer: Hawaii Medical Service Association Commercial	$62,414.21

OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC

Facility

$67,793.86

Service Code	MSDRG 356
Min. Negotiated Rate	$67,793.86
Max. Negotiated Rate	$67,793.86
Rate for Payer: Hawaii Medical Service Association Commercial	$67,793.86

OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC

Facility

$34,904.02

Service Code	MSDRG 358
Min. Negotiated Rate	$34,904.02
Max. Negotiated Rate	$34,904.02
Rate for Payer: Hawaii Medical Service Association Commercial	$34,904.02

OTHER DISORDERS OF NERVOUS SYSTEM WITH CC

Facility

$22,461.98

Service Code	MSDRG 092
Min. Negotiated Rate	$22,461.98
Max. Negotiated Rate	$22,461.98
Rate for Payer: Hawaii Medical Service Association Commercial	$22,461.98

OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC

Facility

$26,847.29

Service Code	MSDRG 091
Min. Negotiated Rate	$26,847.29
Max. Negotiated Rate	$26,847.29
Rate for Payer: Hawaii Medical Service Association Commercial	$26,847.29

OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC

Facility

$18,612.08

Service Code	MSDRG 093
Min. Negotiated Rate	$18,612.08
Max. Negotiated Rate	$18,612.08
Rate for Payer: Hawaii Medical Service Association Commercial	$18,612.08

OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT

Facility

$17,107.82

Service Code	MSDRG 124
Min. Negotiated Rate	$17,107.82
Max. Negotiated Rate	$17,107.82
Rate for Payer: Hawaii Medical Service Association Commercial	$17,107.82

OTHER DISORDERS OF THE EYE WITHOUT MCC

Facility

$8,643.14

Service Code	MSDRG 125
Min. Negotiated Rate	$8,643.14
Max. Negotiated Rate	$8,643.14
Rate for Payer: Hawaii Medical Service Association Commercial	$8,643.14

OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC

Facility

$15,935.00

Service Code	MSDRG 155
Min. Negotiated Rate	$15,935.00
Max. Negotiated Rate	$15,935.00
Rate for Payer: Hawaii Medical Service Association Commercial	$15,935.00

Know your out-of-pocket cost for care.

All Charges