Kauai Veterans Memorial Hospital

All Charges

Charge

Type

Setting

Price

OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC

Facility

$15,935.00

Service Code	MSDRG 154
Min. Negotiated Rate	$15,935.00
Max. Negotiated Rate	$15,935.00
Rate for Payer: Hawaii Medical Service Association Commercial	$15,935.00

OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC

Facility

$15,935.00

Service Code	MSDRG 156
Min. Negotiated Rate	$15,935.00
Max. Negotiated Rate	$15,935.00
Rate for Payer: Hawaii Medical Service Association Commercial	$15,935.00

OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC

Facility

$37,147.67

Service Code	MSDRG 144
Min. Negotiated Rate	$37,147.67
Max. Negotiated Rate	$37,147.67
Rate for Payer: Hawaii Medical Service Association Commercial	$37,147.67

OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC

Facility

$108,408.99

Service Code	MSDRG 143
Min. Negotiated Rate	$108,408.99
Max. Negotiated Rate	$108,408.99
Rate for Payer: Hawaii Medical Service Association Commercial	$108,408.99

OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC

Facility

$23,940.74

Service Code	MSDRG 145
Min. Negotiated Rate	$23,940.74
Max. Negotiated Rate	$23,940.74
Rate for Payer: Hawaii Medical Service Association Commercial	$23,940.74

OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC

Facility

$29,957.80

Service Code	MSDRG 629
Min. Negotiated Rate	$29,957.80
Max. Negotiated Rate	$29,957.80
Rate for Payer: Hawaii Medical Service Association Commercial	$29,957.80

OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC

Facility

$42,170.38

Service Code	MSDRG 628
Min. Negotiated Rate	$42,170.38
Max. Negotiated Rate	$42,170.38
Rate for Payer: Hawaii Medical Service Association Commercial	$42,170.38

OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC

Facility

$28,504.53

Service Code	MSDRG 630
Min. Negotiated Rate	$28,504.53
Max. Negotiated Rate	$28,504.53
Rate for Payer: Hawaii Medical Service Association Commercial	$28,504.53

OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC

Facility

$142,165.70

Service Code	MSDRG 319
Min. Negotiated Rate	$142,165.70
Max. Negotiated Rate	$142,165.70
Rate for Payer: Hawaii Medical Service Association Commercial	$142,165.70

OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC

Facility

$142,165.70

Service Code	MSDRG 320
Min. Negotiated Rate	$142,165.70
Max. Negotiated Rate	$142,165.70
Rate for Payer: Hawaii Medical Service Association Commercial	$142,165.70

OTHER FACTORS INFLUENCING HEALTH STATUS

Facility

$12,289.07

Service Code	MSDRG 951
Min. Negotiated Rate	$12,289.07
Max. Negotiated Rate	$12,289.07
Rate for Payer: Hawaii Medical Service Association Commercial	$12,289.07

OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC

Facility

$35,566.92

Service Code	MSDRG 749
Min. Negotiated Rate	$35,566.92
Max. Negotiated Rate	$35,566.92
Rate for Payer: Hawaii Medical Service Association Commercial	$35,566.92

OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC

Facility

$35,566.92

Service Code	MSDRG 750
Min. Negotiated Rate	$35,566.92
Max. Negotiated Rate	$35,566.92
Rate for Payer: Hawaii Medical Service Association Commercial	$35,566.92

OTHER HEART ASSIST SYSTEM IMPLANT

Facility

$183,545.70

Service Code	MSDRG 215
Min. Negotiated Rate	$183,545.70
Max. Negotiated Rate	$183,545.70
Rate for Payer: Hawaii Medical Service Association Commercial	$183,545.70

OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC

Facility

$104,151.16

Service Code	MSDRG 424
Min. Negotiated Rate	$104,151.16
Max. Negotiated Rate	$104,151.16
Rate for Payer: Hawaii Medical Service Association Commercial	$104,151.16

OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC

Facility

$104,151.16

Service Code	MSDRG 423
Min. Negotiated Rate	$104,151.16
Max. Negotiated Rate	$104,151.16
Rate for Payer: Hawaii Medical Service Association Commercial	$104,151.16

OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC

Facility

$104,151.16

Service Code	MSDRG 425
Min. Negotiated Rate	$104,151.16
Max. Negotiated Rate	$104,151.16
Rate for Payer: Hawaii Medical Service Association Commercial	$104,151.16

OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC

Facility

$61,521.85

Service Code	MSDRG 868
Min. Negotiated Rate	$61,521.85
Max. Negotiated Rate	$61,521.85
Rate for Payer: Hawaii Medical Service Association Commercial	$61,521.85

OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC

Facility

$61,521.85

Service Code	MSDRG 867
Min. Negotiated Rate	$61,521.85
Max. Negotiated Rate	$61,521.85
Rate for Payer: Hawaii Medical Service Association Commercial	$61,521.85

OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC

Facility

$61,521.85

Service Code	MSDRG 869
Min. Negotiated Rate	$61,521.85
Max. Negotiated Rate	$61,521.85
Rate for Payer: Hawaii Medical Service Association Commercial	$61,521.85

OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC

Facility

$42,603.82

Service Code	MSDRG 922
Min. Negotiated Rate	$42,603.82
Max. Negotiated Rate	$42,603.82
Rate for Payer: Hawaii Medical Service Association Commercial	$42,603.82

OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC

Facility

$18,867.04

Service Code	MSDRG 923
Min. Negotiated Rate	$18,867.04
Max. Negotiated Rate	$18,867.04
Rate for Payer: Hawaii Medical Service Association Commercial	$18,867.04

OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC

Facility

$23,532.81

Service Code	MSDRG 699
Min. Negotiated Rate	$23,532.81
Max. Negotiated Rate	$23,532.81
Rate for Payer: Hawaii Medical Service Association Commercial	$23,532.81

OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC

Facility

$23,558.30

Service Code	MSDRG 698
Min. Negotiated Rate	$23,558.30
Max. Negotiated Rate	$23,558.30
Rate for Payer: Hawaii Medical Service Association Commercial	$23,558.30

OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC

Facility

$18,459.10

Service Code	MSDRG 700
Min. Negotiated Rate	$18,459.10
Max. Negotiated Rate	$18,459.10
Rate for Payer: Hawaii Medical Service Association Commercial	$18,459.10

Know your out-of-pocket cost for care.

All Charges