Kauai Veterans Memorial Hospital

All Charges

Charge

Type

Setting

Price

OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC

Facility

$59,150.72

Service Code	MSDRG 674
Min. Negotiated Rate	$59,150.72
Max. Negotiated Rate	$59,150.72
Rate for Payer: Hawaii Medical Service Association Commercial	$59,150.72

OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC

Facility

$59,150.72

Service Code	MSDRG 673
Min. Negotiated Rate	$59,150.72
Max. Negotiated Rate	$59,150.72
Rate for Payer: Hawaii Medical Service Association Commercial	$59,150.72

OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC

Facility

$59,150.72

Service Code	MSDRG 675
Min. Negotiated Rate	$59,150.72
Max. Negotiated Rate	$59,150.72
Rate for Payer: Hawaii Medical Service Association Commercial	$59,150.72

OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC

Facility

$103,309.79

Service Code	MSDRG 271
Min. Negotiated Rate	$103,309.79
Max. Negotiated Rate	$103,309.79
Rate for Payer: Hawaii Medical Service Association Commercial	$103,309.79

OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC

Facility

$119,703.72

Service Code	MSDRG 270
Min. Negotiated Rate	$119,703.72
Max. Negotiated Rate	$119,703.72
Rate for Payer: Hawaii Medical Service Association Commercial	$119,703.72

OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC

Facility

$103,309.79

Service Code	MSDRG 272
Min. Negotiated Rate	$103,309.79
Max. Negotiated Rate	$103,309.79
Rate for Payer: Hawaii Medical Service Association Commercial	$103,309.79

OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC

Facility

$14,354.25

Service Code	MSDRG 729
Min. Negotiated Rate	$14,354.25
Max. Negotiated Rate	$14,354.25
Rate for Payer: Hawaii Medical Service Association Commercial	$14,354.25

OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC

Facility

$14,354.25

Service Code	MSDRG 730
Min. Negotiated Rate	$14,354.25
Max. Negotiated Rate	$14,354.25
Rate for Payer: Hawaii Medical Service Association Commercial	$14,354.25

OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC

Facility

$28,377.05

Service Code	MSDRG 717
Min. Negotiated Rate	$28,377.05
Max. Negotiated Rate	$28,377.05
Rate for Payer: Hawaii Medical Service Association Commercial	$28,377.05

OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC

Facility

$28,377.05

Service Code	MSDRG 718
Min. Negotiated Rate	$28,377.05
Max. Negotiated Rate	$28,377.05
Rate for Payer: Hawaii Medical Service Association Commercial	$28,377.05

OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC

Facility

$44,745.48

Service Code	MSDRG 715
Min. Negotiated Rate	$44,745.48
Max. Negotiated Rate	$44,745.48
Rate for Payer: Hawaii Medical Service Association Commercial	$44,745.48

OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC

Facility

$44,745.48

Service Code	MSDRG 716
Min. Negotiated Rate	$44,745.48
Max. Negotiated Rate	$44,745.48
Rate for Payer: Hawaii Medical Service Association Commercial	$44,745.48

OTHER MENTAL DISORDER DIAGNOSES

Facility

$39,238.34

Service Code	MSDRG 887
Min. Negotiated Rate	$39,238.34
Max. Negotiated Rate	$39,238.34
Rate for Payer: Hawaii Medical Service Association Commercial	$39,238.34

OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC

Facility

$45,102.42

Service Code	MSDRG 964
Min. Negotiated Rate	$45,102.42
Max. Negotiated Rate	$45,102.42
Rate for Payer: Hawaii Medical Service Association Commercial	$45,102.42

OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC

Facility

$45,102.42

Service Code	MSDRG 963
Min. Negotiated Rate	$45,102.42
Max. Negotiated Rate	$45,102.42
Rate for Payer: Hawaii Medical Service Association Commercial	$45,102.42

OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC

Facility

$45,102.42

Service Code	MSDRG 965
Min. Negotiated Rate	$45,102.42
Max. Negotiated Rate	$45,102.42
Rate for Payer: Hawaii Medical Service Association Commercial	$45,102.42

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC

Facility

$17,949.18

Service Code	MSDRG 565
Min. Negotiated Rate	$17,949.18
Max. Negotiated Rate	$17,949.18
Rate for Payer: Hawaii Medical Service Association Commercial	$17,949.18

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC

Facility

$17,949.18

Service Code	MSDRG 564
Min. Negotiated Rate	$17,949.18
Max. Negotiated Rate	$17,949.18
Rate for Payer: Hawaii Medical Service Association Commercial	$17,949.18

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC

Facility

$17,949.18

Service Code	MSDRG 566
Min. Negotiated Rate	$17,949.18
Max. Negotiated Rate	$17,949.18
Rate for Payer: Hawaii Medical Service Association Commercial	$17,949.18

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC

Facility

$66,085.63

Service Code	MSDRG 516
Min. Negotiated Rate	$66,085.63
Max. Negotiated Rate	$66,085.63
Rate for Payer: Hawaii Medical Service Association Commercial	$66,085.63

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC

Facility

$66,085.63

Service Code	MSDRG 515
Min. Negotiated Rate	$66,085.63
Max. Negotiated Rate	$66,085.63
Rate for Payer: Hawaii Medical Service Association Commercial	$66,085.63

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC

Facility

$36,663.25

Service Code	MSDRG 517
Min. Negotiated Rate	$36,663.25
Max. Negotiated Rate	$36,663.25
Rate for Payer: Hawaii Medical Service Association Commercial	$36,663.25

OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC

Facility

$44,770.98

Service Code	MSDRG 844
Min. Negotiated Rate	$44,770.98
Max. Negotiated Rate	$44,770.98
Rate for Payer: Hawaii Medical Service Association Commercial	$44,770.98

OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC

Facility

$49,538.73

Service Code	MSDRG 843
Min. Negotiated Rate	$49,538.73
Max. Negotiated Rate	$49,538.73
Rate for Payer: Hawaii Medical Service Association Commercial	$49,538.73

OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC

Facility

$44,770.98

Service Code	MSDRG 845
Min. Negotiated Rate	$44,770.98
Max. Negotiated Rate	$44,770.98
Rate for Payer: Hawaii Medical Service Association Commercial	$44,770.98

Know your out-of-pocket cost for care.

All Charges