Kohala Hospital

All Charges

Charge

Type

Setting

Price

MAJOR CHEST TRAUMA WITH MCC

Facility

$21,521.42

Service Code	MSDRG 183
Min. Negotiated Rate	$21,521.42
Max. Negotiated Rate	$21,521.42
Rate for Payer: Hawaii Medical Service Association Commercial	$21,521.42

MAJOR CHEST TRAUMA WITHOUT CC/MCC

Facility

$18,890.49

Service Code	MSDRG 185
Min. Negotiated Rate	$18,890.49
Max. Negotiated Rate	$18,890.49
Rate for Payer: Hawaii Medical Service Association Commercial	$18,890.49

MAJOR ESOPHAGEAL DISORDERS WITH CC

Facility

$19,340.83

Service Code	MSDRG 369
Min. Negotiated Rate	$19,340.83
Max. Negotiated Rate	$19,340.83
Rate for Payer: Hawaii Medical Service Association Commercial	$19,340.83

MAJOR ESOPHAGEAL DISORDERS WITH MCC

Facility

$19,340.83

Service Code	MSDRG 368
Min. Negotiated Rate	$19,340.83
Max. Negotiated Rate	$19,340.83
Rate for Payer: Hawaii Medical Service Association Commercial	$19,340.83

MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC

Facility

$19,340.83

Service Code	MSDRG 370
Min. Negotiated Rate	$19,340.83
Max. Negotiated Rate	$19,340.83
Rate for Payer: Hawaii Medical Service Association Commercial	$19,340.83

MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC

Facility

$21,995.46

Service Code	MSDRG 372
Min. Negotiated Rate	$21,995.46
Max. Negotiated Rate	$21,995.46
Rate for Payer: Hawaii Medical Service Association Commercial	$21,995.46

MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC

Facility

$21,995.46

Service Code	MSDRG 371
Min. Negotiated Rate	$21,995.46
Max. Negotiated Rate	$21,995.46
Rate for Payer: Hawaii Medical Service Association Commercial	$21,995.46

MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC

Facility

$21,995.46

Service Code	MSDRG 373
Min. Negotiated Rate	$21,995.46
Max. Negotiated Rate	$21,995.46
Rate for Payer: Hawaii Medical Service Association Commercial	$21,995.46

MAJOR HEAD AND NECK PROCEDURES WITH CC

Facility

$50,390.45

Service Code	MSDRG 141
Min. Negotiated Rate	$50,390.45
Max. Negotiated Rate	$50,390.45
Rate for Payer: Hawaii Medical Service Association Commercial	$50,390.45

MAJOR HEAD AND NECK PROCEDURES WITH MCC

Facility

$61,340.78

Service Code	MSDRG 140
Min. Negotiated Rate	$61,340.78
Max. Negotiated Rate	$61,340.78
Rate for Payer: Hawaii Medical Service Association Commercial	$61,340.78

MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC

Facility

$28,086.87

Service Code	MSDRG 142
Min. Negotiated Rate	$28,086.87
Max. Negotiated Rate	$28,086.87
Rate for Payer: Hawaii Medical Service Association Commercial	$28,086.87

MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC

Facility

$34,913.05

Service Code	MSDRG 809
Min. Negotiated Rate	$34,913.05
Max. Negotiated Rate	$34,913.05
Rate for Payer: Hawaii Medical Service Association Commercial	$34,913.05

MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC

Facility

$34,913.05

Service Code	MSDRG 808
Min. Negotiated Rate	$34,913.05
Max. Negotiated Rate	$34,913.05
Rate for Payer: Hawaii Medical Service Association Commercial	$34,913.05

MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC

Facility

$34,913.05

Service Code	MSDRG 810
Min. Negotiated Rate	$34,913.05
Max. Negotiated Rate	$34,913.05
Rate for Payer: Hawaii Medical Service Association Commercial	$34,913.05

MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT

Facility

$40,957.06

Service Code	MSDRG 469
Min. Negotiated Rate	$10,400.00
Max. Negotiated Rate	$40,957.06
Rate for Payer: Hawaii Medical Service Association Commercial	$40,957.06
Rate for Payer: University Health Alliance Commercial	$10,400.00

MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC

Facility

$27,802.45

Service Code	MSDRG 470
Min. Negotiated Rate	$10,400.00
Max. Negotiated Rate	$27,802.45
Rate for Payer: Hawaii Medical Service Association Commercial	$27,802.45
Rate for Payer: University Health Alliance Commercial	$10,400.00

MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES

Facility

$36,880.31

Service Code	MSDRG 483
Min. Negotiated Rate	$36,880.31
Max. Negotiated Rate	$36,880.31
Rate for Payer: Hawaii Medical Service Association Commercial	$36,880.31

MAJOR MALE PELVIC PROCEDURES WITH CC/MCC

Facility

$30,954.81

Service Code	MSDRG 707
Min. Negotiated Rate	$30,954.81
Max. Negotiated Rate	$30,954.81
Rate for Payer: Hawaii Medical Service Association Commercial	$30,954.81

MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC

Facility

$28,134.27

Service Code	MSDRG 708
Min. Negotiated Rate	$28,134.27
Max. Negotiated Rate	$28,134.27
Rate for Payer: Hawaii Medical Service Association Commercial	$28,134.27

MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC

Facility

$23,180.56

Service Code	MSDRG 507
Min. Negotiated Rate	$23,180.56
Max. Negotiated Rate	$23,180.56
Rate for Payer: Hawaii Medical Service Association Commercial	$23,180.56

MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC

Facility

$23,180.56

Service Code	MSDRG 508
Min. Negotiated Rate	$23,180.56
Max. Negotiated Rate	$23,180.56
Rate for Payer: Hawaii Medical Service Association Commercial	$23,180.56

MAJOR SKIN DISORDERS WITH MCC

Facility

$40,506.72

Service Code	MSDRG 595
Min. Negotiated Rate	$40,506.72
Max. Negotiated Rate	$40,506.72
Rate for Payer: Hawaii Medical Service Association Commercial	$40,506.72

MAJOR SKIN DISORDERS WITHOUT MCC

Facility

$32,495.44

Service Code	MSDRG 596
Min. Negotiated Rate	$32,495.44
Max. Negotiated Rate	$32,495.44
Rate for Payer: Hawaii Medical Service Association Commercial	$32,495.44

MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC

Facility

$65,227.90

Service Code	MSDRG 330
Min. Negotiated Rate	$10,400.00
Max. Negotiated Rate	$65,227.90
Rate for Payer: Hawaii Medical Service Association Commercial	$65,227.90
Rate for Payer: University Health Alliance Commercial	$10,400.00

MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC

Facility

$80,563.10

Service Code	MSDRG 329
Min. Negotiated Rate	$10,400.00
Max. Negotiated Rate	$80,563.10
Rate for Payer: Hawaii Medical Service Association Commercial	$80,563.10
Rate for Payer: University Health Alliance Commercial	$10,400.00

Know your out-of-pocket cost for care.

All Charges