Kohala Hospital

All Charges

Charge

Type

Setting

Price

OTHER CARDIOTHORACIC PROCEDURES WITH MCC

Facility

$112,679.31

Service Code	MSDRG 228
Min. Negotiated Rate	$112,679.31
Max. Negotiated Rate	$112,679.31
Rate for Payer: Hawaii Medical Service Association Commercial	$112,679.31

OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC

Facility

$112,679.31

Service Code	MSDRG 229
Min. Negotiated Rate	$112,679.31
Max. Negotiated Rate	$112,679.31
Rate for Payer: Hawaii Medical Service Association Commercial	$112,679.31

OTHER CEREBROVASCULAR DISORDERS WITH CC

Facility

$26,238.11

Service Code	MSDRG 071
Min. Negotiated Rate	$26,238.11
Max. Negotiated Rate	$26,238.11
Rate for Payer: Hawaii Medical Service Association Commercial	$26,238.11

OTHER CEREBROVASCULAR DISORDERS WITH MCC

Facility

$27,968.36

Service Code	MSDRG 070
Min. Negotiated Rate	$27,968.36
Max. Negotiated Rate	$27,968.36
Rate for Payer: Hawaii Medical Service Association Commercial	$27,968.36

OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC

Facility

$16,235.87

Service Code	MSDRG 072
Min. Negotiated Rate	$16,235.87
Max. Negotiated Rate	$16,235.87
Rate for Payer: Hawaii Medical Service Association Commercial	$16,235.87

OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC

Facility

$26,641.05

Service Code	MSDRG 315
Min. Negotiated Rate	$26,641.05
Max. Negotiated Rate	$26,641.05
Rate for Payer: Hawaii Medical Service Association Commercial	$26,641.05

OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC

Facility

$39,724.55

Service Code	MSDRG 314
Min. Negotiated Rate	$39,724.55
Max. Negotiated Rate	$39,724.55
Rate for Payer: Hawaii Medical Service Association Commercial	$39,724.55

OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC

Facility

$16,994.33

Service Code	MSDRG 316
Min. Negotiated Rate	$16,994.33
Max. Negotiated Rate	$16,994.33
Rate for Payer: Hawaii Medical Service Association Commercial	$16,994.33

OTHER CIRCULATORY SYSTEM O.R. PROCEDURES

Facility

$161,742.45

Service Code	MSDRG 264
Min. Negotiated Rate	$161,742.45
Max. Negotiated Rate	$161,742.45
Rate for Payer: Hawaii Medical Service Association Commercial	$161,742.45

OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC

Facility

$18,321.65

Service Code	MSDRG 394
Min. Negotiated Rate	$18,321.65
Max. Negotiated Rate	$18,321.65
Rate for Payer: Hawaii Medical Service Association Commercial	$18,321.65

OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC

Facility

$25,266.33

Service Code	MSDRG 393
Min. Negotiated Rate	$25,266.33
Max. Negotiated Rate	$25,266.33
Rate for Payer: Hawaii Medical Service Association Commercial	$25,266.33

OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC

Facility

$16,686.21

Service Code	MSDRG 395
Min. Negotiated Rate	$16,686.21
Max. Negotiated Rate	$16,686.21
Rate for Payer: Hawaii Medical Service Association Commercial	$16,686.21

OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC

Facility

$58,022.50

Service Code	MSDRG 357
Min. Negotiated Rate	$58,022.50
Max. Negotiated Rate	$58,022.50
Rate for Payer: Hawaii Medical Service Association Commercial	$58,022.50

OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC

Facility

$63,023.62

Service Code	MSDRG 356
Min. Negotiated Rate	$63,023.62
Max. Negotiated Rate	$63,023.62
Rate for Payer: Hawaii Medical Service Association Commercial	$63,023.62

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

Facility

$32,448.04

Service Code	MSDRG 358
Min. Negotiated Rate	$32,448.04
Max. Negotiated Rate	$32,448.04
Rate for Payer: Hawaii Medical Service Association Commercial	$32,448.04

OTHER DISORDERS OF NERVOUS SYSTEM WITH CC

Facility

$20,881.46

Service Code	MSDRG 092
Min. Negotiated Rate	$20,881.46
Max. Negotiated Rate	$20,881.46
Rate for Payer: Hawaii Medical Service Association Commercial	$20,881.46

OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC

Facility

$24,958.21

Service Code	MSDRG 091
Min. Negotiated Rate	$24,958.21
Max. Negotiated Rate	$24,958.21
Rate for Payer: Hawaii Medical Service Association Commercial	$24,958.21

OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC

Facility

$17,302.46

Service Code	MSDRG 093
Min. Negotiated Rate	$17,302.46
Max. Negotiated Rate	$17,302.46
Rate for Payer: Hawaii Medical Service Association Commercial	$17,302.46

OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT

Facility

$15,904.04

Service Code	MSDRG 124
Min. Negotiated Rate	$15,904.04
Max. Negotiated Rate	$15,904.04
Rate for Payer: Hawaii Medical Service Association Commercial	$15,904.04

OTHER DISORDERS OF THE EYE WITHOUT MCC

Facility

$8,034.98

Service Code	MSDRG 125
Min. Negotiated Rate	$8,034.98
Max. Negotiated Rate	$8,034.98
Rate for Payer: Hawaii Medical Service Association Commercial	$8,034.98

OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC

Facility

$14,813.75

Service Code	MSDRG 155
Min. Negotiated Rate	$14,813.75
Max. Negotiated Rate	$14,813.75
Rate for Payer: Hawaii Medical Service Association Commercial	$14,813.75

OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC

Facility

$14,813.75

Service Code	MSDRG 154
Min. Negotiated Rate	$14,813.75
Max. Negotiated Rate	$14,813.75
Rate for Payer: Hawaii Medical Service Association Commercial	$14,813.75

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

Facility

$14,813.75

Service Code	MSDRG 156
Min. Negotiated Rate	$14,813.75
Max. Negotiated Rate	$14,813.75
Rate for Payer: Hawaii Medical Service Association Commercial	$14,813.75

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

Facility

$34,533.81

Service Code	MSDRG 144
Min. Negotiated Rate	$34,533.81
Max. Negotiated Rate	$34,533.81
Rate for Payer: Hawaii Medical Service Association Commercial	$34,533.81

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

Facility

$100,780.90

Service Code	MSDRG 143
Min. Negotiated Rate	$100,780.90
Max. Negotiated Rate	$100,780.90
Rate for Payer: Hawaii Medical Service Association Commercial	$100,780.90

Know your out-of-pocket cost for care.

All Charges