Kohala Hospital

All Charges

Charge

Type

Setting

Price

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

Facility

$22,256.18

Service Code	MSDRG 145
Min. Negotiated Rate	$22,256.18
Max. Negotiated Rate	$22,256.18
Rate for Payer: Hawaii Medical Service Association Commercial	$22,256.18

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

Facility

$27,849.85

Service Code	MSDRG 629
Min. Negotiated Rate	$27,849.85
Max. Negotiated Rate	$27,849.85
Rate for Payer: Hawaii Medical Service Association Commercial	$27,849.85

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

Facility

$39,203.11

Service Code	MSDRG 628
Min. Negotiated Rate	$39,203.11
Max. Negotiated Rate	$39,203.11
Rate for Payer: Hawaii Medical Service Association Commercial	$39,203.11

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

Facility

$26,498.84

Service Code	MSDRG 630
Min. Negotiated Rate	$26,498.84
Max. Negotiated Rate	$26,498.84
Rate for Payer: Hawaii Medical Service Association Commercial	$26,498.84

OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC

Facility

$132,162.35

Service Code	MSDRG 319
Min. Negotiated Rate	$132,162.35
Max. Negotiated Rate	$132,162.35
Rate for Payer: Hawaii Medical Service Association Commercial	$132,162.35

OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC

Facility

$132,162.35

Service Code	MSDRG 320
Min. Negotiated Rate	$132,162.35
Max. Negotiated Rate	$132,162.35
Rate for Payer: Hawaii Medical Service Association Commercial	$132,162.35

OTHER FACTORS INFLUENCING HEALTH STATUS

Facility

$11,424.36

Service Code	MSDRG 951
Min. Negotiated Rate	$11,424.36
Max. Negotiated Rate	$11,424.36
Rate for Payer: Hawaii Medical Service Association Commercial	$11,424.36

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

Facility

$33,064.29

Service Code	MSDRG 749
Min. Negotiated Rate	$33,064.29
Max. Negotiated Rate	$33,064.29
Rate for Payer: Hawaii Medical Service Association Commercial	$33,064.29

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

Facility

$33,064.29

Service Code	MSDRG 750
Min. Negotiated Rate	$33,064.29
Max. Negotiated Rate	$33,064.29
Rate for Payer: Hawaii Medical Service Association Commercial	$33,064.29

OTHER HEART ASSIST SYSTEM IMPLANT

Facility

$170,630.70

Service Code	MSDRG 215
Min. Negotiated Rate	$170,630.70
Max. Negotiated Rate	$170,630.70
Rate for Payer: Hawaii Medical Service Association Commercial	$170,630.70

OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC

Facility

$96,822.67

Service Code	MSDRG 424
Min. Negotiated Rate	$96,822.67
Max. Negotiated Rate	$96,822.67
Rate for Payer: Hawaii Medical Service Association Commercial	$96,822.67

OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC

Facility

$96,822.67

Service Code	MSDRG 423
Min. Negotiated Rate	$96,822.67
Max. Negotiated Rate	$96,822.67
Rate for Payer: Hawaii Medical Service Association Commercial	$96,822.67

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

Facility

$96,822.67

Service Code	MSDRG 425
Min. Negotiated Rate	$96,822.67
Max. Negotiated Rate	$96,822.67
Rate for Payer: Hawaii Medical Service Association Commercial	$96,822.67

OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC

Facility

$57,192.93

Service Code	MSDRG 868
Min. Negotiated Rate	$57,192.93
Max. Negotiated Rate	$57,192.93
Rate for Payer: Hawaii Medical Service Association Commercial	$57,192.93

OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC

Facility

$57,192.93

Service Code	MSDRG 867
Min. Negotiated Rate	$57,192.93
Max. Negotiated Rate	$57,192.93
Rate for Payer: Hawaii Medical Service Association Commercial	$57,192.93

OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC

Facility

$57,192.93

Service Code	MSDRG 869
Min. Negotiated Rate	$57,192.93
Max. Negotiated Rate	$57,192.93
Rate for Payer: Hawaii Medical Service Association Commercial	$57,192.93

OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC

Facility

$39,606.04

Service Code	MSDRG 922
Min. Negotiated Rate	$39,606.04
Max. Negotiated Rate	$39,606.04
Rate for Payer: Hawaii Medical Service Association Commercial	$39,606.04

OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC

Facility

$17,539.48

Service Code	MSDRG 923
Min. Negotiated Rate	$17,539.48
Max. Negotiated Rate	$17,539.48
Rate for Payer: Hawaii Medical Service Association Commercial	$17,539.48

OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC

Facility

$21,876.95

Service Code	MSDRG 699
Min. Negotiated Rate	$21,876.95
Max. Negotiated Rate	$21,876.95
Rate for Payer: Hawaii Medical Service Association Commercial	$21,876.95

OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC

Facility

$21,900.65

Service Code	MSDRG 698
Min. Negotiated Rate	$21,900.65
Max. Negotiated Rate	$21,900.65
Rate for Payer: Hawaii Medical Service Association Commercial	$21,900.65

OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC

Facility

$17,160.25

Service Code	MSDRG 700
Min. Negotiated Rate	$17,160.25
Max. Negotiated Rate	$17,160.25
Rate for Payer: Hawaii Medical Service Association Commercial	$17,160.25

OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC

Facility

$54,988.64

Service Code	MSDRG 674
Min. Negotiated Rate	$54,988.64
Max. Negotiated Rate	$54,988.64
Rate for Payer: Hawaii Medical Service Association Commercial	$54,988.64

OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC

Facility

$54,988.64

Service Code	MSDRG 673
Min. Negotiated Rate	$54,988.64
Max. Negotiated Rate	$54,988.64
Rate for Payer: Hawaii Medical Service Association Commercial	$54,988.64

OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC

Facility

$54,988.64

Service Code	MSDRG 675
Min. Negotiated Rate	$54,988.64
Max. Negotiated Rate	$54,988.64
Rate for Payer: Hawaii Medical Service Association Commercial	$54,988.64

OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC

Facility

$96,040.50

Service Code	MSDRG 271
Min. Negotiated Rate	$96,040.50
Max. Negotiated Rate	$96,040.50
Rate for Payer: Hawaii Medical Service Association Commercial	$96,040.50

Know your out-of-pocket cost for care.

All Charges