Kohala Hospital

All Charges

Charge

Type

Setting

Price

OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC

Facility

$111,280.89

Service Code	MSDRG 270
Min. Negotiated Rate	$111,280.89
Max. Negotiated Rate	$111,280.89
Rate for Payer: Hawaii Medical Service Association Commercial	$111,280.89

OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC

Facility

$96,040.50

Service Code	MSDRG 272
Min. Negotiated Rate	$96,040.50
Max. Negotiated Rate	$96,040.50
Rate for Payer: Hawaii Medical Service Association Commercial	$96,040.50

OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC

Facility

$13,344.23

Service Code	MSDRG 729
Min. Negotiated Rate	$13,344.23
Max. Negotiated Rate	$13,344.23
Rate for Payer: Hawaii Medical Service Association Commercial	$13,344.23

OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC

Facility

$13,344.23

Service Code	MSDRG 730
Min. Negotiated Rate	$13,344.23
Max. Negotiated Rate	$13,344.23
Rate for Payer: Hawaii Medical Service Association Commercial	$13,344.23

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

Facility

$26,380.33

Service Code	MSDRG 717
Min. Negotiated Rate	$26,380.33
Max. Negotiated Rate	$26,380.33
Rate for Payer: Hawaii Medical Service Association Commercial	$26,380.33

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

Facility

$26,380.33

Service Code	MSDRG 718
Min. Negotiated Rate	$26,380.33
Max. Negotiated Rate	$26,380.33
Rate for Payer: Hawaii Medical Service Association Commercial	$26,380.33

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

Facility

$41,597.01

Service Code	MSDRG 715
Min. Negotiated Rate	$41,597.01
Max. Negotiated Rate	$41,597.01
Rate for Payer: Hawaii Medical Service Association Commercial	$41,597.01

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

Facility

$41,597.01

Service Code	MSDRG 716
Min. Negotiated Rate	$41,597.01
Max. Negotiated Rate	$41,597.01
Rate for Payer: Hawaii Medical Service Association Commercial	$41,597.01

OTHER MENTAL DISORDER DIAGNOSES

Facility

$36,477.38

Service Code	MSDRG 887
Min. Negotiated Rate	$36,477.38
Max. Negotiated Rate	$36,477.38
Rate for Payer: Hawaii Medical Service Association Commercial	$36,477.38

OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC

Facility

$41,928.84

Service Code	MSDRG 964
Min. Negotiated Rate	$41,928.84
Max. Negotiated Rate	$41,928.84
Rate for Payer: Hawaii Medical Service Association Commercial	$41,928.84

OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC

Facility

$41,928.84

Service Code	MSDRG 963
Min. Negotiated Rate	$41,928.84
Max. Negotiated Rate	$41,928.84
Rate for Payer: Hawaii Medical Service Association Commercial	$41,928.84

OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC

Facility

$41,928.84

Service Code	MSDRG 965
Min. Negotiated Rate	$41,928.84
Max. Negotiated Rate	$41,928.84
Rate for Payer: Hawaii Medical Service Association Commercial	$41,928.84

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC

Facility

$16,686.21

Service Code	MSDRG 565
Min. Negotiated Rate	$16,686.21
Max. Negotiated Rate	$16,686.21
Rate for Payer: Hawaii Medical Service Association Commercial	$16,686.21

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC

Facility

$16,686.21

Service Code	MSDRG 564
Min. Negotiated Rate	$16,686.21
Max. Negotiated Rate	$16,686.21
Rate for Payer: Hawaii Medical Service Association Commercial	$16,686.21

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC

Facility

$16,686.21

Service Code	MSDRG 566
Min. Negotiated Rate	$16,686.21
Max. Negotiated Rate	$16,686.21
Rate for Payer: Hawaii Medical Service Association Commercial	$16,686.21

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

Facility

$61,435.58

Service Code	MSDRG 516
Min. Negotiated Rate	$61,435.58
Max. Negotiated Rate	$61,435.58
Rate for Payer: Hawaii Medical Service Association Commercial	$61,435.58

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

Facility

$61,435.58

Service Code	MSDRG 515
Min. Negotiated Rate	$61,435.58
Max. Negotiated Rate	$61,435.58
Rate for Payer: Hawaii Medical Service Association Commercial	$61,435.58

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

Facility

$34,083.48

Service Code	MSDRG 517
Min. Negotiated Rate	$34,083.48
Max. Negotiated Rate	$34,083.48
Rate for Payer: Hawaii Medical Service Association Commercial	$34,083.48

OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC

Facility

$41,620.71

Service Code	MSDRG 844
Min. Negotiated Rate	$41,620.71
Max. Negotiated Rate	$41,620.71
Rate for Payer: Hawaii Medical Service Association Commercial	$41,620.71

OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC

Facility

$46,052.99

Service Code	MSDRG 843
Min. Negotiated Rate	$46,052.99
Max. Negotiated Rate	$46,052.99
Rate for Payer: Hawaii Medical Service Association Commercial	$46,052.99

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

Facility

$41,620.71

Service Code	MSDRG 845
Min. Negotiated Rate	$41,620.71
Max. Negotiated Rate	$41,620.71
Rate for Payer: Hawaii Medical Service Association Commercial	$41,620.71

OTHER O.R. PROCEDURES FOR INJURIES WITH CC

Facility

$44,370.14

Service Code	MSDRG 908
Min. Negotiated Rate	$44,370.14
Max. Negotiated Rate	$44,370.14
Rate for Payer: Hawaii Medical Service Association Commercial	$44,370.14

OTHER O.R. PROCEDURES FOR INJURIES WITH MCC

Facility

$47,475.11

Service Code	MSDRG 907
Min. Negotiated Rate	$47,475.11
Max. Negotiated Rate	$47,475.11
Rate for Payer: Hawaii Medical Service Association Commercial	$47,475.11

OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC

Facility

$22,990.94

Service Code	MSDRG 909
Min. Negotiated Rate	$22,990.94
Max. Negotiated Rate	$22,990.94
Rate for Payer: Hawaii Medical Service Association Commercial	$22,990.94

OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC

Facility

$152,759.39

Service Code	MSDRG 958
Min. Negotiated Rate	$152,759.39
Max. Negotiated Rate	$152,759.39
Rate for Payer: Hawaii Medical Service Association Commercial	$152,759.39

Know your out-of-pocket cost for care.

All Charges