|
Femoral Prep Kit 00504905510 [3642436]
|
Facility
|
IP
|
$1,139.90
|
|
| Hospital Charge Code |
3642436
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$968.91 |
| Max. Negotiated Rate |
$1,105.70 |
| Rate for Payer: Cash Price |
$740.94
|
| Rate for Payer: Health Management Network Commercial |
$968.91
|
| Rate for Payer: MDX Hawaii PPO |
$1,105.70
|
|
|
FENTANYL 100 MCG/HR TRANSDERM PT72
|
Facility
|
IP
|
$284.02
|
|
|
Service Code
|
HCPCS A9270
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$241.42 |
| Max. Negotiated Rate |
$275.50 |
| Rate for Payer: Cash Price |
$184.61
|
| Rate for Payer: Health Management Network Commercial |
$241.42
|
| Rate for Payer: MDX Hawaii PPO |
$275.50
|
|
|
FENTANYL 100 MCG/HR TRANSDERM PT72
|
Facility
|
OP
|
$284.02
|
|
|
Service Code
|
HCPCS A9270
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$144.85 |
| Max. Negotiated Rate |
$275.50 |
| Rate for Payer: Cash Price |
$184.61
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$269.82
|
| Rate for Payer: Health Management Network Commercial |
$241.42
|
| Rate for Payer: Kaiser Permanente Commercial |
$178.93
|
| Rate for Payer: Kaiser Permanente Medicaid |
$144.85
|
| Rate for Payer: MDX Hawaii PPO |
$275.50
|
| Rate for Payer: UnitedHealthcare Medicaid |
$170.41
|
| Rate for Payer: University Health Alliance Commercial |
$207.02
|
|
|
FENTANYL (10 MCG/ML) 250 ML DRIP (WHR)
|
Facility
|
OP
|
$117.36
|
|
|
Service Code
|
HCPCS J3010
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.96 |
| Max. Negotiated Rate |
$113.84 |
| Rate for Payer: Cash Price |
$76.28
|
| Rate for Payer: Cash Price |
$76.28
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$0.96
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$0.96
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$111.49
|
| Rate for Payer: Health Management Network Commercial |
$99.76
|
| Rate for Payer: Kaiser Permanente Commercial |
$73.94
|
| Rate for Payer: Kaiser Permanente Medicaid |
$59.85
|
| Rate for Payer: MDX Hawaii PPO |
$113.84
|
| Rate for Payer: UnitedHealthcare Medicaid |
$70.42
|
| Rate for Payer: University Health Alliance Commercial |
$85.54
|
|
|
FENTANYL (10 MCG/ML) 250 ML DRIP (WHR)
|
Facility
|
IP
|
$117.36
|
|
|
Service Code
|
HCPCS J3010
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$99.76 |
| Max. Negotiated Rate |
$113.84 |
| Rate for Payer: Cash Price |
$76.28
|
| Rate for Payer: Health Management Network Commercial |
$99.76
|
| Rate for Payer: MDX Hawaii PPO |
$113.84
|
|
|
FENTANYL 12 MCG/HR TRANSDERM PT72
|
Facility
|
IP
|
$102.06
|
|
|
Service Code
|
HCPCS A9270
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$86.75 |
| Max. Negotiated Rate |
$99.00 |
| Rate for Payer: Cash Price |
$66.34
|
| Rate for Payer: Health Management Network Commercial |
$86.75
|
| Rate for Payer: MDX Hawaii PPO |
$99.00
|
|
|
FENTANYL 12 MCG/HR TRANSDERM PT72
|
Facility
|
OP
|
$102.06
|
|
|
Service Code
|
HCPCS A9270
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$52.05 |
| Max. Negotiated Rate |
$99.00 |
| Rate for Payer: Cash Price |
$66.34
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$96.96
|
| Rate for Payer: Health Management Network Commercial |
$86.75
|
| Rate for Payer: Kaiser Permanente Commercial |
$64.30
|
| Rate for Payer: Kaiser Permanente Medicaid |
$52.05
|
| Rate for Payer: MDX Hawaii PPO |
$99.00
|
| Rate for Payer: UnitedHealthcare Medicaid |
$61.24
|
| Rate for Payer: University Health Alliance Commercial |
$74.39
|
|
|
FENTANYL 25 MCG/HR TRANSDERM PT72
|
Facility
|
IP
|
$77.70
|
|
|
Service Code
|
HCPCS A9270
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$66.05 |
| Max. Negotiated Rate |
$75.37 |
| Rate for Payer: Cash Price |
$50.50
|
| Rate for Payer: Health Management Network Commercial |
$66.05
|
| Rate for Payer: MDX Hawaii PPO |
$75.37
|
|
|
FENTANYL 25 MCG/HR TRANSDERM PT72
|
Facility
|
OP
|
$77.70
|
|
|
Service Code
|
HCPCS A9270
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$39.63 |
| Max. Negotiated Rate |
$75.37 |
| Rate for Payer: Cash Price |
$50.50
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$73.81
|
| Rate for Payer: Health Management Network Commercial |
$66.05
|
| Rate for Payer: Kaiser Permanente Commercial |
$48.95
|
| Rate for Payer: Kaiser Permanente Medicaid |
$39.63
|
| Rate for Payer: MDX Hawaii PPO |
$75.37
|
| Rate for Payer: UnitedHealthcare Medicaid |
$46.62
|
| Rate for Payer: University Health Alliance Commercial |
$56.64
|
|
|
FENTANYL 50 MCG/HR TRANSDERM PT72
|
Facility
|
IP
|
$127.14
|
|
|
Service Code
|
HCPCS A9270
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$108.07 |
| Max. Negotiated Rate |
$123.33 |
| Rate for Payer: Cash Price |
$82.64
|
| Rate for Payer: Health Management Network Commercial |
$108.07
|
| Rate for Payer: MDX Hawaii PPO |
$123.33
|
|
|
FENTANYL 50 MCG/HR TRANSDERM PT72
|
Facility
|
OP
|
$127.14
|
|
|
Service Code
|
HCPCS A9270
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$64.84 |
| Max. Negotiated Rate |
$123.33 |
| Rate for Payer: Cash Price |
$82.64
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$120.78
|
| Rate for Payer: Health Management Network Commercial |
$108.07
|
| Rate for Payer: Kaiser Permanente Commercial |
$80.10
|
| Rate for Payer: Kaiser Permanente Medicaid |
$64.84
|
| Rate for Payer: MDX Hawaii PPO |
$123.33
|
| Rate for Payer: UnitedHealthcare Medicaid |
$76.28
|
| Rate for Payer: University Health Alliance Commercial |
$92.67
|
|
|
FENTANYL 75 MCG/HR TRANSDERM PT72
|
Facility
|
IP
|
$184.47
|
|
|
Service Code
|
HCPCS A9270
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$156.80 |
| Max. Negotiated Rate |
$178.94 |
| Rate for Payer: Cash Price |
$119.91
|
| Rate for Payer: Health Management Network Commercial |
$156.80
|
| Rate for Payer: MDX Hawaii PPO |
$178.94
|
|
|
FENTANYL 75 MCG/HR TRANSDERM PT72
|
Facility
|
OP
|
$184.47
|
|
|
Service Code
|
HCPCS A9270
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$94.08 |
| Max. Negotiated Rate |
$178.94 |
| Rate for Payer: Cash Price |
$119.91
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$175.25
|
| Rate for Payer: Health Management Network Commercial |
$156.80
|
| Rate for Payer: Kaiser Permanente Commercial |
$116.22
|
| Rate for Payer: Kaiser Permanente Medicaid |
$94.08
|
| Rate for Payer: MDX Hawaii PPO |
$178.94
|
| Rate for Payer: UnitedHealthcare Medicaid |
$110.68
|
| Rate for Payer: University Health Alliance Commercial |
$134.46
|
|
|
FENTANYL CITRATE (PF)-0.9%NACL 500 MCG/50 ML (10 MCG/ML) IV PCA SYR
|
Facility
|
OP
|
$73.48
|
|
|
Service Code
|
HCPCS J3010
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.96 |
| Max. Negotiated Rate |
$71.28 |
| Rate for Payer: Cash Price |
$47.76
|
| Rate for Payer: Cash Price |
$84.36
|
| Rate for Payer: Cash Price |
$84.36
|
| Rate for Payer: Cash Price |
$47.76
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$0.96
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$0.96
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$0.96
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$0.96
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$123.29
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$69.81
|
| Rate for Payer: Health Management Network Commercial |
$62.46
|
| Rate for Payer: Health Management Network Commercial |
$110.31
|
| Rate for Payer: Kaiser Permanente Commercial |
$46.29
|
| Rate for Payer: Kaiser Permanente Commercial |
$81.76
|
| Rate for Payer: Kaiser Permanente Medicaid |
$66.19
|
| Rate for Payer: Kaiser Permanente Medicaid |
$37.47
|
| Rate for Payer: MDX Hawaii PPO |
$125.89
|
| Rate for Payer: MDX Hawaii PPO |
$71.28
|
| Rate for Payer: UnitedHealthcare Medicaid |
$77.87
|
| Rate for Payer: UnitedHealthcare Medicaid |
$44.09
|
| Rate for Payer: University Health Alliance Commercial |
$94.60
|
| Rate for Payer: University Health Alliance Commercial |
$53.56
|
|
|
FENTANYL CITRATE (PF)-0.9%NACL 500 MCG/50 ML (10 MCG/ML) IV PCA SYR
|
Facility
|
IP
|
$129.78
|
|
|
Service Code
|
HCPCS J3010
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$110.31 |
| Max. Negotiated Rate |
$125.89 |
| Rate for Payer: Cash Price |
$84.36
|
| Rate for Payer: Cash Price |
$47.76
|
| Rate for Payer: Health Management Network Commercial |
$62.46
|
| Rate for Payer: Health Management Network Commercial |
$110.31
|
| Rate for Payer: MDX Hawaii PPO |
$71.28
|
| Rate for Payer: MDX Hawaii PPO |
$125.89
|
|
|
FENTANYL CITRATE (PF) 50 MCG/ML INJ SOLN VIAL
|
Facility
|
OP
|
$16.81
|
|
|
Service Code
|
HCPCS J3010
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.96 |
| Max. Negotiated Rate |
$16.31 |
| Rate for Payer: Cash Price |
$10.93
|
| Rate for Payer: Cash Price |
$10.93
|
| Rate for Payer: Cash Price |
$10.76
|
| Rate for Payer: Cash Price |
$10.76
|
| Rate for Payer: Cash Price |
$96.06
|
| Rate for Payer: Cash Price |
$96.06
|
| Rate for Payer: Cash Price |
$10.08
|
| Rate for Payer: Cash Price |
$10.08
|
| Rate for Payer: Cash Price |
$7.62
|
| Rate for Payer: Cash Price |
$7.62
|
| Rate for Payer: Cash Price |
$78.98
|
| Rate for Payer: Cash Price |
$78.98
|
| Rate for Payer: Cash Price |
$5.45
|
| Rate for Payer: Cash Price |
$5.45
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$0.96
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$0.96
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$0.96
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$0.96
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$0.96
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$0.96
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$0.96
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$0.96
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$0.96
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$0.96
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$0.96
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$0.96
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$0.96
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$0.96
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$140.40
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$7.96
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$15.73
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$115.42
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$11.14
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$14.73
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$15.97
|
| Rate for Payer: Health Management Network Commercial |
$14.08
|
| Rate for Payer: Health Management Network Commercial |
$9.97
|
| Rate for Payer: Health Management Network Commercial |
$125.62
|
| Rate for Payer: Health Management Network Commercial |
$103.28
|
| Rate for Payer: Health Management Network Commercial |
$13.18
|
| Rate for Payer: Health Management Network Commercial |
$7.12
|
| Rate for Payer: Health Management Network Commercial |
$14.29
|
| Rate for Payer: Kaiser Permanente Commercial |
$10.43
|
| Rate for Payer: Kaiser Permanente Commercial |
$5.28
|
| Rate for Payer: Kaiser Permanente Commercial |
$7.39
|
| Rate for Payer: Kaiser Permanente Commercial |
$93.11
|
| Rate for Payer: Kaiser Permanente Commercial |
$76.55
|
| Rate for Payer: Kaiser Permanente Commercial |
$9.77
|
| Rate for Payer: Kaiser Permanente Commercial |
$10.59
|
| Rate for Payer: Kaiser Permanente Medicaid |
$5.98
|
| Rate for Payer: Kaiser Permanente Medicaid |
$61.97
|
| Rate for Payer: Kaiser Permanente Medicaid |
$7.91
|
| Rate for Payer: Kaiser Permanente Medicaid |
$75.37
|
| Rate for Payer: Kaiser Permanente Medicaid |
$8.45
|
| Rate for Payer: Kaiser Permanente Medicaid |
$8.57
|
| Rate for Payer: Kaiser Permanente Medicaid |
$4.27
|
| Rate for Payer: MDX Hawaii PPO |
$16.31
|
| Rate for Payer: MDX Hawaii PPO |
$16.06
|
| Rate for Payer: MDX Hawaii PPO |
$8.13
|
| Rate for Payer: MDX Hawaii PPO |
$11.38
|
| Rate for Payer: MDX Hawaii PPO |
$143.36
|
| Rate for Payer: MDX Hawaii PPO |
$117.86
|
| Rate for Payer: MDX Hawaii PPO |
$15.04
|
| Rate for Payer: UnitedHealthcare Medicaid |
$5.03
|
| Rate for Payer: UnitedHealthcare Medicaid |
$10.09
|
| Rate for Payer: UnitedHealthcare Medicaid |
$88.67
|
| Rate for Payer: UnitedHealthcare Medicaid |
$9.31
|
| Rate for Payer: UnitedHealthcare Medicaid |
$7.04
|
| Rate for Payer: UnitedHealthcare Medicaid |
$72.90
|
| Rate for Payer: UnitedHealthcare Medicaid |
$9.94
|
| Rate for Payer: University Health Alliance Commercial |
$8.55
|
| Rate for Payer: University Health Alliance Commercial |
$12.07
|
| Rate for Payer: University Health Alliance Commercial |
$12.25
|
| Rate for Payer: University Health Alliance Commercial |
$88.56
|
| Rate for Payer: University Health Alliance Commercial |
$6.11
|
| Rate for Payer: University Health Alliance Commercial |
$11.31
|
| Rate for Payer: University Health Alliance Commercial |
$107.72
|
|
|
FENTANYL CITRATE (PF) 50 MCG/ML INJ SOLN VIAL
|
Facility
|
IP
|
$8.38
|
|
|
Service Code
|
HCPCS J3010
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$7.12 |
| Max. Negotiated Rate |
$8.13 |
| Rate for Payer: Cash Price |
$5.45
|
| Rate for Payer: Cash Price |
$10.76
|
| Rate for Payer: Cash Price |
$10.08
|
| Rate for Payer: Cash Price |
$78.98
|
| Rate for Payer: Cash Price |
$7.62
|
| Rate for Payer: Cash Price |
$10.93
|
| Rate for Payer: Cash Price |
$96.06
|
| Rate for Payer: Health Management Network Commercial |
$9.97
|
| Rate for Payer: Health Management Network Commercial |
$103.28
|
| Rate for Payer: Health Management Network Commercial |
$125.62
|
| Rate for Payer: Health Management Network Commercial |
$13.18
|
| Rate for Payer: Health Management Network Commercial |
$14.08
|
| Rate for Payer: Health Management Network Commercial |
$14.29
|
| Rate for Payer: Health Management Network Commercial |
$7.12
|
| Rate for Payer: MDX Hawaii PPO |
$16.06
|
| Rate for Payer: MDX Hawaii PPO |
$117.86
|
| Rate for Payer: MDX Hawaii PPO |
$8.13
|
| Rate for Payer: MDX Hawaii PPO |
$16.31
|
| Rate for Payer: MDX Hawaii PPO |
$15.04
|
| Rate for Payer: MDX Hawaii PPO |
$143.36
|
| Rate for Payer: MDX Hawaii PPO |
$11.38
|
|
|
FENTANYL CITRATE (PF) 50 MCG/ML INTRANASAL 2 ML
|
Facility
|
IP
|
$15.51
|
|
|
Service Code
|
NDC 00409909422
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$13.18 |
| Max. Negotiated Rate |
$15.04 |
| Rate for Payer: Cash Price |
$10.08
|
| Rate for Payer: Health Management Network Commercial |
$13.18
|
| Rate for Payer: MDX Hawaii PPO |
$15.04
|
|
|
FENTANYL CITRATE (PF) 50 MCG/ML INTRANASAL 2 ML
|
Facility
|
OP
|
$15.51
|
|
|
Service Code
|
NDC 00409909412
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$7.91 |
| Max. Negotiated Rate |
$15.04 |
| Rate for Payer: Cash Price |
$10.08
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$14.73
|
| Rate for Payer: Health Management Network Commercial |
$13.18
|
| Rate for Payer: Kaiser Permanente Commercial |
$9.77
|
| Rate for Payer: Kaiser Permanente Medicaid |
$7.91
|
| Rate for Payer: MDX Hawaii PPO |
$15.04
|
| Rate for Payer: UnitedHealthcare Medicaid |
$9.31
|
| Rate for Payer: University Health Alliance Commercial |
$11.31
|
|
|
FENTANYL CITRATE (PF) 50 MCG/ML INTRANASAL 2 ML
|
Facility
|
IP
|
$11.73
|
|
|
Service Code
|
NDC 00641602725
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$9.97 |
| Max. Negotiated Rate |
$11.38 |
| Rate for Payer: Cash Price |
$7.62
|
| Rate for Payer: Health Management Network Commercial |
$9.97
|
| Rate for Payer: MDX Hawaii PPO |
$11.38
|
|
|
FENTANYL CITRATE (PF) 50 MCG/ML INTRANASAL 2 ML
|
Facility
|
OP
|
$15.51
|
|
|
Service Code
|
NDC 00409909422
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$7.91 |
| Max. Negotiated Rate |
$15.04 |
| Rate for Payer: Cash Price |
$10.08
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$14.73
|
| Rate for Payer: Health Management Network Commercial |
$13.18
|
| Rate for Payer: Kaiser Permanente Commercial |
$9.77
|
| Rate for Payer: Kaiser Permanente Medicaid |
$7.91
|
| Rate for Payer: MDX Hawaii PPO |
$15.04
|
| Rate for Payer: UnitedHealthcare Medicaid |
$9.31
|
| Rate for Payer: University Health Alliance Commercial |
$11.31
|
|
|
FENTANYL CITRATE (PF) 50 MCG/ML INTRANASAL 2 ML
|
Facility
|
IP
|
$15.51
|
|
|
Service Code
|
NDC 00409909412
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$13.18 |
| Max. Negotiated Rate |
$15.04 |
| Rate for Payer: Cash Price |
$10.08
|
| Rate for Payer: Health Management Network Commercial |
$13.18
|
| Rate for Payer: MDX Hawaii PPO |
$15.04
|
|
|
FENTANYL CITRATE (PF) 50 MCG/ML INTRANASAL 2 ML
|
Facility
|
IP
|
$11.73
|
|
|
Service Code
|
NDC 00641602701
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$9.97 |
| Max. Negotiated Rate |
$11.38 |
| Rate for Payer: Cash Price |
$7.62
|
| Rate for Payer: Health Management Network Commercial |
$9.97
|
| Rate for Payer: MDX Hawaii PPO |
$11.38
|
|
|
FENTANYL CITRATE (PF) 50 MCG/ML INTRANASAL 2 ML
|
Facility
|
OP
|
$11.73
|
|
|
Service Code
|
NDC 00641602701
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$5.98 |
| Max. Negotiated Rate |
$11.38 |
| Rate for Payer: Cash Price |
$7.62
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$11.14
|
| Rate for Payer: Health Management Network Commercial |
$9.97
|
| Rate for Payer: Kaiser Permanente Commercial |
$7.39
|
| Rate for Payer: Kaiser Permanente Medicaid |
$5.98
|
| Rate for Payer: MDX Hawaii PPO |
$11.38
|
| Rate for Payer: UnitedHealthcare Medicaid |
$7.04
|
| Rate for Payer: University Health Alliance Commercial |
$8.55
|
|
|
FENTANYL CITRATE (PF) 50 MCG/ML INTRANASAL 2 ML
|
Facility
|
OP
|
$11.73
|
|
|
Service Code
|
NDC 00641602725
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$5.98 |
| Max. Negotiated Rate |
$11.38 |
| Rate for Payer: Cash Price |
$7.62
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$11.14
|
| Rate for Payer: Health Management Network Commercial |
$9.97
|
| Rate for Payer: Kaiser Permanente Commercial |
$7.39
|
| Rate for Payer: Kaiser Permanente Medicaid |
$5.98
|
| Rate for Payer: MDX Hawaii PPO |
$11.38
|
| Rate for Payer: UnitedHealthcare Medicaid |
$7.04
|
| Rate for Payer: University Health Alliance Commercial |
$8.55
|
|
