Kona Community Hospital

All Charges

Charge

Type

Setting

Price

HCHG CULT MISC

Facility

$112.00

Service Code	HCPCS 87109
Hospital Charge Code	H3060168
Hospital Revenue Code	306
Min. Negotiated Rate	$15.39
Max. Negotiated Rate	$108.64
Rate for Payer: AlohaCare Medicaid	$15.39
Rate for Payer: AlohaCare Medicare	$15.39
Rate for Payer: Cash Price	$72.80
Rate for Payer: Cash Price	$72.80
Rate for Payer: Devoted Health Medicare	$16.93
Rate for Payer: Hawaii Medical Service Association ABD	$21.26
Rate for Payer: Hawaii Medical Service Association Commercial	$19.24
Rate for Payer: Hawaii Medical Service Association Medicare	$15.39
Rate for Payer: Hawaii Medical Service Association Non-ABD	$22.32
Rate for Payer: Hawaii Western Management Group Commercial	$15.39
Rate for Payer: Health Management Network Commercial	$95.20
Rate for Payer: Humana Medicare	$15.39
Rate for Payer: Kaiser Permanente Commercial	$70.56
Rate for Payer: Kaiser Permanente Medicaid	$57.12
Rate for Payer: Kaiser Permanente Medicare	$15.39
Rate for Payer: MDX Hawaii PPO	$108.64
Rate for Payer: Ohana Health Plan Medicaid	$16.93
Rate for Payer: Ohana Health Plan Medicare	$15.39
Rate for Payer: UnitedHealthcare Medicaid	$21.26
Rate for Payer: UnitedHealthcare Medicare	$15.39
Rate for Payer: University Health Alliance Commercial	$39.77

HCHG CULT MISC

Facility

$112.00

Service Code	HCPCS 87109
Hospital Charge Code	H3060168
Hospital Revenue Code	306
Min. Negotiated Rate	$95.20
Max. Negotiated Rate	$108.64
Rate for Payer: Cash Price	$72.80
Rate for Payer: Health Management Network Commercial	$95.20
Rate for Payer: MDX Hawaii PPO	$108.64

HCHG CULT SPUTUM

Facility

$146.00

Service Code	HCPCS 87070
Hospital Charge Code	H3060174
Hospital Revenue Code	306
Min. Negotiated Rate	$8.62
Max. Negotiated Rate	$141.62
Rate for Payer: AlohaCare Medicaid	$8.62
Rate for Payer: AlohaCare Medicare	$8.62
Rate for Payer: Cash Price	$94.90
Rate for Payer: Cash Price	$94.90
Rate for Payer: Devoted Health Medicare	$9.48
Rate for Payer: Hawaii Medical Service Association ABD	$11.90
Rate for Payer: Hawaii Medical Service Association Commercial	$10.78
Rate for Payer: Hawaii Medical Service Association Medicare	$8.62
Rate for Payer: Hawaii Medical Service Association Non-ABD	$12.50
Rate for Payer: Hawaii Western Management Group Commercial	$8.62
Rate for Payer: Health Management Network Commercial	$124.10
Rate for Payer: Humana Medicare	$8.62
Rate for Payer: Kaiser Permanente Commercial	$91.98
Rate for Payer: Kaiser Permanente Medicaid	$74.46
Rate for Payer: Kaiser Permanente Medicare	$8.62
Rate for Payer: MDX Hawaii PPO	$141.62
Rate for Payer: Ohana Health Plan Medicaid	$9.48
Rate for Payer: Ohana Health Plan Medicare	$8.62
Rate for Payer: UnitedHealthcare Medicaid	$11.90
Rate for Payer: UnitedHealthcare Medicare	$8.62
Rate for Payer: University Health Alliance Commercial	$22.26

HCHG CULT SPUTUM

Facility

$146.00

Service Code	HCPCS 87070
Hospital Charge Code	H3060174
Hospital Revenue Code	306
Min. Negotiated Rate	$124.10
Max. Negotiated Rate	$141.62
Rate for Payer: Cash Price	$94.90
Rate for Payer: Health Management Network Commercial	$124.10
Rate for Payer: MDX Hawaii PPO	$141.62

HCHG CULT THROAT

Facility

$146.00

Service Code	HCPCS 87070
Hospital Charge Code	H3060176
Hospital Revenue Code	306
Min. Negotiated Rate	$8.62
Max. Negotiated Rate	$141.62
Rate for Payer: AlohaCare Medicaid	$8.62
Rate for Payer: AlohaCare Medicare	$8.62
Rate for Payer: Cash Price	$94.90
Rate for Payer: Cash Price	$94.90
Rate for Payer: Devoted Health Medicare	$9.48
Rate for Payer: Hawaii Medical Service Association ABD	$11.90
Rate for Payer: Hawaii Medical Service Association Commercial	$10.78
Rate for Payer: Hawaii Medical Service Association Medicare	$8.62
Rate for Payer: Hawaii Medical Service Association Non-ABD	$12.50
Rate for Payer: Hawaii Western Management Group Commercial	$8.62
Rate for Payer: Health Management Network Commercial	$124.10
Rate for Payer: Humana Medicare	$8.62
Rate for Payer: Kaiser Permanente Commercial	$91.98
Rate for Payer: Kaiser Permanente Medicaid	$74.46
Rate for Payer: Kaiser Permanente Medicare	$8.62
Rate for Payer: MDX Hawaii PPO	$141.62
Rate for Payer: Ohana Health Plan Medicaid	$9.48
Rate for Payer: Ohana Health Plan Medicare	$8.62
Rate for Payer: UnitedHealthcare Medicaid	$11.90
Rate for Payer: UnitedHealthcare Medicare	$8.62
Rate for Payer: University Health Alliance Commercial	$22.26

HCHG CULT THROAT

Facility

$146.00

Service Code	HCPCS 87070
Hospital Charge Code	H3060176
Hospital Revenue Code	306
Min. Negotiated Rate	$124.10
Max. Negotiated Rate	$141.62
Rate for Payer: Cash Price	$94.90
Rate for Payer: Health Management Network Commercial	$124.10
Rate for Payer: MDX Hawaii PPO	$141.62

HCHG CULT TISSUE OTHER 90

Facility

$1,126.00

Service Code	HCPCS 88233
Hospital Charge Code	H3110156
Hospital Revenue Code	311
Min. Negotiated Rate	$957.10
Max. Negotiated Rate	$1,092.22
Rate for Payer: Cash Price	$731.90
Rate for Payer: Health Management Network Commercial	$957.10
Rate for Payer: MDX Hawaii PPO	$1,092.22

HCHG CULT TISSUE OTHER 90

Facility

$1,126.00

Service Code	HCPCS 88233
Hospital Charge Code	H3110156
Hospital Revenue Code	311
Min. Negotiated Rate	$117.98
Max. Negotiated Rate	$1,092.22
Rate for Payer: AlohaCare Medicaid	$140.73
Rate for Payer: AlohaCare Medicare	$140.73
Rate for Payer: Cash Price	$731.90
Rate for Payer: Cash Price	$731.90
Rate for Payer: Devoted Health Medicare	$154.80
Rate for Payer: Hawaii Medical Service Association ABD	$117.98
Rate for Payer: Hawaii Medical Service Association Commercial	$175.91
Rate for Payer: Hawaii Medical Service Association Medicare	$140.73
Rate for Payer: Hawaii Medical Service Association Non-ABD	$194.38
Rate for Payer: Hawaii Western Management Group Commercial	$140.73
Rate for Payer: Health Management Network Commercial	$957.10
Rate for Payer: Humana Medicare	$140.73
Rate for Payer: Kaiser Permanente Commercial	$709.38
Rate for Payer: Kaiser Permanente Medicaid	$574.26
Rate for Payer: Kaiser Permanente Medicare	$140.73
Rate for Payer: MDX Hawaii PPO	$1,092.22
Rate for Payer: Ohana Health Plan Medicaid	$154.80
Rate for Payer: Ohana Health Plan Medicare	$140.73
Rate for Payer: UnitedHealthcare Medicaid	$117.98
Rate for Payer: UnitedHealthcare Medicare	$140.73
Rate for Payer: University Health Alliance Commercial	$363.77

HCHG CULTURE AEROBIC QUANT

Facility

$163.00

Service Code	HCPCS 87071
Hospital Charge Code	K3060009
Hospital Revenue Code	306
Min. Negotiated Rate	$7.91
Max. Negotiated Rate	$158.11
Rate for Payer: AlohaCare Medicaid	$9.89
Rate for Payer: AlohaCare Medicare	$9.89
Rate for Payer: Cash Price	$105.95
Rate for Payer: Cash Price	$105.95
Rate for Payer: Devoted Health Medicare	$10.88
Rate for Payer: Hawaii Medical Service Association ABD	$7.91
Rate for Payer: Hawaii Medical Service Association Commercial	$12.36
Rate for Payer: Hawaii Medical Service Association Medicare	$9.89
Rate for Payer: Hawaii Medical Service Association Non-ABD	$12.65
Rate for Payer: Hawaii Western Management Group Commercial	$9.89
Rate for Payer: Health Management Network Commercial	$138.55
Rate for Payer: Humana Medicare	$9.89
Rate for Payer: Kaiser Permanente Commercial	$102.69
Rate for Payer: Kaiser Permanente Medicaid	$83.13
Rate for Payer: Kaiser Permanente Medicare	$9.89
Rate for Payer: MDX Hawaii PPO	$158.11
Rate for Payer: Ohana Health Plan Medicaid	$10.88
Rate for Payer: Ohana Health Plan Medicare	$9.89
Rate for Payer: UnitedHealthcare Medicaid	$7.91
Rate for Payer: UnitedHealthcare Medicare	$9.89
Rate for Payer: University Health Alliance Commercial	$24.38

HCHG CULTURE AEROBIC QUANT

Facility

$163.00

Service Code	HCPCS 87071
Hospital Charge Code	K3060009
Hospital Revenue Code	306
Min. Negotiated Rate	$138.55
Max. Negotiated Rate	$158.11
Rate for Payer: Cash Price	$105.95
Rate for Payer: Health Management Network Commercial	$138.55
Rate for Payer: MDX Hawaii PPO	$158.11

HCHG CULTURE AFB BLOOD SO

Facility

$180.00

Service Code	HCPCS 87116
Hospital Charge Code	K3060011
Hospital Revenue Code	306
Min. Negotiated Rate	$153.00
Max. Negotiated Rate	$174.60
Rate for Payer: Cash Price	$117.00
Rate for Payer: Health Management Network Commercial	$153.00
Rate for Payer: MDX Hawaii PPO	$174.60

HCHG CULTURE AFB BLOOD SO

Facility

$180.00

Service Code	HCPCS 87116
Hospital Charge Code	K3060011
Hospital Revenue Code	306
Min. Negotiated Rate	$10.80
Max. Negotiated Rate	$174.60
Rate for Payer: AlohaCare Medicaid	$10.80
Rate for Payer: AlohaCare Medicare	$10.80
Rate for Payer: Cash Price	$117.00
Rate for Payer: Cash Price	$117.00
Rate for Payer: Devoted Health Medicare	$11.88
Rate for Payer: Hawaii Medical Service Association ABD	$13.63
Rate for Payer: Hawaii Medical Service Association Commercial	$13.50
Rate for Payer: Hawaii Medical Service Association Medicare	$10.80
Rate for Payer: Hawaii Medical Service Association Non-ABD	$14.31
Rate for Payer: Hawaii Western Management Group Commercial	$10.80
Rate for Payer: Health Management Network Commercial	$153.00
Rate for Payer: Humana Medicare	$10.80
Rate for Payer: Kaiser Permanente Commercial	$113.40
Rate for Payer: Kaiser Permanente Medicaid	$91.80
Rate for Payer: Kaiser Permanente Medicare	$10.80
Rate for Payer: MDX Hawaii PPO	$174.60
Rate for Payer: Ohana Health Plan Medicaid	$11.88
Rate for Payer: Ohana Health Plan Medicare	$10.80
Rate for Payer: UnitedHealthcare Medicaid	$13.63
Rate for Payer: UnitedHealthcare Medicare	$10.80
Rate for Payer: University Health Alliance Commercial	$25.49

HCHG CULTURE AFB NON BLOOD KSO

Facility

$134.00

Service Code	HCPCS 87116
Hospital Charge Code	K3060012
Hospital Revenue Code	306
Min. Negotiated Rate	$113.90
Max. Negotiated Rate	$129.98
Rate for Payer: Cash Price	$87.10
Rate for Payer: Health Management Network Commercial	$113.90
Rate for Payer: MDX Hawaii PPO	$129.98

HCHG CULTURE AFB NON BLOOD KSO

Facility

$134.00

Service Code	HCPCS 87116
Hospital Charge Code	K3060012
Hospital Revenue Code	306
Min. Negotiated Rate	$10.80
Max. Negotiated Rate	$129.98
Rate for Payer: AlohaCare Medicaid	$10.80
Rate for Payer: AlohaCare Medicare	$10.80
Rate for Payer: Cash Price	$87.10
Rate for Payer: Cash Price	$87.10
Rate for Payer: Devoted Health Medicare	$11.88
Rate for Payer: Hawaii Medical Service Association ABD	$13.63
Rate for Payer: Hawaii Medical Service Association Commercial	$13.50
Rate for Payer: Hawaii Medical Service Association Medicare	$10.80
Rate for Payer: Hawaii Medical Service Association Non-ABD	$14.31
Rate for Payer: Hawaii Western Management Group Commercial	$10.80
Rate for Payer: Health Management Network Commercial	$113.90
Rate for Payer: Humana Medicare	$10.80
Rate for Payer: Kaiser Permanente Commercial	$84.42
Rate for Payer: Kaiser Permanente Medicaid	$68.34
Rate for Payer: Kaiser Permanente Medicare	$10.80
Rate for Payer: MDX Hawaii PPO	$129.98
Rate for Payer: Ohana Health Plan Medicaid	$11.88
Rate for Payer: Ohana Health Plan Medicare	$10.80
Rate for Payer: UnitedHealthcare Medicaid	$13.63
Rate for Payer: UnitedHealthcare Medicare	$10.80
Rate for Payer: University Health Alliance Commercial	$25.49

HCHG CULTURE BRONCHIAL

Facility

$146.00

Service Code	HCPCS 87070
Hospital Charge Code	K3060008
Hospital Revenue Code	306
Min. Negotiated Rate	$8.62
Max. Negotiated Rate	$141.62
Rate for Payer: AlohaCare Medicaid	$8.62
Rate for Payer: AlohaCare Medicare	$8.62
Rate for Payer: Cash Price	$94.90
Rate for Payer: Cash Price	$94.90
Rate for Payer: Devoted Health Medicare	$9.48
Rate for Payer: Hawaii Medical Service Association ABD	$11.90
Rate for Payer: Hawaii Medical Service Association Commercial	$10.78
Rate for Payer: Hawaii Medical Service Association Medicare	$8.62
Rate for Payer: Hawaii Medical Service Association Non-ABD	$12.50
Rate for Payer: Hawaii Western Management Group Commercial	$8.62
Rate for Payer: Health Management Network Commercial	$124.10
Rate for Payer: Humana Medicare	$8.62
Rate for Payer: Kaiser Permanente Commercial	$91.98
Rate for Payer: Kaiser Permanente Medicaid	$74.46
Rate for Payer: Kaiser Permanente Medicare	$8.62
Rate for Payer: MDX Hawaii PPO	$141.62
Rate for Payer: Ohana Health Plan Medicaid	$9.48
Rate for Payer: Ohana Health Plan Medicare	$8.62
Rate for Payer: UnitedHealthcare Medicaid	$11.90
Rate for Payer: UnitedHealthcare Medicare	$8.62
Rate for Payer: University Health Alliance Commercial	$22.26

HCHG CULTURE BRONCHIAL

Facility

$146.00

Service Code	HCPCS 87070
Hospital Charge Code	K3060008
Hospital Revenue Code	306
Min. Negotiated Rate	$124.10
Max. Negotiated Rate	$141.62
Rate for Payer: Cash Price	$94.90
Rate for Payer: Health Management Network Commercial	$124.10
Rate for Payer: MDX Hawaii PPO	$141.62

HCHG CULTURE CATH TIP

Facility

$146.00

Service Code	HCPCS 87070
Hospital Charge Code	K3060006
Hospital Revenue Code	306
Min. Negotiated Rate	$8.62
Max. Negotiated Rate	$141.62
Rate for Payer: AlohaCare Medicaid	$8.62
Rate for Payer: AlohaCare Medicare	$8.62
Rate for Payer: Cash Price	$94.90
Rate for Payer: Cash Price	$94.90
Rate for Payer: Devoted Health Medicare	$9.48
Rate for Payer: Hawaii Medical Service Association ABD	$11.90
Rate for Payer: Hawaii Medical Service Association Commercial	$10.78
Rate for Payer: Hawaii Medical Service Association Medicare	$8.62
Rate for Payer: Hawaii Medical Service Association Non-ABD	$12.50
Rate for Payer: Hawaii Western Management Group Commercial	$8.62
Rate for Payer: Health Management Network Commercial	$124.10
Rate for Payer: Humana Medicare	$8.62
Rate for Payer: Kaiser Permanente Commercial	$91.98
Rate for Payer: Kaiser Permanente Medicaid	$74.46
Rate for Payer: Kaiser Permanente Medicare	$8.62
Rate for Payer: MDX Hawaii PPO	$141.62
Rate for Payer: Ohana Health Plan Medicaid	$9.48
Rate for Payer: Ohana Health Plan Medicare	$8.62
Rate for Payer: UnitedHealthcare Medicaid	$11.90
Rate for Payer: UnitedHealthcare Medicare	$8.62
Rate for Payer: University Health Alliance Commercial	$22.26

HCHG CULTURE CATH TIP

Facility

$146.00

Service Code	HCPCS 87070
Hospital Charge Code	K3060006
Hospital Revenue Code	306
Min. Negotiated Rate	$124.10
Max. Negotiated Rate	$141.62
Rate for Payer: Cash Price	$94.90
Rate for Payer: Health Management Network Commercial	$124.10
Rate for Payer: MDX Hawaii PPO	$141.62

HCHG CULTURE CMV SHELL VIAL SO

Facility

$253.00

Service Code	HCPCS 87254
Hospital Charge Code	K3060025
Hospital Revenue Code	306
Min. Negotiated Rate	$215.05
Max. Negotiated Rate	$245.41
Rate for Payer: Cash Price	$164.45
Rate for Payer: Health Management Network Commercial	$215.05
Rate for Payer: MDX Hawaii PPO	$245.41

HCHG CULTURE CMV SHELL VIAL SO

Facility

$253.00

Service Code	HCPCS 87254
Hospital Charge Code	K3060025
Hospital Revenue Code	306
Min. Negotiated Rate	$16.39
Max. Negotiated Rate	$245.41
Rate for Payer: AlohaCare Medicaid	$19.56
Rate for Payer: AlohaCare Medicare	$19.56
Rate for Payer: Cash Price	$164.45
Rate for Payer: Cash Price	$164.45
Rate for Payer: Devoted Health Medicare	$21.52
Rate for Payer: Hawaii Medical Service Association ABD	$16.39
Rate for Payer: Hawaii Medical Service Association Commercial	$24.45
Rate for Payer: Hawaii Medical Service Association Medicare	$19.56
Rate for Payer: Hawaii Medical Service Association Non-ABD	$26.20
Rate for Payer: Hawaii Western Management Group Commercial	$19.56
Rate for Payer: Health Management Network Commercial	$215.05
Rate for Payer: Humana Medicare	$19.56
Rate for Payer: Kaiser Permanente Commercial	$159.39
Rate for Payer: Kaiser Permanente Medicaid	$129.03
Rate for Payer: Kaiser Permanente Medicare	$19.56
Rate for Payer: MDX Hawaii PPO	$245.41
Rate for Payer: Ohana Health Plan Medicaid	$21.52
Rate for Payer: Ohana Health Plan Medicare	$19.56
Rate for Payer: UnitedHealthcare Medicaid	$16.39
Rate for Payer: UnitedHealthcare Medicare	$19.56
Rate for Payer: University Health Alliance Commercial	$50.54

HCHG CULTURE GRP B STREP SCREEN

Facility

$102.00

Service Code	HCPCS 87081
Hospital Charge Code	K3060010
Hospital Revenue Code	306
Min. Negotiated Rate	$86.70
Max. Negotiated Rate	$98.94
Rate for Payer: Cash Price	$66.30
Rate for Payer: Health Management Network Commercial	$86.70
Rate for Payer: MDX Hawaii PPO	$98.94

HCHG CULTURE GRP B STREP SCREEN

Facility

$102.00

Service Code	HCPCS 87081
Hospital Charge Code	K3060010
Hospital Revenue Code	306
Min. Negotiated Rate	$6.63
Max. Negotiated Rate	$98.94
Rate for Payer: AlohaCare Medicaid	$6.63
Rate for Payer: AlohaCare Medicare	$6.63
Rate for Payer: Cash Price	$66.30
Rate for Payer: Cash Price	$66.30
Rate for Payer: Devoted Health Medicare	$7.29
Rate for Payer: Hawaii Medical Service Association ABD	$9.16
Rate for Payer: Hawaii Medical Service Association Commercial	$8.29
Rate for Payer: Hawaii Medical Service Association Medicare	$6.63
Rate for Payer: Hawaii Medical Service Association Non-ABD	$9.62
Rate for Payer: Hawaii Western Management Group Commercial	$6.63
Rate for Payer: Health Management Network Commercial	$86.70
Rate for Payer: Humana Medicare	$6.63
Rate for Payer: Kaiser Permanente Commercial	$64.26
Rate for Payer: Kaiser Permanente Medicaid	$52.02
Rate for Payer: Kaiser Permanente Medicare	$6.63
Rate for Payer: MDX Hawaii PPO	$98.94
Rate for Payer: Ohana Health Plan Medicaid	$7.29
Rate for Payer: Ohana Health Plan Medicare	$6.63
Rate for Payer: UnitedHealthcare Medicaid	$9.16
Rate for Payer: UnitedHealthcare Medicare	$6.63
Rate for Payer: University Health Alliance Commercial	$17.13

HCHG CULTURE NASAL

Facility

$194.00

Service Code	HCPCS 87070
Hospital Charge Code	K3060007
Hospital Revenue Code	306
Min. Negotiated Rate	$8.62
Max. Negotiated Rate	$188.18
Rate for Payer: AlohaCare Medicaid	$8.62
Rate for Payer: AlohaCare Medicare	$8.62
Rate for Payer: Cash Price	$126.10
Rate for Payer: Cash Price	$126.10
Rate for Payer: Devoted Health Medicare	$9.48
Rate for Payer: Hawaii Medical Service Association ABD	$11.90
Rate for Payer: Hawaii Medical Service Association Commercial	$10.78
Rate for Payer: Hawaii Medical Service Association Medicare	$8.62
Rate for Payer: Hawaii Medical Service Association Non-ABD	$12.50
Rate for Payer: Hawaii Western Management Group Commercial	$8.62
Rate for Payer: Health Management Network Commercial	$164.90
Rate for Payer: Humana Medicare	$8.62
Rate for Payer: Kaiser Permanente Commercial	$122.22
Rate for Payer: Kaiser Permanente Medicaid	$98.94
Rate for Payer: Kaiser Permanente Medicare	$8.62
Rate for Payer: MDX Hawaii PPO	$188.18
Rate for Payer: Ohana Health Plan Medicaid	$9.48
Rate for Payer: Ohana Health Plan Medicare	$8.62
Rate for Payer: UnitedHealthcare Medicaid	$11.90
Rate for Payer: UnitedHealthcare Medicare	$8.62
Rate for Payer: University Health Alliance Commercial	$22.26

HCHG CULTURE NASAL

Facility

$194.00

Service Code	HCPCS 87070
Hospital Charge Code	K3060007
Hospital Revenue Code	306
Min. Negotiated Rate	$164.90
Max. Negotiated Rate	$188.18
Rate for Payer: Cash Price	$126.10
Rate for Payer: Health Management Network Commercial	$164.90
Rate for Payer: MDX Hawaii PPO	$188.18

HCHG CULTURE TISSUE AEROBIC

Facility

$146.00

Service Code	HCPCS 87070
Hospital Charge Code	H3060705
Hospital Revenue Code	306
Min. Negotiated Rate	$8.62
Max. Negotiated Rate	$141.62
Rate for Payer: AlohaCare Medicaid	$8.62
Rate for Payer: AlohaCare Medicare	$8.62
Rate for Payer: Cash Price	$94.90
Rate for Payer: Cash Price	$94.90
Rate for Payer: Devoted Health Medicare	$9.48
Rate for Payer: Hawaii Medical Service Association ABD	$11.90
Rate for Payer: Hawaii Medical Service Association Commercial	$10.78
Rate for Payer: Hawaii Medical Service Association Medicare	$8.62
Rate for Payer: Hawaii Medical Service Association Non-ABD	$12.50
Rate for Payer: Hawaii Western Management Group Commercial	$8.62
Rate for Payer: Health Management Network Commercial	$124.10
Rate for Payer: Humana Medicare	$8.62
Rate for Payer: Kaiser Permanente Commercial	$91.98
Rate for Payer: Kaiser Permanente Medicaid	$74.46
Rate for Payer: Kaiser Permanente Medicare	$8.62
Rate for Payer: MDX Hawaii PPO	$141.62
Rate for Payer: Ohana Health Plan Medicaid	$9.48
Rate for Payer: Ohana Health Plan Medicare	$8.62
Rate for Payer: UnitedHealthcare Medicaid	$11.90
Rate for Payer: UnitedHealthcare Medicare	$8.62
Rate for Payer: University Health Alliance Commercial	$22.26

Know your out-of-pocket cost for care.

All Charges