Kona Community Hospital

All Charges

Charge

Type

Setting

Price

HCHG CYTOPATH LIQUID BASE & INTERP

Facility

$412.00

Service Code	HCPCS 88112
Hospital Charge Code	H3110164
Hospital Revenue Code	311
Min. Negotiated Rate	$44.86
Max. Negotiated Rate	$399.64
Rate for Payer: AlohaCare Medicaid	$61.56
Rate for Payer: AlohaCare Medicare	$61.56
Rate for Payer: Cash Price	$267.80
Rate for Payer: Cash Price	$267.80
Rate for Payer: Devoted Health Medicare	$67.72
Rate for Payer: Hawaii Medical Service Association ABD	$44.86
Rate for Payer: Hawaii Medical Service Association Commercial	$76.95
Rate for Payer: Hawaii Medical Service Association Medicare	$61.56
Rate for Payer: Hawaii Medical Service Association Non-ABD	$47.57
Rate for Payer: Hawaii Western Management Group Commercial	$61.56
Rate for Payer: Health Management Network Commercial	$350.20
Rate for Payer: Humana Medicare	$61.56
Rate for Payer: Kaiser Permanente Commercial	$259.56
Rate for Payer: Kaiser Permanente Medicaid	$210.12
Rate for Payer: Kaiser Permanente Medicare	$61.56
Rate for Payer: MDX Hawaii PPO	$399.64
Rate for Payer: Ohana Health Plan Medicaid	$67.72
Rate for Payer: Ohana Health Plan Medicare	$61.56
Rate for Payer: UnitedHealthcare Medicaid	$44.86
Rate for Payer: UnitedHealthcare Medicare	$61.56
Rate for Payer: University Health Alliance Commercial	$213.19

HCHG CYTOPATH LIQUID BASE & INTERP

Facility

$412.00

Service Code	HCPCS 88112
Hospital Charge Code	H3110164
Hospital Revenue Code	311
Min. Negotiated Rate	$350.20
Max. Negotiated Rate	$399.64
Rate for Payer: Cash Price	$267.80
Rate for Payer: Health Management Network Commercial	$350.20
Rate for Payer: MDX Hawaii PPO	$399.64

HCHG CYTOPATH MEDICAL

Facility

$283.00

Service Code	HCPCS 88104
Hospital Charge Code	H3110278
Hospital Revenue Code	311
Min. Negotiated Rate	$20.15
Max. Negotiated Rate	$274.51
Rate for Payer: AlohaCare Medicaid	$44.12
Rate for Payer: AlohaCare Medicare	$44.12
Rate for Payer: Cash Price	$183.95
Rate for Payer: Cash Price	$183.95
Rate for Payer: Devoted Health Medicare	$48.53
Rate for Payer: Hawaii Medical Service Association ABD	$35.00
Rate for Payer: Hawaii Medical Service Association Commercial	$55.15
Rate for Payer: Hawaii Medical Service Association Medicare	$44.12
Rate for Payer: Hawaii Medical Service Association Non-ABD	$20.15
Rate for Payer: Hawaii Western Management Group Commercial	$44.12
Rate for Payer: Health Management Network Commercial	$240.55
Rate for Payer: Humana Medicare	$44.12
Rate for Payer: Kaiser Permanente Commercial	$178.29
Rate for Payer: Kaiser Permanente Medicaid	$144.33
Rate for Payer: Kaiser Permanente Medicare	$44.12
Rate for Payer: MDX Hawaii PPO	$274.51
Rate for Payer: Ohana Health Plan Medicaid	$48.53
Rate for Payer: Ohana Health Plan Medicare	$44.12
Rate for Payer: UnitedHealthcare Medicaid	$35.00
Rate for Payer: UnitedHealthcare Medicare	$44.12
Rate for Payer: University Health Alliance Commercial	$118.33

HCHG CYTOPATH MEDICAL

Facility

$283.00

Service Code	HCPCS 88104
Hospital Charge Code	H3110278
Hospital Revenue Code	311
Min. Negotiated Rate	$240.55
Max. Negotiated Rate	$274.51
Rate for Payer: Cash Price	$183.95
Rate for Payer: Health Management Network Commercial	$240.55
Rate for Payer: MDX Hawaii PPO	$274.51

HCHG CYTOPATH MEDICAL CONCENTRATION

Facility

$301.00

Service Code	HCPCS 88108
Hospital Charge Code	H3110279
Hospital Revenue Code	311
Min. Negotiated Rate	$31.77
Max. Negotiated Rate	$291.97
Rate for Payer: AlohaCare Medicaid	$44.12
Rate for Payer: AlohaCare Medicare	$44.12
Rate for Payer: Cash Price	$195.65
Rate for Payer: Cash Price	$195.65
Rate for Payer: Devoted Health Medicare	$48.53
Rate for Payer: Hawaii Medical Service Association ABD	$44.09
Rate for Payer: Hawaii Medical Service Association Commercial	$55.15
Rate for Payer: Hawaii Medical Service Association Medicare	$44.12
Rate for Payer: Hawaii Medical Service Association Non-ABD	$31.77
Rate for Payer: Hawaii Western Management Group Commercial	$44.12
Rate for Payer: Health Management Network Commercial	$255.85
Rate for Payer: Humana Medicare	$44.12
Rate for Payer: Kaiser Permanente Commercial	$189.63
Rate for Payer: Kaiser Permanente Medicaid	$153.51
Rate for Payer: Kaiser Permanente Medicare	$44.12
Rate for Payer: MDX Hawaii PPO	$291.97
Rate for Payer: Ohana Health Plan Medicaid	$48.53
Rate for Payer: Ohana Health Plan Medicare	$44.12
Rate for Payer: UnitedHealthcare Medicaid	$44.09
Rate for Payer: UnitedHealthcare Medicare	$44.12
Rate for Payer: University Health Alliance Commercial	$143.97

HCHG CYTOPATH MEDICAL CONCENTRATION

Facility

$301.00

Service Code	HCPCS 88108
Hospital Charge Code	H3110279
Hospital Revenue Code	311
Min. Negotiated Rate	$255.85
Max. Negotiated Rate	$291.97
Rate for Payer: Cash Price	$195.65
Rate for Payer: Health Management Network Commercial	$255.85
Rate for Payer: MDX Hawaii PPO	$291.97

HCHG CYTOPATHOLOGY, EVAL OF FNA

Facility

$68.00

Service Code	HCPCS 88177
Hospital Charge Code	H3100140
Hospital Revenue Code	311
Min. Negotiated Rate	$4.54
Max. Negotiated Rate	$65.96
Rate for Payer: Cash Price	$44.20
Rate for Payer: Cash Price	$44.20
Rate for Payer: Hawaii Medical Service Association ABD	$4.54
Rate for Payer: Hawaii Medical Service Association Non-ABD	$6.30
Rate for Payer: Hawaii Western Management Group Commercial	$64.60
Rate for Payer: Health Management Network Commercial	$57.80
Rate for Payer: Kaiser Permanente Commercial	$42.84
Rate for Payer: Kaiser Permanente Medicaid	$34.68
Rate for Payer: MDX Hawaii PPO	$65.96
Rate for Payer: UnitedHealthcare Medicaid	$4.54
Rate for Payer: University Health Alliance Commercial	$55.87

HCHG CYTOPATHOLOGY, EVAL OF FNA

Facility

$68.00

Service Code	HCPCS 88177
Hospital Charge Code	H3100140
Hospital Revenue Code	311
Min. Negotiated Rate	$57.80
Max. Negotiated Rate	$65.96
Rate for Payer: Cash Price	$44.20
Rate for Payer: Health Management Network Commercial	$57.80
Rate for Payer: MDX Hawaii PPO	$65.96

HCHG DBRDMT SUBQ TIS 1ST 20SQCM/<

Facility

$1,958.00

Service Code	HCPCS 11042
Hospital Charge Code	K5101000
Hospital Revenue Code	510
Min. Negotiated Rate	$44.20
Max. Negotiated Rate	$5,160.40
Rate for Payer: AlohaCare Medicaid	$480.23
Rate for Payer: AlohaCare Medicare	$480.23
Rate for Payer: Cash Price	$1,272.70
Rate for Payer: Cash Price	$1,272.70
Rate for Payer: Cash Price	$1,272.70
Rate for Payer: Devoted Health Medicare	$528.25
Rate for Payer: Hawaii Medical Service Association Commercial	$600.29
Rate for Payer: Hawaii Medical Service Association Medicare	$480.23
Rate for Payer: Hawaii Western Management Group Commercial	$1,860.10
Rate for Payer: Health Management Network Commercial	$1,664.30
Rate for Payer: Humana Medicare	$480.23
Rate for Payer: Kaiser Permanente Commercial	$1,233.54
Rate for Payer: Kaiser Permanente Medicaid	$998.58
Rate for Payer: Kaiser Permanente Medicare	$480.23
Rate for Payer: MDX Hawaii PPO	$1,899.26
Rate for Payer: Ohana Health Plan Medicaid	$528.25
Rate for Payer: Ohana Health Plan Medicare	$480.23
Rate for Payer: UnitedHealthcare Medicaid	$44.20
Rate for Payer: UnitedHealthcare Medicare	$480.23
Rate for Payer: University Health Alliance Commercial	$5,160.40

HCHG DBRDMT SUBQ TIS 1ST 20SQCM/<

Facility

$1,958.00

Service Code	HCPCS 11042
Hospital Charge Code	K5101000
Hospital Revenue Code	510
Min. Negotiated Rate	$1,664.30
Max. Negotiated Rate	$1,899.26
Rate for Payer: Cash Price	$1,272.70
Rate for Payer: Health Management Network Commercial	$1,664.30
Rate for Payer: MDX Hawaii PPO	$1,899.26

HCHG D-DIMER QUANT

Facility

$275.00

Service Code	HCPCS 86334
Hospital Charge Code	H3020608
Hospital Revenue Code	302
Min. Negotiated Rate	$22.34
Max. Negotiated Rate	$266.75
Rate for Payer: AlohaCare Medicaid	$22.34
Rate for Payer: AlohaCare Medicare	$22.34
Rate for Payer: Cash Price	$178.75
Rate for Payer: Cash Price	$178.75
Rate for Payer: Devoted Health Medicare	$24.57
Rate for Payer: Hawaii Medical Service Association ABD	$30.87
Rate for Payer: Hawaii Medical Service Association Commercial	$27.93
Rate for Payer: Hawaii Medical Service Association Medicare	$22.34
Rate for Payer: Hawaii Medical Service Association Non-ABD	$32.41
Rate for Payer: Hawaii Western Management Group Commercial	$22.34
Rate for Payer: Health Management Network Commercial	$233.75
Rate for Payer: Humana Medicare	$22.34
Rate for Payer: Kaiser Permanente Commercial	$173.25
Rate for Payer: Kaiser Permanente Medicaid	$140.25
Rate for Payer: Kaiser Permanente Medicare	$22.34
Rate for Payer: MDX Hawaii PPO	$266.75
Rate for Payer: Ohana Health Plan Medicaid	$24.57
Rate for Payer: Ohana Health Plan Medicare	$22.34
Rate for Payer: UnitedHealthcare Medicaid	$30.87
Rate for Payer: UnitedHealthcare Medicare	$22.34
Rate for Payer: University Health Alliance Commercial	$57.74

HCHG D-DIMER QUANT

Facility

$275.00

Service Code	HCPCS 86334
Hospital Charge Code	H3020608
Hospital Revenue Code	302
Min. Negotiated Rate	$233.75
Max. Negotiated Rate	$266.75
Rate for Payer: Cash Price	$178.75
Rate for Payer: Health Management Network Commercial	$233.75
Rate for Payer: MDX Hawaii PPO	$266.75

HCHG D-DIMER QUANT

Facility

$172.00

Service Code	HCPCS 85379
Hospital Charge Code	H3050128
Hospital Revenue Code	305
Min. Negotiated Rate	$10.18
Max. Negotiated Rate	$166.84
Rate for Payer: AlohaCare Medicaid	$10.18
Rate for Payer: AlohaCare Medicare	$10.18
Rate for Payer: Cash Price	$111.80
Rate for Payer: Cash Price	$111.80
Rate for Payer: Devoted Health Medicare	$11.20
Rate for Payer: Hawaii Medical Service Association ABD	$14.06
Rate for Payer: Hawaii Medical Service Association Commercial	$12.72
Rate for Payer: Hawaii Medical Service Association Medicare	$10.18
Rate for Payer: Hawaii Medical Service Association Non-ABD	$14.76
Rate for Payer: Hawaii Western Management Group Commercial	$10.18
Rate for Payer: Health Management Network Commercial	$146.20
Rate for Payer: Humana Medicare	$10.18
Rate for Payer: Kaiser Permanente Commercial	$108.36
Rate for Payer: Kaiser Permanente Medicaid	$87.72
Rate for Payer: Kaiser Permanente Medicare	$10.18
Rate for Payer: MDX Hawaii PPO	$166.84
Rate for Payer: Ohana Health Plan Medicaid	$11.20
Rate for Payer: Ohana Health Plan Medicare	$10.18
Rate for Payer: UnitedHealthcare Medicaid	$14.06
Rate for Payer: UnitedHealthcare Medicare	$10.18
Rate for Payer: University Health Alliance Commercial	$26.31

HCHG D-DIMER QUANT

Facility

$172.00

Service Code	HCPCS 85379
Hospital Charge Code	H3050128
Hospital Revenue Code	305
Min. Negotiated Rate	$146.20
Max. Negotiated Rate	$166.84
Rate for Payer: Cash Price	$111.80
Rate for Payer: Health Management Network Commercial	$146.20
Rate for Payer: MDX Hawaii PPO	$166.84

HCHG DEBRIDE ECZEMA OR INFECT SKIN

Facility

$3,199.00

Service Code	HCPCS 11000
Hospital Charge Code	H4500364
Hospital Revenue Code	450
Min. Negotiated Rate	$480.23
Max. Negotiated Rate	$3,103.03
Rate for Payer: AlohaCare Medicaid	$480.23
Rate for Payer: AlohaCare Medicare	$480.23
Rate for Payer: Cash Price	$2,079.35
Rate for Payer: Cash Price	$2,079.35
Rate for Payer: Cash Price	$2,079.35
Rate for Payer: Cash Price	$2,079.35
Rate for Payer: Devoted Health Medicare	$528.25
Rate for Payer: Hawaii Medical Service Association ABD	$560.00
Rate for Payer: Hawaii Medical Service Association Commercial	$1,600.00
Rate for Payer: Hawaii Medical Service Association Medicare	$480.23
Rate for Payer: Hawaii Medical Service Association Non-ABD	$520.00
Rate for Payer: Hawaii Western Management Group Commercial	$3,039.05
Rate for Payer: Health Management Network Commercial	$2,719.15
Rate for Payer: Humana Medicare	$480.23
Rate for Payer: Kaiser Permanente Commercial	$2,015.37
Rate for Payer: Kaiser Permanente Medicaid	$937.50
Rate for Payer: Kaiser Permanente Medicare	$480.23
Rate for Payer: MDX Hawaii PPO	$3,103.03
Rate for Payer: Ohana Health Plan Medicaid	$528.25
Rate for Payer: Ohana Health Plan Medicare	$480.23
Rate for Payer: UnitedHealthcare Medicare	$480.23
Rate for Payer: University Health Alliance Commercial	$2,331.75

HCHG DEBRIDE ECZEMA OR INFECT SKIN

Facility

$3,199.00

Service Code	HCPCS 11000
Hospital Charge Code	H4500364
Hospital Revenue Code	450
Min. Negotiated Rate	$2,719.15
Max. Negotiated Rate	$3,103.03
Rate for Payer: Cash Price	$2,079.35
Rate for Payer: Health Management Network Commercial	$2,719.15
Rate for Payer: MDX Hawaii PPO	$3,103.03

HCHG DEBRIDEMENT MUSCLE/FASCIA, 1ST 20 SQ CM OR LESS

Facility

$3,187.00

Service Code	HCPCS 11043
Hospital Charge Code	H4500380
Hospital Revenue Code	450
Min. Negotiated Rate	$848.00
Max. Negotiated Rate	$9,416.00
Rate for Payer: AlohaCare Medicaid	$873.10
Rate for Payer: AlohaCare Medicare	$873.10
Rate for Payer: Cash Price	$2,071.55
Rate for Payer: Cash Price	$2,071.55
Rate for Payer: Cash Price	$2,071.55
Rate for Payer: Devoted Health Medicare	$960.41
Rate for Payer: Hawaii Medical Service Association ABD	$848.00
Rate for Payer: Hawaii Medical Service Association Commercial	$9,416.00
Rate for Payer: Hawaii Medical Service Association Medicare	$873.10
Rate for Payer: Hawaii Medical Service Association Non-ABD	$849.21
Rate for Payer: Hawaii Western Management Group Commercial	$3,027.65
Rate for Payer: Health Management Network Commercial	$2,708.95
Rate for Payer: Humana Medicare	$873.10
Rate for Payer: Kaiser Permanente Commercial	$2,007.81
Rate for Payer: Kaiser Permanente Medicaid	$937.50
Rate for Payer: Kaiser Permanente Medicare	$873.10
Rate for Payer: MDX Hawaii PPO	$3,091.39
Rate for Payer: Ohana Health Plan Medicaid	$960.41
Rate for Payer: Ohana Health Plan Medicare	$873.10
Rate for Payer: UnitedHealthcare Medicare	$873.10
Rate for Payer: University Health Alliance Commercial	$4,035.20

HCHG DEBRIDEMENT MUSCLE/FASCIA, 1ST 20 SQ CM OR LESS

Facility

$3,187.00

Service Code	HCPCS 11043
Hospital Charge Code	H4500380
Hospital Revenue Code	450
Min. Negotiated Rate	$2,708.95
Max. Negotiated Rate	$3,091.39
Rate for Payer: Cash Price	$2,071.55
Rate for Payer: Health Management Network Commercial	$2,708.95
Rate for Payer: MDX Hawaii PPO	$3,091.39

HCHG DEBRIDE OF NAIL (1-5)

Facility

$428.00

Service Code	HCPCS 11720
Hospital Charge Code	H4500366
Hospital Revenue Code	450
Min. Negotiated Rate	$363.80
Max. Negotiated Rate	$415.16
Rate for Payer: Cash Price	$278.20
Rate for Payer: Health Management Network Commercial	$363.80
Rate for Payer: MDX Hawaii PPO	$415.16

HCHG DEBRIDE OF NAIL (1-5)

Facility

$428.00

Service Code	HCPCS 11720
Hospital Charge Code	H4500366
Hospital Revenue Code	450
Min. Negotiated Rate	$69.69
Max. Negotiated Rate	$1,600.00
Rate for Payer: AlohaCare Medicaid	$69.69
Rate for Payer: AlohaCare Medicare	$69.69
Rate for Payer: Cash Price	$278.20
Rate for Payer: Cash Price	$278.20
Rate for Payer: Cash Price	$278.20
Rate for Payer: Cash Price	$278.20
Rate for Payer: Devoted Health Medicare	$76.66
Rate for Payer: Hawaii Medical Service Association ABD	$560.00
Rate for Payer: Hawaii Medical Service Association Commercial	$1,600.00
Rate for Payer: Hawaii Medical Service Association Medicare	$69.69
Rate for Payer: Hawaii Medical Service Association Non-ABD	$520.00
Rate for Payer: Hawaii Western Management Group Commercial	$406.60
Rate for Payer: Health Management Network Commercial	$363.80
Rate for Payer: Humana Medicare	$69.69
Rate for Payer: Kaiser Permanente Commercial	$269.64
Rate for Payer: Kaiser Permanente Medicaid	$937.50
Rate for Payer: Kaiser Permanente Medicare	$69.69
Rate for Payer: MDX Hawaii PPO	$415.16
Rate for Payer: Ohana Health Plan Medicaid	$76.66
Rate for Payer: Ohana Health Plan Medicare	$69.69
Rate for Payer: UnitedHealthcare Medicare	$69.69
Rate for Payer: University Health Alliance Commercial	$311.97

HCHG DEBRIDE, OPEN WOUND, ASSESS & INSTRUC CARE, PER SESSION, 1ST 20 SQ CM OR LESS

Facility

$554.00

Service Code	HCPCS 97597
Hospital Charge Code	H4501021
Hospital Revenue Code	450
Min. Negotiated Rate	$237.02
Max. Negotiated Rate	$2,833.00
Rate for Payer: AlohaCare Medicaid	$237.02
Rate for Payer: AlohaCare Medicare	$237.02
Rate for Payer: Cash Price	$360.10
Rate for Payer: Cash Price	$360.10
Rate for Payer: Cash Price	$360.10
Rate for Payer: Devoted Health Medicare	$260.72
Rate for Payer: Hawaii Medical Service Association ABD	$393.00
Rate for Payer: Hawaii Medical Service Association Commercial	$2,833.00
Rate for Payer: Hawaii Medical Service Association Medicare	$237.02
Rate for Payer: Hawaii Medical Service Association Non-ABD	$407.95
Rate for Payer: Hawaii Western Management Group Commercial	$526.30
Rate for Payer: Health Management Network Commercial	$470.90
Rate for Payer: Humana Medicare	$237.02
Rate for Payer: Kaiser Permanente Commercial	$349.02
Rate for Payer: Kaiser Permanente Medicaid	$937.50
Rate for Payer: Kaiser Permanente Medicare	$237.02
Rate for Payer: MDX Hawaii PPO	$537.38
Rate for Payer: Ohana Health Plan Medicaid	$260.72
Rate for Payer: Ohana Health Plan Medicare	$237.02
Rate for Payer: UnitedHealthcare Medicare	$237.02
Rate for Payer: University Health Alliance Commercial	$403.81

HCHG DEBRIDE, OPEN WOUND, ASSESS & INSTRUC CARE, PER SESSION, 1ST 20 SQ CM OR LESS

Facility

$554.00

Service Code	HCPCS 97597
Hospital Charge Code	H4501021
Hospital Revenue Code	450
Min. Negotiated Rate	$470.90
Max. Negotiated Rate	$537.38
Rate for Payer: Cash Price	$360.10
Rate for Payer: Health Management Network Commercial	$470.90
Rate for Payer: MDX Hawaii PPO	$537.38

HCHG DEBRIDE OPN FX/DISLOC

Facility

$3,592.00

Service Code	HCPCS 11010
Hospital Charge Code	H4500368
Hospital Revenue Code	450
Min. Negotiated Rate	$340.18
Max. Negotiated Rate	$6,183.00
Rate for Payer: AlohaCare Medicaid	$836.55
Rate for Payer: AlohaCare Medicare	$836.55
Rate for Payer: Cash Price	$2,334.80
Rate for Payer: Cash Price	$2,334.80
Rate for Payer: Cash Price	$2,334.80
Rate for Payer: Devoted Health Medicare	$920.21
Rate for Payer: Hawaii Medical Service Association ABD	$695.00
Rate for Payer: Hawaii Medical Service Association Commercial	$6,183.00
Rate for Payer: Hawaii Medical Service Association Medicare	$836.55
Rate for Payer: Hawaii Medical Service Association Non-ABD	$700.72
Rate for Payer: Hawaii Western Management Group Commercial	$3,412.40
Rate for Payer: Health Management Network Commercial	$3,053.20
Rate for Payer: Humana Medicare	$836.55
Rate for Payer: Kaiser Permanente Commercial	$2,262.96
Rate for Payer: Kaiser Permanente Medicaid	$937.50
Rate for Payer: Kaiser Permanente Medicare	$836.55
Rate for Payer: MDX Hawaii PPO	$3,484.24
Rate for Payer: Ohana Health Plan Medicaid	$920.21
Rate for Payer: Ohana Health Plan Medicare	$836.55
Rate for Payer: UnitedHealthcare Medicaid	$340.18
Rate for Payer: UnitedHealthcare Medicare	$836.55
Rate for Payer: University Health Alliance Commercial	$2,618.21

HCHG DEBRIDE OPN FX/DISLOC

Facility

$3,592.00

Service Code	HCPCS 11010
Hospital Charge Code	H4500368
Hospital Revenue Code	450
Min. Negotiated Rate	$3,053.20
Max. Negotiated Rate	$3,484.24
Rate for Payer: Cash Price	$2,334.80
Rate for Payer: Health Management Network Commercial	$3,053.20
Rate for Payer: MDX Hawaii PPO	$3,484.24

HCHG DEBRIDE SKIN/SQ/MUSC/BONE

Facility

$7,149.00

Service Code	HCPCS 11044
Hospital Charge Code	H4500382
Hospital Revenue Code	450
Min. Negotiated Rate	$340.18
Max. Negotiated Rate	$9,416.00
Rate for Payer: AlohaCare Medicaid	$1,951.11
Rate for Payer: AlohaCare Medicare	$1,951.11
Rate for Payer: Cash Price	$4,646.85
Rate for Payer: Cash Price	$4,646.85
Rate for Payer: Cash Price	$4,646.85
Rate for Payer: Devoted Health Medicare	$2,146.22
Rate for Payer: Hawaii Medical Service Association ABD	$848.00
Rate for Payer: Hawaii Medical Service Association Commercial	$9,416.00
Rate for Payer: Hawaii Medical Service Association Medicare	$1,951.11
Rate for Payer: Hawaii Medical Service Association Non-ABD	$849.21
Rate for Payer: Hawaii Western Management Group Commercial	$6,791.55
Rate for Payer: Health Management Network Commercial	$6,076.65
Rate for Payer: Humana Medicare	$1,951.11
Rate for Payer: Kaiser Permanente Commercial	$4,503.87
Rate for Payer: Kaiser Permanente Medicaid	$937.50
Rate for Payer: Kaiser Permanente Medicare	$1,951.11
Rate for Payer: MDX Hawaii PPO	$6,934.53
Rate for Payer: Ohana Health Plan Medicaid	$2,146.22
Rate for Payer: Ohana Health Plan Medicare	$1,951.11
Rate for Payer: UnitedHealthcare Medicaid	$340.18
Rate for Payer: UnitedHealthcare Medicare	$1,951.11
Rate for Payer: University Health Alliance Commercial	$5,210.91

Know your out-of-pocket cost for care.

All Charges