Kona Community Hospital

All Charges

Charge

Type

Setting

Price

HCHG HDL - CHOLESTEROL

Facility

$107.00

Service Code	HCPCS 83718
Hospital Charge Code	H3011594
Hospital Revenue Code	301
Min. Negotiated Rate	$90.95
Max. Negotiated Rate	$103.79
Rate for Payer: Cash Price	$69.55
Rate for Payer: Health Management Network Commercial	$90.95
Rate for Payer: MDX Hawaii PPO	$103.79

HCHG HDL - CHOLESTEROL

Facility

$107.00

Service Code	HCPCS 83718
Hospital Charge Code	H3011594
Hospital Revenue Code	301
Min. Negotiated Rate	$8.19
Max. Negotiated Rate	$103.79
Rate for Payer: AlohaCare Medicaid	$8.19
Rate for Payer: AlohaCare Medicare	$8.19
Rate for Payer: Cash Price	$69.55
Rate for Payer: Cash Price	$69.55
Rate for Payer: Devoted Health Medicare	$9.01
Rate for Payer: Hawaii Medical Service Association ABD	$11.31
Rate for Payer: Hawaii Medical Service Association Commercial	$10.24
Rate for Payer: Hawaii Medical Service Association Medicare	$8.19
Rate for Payer: Hawaii Medical Service Association Non-ABD	$11.88
Rate for Payer: Hawaii Western Management Group Commercial	$8.19
Rate for Payer: Health Management Network Commercial	$90.95
Rate for Payer: Humana Medicare	$8.19
Rate for Payer: Kaiser Permanente Commercial	$67.41
Rate for Payer: Kaiser Permanente Medicaid	$54.57
Rate for Payer: Kaiser Permanente Medicare	$8.19
Rate for Payer: MDX Hawaii PPO	$103.79
Rate for Payer: Ohana Health Plan Medicaid	$9.01
Rate for Payer: Ohana Health Plan Medicare	$8.19
Rate for Payer: UnitedHealthcare Medicaid	$11.31
Rate for Payer: UnitedHealthcare Medicare	$8.19
Rate for Payer: University Health Alliance Commercial	$21.16

HCHG HEEL MIN 2 VIEWS

Facility

$475.00

Service Code	HCPCS 73650
Hospital Charge Code	H3200432
Hospital Revenue Code	320
Min. Negotiated Rate	$17.03
Max. Negotiated Rate	$460.75
Rate for Payer: AlohaCare Medicaid	$102.81
Rate for Payer: AlohaCare Medicare	$102.81
Rate for Payer: Cash Price	$308.75
Rate for Payer: Cash Price	$308.75
Rate for Payer: Devoted Health Medicare	$113.09
Rate for Payer: Hawaii Medical Service Association ABD	$17.03
Rate for Payer: Hawaii Medical Service Association Commercial	$128.51
Rate for Payer: Hawaii Medical Service Association Medicare	$102.81
Rate for Payer: Hawaii Medical Service Association Non-ABD	$17.88
Rate for Payer: Hawaii Western Management Group Commercial	$102.81
Rate for Payer: Health Management Network Commercial	$403.75
Rate for Payer: Humana Medicare	$102.81
Rate for Payer: Kaiser Permanente Commercial	$299.25
Rate for Payer: Kaiser Permanente Medicaid	$242.25
Rate for Payer: Kaiser Permanente Medicare	$102.81
Rate for Payer: MDX Hawaii PPO	$460.75
Rate for Payer: Ohana Health Plan Medicaid	$113.09
Rate for Payer: Ohana Health Plan Medicare	$102.81
Rate for Payer: UnitedHealthcare Medicaid	$17.03
Rate for Payer: UnitedHealthcare Medicare	$102.81
Rate for Payer: University Health Alliance Commercial	$53.87

HCHG HEEL MIN 2 VIEWS

Facility

$475.00

Service Code	HCPCS 73650
Hospital Charge Code	H3200432
Hospital Revenue Code	320
Min. Negotiated Rate	$403.75
Max. Negotiated Rate	$460.75
Rate for Payer: Cash Price	$308.75
Rate for Payer: Health Management Network Commercial	$403.75
Rate for Payer: MDX Hawaii PPO	$460.75

HCHG HEEL PORT MIN 2 VIEWS

Facility

$475.00

Service Code	HCPCS 73650
Hospital Charge Code	H3200436
Hospital Revenue Code	320
Min. Negotiated Rate	$17.03
Max. Negotiated Rate	$460.75
Rate for Payer: AlohaCare Medicaid	$102.81
Rate for Payer: AlohaCare Medicare	$102.81
Rate for Payer: Cash Price	$308.75
Rate for Payer: Cash Price	$308.75
Rate for Payer: Devoted Health Medicare	$113.09
Rate for Payer: Hawaii Medical Service Association ABD	$17.03
Rate for Payer: Hawaii Medical Service Association Commercial	$128.51
Rate for Payer: Hawaii Medical Service Association Medicare	$102.81
Rate for Payer: Hawaii Medical Service Association Non-ABD	$17.88
Rate for Payer: Hawaii Western Management Group Commercial	$102.81
Rate for Payer: Health Management Network Commercial	$403.75
Rate for Payer: Humana Medicare	$102.81
Rate for Payer: Kaiser Permanente Commercial	$299.25
Rate for Payer: Kaiser Permanente Medicaid	$242.25
Rate for Payer: Kaiser Permanente Medicare	$102.81
Rate for Payer: MDX Hawaii PPO	$460.75
Rate for Payer: Ohana Health Plan Medicaid	$113.09
Rate for Payer: Ohana Health Plan Medicare	$102.81
Rate for Payer: UnitedHealthcare Medicaid	$17.03
Rate for Payer: UnitedHealthcare Medicare	$102.81
Rate for Payer: University Health Alliance Commercial	$53.87

HCHG HEEL PORT MIN 2 VIEWS

Facility

$475.00

Service Code	HCPCS 73650
Hospital Charge Code	H3200436
Hospital Revenue Code	320
Min. Negotiated Rate	$403.75
Max. Negotiated Rate	$460.75
Rate for Payer: Cash Price	$308.75
Rate for Payer: Health Management Network Commercial	$403.75
Rate for Payer: MDX Hawaii PPO	$460.75

HCHG HELIOCOBACTER PYLORI AB IGG

Facility

$197.00

Service Code	HCPCS 86677
Hospital Charge Code	H3020522
Hospital Revenue Code	302
Min. Negotiated Rate	$16.85
Max. Negotiated Rate	$191.09
Rate for Payer: AlohaCare Medicaid	$16.85
Rate for Payer: AlohaCare Medicare	$16.85
Rate for Payer: Cash Price	$128.05
Rate for Payer: Cash Price	$128.05
Rate for Payer: Devoted Health Medicare	$18.54
Rate for Payer: Hawaii Medical Service Association ABD	$20.05
Rate for Payer: Hawaii Medical Service Association Commercial	$21.06
Rate for Payer: Hawaii Medical Service Association Medicare	$16.85
Rate for Payer: Hawaii Medical Service Association Non-ABD	$21.05
Rate for Payer: Hawaii Western Management Group Commercial	$16.85
Rate for Payer: Health Management Network Commercial	$167.45
Rate for Payer: Humana Medicare	$16.85
Rate for Payer: Kaiser Permanente Commercial	$124.11
Rate for Payer: Kaiser Permanente Medicaid	$100.47
Rate for Payer: Kaiser Permanente Medicare	$16.85
Rate for Payer: MDX Hawaii PPO	$191.09
Rate for Payer: Ohana Health Plan Medicaid	$18.54
Rate for Payer: Ohana Health Plan Medicare	$16.85
Rate for Payer: UnitedHealthcare Medicaid	$20.05
Rate for Payer: UnitedHealthcare Medicare	$16.85
Rate for Payer: University Health Alliance Commercial	$37.52

HCHG HELIOCOBACTER PYLORI AB IGG

Facility

$197.00

Service Code	HCPCS 86677
Hospital Charge Code	H3020522
Hospital Revenue Code	302
Min. Negotiated Rate	$167.45
Max. Negotiated Rate	$191.09
Rate for Payer: Cash Price	$128.05
Rate for Payer: Health Management Network Commercial	$167.45
Rate for Payer: MDX Hawaii PPO	$191.09

HCHG HELMINTH AB NOS SO

Facility

$125.00

Service Code	HCPCS 86682
Hospital Charge Code	K3020011
Hospital Revenue Code	302
Min. Negotiated Rate	$106.25
Max. Negotiated Rate	$121.25
Rate for Payer: Cash Price	$81.25
Rate for Payer: Health Management Network Commercial	$106.25
Rate for Payer: MDX Hawaii PPO	$121.25

HCHG HELMINTH AB NOS SO

Facility

$125.00

Service Code	HCPCS 86682
Hospital Charge Code	K3020011
Hospital Revenue Code	302
Min. Negotiated Rate	$12.60
Max. Negotiated Rate	$121.25
Rate for Payer: AlohaCare Medicaid	$13.01
Rate for Payer: AlohaCare Medicare	$13.01
Rate for Payer: Cash Price	$81.25
Rate for Payer: Cash Price	$81.25
Rate for Payer: Devoted Health Medicare	$14.31
Rate for Payer: Hawaii Medical Service Association ABD	$12.60
Rate for Payer: Hawaii Medical Service Association Commercial	$16.26
Rate for Payer: Hawaii Medical Service Association Medicare	$13.01
Rate for Payer: Hawaii Medical Service Association Non-ABD	$13.30
Rate for Payer: Hawaii Western Management Group Commercial	$13.01
Rate for Payer: Health Management Network Commercial	$106.25
Rate for Payer: Humana Medicare	$13.01
Rate for Payer: Kaiser Permanente Commercial	$78.75
Rate for Payer: Kaiser Permanente Medicaid	$63.75
Rate for Payer: Kaiser Permanente Medicare	$13.01
Rate for Payer: MDX Hawaii PPO	$121.25
Rate for Payer: Ohana Health Plan Medicaid	$14.31
Rate for Payer: Ohana Health Plan Medicare	$13.01
Rate for Payer: UnitedHealthcare Medicaid	$12.60
Rate for Payer: UnitedHealthcare Medicare	$13.01
Rate for Payer: University Health Alliance Commercial	$24.88

HCHG HEMATOCRIT

Facility

$33.00

Service Code	HCPCS 85014
Hospital Charge Code	H3050156
Hospital Revenue Code	305
Min. Negotiated Rate	$2.37
Max. Negotiated Rate	$32.01
Rate for Payer: AlohaCare Medicaid	$2.37
Rate for Payer: AlohaCare Medicare	$2.37
Rate for Payer: Cash Price	$21.45
Rate for Payer: Cash Price	$21.45
Rate for Payer: Devoted Health Medicare	$2.61
Rate for Payer: Hawaii Medical Service Association ABD	$3.27
Rate for Payer: Hawaii Medical Service Association Commercial	$2.96
Rate for Payer: Hawaii Medical Service Association Medicare	$2.37
Rate for Payer: Hawaii Medical Service Association Non-ABD	$3.43
Rate for Payer: Hawaii Western Management Group Commercial	$2.37
Rate for Payer: Health Management Network Commercial	$28.05
Rate for Payer: Humana Medicare	$2.37
Rate for Payer: Kaiser Permanente Commercial	$20.79
Rate for Payer: Kaiser Permanente Medicaid	$16.83
Rate for Payer: Kaiser Permanente Medicare	$2.37
Rate for Payer: MDX Hawaii PPO	$32.01
Rate for Payer: Ohana Health Plan Medicaid	$2.61
Rate for Payer: Ohana Health Plan Medicare	$2.37
Rate for Payer: UnitedHealthcare Medicaid	$3.27
Rate for Payer: UnitedHealthcare Medicare	$2.37
Rate for Payer: University Health Alliance Commercial	$6.12

HCHG HEMATOCRIT

Facility

$33.00

Service Code	HCPCS 85014
Hospital Charge Code	H3050156
Hospital Revenue Code	305
Min. Negotiated Rate	$28.05
Max. Negotiated Rate	$32.01
Rate for Payer: Cash Price	$21.45
Rate for Payer: Health Management Network Commercial	$28.05
Rate for Payer: MDX Hawaii PPO	$32.01

HCHG HEMOCHROMATOSIS

Facility

$648.00

Service Code	HCPCS 81256
Hospital Charge Code	H3100161
Hospital Revenue Code	310
Min. Negotiated Rate	$42.12
Max. Negotiated Rate	$628.56
Rate for Payer: AlohaCare Medicaid	$65.36
Rate for Payer: AlohaCare Medicare	$65.36
Rate for Payer: Cash Price	$421.20
Rate for Payer: Cash Price	$421.20
Rate for Payer: Devoted Health Medicare	$71.90
Rate for Payer: Hawaii Medical Service Association ABD	$87.49
Rate for Payer: Hawaii Medical Service Association Commercial	$81.70
Rate for Payer: Hawaii Medical Service Association Medicare	$65.36
Rate for Payer: Hawaii Medical Service Association Non-ABD	$87.49
Rate for Payer: Hawaii Western Management Group Commercial	$65.36
Rate for Payer: Health Management Network Commercial	$550.80
Rate for Payer: Humana Medicare	$65.36
Rate for Payer: Kaiser Permanente Commercial	$408.24
Rate for Payer: Kaiser Permanente Medicaid	$330.48
Rate for Payer: Kaiser Permanente Medicare	$65.36
Rate for Payer: MDX Hawaii PPO	$628.56
Rate for Payer: Ohana Health Plan Medicaid	$71.90
Rate for Payer: Ohana Health Plan Medicare	$65.36
Rate for Payer: UnitedHealthcare Medicaid	$42.12
Rate for Payer: UnitedHealthcare Medicare	$65.36
Rate for Payer: University Health Alliance Commercial	$164.96

HCHG HEMOCHROMATOSIS

Facility

$648.00

Service Code	HCPCS 81256
Hospital Charge Code	H3100161
Hospital Revenue Code	310
Min. Negotiated Rate	$550.80
Max. Negotiated Rate	$628.56
Rate for Payer: Cash Price	$421.20
Rate for Payer: Health Management Network Commercial	$550.80
Rate for Payer: MDX Hawaii PPO	$628.56

HCHG HEMOGLOBIN

Facility

$41.00

Service Code	HCPCS 85018
Hospital Charge Code	H3050160
Hospital Revenue Code	305
Min. Negotiated Rate	$2.37
Max. Negotiated Rate	$39.77
Rate for Payer: AlohaCare Medicaid	$2.37
Rate for Payer: AlohaCare Medicare	$2.37
Rate for Payer: Cash Price	$26.65
Rate for Payer: Cash Price	$26.65
Rate for Payer: Devoted Health Medicare	$2.61
Rate for Payer: Hawaii Medical Service Association ABD	$3.27
Rate for Payer: Hawaii Medical Service Association Commercial	$2.96
Rate for Payer: Hawaii Medical Service Association Medicare	$2.37
Rate for Payer: Hawaii Medical Service Association Non-ABD	$3.43
Rate for Payer: Hawaii Western Management Group Commercial	$2.37
Rate for Payer: Health Management Network Commercial	$34.85
Rate for Payer: Humana Medicare	$2.37
Rate for Payer: Kaiser Permanente Commercial	$25.83
Rate for Payer: Kaiser Permanente Medicaid	$20.91
Rate for Payer: Kaiser Permanente Medicare	$2.37
Rate for Payer: MDX Hawaii PPO	$39.77
Rate for Payer: Ohana Health Plan Medicaid	$2.61
Rate for Payer: Ohana Health Plan Medicare	$2.37
Rate for Payer: UnitedHealthcare Medicaid	$3.27
Rate for Payer: UnitedHealthcare Medicare	$2.37
Rate for Payer: University Health Alliance Commercial	$6.12

HCHG HEMOGLOBIN

Facility

$41.00

Service Code	HCPCS 85018
Hospital Charge Code	H3050160
Hospital Revenue Code	305
Min. Negotiated Rate	$34.85
Max. Negotiated Rate	$39.77
Rate for Payer: Cash Price	$26.65
Rate for Payer: Health Management Network Commercial	$34.85
Rate for Payer: MDX Hawaii PPO	$39.77

HCHG HEMOGLOBIN A1C HPLC

Facility

$147.00

Service Code	HCPCS 83036
Hospital Charge Code	H3010714
Hospital Revenue Code	301
Min. Negotiated Rate	$124.95
Max. Negotiated Rate	$142.59
Rate for Payer: Cash Price	$95.55
Rate for Payer: Health Management Network Commercial	$124.95
Rate for Payer: MDX Hawaii PPO	$142.59

HCHG HEMOGLOBIN A1C HPLC

Facility

$147.00

Service Code	HCPCS 83036
Hospital Charge Code	H3010714
Hospital Revenue Code	301
Min. Negotiated Rate	$9.71
Max. Negotiated Rate	$142.59
Rate for Payer: AlohaCare Medicaid	$9.71
Rate for Payer: AlohaCare Medicare	$9.71
Rate for Payer: Cash Price	$95.55
Rate for Payer: Cash Price	$95.55
Rate for Payer: Devoted Health Medicare	$10.68
Rate for Payer: Hawaii Medical Service Association ABD	$13.42
Rate for Payer: Hawaii Medical Service Association Commercial	$12.14
Rate for Payer: Hawaii Medical Service Association Medicare	$9.71
Rate for Payer: Hawaii Medical Service Association Non-ABD	$14.09
Rate for Payer: Hawaii Western Management Group Commercial	$9.71
Rate for Payer: Health Management Network Commercial	$124.95
Rate for Payer: Humana Medicare	$9.71
Rate for Payer: Kaiser Permanente Commercial	$92.61
Rate for Payer: Kaiser Permanente Medicaid	$74.97
Rate for Payer: Kaiser Permanente Medicare	$9.71
Rate for Payer: MDX Hawaii PPO	$142.59
Rate for Payer: Ohana Health Plan Medicaid	$10.68
Rate for Payer: Ohana Health Plan Medicare	$9.71
Rate for Payer: UnitedHealthcare Medicaid	$13.42
Rate for Payer: UnitedHealthcare Medicare	$9.71
Rate for Payer: University Health Alliance Commercial	$25.09

HCHG HEMOGLOBIN ELP

Facility

$159.00

Service Code	HCPCS 83020
Hospital Charge Code	H3000280
Hospital Revenue Code	301
Min. Negotiated Rate	$12.87
Max. Negotiated Rate	$154.23
Rate for Payer: AlohaCare Medicaid	$12.87
Rate for Payer: AlohaCare Medicare	$12.87
Rate for Payer: Cash Price	$103.35
Rate for Payer: Cash Price	$103.35
Rate for Payer: Devoted Health Medicare	$14.16
Rate for Payer: Hawaii Medical Service Association ABD	$17.80
Rate for Payer: Hawaii Medical Service Association Commercial	$16.09
Rate for Payer: Hawaii Medical Service Association Medicare	$12.87
Rate for Payer: Hawaii Medical Service Association Non-ABD	$18.69
Rate for Payer: Hawaii Western Management Group Commercial	$12.87
Rate for Payer: Health Management Network Commercial	$135.15
Rate for Payer: Humana Medicare	$12.87
Rate for Payer: Kaiser Permanente Commercial	$100.17
Rate for Payer: Kaiser Permanente Medicaid	$81.09
Rate for Payer: Kaiser Permanente Medicare	$12.87
Rate for Payer: MDX Hawaii PPO	$154.23
Rate for Payer: Ohana Health Plan Medicaid	$14.16
Rate for Payer: Ohana Health Plan Medicare	$12.87
Rate for Payer: UnitedHealthcare Medicaid	$17.80
Rate for Payer: UnitedHealthcare Medicare	$12.87
Rate for Payer: University Health Alliance Commercial	$33.28

HCHG HEMOGLOBIN ELP

Facility

$159.00

Service Code	HCPCS 83020
Hospital Charge Code	H3000280
Hospital Revenue Code	301
Min. Negotiated Rate	$135.15
Max. Negotiated Rate	$154.23
Rate for Payer: Cash Price	$103.35
Rate for Payer: Health Management Network Commercial	$135.15
Rate for Payer: MDX Hawaii PPO	$154.23

HCHG HEMOGLOBINOPATHY SCRN

Facility

$133.00

Service Code	HCPCS 83021
Hospital Charge Code	H3010718
Hospital Revenue Code	301
Min. Negotiated Rate	$18.06
Max. Negotiated Rate	$129.01
Rate for Payer: AlohaCare Medicaid	$18.06
Rate for Payer: AlohaCare Medicare	$18.06
Rate for Payer: Cash Price	$86.45
Rate for Payer: Cash Price	$86.45
Rate for Payer: Devoted Health Medicare	$19.87
Rate for Payer: Hawaii Medical Service Association ABD	$24.96
Rate for Payer: Hawaii Medical Service Association Commercial	$22.57
Rate for Payer: Hawaii Medical Service Association Medicare	$18.06
Rate for Payer: Hawaii Medical Service Association Non-ABD	$26.21
Rate for Payer: Hawaii Western Management Group Commercial	$18.06
Rate for Payer: Health Management Network Commercial	$113.05
Rate for Payer: Humana Medicare	$18.06
Rate for Payer: Kaiser Permanente Commercial	$83.79
Rate for Payer: Kaiser Permanente Medicaid	$67.83
Rate for Payer: Kaiser Permanente Medicare	$18.06
Rate for Payer: MDX Hawaii PPO	$129.01
Rate for Payer: Ohana Health Plan Medicaid	$19.87
Rate for Payer: Ohana Health Plan Medicare	$18.06
Rate for Payer: UnitedHealthcare Medicaid	$24.96
Rate for Payer: UnitedHealthcare Medicare	$18.06
Rate for Payer: University Health Alliance Commercial	$46.68

HCHG HEMOGLOBINOPATHY SCRN

Facility

$133.00

Service Code	HCPCS 83021
Hospital Charge Code	H3010718
Hospital Revenue Code	301
Min. Negotiated Rate	$113.05
Max. Negotiated Rate	$129.01
Rate for Payer: Cash Price	$86.45
Rate for Payer: Health Management Network Commercial	$113.05
Rate for Payer: MDX Hawaii PPO	$129.01

HCHG HEP A AB IGM

Facility

$139.00

Service Code	HCPCS 86709
Hospital Charge Code	H3020524
Hospital Revenue Code	302
Min. Negotiated Rate	$118.15
Max. Negotiated Rate	$134.83
Rate for Payer: Cash Price	$90.35
Rate for Payer: Health Management Network Commercial	$118.15
Rate for Payer: MDX Hawaii PPO	$134.83

HCHG HEP A AB IGM

Facility

$139.00

Service Code	HCPCS 86709
Hospital Charge Code	H3020524
Hospital Revenue Code	302
Min. Negotiated Rate	$11.26
Max. Negotiated Rate	$134.83
Rate for Payer: AlohaCare Medicaid	$11.26
Rate for Payer: AlohaCare Medicare	$11.26
Rate for Payer: Cash Price	$90.35
Rate for Payer: Cash Price	$90.35
Rate for Payer: Devoted Health Medicare	$12.39
Rate for Payer: Hawaii Medical Service Association ABD	$15.55
Rate for Payer: Hawaii Medical Service Association Commercial	$14.07
Rate for Payer: Hawaii Medical Service Association Medicare	$11.26
Rate for Payer: Hawaii Medical Service Association Non-ABD	$16.33
Rate for Payer: Hawaii Western Management Group Commercial	$11.26
Rate for Payer: Health Management Network Commercial	$118.15
Rate for Payer: Humana Medicare	$11.26
Rate for Payer: Kaiser Permanente Commercial	$87.57
Rate for Payer: Kaiser Permanente Medicaid	$70.89
Rate for Payer: Kaiser Permanente Medicare	$11.26
Rate for Payer: MDX Hawaii PPO	$134.83
Rate for Payer: Ohana Health Plan Medicaid	$12.39
Rate for Payer: Ohana Health Plan Medicare	$11.26
Rate for Payer: UnitedHealthcare Medicaid	$15.55
Rate for Payer: UnitedHealthcare Medicare	$11.26
Rate for Payer: University Health Alliance Commercial	$29.10

HCHG HEPARIN ASSAY LMWH

Facility

$141.00

Service Code	HCPCS 85520
Hospital Charge Code	H3050168
Hospital Revenue Code	305
Min. Negotiated Rate	$13.09
Max. Negotiated Rate	$136.77
Rate for Payer: AlohaCare Medicaid	$13.09
Rate for Payer: AlohaCare Medicare	$13.09
Rate for Payer: Cash Price	$91.65
Rate for Payer: Cash Price	$91.65
Rate for Payer: Devoted Health Medicare	$14.40
Rate for Payer: Hawaii Medical Service Association ABD	$15.81
Rate for Payer: Hawaii Medical Service Association Commercial	$16.36
Rate for Payer: Hawaii Medical Service Association Medicare	$13.09
Rate for Payer: Hawaii Medical Service Association Non-ABD	$16.60
Rate for Payer: Hawaii Western Management Group Commercial	$13.09
Rate for Payer: Health Management Network Commercial	$119.85
Rate for Payer: Humana Medicare	$13.09
Rate for Payer: Kaiser Permanente Commercial	$88.83
Rate for Payer: Kaiser Permanente Medicaid	$71.91
Rate for Payer: Kaiser Permanente Medicare	$13.09
Rate for Payer: MDX Hawaii PPO	$136.77
Rate for Payer: Ohana Health Plan Medicaid	$14.40
Rate for Payer: Ohana Health Plan Medicare	$13.09
Rate for Payer: UnitedHealthcare Medicaid	$15.81
Rate for Payer: UnitedHealthcare Medicare	$13.09
Rate for Payer: University Health Alliance Commercial	$29.56

Know your out-of-pocket cost for care.

All Charges