|
NONTRAUMATIC STUPOR AND COMA WITH MCC
|
Facility
|
IP
|
$32,566.55
|
|
|
Service Code
|
MSDRG 080
|
| Min. Negotiated Rate |
$18,274.03 |
| Max. Negotiated Rate |
$32,566.55 |
| Rate for Payer: AlohaCare Medicare |
$18,274.03
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$32,566.55
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$18,274.03
|
| Rate for Payer: Humana Medicare |
$18,274.03
|
| Rate for Payer: Kaiser Permanente Medicare |
$18,274.03
|
| Rate for Payer: Ohana Health Plan Medicare |
$18,274.03
|
| Rate for Payer: UnitedHealthcare Medicare |
$18,274.03
|
|
|
NONTRAUMATIC STUPOR AND COMA WITHOUT MCC
|
Facility
|
IP
|
$32,566.55
|
|
|
Service Code
|
MSDRG 081
|
| Min. Negotiated Rate |
$9,262.28 |
| Max. Negotiated Rate |
$32,566.55 |
| Rate for Payer: AlohaCare Medicare |
$9,262.28
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$32,566.55
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$9,262.28
|
| Rate for Payer: Humana Medicare |
$9,262.28
|
| Rate for Payer: Kaiser Permanente Medicare |
$9,262.28
|
| Rate for Payer: Ohana Health Plan Medicare |
$9,262.28
|
| Rate for Payer: UnitedHealthcare Medicare |
$9,262.28
|
|
|
NORMAL NEWBORN
|
Facility
|
IP
|
$2,678.33
|
|
|
Service Code
|
MSDRG 795
|
| Min. Negotiated Rate |
$2,404.92 |
| Max. Negotiated Rate |
$2,678.33 |
| Rate for Payer: AlohaCare Medicare |
$2,404.92
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$2,678.33
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$2,404.92
|
| Rate for Payer: Humana Medicare |
$2,404.92
|
| Rate for Payer: Kaiser Permanente Medicare |
$2,404.92
|
| Rate for Payer: Ohana Health Plan Medicare |
$2,404.92
|
| Rate for Payer: UnitedHealthcare Medicare |
$2,404.92
|
|
|
Nursing fac care subseq
|
Professional
|
Both
|
$130.00
|
|
|
Service Code
|
HCPCS 99308
|
| Hospital Charge Code |
99308
|
| Min. Negotiated Rate |
$50.97 |
| Max. Negotiated Rate |
$110.50 |
| Rate for Payer: AlohaCare Medicaid |
$76.70
|
| Rate for Payer: AlohaCare Medicare |
$69.65
|
| Rate for Payer: Cash Price |
$84.50
|
| Rate for Payer: Cash Price |
$84.50
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$76.70
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$69.65
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$76.70
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$50.97
|
| Rate for Payer: Health Management Network Commercial |
$110.50
|
| Rate for Payer: Kaiser Permanente Commercial |
$83.58
|
| Rate for Payer: Kaiser Permanente Medicaid |
$83.58
|
| Rate for Payer: Kaiser Permanente Medicare |
$83.58
|
| Rate for Payer: Ohana Health Plan Medicare |
$69.65
|
| Rate for Payer: UnitedHealthcare Medicaid |
$76.70
|
| Rate for Payer: UnitedHealthcare Medicare |
$69.65
|
|
|
Nursing fac care subseq
|
Professional
|
Both
|
$172.00
|
|
|
Service Code
|
HCPCS 99309
|
| Hospital Charge Code |
99309
|
| Min. Negotiated Rate |
$69.47 |
| Max. Negotiated Rate |
$146.20 |
| Rate for Payer: AlohaCare Medicaid |
$110.71
|
| Rate for Payer: AlohaCare Medicare |
$100.64
|
| Rate for Payer: Cash Price |
$111.80
|
| Rate for Payer: Cash Price |
$111.80
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$110.71
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$100.64
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$110.71
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$69.47
|
| Rate for Payer: Health Management Network Commercial |
$146.20
|
| Rate for Payer: Kaiser Permanente Commercial |
$120.77
|
| Rate for Payer: Kaiser Permanente Medicaid |
$120.77
|
| Rate for Payer: Kaiser Permanente Medicare |
$120.77
|
| Rate for Payer: Ohana Health Plan Medicare |
$100.64
|
| Rate for Payer: UnitedHealthcare Medicaid |
$110.71
|
| Rate for Payer: UnitedHealthcare Medicare |
$100.64
|
|
|
Nursing fac care subseq
|
Professional
|
Both
|
$253.00
|
|
|
Service Code
|
HCPCS 99310
|
| Hospital Charge Code |
99310
|
| Min. Negotiated Rate |
$111.74 |
| Max. Negotiated Rate |
$215.05 |
| Rate for Payer: AlohaCare Medicaid |
$157.37
|
| Rate for Payer: AlohaCare Medicare |
$142.78
|
| Rate for Payer: Cash Price |
$164.45
|
| Rate for Payer: Cash Price |
$164.45
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$157.37
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$142.78
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$157.37
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$111.74
|
| Rate for Payer: Health Management Network Commercial |
$215.05
|
| Rate for Payer: Kaiser Permanente Commercial |
$171.34
|
| Rate for Payer: Kaiser Permanente Medicaid |
$171.34
|
| Rate for Payer: Kaiser Permanente Medicare |
$171.34
|
| Rate for Payer: Ohana Health Plan Medicare |
$142.78
|
| Rate for Payer: UnitedHealthcare Medicaid |
$157.37
|
| Rate for Payer: UnitedHealthcare Medicare |
$142.78
|
|
|
Nursing fac care subseq
|
Professional
|
Both
|
$83.00
|
|
|
Service Code
|
HCPCS 99307
|
| Hospital Charge Code |
99307
|
| Min. Negotiated Rate |
$27.59 |
| Max. Negotiated Rate |
$70.55 |
| Rate for Payer: AlohaCare Medicaid |
$41.45
|
| Rate for Payer: AlohaCare Medicare |
$38.02
|
| Rate for Payer: Cash Price |
$53.95
|
| Rate for Payer: Cash Price |
$53.95
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$41.45
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$38.02
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$41.45
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$27.59
|
| Rate for Payer: Health Management Network Commercial |
$70.55
|
| Rate for Payer: Kaiser Permanente Commercial |
$45.62
|
| Rate for Payer: Kaiser Permanente Medicaid |
$45.62
|
| Rate for Payer: Kaiser Permanente Medicare |
$45.62
|
| Rate for Payer: Ohana Health Plan Medicare |
$38.02
|
| Rate for Payer: UnitedHealthcare Medicaid |
$41.45
|
| Rate for Payer: UnitedHealthcare Medicare |
$38.02
|
|
|
Nursing facility care init
|
Professional
|
Both
|
$311.00
|
|
|
Service Code
|
HCPCS 99306
|
| Hospital Charge Code |
99306
|
| Min. Negotiated Rate |
$83.07 |
| Max. Negotiated Rate |
$264.35 |
| Rate for Payer: AlohaCare Medicaid |
$185.44
|
| Rate for Payer: AlohaCare Medicare |
$165.40
|
| Rate for Payer: Cash Price |
$202.15
|
| Rate for Payer: Cash Price |
$202.15
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$185.44
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$165.40
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$185.44
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$83.07
|
| Rate for Payer: Health Management Network Commercial |
$264.35
|
| Rate for Payer: Kaiser Permanente Commercial |
$198.48
|
| Rate for Payer: Kaiser Permanente Medicaid |
$198.48
|
| Rate for Payer: Kaiser Permanente Medicare |
$198.48
|
| Rate for Payer: Ohana Health Plan Medicare |
$165.40
|
| Rate for Payer: UnitedHealthcare Medicaid |
$185.44
|
| Rate for Payer: UnitedHealthcare Medicare |
$165.40
|
|
|
Nursing facility care init
|
Professional
|
Both
|
$242.00
|
|
|
Service Code
|
HCPCS 99305
|
| Hospital Charge Code |
99305
|
| Min. Negotiated Rate |
$76.02 |
| Max. Negotiated Rate |
$205.70 |
| Rate for Payer: AlohaCare Medicaid |
$136.11
|
| Rate for Payer: AlohaCare Medicare |
$121.54
|
| Rate for Payer: Cash Price |
$157.30
|
| Rate for Payer: Cash Price |
$157.30
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$136.11
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$121.54
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$136.11
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$76.02
|
| Rate for Payer: Health Management Network Commercial |
$205.70
|
| Rate for Payer: Kaiser Permanente Commercial |
$145.85
|
| Rate for Payer: Kaiser Permanente Medicaid |
$145.85
|
| Rate for Payer: Kaiser Permanente Medicare |
$145.85
|
| Rate for Payer: Ohana Health Plan Medicare |
$121.54
|
| Rate for Payer: UnitedHealthcare Medicaid |
$136.11
|
| Rate for Payer: UnitedHealthcare Medicare |
$121.54
|
|
|
Nursing facility care init
|
Professional
|
Both
|
$168.00
|
|
|
Service Code
|
HCPCS 99304
|
| Hospital Charge Code |
99304
|
| Min. Negotiated Rate |
$72.35 |
| Max. Negotiated Rate |
$142.80 |
| Rate for Payer: AlohaCare Medicaid |
$81.82
|
| Rate for Payer: AlohaCare Medicare |
$72.35
|
| Rate for Payer: Cash Price |
$109.20
|
| Rate for Payer: Cash Price |
$109.20
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$81.82
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$72.35
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$81.82
|
| Rate for Payer: Health Management Network Commercial |
$142.80
|
| Rate for Payer: Kaiser Permanente Commercial |
$86.82
|
| Rate for Payer: Kaiser Permanente Medicaid |
$86.82
|
| Rate for Payer: Kaiser Permanente Medicare |
$86.82
|
| Rate for Payer: Ohana Health Plan Medicare |
$72.35
|
| Rate for Payer: UnitedHealthcare Medicaid |
$81.82
|
| Rate for Payer: UnitedHealthcare Medicare |
$72.35
|
|
|
Occult blood
|
Facility
|
IP
|
$271.00
|
|
|
Service Code
|
HCPCS 82274
|
| Hospital Charge Code |
82274
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$230.35 |
| Max. Negotiated Rate |
$262.87 |
| Rate for Payer: Cash Price |
$176.15
|
| Rate for Payer: Health Management Network Commercial |
$230.35
|
| Rate for Payer: Kaiser Permanente Commercial |
$243.90
|
| Rate for Payer: MDX Hawaii PPO |
$262.87
|
|
|
Occult blood
|
Facility
|
OP
|
$271.00
|
|
|
Service Code
|
HCPCS 82274
|
| Hospital Charge Code |
82274
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$13.33 |
| Max. Negotiated Rate |
$262.87 |
| Rate for Payer: AlohaCare Medicaid |
$135.50
|
| Rate for Payer: Cash Price |
$176.15
|
| Rate for Payer: Cash Price |
$176.15
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$13.33
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$19.90
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$21.31
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$15.92
|
| Rate for Payer: Health Management Network Commercial |
$230.35
|
| Rate for Payer: Kaiser Permanente Commercial |
$243.90
|
| Rate for Payer: Kaiser Permanente Medicaid |
$138.21
|
| Rate for Payer: MDX Hawaii PPO |
$262.87
|
| Rate for Payer: UnitedHealthcare Medicaid |
$13.33
|
| Rate for Payer: University Health Alliance Commercial |
$41.11
|
|
|
Online Digital E/M Svc 5-10 min
|
Professional
|
Both
|
$24.00
|
|
|
Service Code
|
HCPCS 99421
|
| Hospital Charge Code |
99421
|
| Min. Negotiated Rate |
$11.02 |
| Max. Negotiated Rate |
$20.40 |
| Rate for Payer: AlohaCare Medicaid |
$12.90
|
| Rate for Payer: AlohaCare Medicare |
$11.02
|
| Rate for Payer: Cash Price |
$15.60
|
| Rate for Payer: Cash Price |
$15.60
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$12.90
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$15.04
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$11.02
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$12.90
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$16.14
|
| Rate for Payer: Health Management Network Commercial |
$20.40
|
| Rate for Payer: Kaiser Permanente Commercial |
$13.22
|
| Rate for Payer: Kaiser Permanente Medicaid |
$13.22
|
| Rate for Payer: Kaiser Permanente Medicare |
$13.22
|
| Rate for Payer: Ohana Health Plan Medicare |
$11.02
|
| Rate for Payer: UnitedHealthcare Medicaid |
$12.90
|
| Rate for Payer: UnitedHealthcare Medicare |
$11.02
|
|
|
Oral Function Therapy
|
Facility
|
OP
|
$613.00
|
|
|
Service Code
|
HCPCS 92526 GN
|
| Hospital Charge Code |
ST92526
|
|
Hospital Revenue Code
|
440
|
| Min. Negotiated Rate |
$22.46 |
| Max. Negotiated Rate |
$594.61 |
| Rate for Payer: AlohaCare Medicaid |
$306.50
|
| Rate for Payer: Cash Price |
$398.45
|
| Rate for Payer: Cash Price |
$398.45
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$582.35
|
| Rate for Payer: Health Management Network Commercial |
$521.05
|
| Rate for Payer: Kaiser Permanente Commercial |
$551.70
|
| Rate for Payer: Kaiser Permanente Medicaid |
$312.63
|
| Rate for Payer: MDX Hawaii PPO |
$594.61
|
| Rate for Payer: UnitedHealthcare Medicaid |
$22.46
|
| Rate for Payer: University Health Alliance Commercial |
$446.82
|
|
|
Oral Function Therapy
|
Facility
|
IP
|
$613.00
|
|
|
Service Code
|
HCPCS 92526 GN
|
| Hospital Charge Code |
ST92526
|
|
Hospital Revenue Code
|
440
|
| Min. Negotiated Rate |
$521.05 |
| Max. Negotiated Rate |
$594.61 |
| Rate for Payer: Cash Price |
$398.45
|
| Rate for Payer: Health Management Network Commercial |
$521.05
|
| Rate for Payer: Kaiser Permanente Commercial |
$551.70
|
| Rate for Payer: MDX Hawaii PPO |
$594.61
|
|
|
ORBITAL PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$23,606.77
|
|
|
Service Code
|
MSDRG 113
|
| Min. Negotiated Rate |
$10,400.00 |
| Max. Negotiated Rate |
$23,606.77 |
| Rate for Payer: AlohaCare Medicare |
$23,606.77
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$19,103.81
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$23,606.77
|
| Rate for Payer: Humana Medicare |
$23,606.77
|
| Rate for Payer: Kaiser Permanente Medicare |
$23,606.77
|
| Rate for Payer: Ohana Health Plan Medicare |
$23,606.77
|
| Rate for Payer: UnitedHealthcare Medicare |
$23,606.77
|
| Rate for Payer: University Health Alliance Commercial |
$10,400.00
|
|
|
ORBITAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$19,103.81
|
|
|
Service Code
|
MSDRG 114
|
| Min. Negotiated Rate |
$10,400.00 |
| Max. Negotiated Rate |
$19,103.81 |
| Rate for Payer: AlohaCare Medicare |
$13,770.13
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$19,103.81
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$13,770.13
|
| Rate for Payer: Humana Medicare |
$13,770.13
|
| Rate for Payer: Kaiser Permanente Medicare |
$13,770.13
|
| Rate for Payer: Ohana Health Plan Medicare |
$13,770.13
|
| Rate for Payer: UnitedHealthcare Medicare |
$13,770.13
|
| Rate for Payer: University Health Alliance Commercial |
$10,400.00
|
|
|
ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY
|
Facility
|
IP
|
$25,669.27
|
|
|
Service Code
|
MSDRG 884
|
| Min. Negotiated Rate |
$16,292.11 |
| Max. Negotiated Rate |
$25,669.27 |
| Rate for Payer: AlohaCare Medicare |
$16,292.11
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$25,669.27
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$16,292.11
|
| Rate for Payer: Humana Medicare |
$16,292.11
|
| Rate for Payer: Kaiser Permanente Medicare |
$16,292.11
|
| Rate for Payer: Ohana Health Plan Medicare |
$16,292.11
|
| Rate for Payer: UnitedHealthcare Medicare |
$16,292.11
|
|
|
O.R. PROCEDURES FOR OBESITY WITH CC
|
Facility
|
IP
|
$51,717.76
|
|
|
Service Code
|
MSDRG 620
|
| Min. Negotiated Rate |
$16,207.36 |
| Max. Negotiated Rate |
$51,717.76 |
| Rate for Payer: AlohaCare Medicare |
$16,207.36
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$51,717.76
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$16,207.36
|
| Rate for Payer: Humana Medicare |
$16,207.36
|
| Rate for Payer: Kaiser Permanente Medicare |
$16,207.36
|
| Rate for Payer: Ohana Health Plan Medicare |
$16,207.36
|
| Rate for Payer: UnitedHealthcare Medicare |
$16,207.36
|
|
|
O.R. PROCEDURES FOR OBESITY WITH MCC
|
Facility
|
IP
|
$51,717.76
|
|
|
Service Code
|
MSDRG 619
|
| Min. Negotiated Rate |
$28,892.19 |
| Max. Negotiated Rate |
$51,717.76 |
| Rate for Payer: AlohaCare Medicare |
$28,892.19
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$51,717.76
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$28,892.19
|
| Rate for Payer: Humana Medicare |
$28,892.19
|
| Rate for Payer: Kaiser Permanente Medicare |
$28,892.19
|
| Rate for Payer: Ohana Health Plan Medicare |
$28,892.19
|
| Rate for Payer: UnitedHealthcare Medicare |
$28,892.19
|
|
|
O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC
|
Facility
|
IP
|
$51,504.45
|
|
|
Service Code
|
MSDRG 621
|
| Min. Negotiated Rate |
$15,301.65 |
| Max. Negotiated Rate |
$51,504.45 |
| Rate for Payer: AlohaCare Medicare |
$15,301.65
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$51,504.45
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$15,301.65
|
| Rate for Payer: Humana Medicare |
$15,301.65
|
| Rate for Payer: Kaiser Permanente Medicare |
$15,301.65
|
| Rate for Payer: Ohana Health Plan Medicare |
$15,301.65
|
| Rate for Payer: UnitedHealthcare Medicare |
$15,301.65
|
|
|
O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC
|
Facility
|
IP
|
$38,586.86
|
|
|
Service Code
|
MSDRG 940
|
| Min. Negotiated Rate |
$23,466.81 |
| Max. Negotiated Rate |
$38,586.86 |
| Rate for Payer: AlohaCare Medicare |
$23,466.81
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$38,586.86
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$23,466.81
|
| Rate for Payer: Humana Medicare |
$23,466.81
|
| Rate for Payer: Kaiser Permanente Medicare |
$23,466.81
|
| Rate for Payer: Ohana Health Plan Medicare |
$23,466.81
|
| Rate for Payer: UnitedHealthcare Medicare |
$23,466.81
|
|
|
O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC
|
Facility
|
IP
|
$38,586.86
|
|
|
Service Code
|
MSDRG 939
|
| Min. Negotiated Rate |
$36,196.00 |
| Max. Negotiated Rate |
$38,586.86 |
| Rate for Payer: AlohaCare Medicare |
$36,196.00
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$38,586.86
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$36,196.00
|
| Rate for Payer: Humana Medicare |
$36,196.00
|
| Rate for Payer: Kaiser Permanente Medicare |
$36,196.00
|
| Rate for Payer: Ohana Health Plan Medicare |
$36,196.00
|
| Rate for Payer: UnitedHealthcare Medicare |
$36,196.00
|
|
|
O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC
|
Facility
|
IP
|
$38,586.86
|
|
|
Service Code
|
MSDRG 941
|
| Min. Negotiated Rate |
$20,419.53 |
| Max. Negotiated Rate |
$38,586.86 |
| Rate for Payer: AlohaCare Medicare |
$20,419.53
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$38,586.86
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$20,419.53
|
| Rate for Payer: Humana Medicare |
$20,419.53
|
| Rate for Payer: Kaiser Permanente Medicare |
$20,419.53
|
| Rate for Payer: Ohana Health Plan Medicare |
$20,419.53
|
| Rate for Payer: UnitedHealthcare Medicare |
$20,419.53
|
|
|
O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS
|
Facility
|
IP
|
$85,990.86
|
|
|
Service Code
|
MSDRG 876
|
| Min. Negotiated Rate |
$38,525.79 |
| Max. Negotiated Rate |
$85,990.86 |
| Rate for Payer: AlohaCare Medicare |
$38,525.79
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$85,990.86
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$38,525.79
|
| Rate for Payer: Humana Medicare |
$38,525.79
|
| Rate for Payer: Kaiser Permanente Medicare |
$38,525.79
|
| Rate for Payer: Ohana Health Plan Medicare |
$38,525.79
|
| Rate for Payer: UnitedHealthcare Medicare |
$38,525.79
|
|
