Leahi Hospital

All Charges

Charge

Type

Setting

Price

OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC

Facility

$132,162.35

Service Code	MSDRG 319
Min. Negotiated Rate	$44,419.30
Max. Negotiated Rate	$132,162.35
Rate for Payer: AlohaCare Medicare	$44,419.30
Rate for Payer: Hawaii Medical Service Association Commercial	$132,162.35
Rate for Payer: Hawaii Medical Service Association Medicare	$44,419.30
Rate for Payer: Humana Medicare	$44,419.30
Rate for Payer: Kaiser Permanente Medicare	$44,419.30
Rate for Payer: Ohana Health Plan Medicare	$44,419.30
Rate for Payer: UnitedHealthcare Medicare	$44,419.30

OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC

Facility

$132,162.35

Service Code	MSDRG 320
Min. Negotiated Rate	$24,140.91
Max. Negotiated Rate	$132,162.35
Rate for Payer: AlohaCare Medicare	$24,140.91
Rate for Payer: Hawaii Medical Service Association Commercial	$132,162.35
Rate for Payer: Hawaii Medical Service Association Medicare	$24,140.91
Rate for Payer: Humana Medicare	$24,140.91
Rate for Payer: Kaiser Permanente Medicare	$24,140.91
Rate for Payer: Ohana Health Plan Medicare	$24,140.91
Rate for Payer: UnitedHealthcare Medicare	$24,140.91

OTHER FACTORS INFLUENCING HEALTH STATUS

Facility

$11,424.36

Service Code	MSDRG 951
Min. Negotiated Rate	$5,915.40
Max. Negotiated Rate	$11,424.36
Rate for Payer: AlohaCare Medicare	$5,915.40
Rate for Payer: Hawaii Medical Service Association Commercial	$11,424.36
Rate for Payer: Hawaii Medical Service Association Medicare	$5,915.40
Rate for Payer: Humana Medicare	$5,915.40
Rate for Payer: Kaiser Permanente Medicare	$5,915.40
Rate for Payer: Ohana Health Plan Medicare	$5,915.40
Rate for Payer: UnitedHealthcare Medicare	$5,915.40

OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC

Facility

$33,064.29

Service Code	MSDRG 749
Min. Negotiated Rate	$25,740.43
Max. Negotiated Rate	$33,064.29
Rate for Payer: AlohaCare Medicare	$25,740.43
Rate for Payer: Hawaii Medical Service Association Commercial	$33,064.29
Rate for Payer: Hawaii Medical Service Association Medicare	$25,740.43
Rate for Payer: Humana Medicare	$25,740.43
Rate for Payer: Kaiser Permanente Medicare	$25,740.43
Rate for Payer: Ohana Health Plan Medicare	$25,740.43
Rate for Payer: UnitedHealthcare Medicare	$25,740.43

OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC

Facility

$33,064.29

Service Code	MSDRG 750
Min. Negotiated Rate	$14,980.36
Max. Negotiated Rate	$33,064.29
Rate for Payer: AlohaCare Medicare	$14,980.36
Rate for Payer: Hawaii Medical Service Association Commercial	$33,064.29
Rate for Payer: Hawaii Medical Service Association Medicare	$14,980.36
Rate for Payer: Humana Medicare	$14,980.36
Rate for Payer: Kaiser Permanente Medicare	$14,980.36
Rate for Payer: Ohana Health Plan Medicare	$14,980.36
Rate for Payer: UnitedHealthcare Medicare	$14,980.36

OTHER HEART ASSIST SYSTEM IMPLANT

Facility

$170,630.70

Service Code	MSDRG 215
Min. Negotiated Rate	$98,565.64
Max. Negotiated Rate	$170,630.70
Rate for Payer: AlohaCare Medicare	$98,565.64
Rate for Payer: Hawaii Medical Service Association Commercial	$170,630.70
Rate for Payer: Hawaii Medical Service Association Medicare	$98,565.64
Rate for Payer: Humana Medicare	$98,565.64
Rate for Payer: Kaiser Permanente Medicare	$98,565.64
Rate for Payer: Ohana Health Plan Medicare	$98,565.64
Rate for Payer: UnitedHealthcare Medicare	$98,565.64

OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC

Facility

$96,822.67

Service Code	MSDRG 424
Min. Negotiated Rate	$21,998.37
Max. Negotiated Rate	$96,822.67
Rate for Payer: AlohaCare Medicare	$21,998.37
Rate for Payer: Hawaii Medical Service Association Commercial	$96,822.67
Rate for Payer: Hawaii Medical Service Association Medicare	$21,998.37
Rate for Payer: Humana Medicare	$21,998.37
Rate for Payer: Kaiser Permanente Medicare	$21,998.37
Rate for Payer: Ohana Health Plan Medicare	$21,998.37
Rate for Payer: UnitedHealthcare Medicare	$21,998.37

OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC

Facility

$96,822.67

Service Code	MSDRG 423
Min. Negotiated Rate	$41,365.13
Max. Negotiated Rate	$96,822.67
Rate for Payer: AlohaCare Medicare	$41,365.13
Rate for Payer: Hawaii Medical Service Association Commercial	$96,822.67
Rate for Payer: Hawaii Medical Service Association Medicare	$41,365.13
Rate for Payer: Humana Medicare	$41,365.13
Rate for Payer: Kaiser Permanente Medicare	$41,365.13
Rate for Payer: Ohana Health Plan Medicare	$41,365.13
Rate for Payer: UnitedHealthcare Medicare	$41,365.13

OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC

Facility

$96,822.67

Service Code	MSDRG 425
Min. Negotiated Rate	$15,221.82
Max. Negotiated Rate	$96,822.67
Rate for Payer: AlohaCare Medicare	$15,221.82
Rate for Payer: Hawaii Medical Service Association Commercial	$96,822.67
Rate for Payer: Hawaii Medical Service Association Medicare	$15,221.82
Rate for Payer: Humana Medicare	$15,221.82
Rate for Payer: Kaiser Permanente Medicare	$15,221.82
Rate for Payer: Ohana Health Plan Medicare	$15,221.82
Rate for Payer: UnitedHealthcare Medicare	$15,221.82

OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC

Facility

$57,192.93

Service Code	MSDRG 868
Min. Negotiated Rate	$10,597.68
Max. Negotiated Rate	$57,192.93
Rate for Payer: AlohaCare Medicare	$10,597.68
Rate for Payer: Hawaii Medical Service Association Commercial	$57,192.93
Rate for Payer: Hawaii Medical Service Association Medicare	$10,597.68
Rate for Payer: Humana Medicare	$10,597.68
Rate for Payer: Kaiser Permanente Medicare	$10,597.68
Rate for Payer: Ohana Health Plan Medicare	$10,597.68
Rate for Payer: UnitedHealthcare Medicare	$10,597.68

OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC

Facility

$57,192.93

Service Code	MSDRG 867
Min. Negotiated Rate	$21,065.06
Max. Negotiated Rate	$57,192.93
Rate for Payer: AlohaCare Medicare	$21,065.06
Rate for Payer: Hawaii Medical Service Association Commercial	$57,192.93
Rate for Payer: Hawaii Medical Service Association Medicare	$21,065.06
Rate for Payer: Humana Medicare	$21,065.06
Rate for Payer: Kaiser Permanente Medicare	$21,065.06
Rate for Payer: Ohana Health Plan Medicare	$21,065.06
Rate for Payer: UnitedHealthcare Medicare	$21,065.06

OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC

Facility

$57,192.93

Service Code	MSDRG 869
Min. Negotiated Rate	$7,627.28
Max. Negotiated Rate	$57,192.93
Rate for Payer: AlohaCare Medicare	$7,627.28
Rate for Payer: Hawaii Medical Service Association Commercial	$57,192.93
Rate for Payer: Hawaii Medical Service Association Medicare	$7,627.28
Rate for Payer: Humana Medicare	$7,627.28
Rate for Payer: Kaiser Permanente Medicare	$7,627.28
Rate for Payer: Ohana Health Plan Medicare	$7,627.28
Rate for Payer: UnitedHealthcare Medicare	$7,627.28

OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC

Facility

$39,606.04

Service Code	MSDRG 922
Min. Negotiated Rate	$17,676.79
Max. Negotiated Rate	$39,606.04
Rate for Payer: AlohaCare Medicare	$17,676.79
Rate for Payer: Hawaii Medical Service Association Commercial	$39,606.04
Rate for Payer: Hawaii Medical Service Association Medicare	$17,676.79
Rate for Payer: Humana Medicare	$17,676.79
Rate for Payer: Kaiser Permanente Medicare	$17,676.79
Rate for Payer: Ohana Health Plan Medicare	$17,676.79
Rate for Payer: UnitedHealthcare Medicare	$17,676.79

OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC

Facility

$17,539.48

Service Code	MSDRG 923
Min. Negotiated Rate	$10,465.62
Max. Negotiated Rate	$17,539.48
Rate for Payer: AlohaCare Medicare	$10,465.62
Rate for Payer: Hawaii Medical Service Association Commercial	$17,539.48
Rate for Payer: Hawaii Medical Service Association Medicare	$10,465.62
Rate for Payer: Humana Medicare	$10,465.62
Rate for Payer: Kaiser Permanente Medicare	$10,465.62
Rate for Payer: Ohana Health Plan Medicare	$10,465.62
Rate for Payer: UnitedHealthcare Medicare	$10,465.62

OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC

Facility

$21,876.95

Service Code	MSDRG 699
Min. Negotiated Rate	$10,439.01
Max. Negotiated Rate	$21,876.95
Rate for Payer: AlohaCare Medicare	$10,439.01
Rate for Payer: Hawaii Medical Service Association Commercial	$21,876.95
Rate for Payer: Hawaii Medical Service Association Medicare	$10,439.01
Rate for Payer: Humana Medicare	$10,439.01
Rate for Payer: Kaiser Permanente Medicare	$10,439.01
Rate for Payer: Ohana Health Plan Medicare	$10,439.01
Rate for Payer: UnitedHealthcare Medicare	$10,439.01

OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC

Facility

$21,900.65

Service Code	MSDRG 698
Min. Negotiated Rate	$16,740.53
Max. Negotiated Rate	$21,900.65
Rate for Payer: AlohaCare Medicare	$16,740.53
Rate for Payer: Hawaii Medical Service Association Commercial	$21,900.65
Rate for Payer: Hawaii Medical Service Association Medicare	$16,740.53
Rate for Payer: Humana Medicare	$16,740.53
Rate for Payer: Kaiser Permanente Medicare	$16,740.53
Rate for Payer: Ohana Health Plan Medicare	$16,740.53
Rate for Payer: UnitedHealthcare Medicare	$16,740.53

OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC

Facility

$17,160.25

Service Code	MSDRG 700
Min. Negotiated Rate	$7,235.04
Max. Negotiated Rate	$17,160.25
Rate for Payer: AlohaCare Medicare	$7,235.04
Rate for Payer: Hawaii Medical Service Association Commercial	$17,160.25
Rate for Payer: Hawaii Medical Service Association Medicare	$7,235.04
Rate for Payer: Humana Medicare	$7,235.04
Rate for Payer: Kaiser Permanente Medicare	$7,235.04
Rate for Payer: Ohana Health Plan Medicare	$7,235.04
Rate for Payer: UnitedHealthcare Medicare	$7,235.04

OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC

Facility

$54,988.64

Service Code	MSDRG 674
Min. Negotiated Rate	$23,483.56
Max. Negotiated Rate	$54,988.64
Rate for Payer: AlohaCare Medicare	$23,483.56
Rate for Payer: Hawaii Medical Service Association Commercial	$54,988.64
Rate for Payer: Hawaii Medical Service Association Medicare	$23,483.56
Rate for Payer: Humana Medicare	$23,483.56
Rate for Payer: Kaiser Permanente Medicare	$23,483.56
Rate for Payer: Ohana Health Plan Medicare	$23,483.56
Rate for Payer: UnitedHealthcare Medicare	$23,483.56

OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC

Facility

$54,988.64

Service Code	MSDRG 673
Min. Negotiated Rate	$41,844.09
Max. Negotiated Rate	$54,988.64
Rate for Payer: AlohaCare Medicare	$41,844.09
Rate for Payer: Hawaii Medical Service Association Commercial	$54,988.64
Rate for Payer: Hawaii Medical Service Association Medicare	$41,844.09
Rate for Payer: Humana Medicare	$41,844.09
Rate for Payer: Kaiser Permanente Medicare	$41,844.09
Rate for Payer: Ohana Health Plan Medicare	$41,844.09
Rate for Payer: UnitedHealthcare Medicare	$41,844.09

OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC

Facility

$54,988.64

Service Code	MSDRG 675
Min. Negotiated Rate	$16,612.42
Max. Negotiated Rate	$54,988.64
Rate for Payer: AlohaCare Medicare	$16,612.42
Rate for Payer: Hawaii Medical Service Association Commercial	$54,988.64
Rate for Payer: Hawaii Medical Service Association Medicare	$16,612.42
Rate for Payer: Humana Medicare	$16,612.42
Rate for Payer: Kaiser Permanente Medicare	$16,612.42
Rate for Payer: Ohana Health Plan Medicare	$16,612.42
Rate for Payer: UnitedHealthcare Medicare	$16,612.42

OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC

Facility

$96,040.50

Service Code	MSDRG 271
Min. Negotiated Rate	$35,484.44
Max. Negotiated Rate	$96,040.50
Rate for Payer: AlohaCare Medicare	$35,484.44
Rate for Payer: Hawaii Medical Service Association Commercial	$96,040.50
Rate for Payer: Hawaii Medical Service Association Medicare	$35,484.44
Rate for Payer: Humana Medicare	$35,484.44
Rate for Payer: Kaiser Permanente Medicare	$35,484.44
Rate for Payer: Ohana Health Plan Medicare	$35,484.44
Rate for Payer: UnitedHealthcare Medicare	$35,484.44

OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC

Facility

$111,280.89

Service Code	MSDRG 270
Min. Negotiated Rate	$52,435.66
Max. Negotiated Rate	$111,280.89
Rate for Payer: AlohaCare Medicare	$52,435.66
Rate for Payer: Hawaii Medical Service Association Commercial	$111,280.89
Rate for Payer: Hawaii Medical Service Association Medicare	$52,435.66
Rate for Payer: Humana Medicare	$52,435.66
Rate for Payer: Kaiser Permanente Medicare	$52,435.66
Rate for Payer: Ohana Health Plan Medicare	$52,435.66
Rate for Payer: UnitedHealthcare Medicare	$52,435.66

OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC

Facility

$96,040.50

Service Code	MSDRG 272
Min. Negotiated Rate	$25,596.56
Max. Negotiated Rate	$96,040.50
Rate for Payer: AlohaCare Medicare	$25,596.56
Rate for Payer: Hawaii Medical Service Association Commercial	$96,040.50
Rate for Payer: Hawaii Medical Service Association Medicare	$25,596.56
Rate for Payer: Humana Medicare	$25,596.56
Rate for Payer: Kaiser Permanente Medicare	$25,596.56
Rate for Payer: Ohana Health Plan Medicare	$25,596.56
Rate for Payer: UnitedHealthcare Medicare	$25,596.56

OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC

Facility

$13,344.23

Service Code	MSDRG 729
Min. Negotiated Rate	$10,869.69
Max. Negotiated Rate	$13,344.23
Rate for Payer: AlohaCare Medicare	$10,869.69
Rate for Payer: Hawaii Medical Service Association Commercial	$13,344.23
Rate for Payer: Hawaii Medical Service Association Medicare	$10,869.69
Rate for Payer: Humana Medicare	$10,869.69
Rate for Payer: Kaiser Permanente Medicare	$10,869.69
Rate for Payer: Ohana Health Plan Medicare	$10,869.69
Rate for Payer: UnitedHealthcare Medicare	$10,869.69

OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC

Facility

$13,344.23

Service Code	MSDRG 730
Min. Negotiated Rate	$7,058.62
Max. Negotiated Rate	$13,344.23
Rate for Payer: AlohaCare Medicare	$7,058.62
Rate for Payer: Hawaii Medical Service Association Commercial	$13,344.23
Rate for Payer: Hawaii Medical Service Association Medicare	$7,058.62
Rate for Payer: Humana Medicare	$7,058.62
Rate for Payer: Kaiser Permanente Medicare	$7,058.62
Rate for Payer: Ohana Health Plan Medicare	$7,058.62
Rate for Payer: UnitedHealthcare Medicare	$7,058.62

Know your out-of-pocket cost for care.

All Charges