Leahi Hospital

All Charges

Charge

Type

Setting

Price

CELLULITIS WITH MCC

Facility

$23,986.42

Service Code	MSDRG 602
Min. Negotiated Rate	$14,443.25
Max. Negotiated Rate	$23,986.42
Rate for Payer: AlohaCare Medicare	$14,443.25
Rate for Payer: Hawaii Medical Service Association Commercial	$23,986.42
Rate for Payer: Hawaii Medical Service Association Medicare	$14,443.25
Rate for Payer: Humana Medicare	$14,443.25
Rate for Payer: Kaiser Permanente Medicare	$14,443.25
Rate for Payer: Ohana Health Plan Medicare	$14,443.25
Rate for Payer: UnitedHealthcare Medicare	$14,443.25

CELLULITIS WITHOUT MCC

Facility

$16,141.06

Service Code	MSDRG 603
Min. Negotiated Rate	$9,018.85
Max. Negotiated Rate	$16,141.06
Rate for Payer: AlohaCare Medicare	$9,018.85
Rate for Payer: Hawaii Medical Service Association Commercial	$16,141.06
Rate for Payer: Hawaii Medical Service Association Medicare	$9,018.85
Rate for Payer: Humana Medicare	$9,018.85
Rate for Payer: Kaiser Permanente Medicare	$9,018.85
Rate for Payer: Ohana Health Plan Medicare	$9,018.85
Rate for Payer: UnitedHealthcare Medicare	$9,018.85

CERVICAL SPINAL FUSION WITH CC

Facility

$50,129.73

Service Code	MSDRG 472
Min. Negotiated Rate	$29,470.69
Max. Negotiated Rate	$50,129.73
Rate for Payer: AlohaCare Medicare	$29,470.69
Rate for Payer: Hawaii Medical Service Association Commercial	$50,129.73
Rate for Payer: Hawaii Medical Service Association Medicare	$29,470.69
Rate for Payer: Humana Medicare	$29,470.69
Rate for Payer: Kaiser Permanente Medicare	$29,470.69
Rate for Payer: Ohana Health Plan Medicare	$29,470.69
Rate for Payer: UnitedHealthcare Medicare	$29,470.69

CERVICAL SPINAL FUSION WITH MCC

Facility

$61,909.62

Service Code	MSDRG 471
Min. Negotiated Rate	$48,024.39
Max. Negotiated Rate	$61,909.62
Rate for Payer: AlohaCare Medicare	$48,024.39
Rate for Payer: Hawaii Medical Service Association Commercial	$61,909.62
Rate for Payer: Hawaii Medical Service Association Medicare	$48,024.39
Rate for Payer: Humana Medicare	$48,024.39
Rate for Payer: Kaiser Permanente Medicare	$48,024.39
Rate for Payer: Ohana Health Plan Medicare	$48,024.39
Rate for Payer: UnitedHealthcare Medicare	$48,024.39

CERVICAL SPINAL FUSION WITHOUT CC/MCC

Facility

$46,005.58

Service Code	MSDRG 473
Min. Negotiated Rate	$24,495.71
Max. Negotiated Rate	$46,005.58
Rate for Payer: AlohaCare Medicare	$24,495.71
Rate for Payer: Hawaii Medical Service Association Commercial	$46,005.58
Rate for Payer: Hawaii Medical Service Association Medicare	$24,495.71
Rate for Payer: Humana Medicare	$24,495.71
Rate for Payer: Kaiser Permanente Medicare	$24,495.71
Rate for Payer: Ohana Health Plan Medicare	$24,495.71
Rate for Payer: UnitedHealthcare Medicare	$24,495.71

CESAREAN SECTION WITHOUT STERILIZATION WITH CC

Facility

$19,103.81

Service Code	MSDRG 787
Min. Negotiated Rate	$7,800.00
Max. Negotiated Rate	$19,103.81
Rate for Payer: AlohaCare Medicare	$11,442.29
Rate for Payer: Hawaii Medical Service Association Commercial	$19,103.81
Rate for Payer: Hawaii Medical Service Association Medicare	$11,442.29
Rate for Payer: Hawaii Western Management Group Commercial	$7,800.00
Rate for Payer: Humana Medicare	$11,442.29
Rate for Payer: Kaiser Permanente Medicare	$11,442.29
Rate for Payer: Ohana Health Plan Medicare	$11,442.29
Rate for Payer: UnitedHealthcare Medicare	$11,442.29
Rate for Payer: University Health Alliance Commercial	$9,950.00

CESAREAN SECTION WITHOUT STERILIZATION WITH MCC

Facility

$19,103.81

Service Code	MSDRG 786
Min. Negotiated Rate	$7,800.00
Max. Negotiated Rate	$19,103.81
Rate for Payer: AlohaCare Medicare	$16,692.24
Rate for Payer: Hawaii Medical Service Association Commercial	$19,103.81
Rate for Payer: Hawaii Medical Service Association Medicare	$16,692.24
Rate for Payer: Hawaii Western Management Group Commercial	$7,800.00
Rate for Payer: Humana Medicare	$16,692.24
Rate for Payer: Kaiser Permanente Medicare	$16,692.24
Rate for Payer: Ohana Health Plan Medicare	$16,692.24
Rate for Payer: UnitedHealthcare Medicare	$16,692.24
Rate for Payer: University Health Alliance Commercial	$9,950.00

CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC

Facility

$16,923.23

Service Code	MSDRG 788
Min. Negotiated Rate	$9,885.14
Max. Negotiated Rate	$16,923.23
Rate for Payer: AlohaCare Medicare	$9,885.14
Rate for Payer: Hawaii Medical Service Association Commercial	$16,923.23
Rate for Payer: Hawaii Medical Service Association Medicare	$9,885.14
Rate for Payer: Humana Medicare	$9,885.14
Rate for Payer: Kaiser Permanente Medicare	$9,885.14
Rate for Payer: Ohana Health Plan Medicare	$9,885.14
Rate for Payer: UnitedHealthcare Medicare	$9,885.14

CESAREAN SECTION WITH STERILIZATION WITH CC

Facility

$19,103.81

Service Code	MSDRG 784
Min. Negotiated Rate	$7,800.00
Max. Negotiated Rate	$19,103.81
Rate for Payer: AlohaCare Medicare	$10,883.49
Rate for Payer: Hawaii Medical Service Association Commercial	$19,103.81
Rate for Payer: Hawaii Medical Service Association Medicare	$10,883.49
Rate for Payer: Hawaii Western Management Group Commercial	$7,800.00
Rate for Payer: Humana Medicare	$10,883.49
Rate for Payer: Kaiser Permanente Medicare	$10,883.49
Rate for Payer: Ohana Health Plan Medicare	$10,883.49
Rate for Payer: UnitedHealthcare Medicare	$10,883.49
Rate for Payer: University Health Alliance Commercial	$9,950.00

CESAREAN SECTION WITH STERILIZATION WITH MCC

Facility

$24,631.72

Service Code	MSDRG 783
Min. Negotiated Rate	$7,800.00
Max. Negotiated Rate	$24,631.72
Rate for Payer: AlohaCare Medicare	$24,631.72
Rate for Payer: Hawaii Medical Service Association Commercial	$19,103.81
Rate for Payer: Hawaii Medical Service Association Medicare	$24,631.72
Rate for Payer: Hawaii Western Management Group Commercial	$7,800.00
Rate for Payer: Humana Medicare	$24,631.72
Rate for Payer: Kaiser Permanente Medicare	$24,631.72
Rate for Payer: Ohana Health Plan Medicare	$24,631.72
Rate for Payer: UnitedHealthcare Medicare	$24,631.72
Rate for Payer: University Health Alliance Commercial	$9,950.00

CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC

Facility

$16,923.23

Service Code	MSDRG 785
Min. Negotiated Rate	$7,800.00
Max. Negotiated Rate	$16,923.23
Rate for Payer: AlohaCare Medicare	$9,875.28
Rate for Payer: Hawaii Medical Service Association Commercial	$16,923.23
Rate for Payer: Hawaii Medical Service Association Medicare	$9,875.28
Rate for Payer: Hawaii Western Management Group Commercial	$7,800.00
Rate for Payer: Humana Medicare	$9,875.28
Rate for Payer: Kaiser Permanente Medicare	$9,875.28
Rate for Payer: Ohana Health Plan Medicare	$9,875.28
Rate for Payer: UnitedHealthcare Medicare	$9,875.28
Rate for Payer: University Health Alliance Commercial	$9,950.00

CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC

Facility

$57,975.09

Service Code	MSDRG 837
Min. Negotiated Rate	$47,783.92
Max. Negotiated Rate	$57,975.09
Rate for Payer: AlohaCare Medicare	$47,783.92
Rate for Payer: Hawaii Medical Service Association Commercial	$57,975.09
Rate for Payer: Hawaii Medical Service Association Medicare	$47,783.92
Rate for Payer: Humana Medicare	$47,783.92
Rate for Payer: Kaiser Permanente Medicare	$47,783.92
Rate for Payer: Ohana Health Plan Medicare	$47,783.92
Rate for Payer: UnitedHealthcare Medicare	$47,783.92

CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT

Facility

$57,975.09

Service Code	MSDRG 838
Min. Negotiated Rate	$21,007.91
Max. Negotiated Rate	$57,975.09
Rate for Payer: AlohaCare Medicare	$21,007.91
Rate for Payer: Hawaii Medical Service Association Commercial	$57,975.09
Rate for Payer: Hawaii Medical Service Association Medicare	$21,007.91
Rate for Payer: Humana Medicare	$21,007.91
Rate for Payer: Kaiser Permanente Medicare	$21,007.91
Rate for Payer: Ohana Health Plan Medicare	$21,007.91
Rate for Payer: UnitedHealthcare Medicare	$21,007.91

CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC

Facility

$57,975.09

Service Code	MSDRG 839
Min. Negotiated Rate	$14,665.98
Max. Negotiated Rate	$57,975.09
Rate for Payer: AlohaCare Medicare	$14,665.98
Rate for Payer: Hawaii Medical Service Association Commercial	$57,975.09
Rate for Payer: Hawaii Medical Service Association Medicare	$14,665.98
Rate for Payer: Humana Medicare	$14,665.98
Rate for Payer: Kaiser Permanente Medicare	$14,665.98
Rate for Payer: Ohana Health Plan Medicare	$14,665.98
Rate for Payer: UnitedHealthcare Medicare	$14,665.98

CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC

Facility

$18,511.26

Service Code	MSDRG 847
Min. Negotiated Rate	$13,328.60
Max. Negotiated Rate	$18,511.26
Rate for Payer: AlohaCare Medicare	$13,328.60
Rate for Payer: Hawaii Medical Service Association Commercial	$18,511.26
Rate for Payer: Hawaii Medical Service Association Medicare	$13,328.60
Rate for Payer: Humana Medicare	$13,328.60
Rate for Payer: Kaiser Permanente Medicare	$13,328.60
Rate for Payer: Ohana Health Plan Medicare	$13,328.60
Rate for Payer: UnitedHealthcare Medicare	$13,328.60

CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC

Facility

$25,985.84

Service Code	MSDRG 846
Min. Negotiated Rate	$18,511.26
Max. Negotiated Rate	$25,985.84
Rate for Payer: AlohaCare Medicare	$25,985.84
Rate for Payer: Hawaii Medical Service Association Commercial	$18,511.26
Rate for Payer: Hawaii Medical Service Association Medicare	$25,985.84
Rate for Payer: Humana Medicare	$25,985.84
Rate for Payer: Kaiser Permanente Medicare	$25,985.84
Rate for Payer: Ohana Health Plan Medicare	$25,985.84
Rate for Payer: UnitedHealthcare Medicare	$25,985.84

CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC

Facility

$18,511.26

Service Code	MSDRG 848
Min. Negotiated Rate	$8,806.98
Max. Negotiated Rate	$18,511.26
Rate for Payer: AlohaCare Medicare	$8,806.98
Rate for Payer: Hawaii Medical Service Association Commercial	$18,511.26
Rate for Payer: Hawaii Medical Service Association Medicare	$8,806.98
Rate for Payer: Humana Medicare	$8,806.98
Rate for Payer: Kaiser Permanente Medicare	$8,806.98
Rate for Payer: Ohana Health Plan Medicare	$8,806.98
Rate for Payer: UnitedHealthcare Medicare	$8,806.98

CHEST PAIN

Facility

$11,448.07

Service Code	MSDRG 313
Min. Negotiated Rate	$7,531.68
Max. Negotiated Rate	$11,448.07
Rate for Payer: AlohaCare Medicare	$7,531.68
Rate for Payer: Hawaii Medical Service Association Commercial	$11,448.07
Rate for Payer: Hawaii Medical Service Association Medicare	$7,531.68
Rate for Payer: Humana Medicare	$7,531.68
Rate for Payer: Kaiser Permanente Medicare	$7,531.68
Rate for Payer: Ohana Health Plan Medicare	$7,531.68
Rate for Payer: UnitedHealthcare Medicare	$7,531.68

CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES

Facility

$426,017.79

Service Code	MSDRG 018
Min. Negotiated Rate	$426,017.79
Max. Negotiated Rate	$426,017.79
Rate for Payer: AlohaCare Medicare	$426,017.79
Rate for Payer: Hawaii Medical Service Association Medicare	$426,017.79
Rate for Payer: Humana Medicare	$426,017.79
Rate for Payer: Kaiser Permanente Medicare	$426,017.79
Rate for Payer: Ohana Health Plan Medicare	$426,017.79
Rate for Payer: UnitedHealthcare Medicare	$426,017.79

CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC

Facility

$38,563.15

Service Code	MSDRG 415
Min. Negotiated Rate	$20,803.91
Max. Negotiated Rate	$38,563.15
Rate for Payer: AlohaCare Medicare	$20,803.91
Rate for Payer: Hawaii Medical Service Association Commercial	$38,563.15
Rate for Payer: Hawaii Medical Service Association Medicare	$20,803.91
Rate for Payer: Humana Medicare	$20,803.91
Rate for Payer: Kaiser Permanente Medicare	$20,803.91
Rate for Payer: Ohana Health Plan Medicare	$20,803.91
Rate for Payer: UnitedHealthcare Medicare	$20,803.91

CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC

Facility

$41,431.10

Service Code	MSDRG 414
Min. Negotiated Rate	$35,546.52
Max. Negotiated Rate	$41,431.10
Rate for Payer: AlohaCare Medicare	$35,546.52
Rate for Payer: Hawaii Medical Service Association Commercial	$41,431.10
Rate for Payer: Hawaii Medical Service Association Medicare	$35,546.52
Rate for Payer: Humana Medicare	$35,546.52
Rate for Payer: Kaiser Permanente Medicare	$35,546.52
Rate for Payer: Ohana Health Plan Medicare	$35,546.52
Rate for Payer: UnitedHealthcare Medicare	$35,546.52

CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC

Facility

$26,783.26

Service Code	MSDRG 416
Min. Negotiated Rate	$13,871.64
Max. Negotiated Rate	$26,783.26
Rate for Payer: AlohaCare Medicare	$13,871.64
Rate for Payer: Hawaii Medical Service Association Commercial	$26,783.26
Rate for Payer: Hawaii Medical Service Association Medicare	$13,871.64
Rate for Payer: Humana Medicare	$13,871.64
Rate for Payer: Kaiser Permanente Medicare	$13,871.64
Rate for Payer: Ohana Health Plan Medicare	$13,871.64
Rate for Payer: UnitedHealthcare Medicare	$13,871.64

CHOLECYSTECTOMY WITH C.D.E. WITH CC

Facility

$41,881.43

Service Code	MSDRG 412
Min. Negotiated Rate	$21,156.71
Max. Negotiated Rate	$41,881.43
Rate for Payer: AlohaCare Medicare	$21,156.71
Rate for Payer: Hawaii Medical Service Association Commercial	$41,881.43
Rate for Payer: Hawaii Medical Service Association Medicare	$21,156.71
Rate for Payer: Humana Medicare	$21,156.71
Rate for Payer: Kaiser Permanente Medicare	$21,156.71
Rate for Payer: Ohana Health Plan Medicare	$21,156.71
Rate for Payer: UnitedHealthcare Medicare	$21,156.71

CHOLECYSTECTOMY WITH C.D.E. WITH MCC

Facility

$50,082.33

Service Code	MSDRG 411
Min. Negotiated Rate	$32,991.03
Max. Negotiated Rate	$50,082.33
Rate for Payer: AlohaCare Medicare	$32,991.03
Rate for Payer: Hawaii Medical Service Association Commercial	$50,082.33
Rate for Payer: Hawaii Medical Service Association Medicare	$32,991.03
Rate for Payer: Humana Medicare	$32,991.03
Rate for Payer: Kaiser Permanente Medicare	$32,991.03
Rate for Payer: Ohana Health Plan Medicare	$32,991.03
Rate for Payer: UnitedHealthcare Medicare	$32,991.03

CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC

Facility

$33,704.24

Service Code	MSDRG 413
Min. Negotiated Rate	$16,800.64
Max. Negotiated Rate	$33,704.24
Rate for Payer: AlohaCare Medicare	$16,800.64
Rate for Payer: Hawaii Medical Service Association Commercial	$33,704.24
Rate for Payer: Hawaii Medical Service Association Medicare	$16,800.64
Rate for Payer: Humana Medicare	$16,800.64
Rate for Payer: Kaiser Permanente Medicare	$16,800.64
Rate for Payer: Ohana Health Plan Medicare	$16,800.64
Rate for Payer: UnitedHealthcare Medicare	$16,800.64

Know your out-of-pocket cost for care.

All Charges