|
36581 Replacement, tunneled centrally inserted central venous catheter, w/o subcutaneous port/pump
|
Professional
|
Both
|
$4,394.00
|
|
|
Service Code
|
HCPCS 36581
|
| Hospital Charge Code |
8038966
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$164.80 |
| Max. Negotiated Rate |
$3,734.90 |
| Rate for Payer: AlohaCare Medicaid |
$181.53
|
| Rate for Payer: AlohaCare Medicare |
$164.80
|
| Rate for Payer: Cash Price |
$2,856.10
|
| Rate for Payer: Cash Price |
$2,856.10
|
| Rate for Payer: Cash Price |
$2,856.10
|
| Rate for Payer: Devoted Health Medicare |
$181.28
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$434.26
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$286.01
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$209.49
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$339.46
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$303.73
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$265.97
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$246.64
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$181.39
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$237.64
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$434.26
|
| Rate for Payer: Health Management Network Commercial |
$3,734.90
|
| Rate for Payer: Kaiser Permanente Commercial |
$265.97
|
| Rate for Payer: Kaiser Permanente Commercial |
$303.73
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$197.76
|
| Rate for Payer: Kaiser Permanente Commercial |
$181.39
|
| Rate for Payer: Kaiser Permanente Commercial |
$209.49
|
| Rate for Payer: Kaiser Permanente Commercial |
$237.64
|
| Rate for Payer: Kaiser Permanente Commercial |
$246.64
|
| Rate for Payer: Kaiser Permanente Medicaid |
$434.26
|
| Rate for Payer: Kaiser Permanente Medicare |
$209.49
|
| Rate for Payer: Kaiser Permanente Medicare |
$181.39
|
| Rate for Payer: Kaiser Permanente Medicare |
$237.64
|
| Rate for Payer: Kaiser Permanente Medicare |
$246.64
|
| Rate for Payer: Kaiser Permanente Medicare |
$265.97
|
| Rate for Payer: Kaiser Permanente Medicare |
$303.73
|
| Rate for Payer: Kaiser Permanente Medicare |
$339.46
|
| Rate for Payer: Ohana Health Plan Medicaid |
$181.53
|
| Rate for Payer: Ohana Health Plan Medicare |
$164.80
|
| Rate for Payer: UnitedHealthcare Medicaid |
$434.26
|
| Rate for Payer: UnitedHealthcare Medicare |
$181.39
|
| Rate for Payer: UnitedHealthcare Medicare |
$209.49
|
| Rate for Payer: UnitedHealthcare Medicare |
$246.64
|
| Rate for Payer: UnitedHealthcare Medicare |
$303.73
|
| Rate for Payer: UnitedHealthcare Medicare |
$339.46
|
| Rate for Payer: UnitedHealthcare Medicare |
$265.97
|
| Rate for Payer: UnitedHealthcare Medicare |
$237.64
|
| Rate for Payer: University Health Alliance Commercial |
$248.53
|
|
|
36582 Replacement, complete, of a tunneled centrally inserted central venous access device
|
Professional
|
Both
|
$4,394.00
|
|
|
Service Code
|
HCPCS 36582
|
| Hospital Charge Code |
8038967
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$181.39 |
| Max. Negotiated Rate |
$3,734.90 |
| Rate for Payer: AlohaCare Medicaid |
$282.76
|
| Rate for Payer: AlohaCare Medicare |
$256.95
|
| Rate for Payer: Cash Price |
$2,856.10
|
| Rate for Payer: Cash Price |
$2,856.10
|
| Rate for Payer: Cash Price |
$2,856.10
|
| Rate for Payer: Devoted Health Medicare |
$282.64
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$434.26
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$447.20
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$246.64
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$303.73
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$339.46
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$237.64
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$265.97
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$181.39
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$209.49
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$434.26
|
| Rate for Payer: Health Management Network Commercial |
$3,734.90
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$308.34
|
| Rate for Payer: Kaiser Permanente Commercial |
$181.39
|
| Rate for Payer: Kaiser Permanente Commercial |
$209.49
|
| Rate for Payer: Kaiser Permanente Commercial |
$237.64
|
| Rate for Payer: Kaiser Permanente Commercial |
$246.64
|
| Rate for Payer: Kaiser Permanente Commercial |
$265.97
|
| Rate for Payer: Kaiser Permanente Commercial |
$303.73
|
| Rate for Payer: Kaiser Permanente Medicaid |
$434.26
|
| Rate for Payer: Kaiser Permanente Medicare |
$339.46
|
| Rate for Payer: Kaiser Permanente Medicare |
$246.64
|
| Rate for Payer: Kaiser Permanente Medicare |
$265.97
|
| Rate for Payer: Kaiser Permanente Medicare |
$303.73
|
| Rate for Payer: Kaiser Permanente Medicare |
$181.39
|
| Rate for Payer: Kaiser Permanente Medicare |
$209.49
|
| Rate for Payer: Kaiser Permanente Medicare |
$237.64
|
| Rate for Payer: Ohana Health Plan Medicaid |
$282.76
|
| Rate for Payer: Ohana Health Plan Medicare |
$256.95
|
| Rate for Payer: UnitedHealthcare Medicaid |
$434.26
|
| Rate for Payer: UnitedHealthcare Medicare |
$265.97
|
| Rate for Payer: UnitedHealthcare Medicare |
$339.46
|
| Rate for Payer: UnitedHealthcare Medicare |
$181.39
|
| Rate for Payer: UnitedHealthcare Medicare |
$303.73
|
| Rate for Payer: UnitedHealthcare Medicare |
$209.49
|
| Rate for Payer: UnitedHealthcare Medicare |
$237.64
|
| Rate for Payer: UnitedHealthcare Medicare |
$246.64
|
| Rate for Payer: University Health Alliance Commercial |
$378.63
|
|
|
36589 Removal of tunneled central venous catheter, without subcutaneous port or pump
|
Professional
|
Both
|
$873.00
|
|
|
Service Code
|
HCPCS 36589
|
| Hospital Charge Code |
8038968
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$125.73 |
| Max. Negotiated Rate |
$742.05 |
| Rate for Payer: AlohaCare Medicaid |
$136.17
|
| Rate for Payer: AlohaCare Medicare |
$125.73
|
| Rate for Payer: Cash Price |
$567.45
|
| Rate for Payer: Cash Price |
$567.45
|
| Rate for Payer: Cash Price |
$567.45
|
| Rate for Payer: Devoted Health Medicare |
$138.30
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$434.26
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$215.36
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$246.64
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$303.73
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$339.46
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$209.49
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$237.64
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$265.97
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$181.39
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$434.26
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$171.34
|
| Rate for Payer: Health Management Network Commercial |
$742.05
|
| Rate for Payer: Kaiser Permanente Commercial |
$303.73
|
| Rate for Payer: Kaiser Permanente Commercial |
$150.88
|
| Rate for Payer: Kaiser Permanente Commercial |
$181.39
|
| Rate for Payer: Kaiser Permanente Commercial |
$209.49
|
| Rate for Payer: Kaiser Permanente Commercial |
$237.64
|
| Rate for Payer: Kaiser Permanente Commercial |
$246.64
|
| Rate for Payer: Kaiser Permanente Commercial |
$265.97
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Medicaid |
$434.26
|
| Rate for Payer: Kaiser Permanente Medicare |
$339.46
|
| Rate for Payer: Kaiser Permanente Medicare |
$246.64
|
| Rate for Payer: Kaiser Permanente Medicare |
$265.97
|
| Rate for Payer: Kaiser Permanente Medicare |
$303.73
|
| Rate for Payer: Kaiser Permanente Medicare |
$181.39
|
| Rate for Payer: Kaiser Permanente Medicare |
$209.49
|
| Rate for Payer: Kaiser Permanente Medicare |
$237.64
|
| Rate for Payer: Ohana Health Plan Medicaid |
$136.17
|
| Rate for Payer: Ohana Health Plan Medicare |
$125.73
|
| Rate for Payer: UnitedHealthcare Medicaid |
$434.26
|
| Rate for Payer: UnitedHealthcare Medicare |
$265.97
|
| Rate for Payer: UnitedHealthcare Medicare |
$339.46
|
| Rate for Payer: UnitedHealthcare Medicare |
$181.39
|
| Rate for Payer: UnitedHealthcare Medicare |
$303.73
|
| Rate for Payer: UnitedHealthcare Medicare |
$209.49
|
| Rate for Payer: UnitedHealthcare Medicare |
$237.64
|
| Rate for Payer: UnitedHealthcare Medicare |
$246.64
|
| Rate for Payer: University Health Alliance Commercial |
$169.47
|
|
|
36590 Removal of tunneled central venous access device, w/sub port/pump,
|
Professional
|
Both
|
$2,191.00
|
|
|
Service Code
|
HCPCS 36590
|
| Hospital Charge Code |
8038969
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$172.64 |
| Max. Negotiated Rate |
$1,862.35 |
| Rate for Payer: AlohaCare Medicaid |
$189.01
|
| Rate for Payer: AlohaCare Medicare |
$172.64
|
| Rate for Payer: Cash Price |
$1,424.15
|
| Rate for Payer: Cash Price |
$1,424.15
|
| Rate for Payer: Cash Price |
$1,424.15
|
| Rate for Payer: Devoted Health Medicare |
$189.90
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$434.26
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$298.10
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$246.64
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$303.73
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$339.46
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$209.49
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$237.64
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$265.97
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$181.39
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$434.26
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$375.96
|
| Rate for Payer: Health Management Network Commercial |
$1,862.35
|
| Rate for Payer: Kaiser Permanente Commercial |
$303.73
|
| Rate for Payer: Kaiser Permanente Commercial |
$207.17
|
| Rate for Payer: Kaiser Permanente Commercial |
$181.39
|
| Rate for Payer: Kaiser Permanente Commercial |
$209.49
|
| Rate for Payer: Kaiser Permanente Commercial |
$237.64
|
| Rate for Payer: Kaiser Permanente Commercial |
$246.64
|
| Rate for Payer: Kaiser Permanente Commercial |
$265.97
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Medicaid |
$434.26
|
| Rate for Payer: Kaiser Permanente Medicare |
$339.46
|
| Rate for Payer: Kaiser Permanente Medicare |
$246.64
|
| Rate for Payer: Kaiser Permanente Medicare |
$265.97
|
| Rate for Payer: Kaiser Permanente Medicare |
$303.73
|
| Rate for Payer: Kaiser Permanente Medicare |
$181.39
|
| Rate for Payer: Kaiser Permanente Medicare |
$209.49
|
| Rate for Payer: Kaiser Permanente Medicare |
$237.64
|
| Rate for Payer: Ohana Health Plan Medicaid |
$189.01
|
| Rate for Payer: Ohana Health Plan Medicare |
$172.64
|
| Rate for Payer: UnitedHealthcare Medicaid |
$434.26
|
| Rate for Payer: UnitedHealthcare Medicare |
$265.97
|
| Rate for Payer: UnitedHealthcare Medicare |
$339.46
|
| Rate for Payer: UnitedHealthcare Medicare |
$181.39
|
| Rate for Payer: UnitedHealthcare Medicare |
$303.73
|
| Rate for Payer: UnitedHealthcare Medicare |
$209.49
|
| Rate for Payer: UnitedHealthcare Medicare |
$237.64
|
| Rate for Payer: UnitedHealthcare Medicare |
$246.64
|
| Rate for Payer: University Health Alliance Commercial |
$234.91
|
|
|
36591 Blood draw or Accessing charge from IMPLANTABLE PORT I.E. PORTACATH
|
Facility
|
IP
|
$487.00
|
|
|
Service Code
|
HCPCS 36591
|
| Hospital Charge Code |
8743030
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$413.95 |
| Max. Negotiated Rate |
$472.39 |
| Rate for Payer: Cash Price |
$316.55
|
| Rate for Payer: Health Management Network Commercial |
$413.95
|
| Rate for Payer: Kaiser Permanente Commercial |
$438.30
|
| Rate for Payer: MDX Hawaii PPO |
$472.39
|
|
|
36591 Blood draw or Accessing charge from IMPLANTABLE PORT I.E. PORTACATH
|
Facility
|
OP
|
$487.00
|
|
|
Service Code
|
HCPCS 36591
|
| Hospital Charge Code |
8743030
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$12.68 |
| Max. Negotiated Rate |
$472.39 |
| Rate for Payer: AlohaCare Medicaid |
$243.50
|
| Rate for Payer: AlohaCare Medicare |
$243.50
|
| Rate for Payer: Cash Price |
$316.55
|
| Rate for Payer: Cash Price |
$316.55
|
| Rate for Payer: Devoted Health Medicare |
$267.85
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$169.91
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$243.50
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$462.65
|
| Rate for Payer: Health Management Network Commercial |
$413.95
|
| Rate for Payer: Humana Medicare |
$243.50
|
| Rate for Payer: Kaiser Permanente Commercial |
$438.30
|
| Rate for Payer: Kaiser Permanente Medicaid |
$248.37
|
| Rate for Payer: Kaiser Permanente Medicare |
$243.50
|
| Rate for Payer: MDX Hawaii PPO |
$472.39
|
| Rate for Payer: Ohana Health Plan Medicaid |
$243.50
|
| Rate for Payer: Ohana Health Plan Medicare |
$243.50
|
| Rate for Payer: UnitedHealthcare Medicaid |
$12.68
|
| Rate for Payer: UnitedHealthcare Medicare |
$243.50
|
| Rate for Payer: University Health Alliance Commercial |
$272.72
|
|
|
36591 Capillary Blood Draw (up to 6 per day)
|
Facility
|
OP
|
$487.00
|
|
|
Service Code
|
HCPCS 36591
|
| Hospital Charge Code |
8743031
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$12.68 |
| Max. Negotiated Rate |
$472.39 |
| Rate for Payer: AlohaCare Medicaid |
$243.50
|
| Rate for Payer: AlohaCare Medicare |
$243.50
|
| Rate for Payer: Cash Price |
$316.55
|
| Rate for Payer: Cash Price |
$316.55
|
| Rate for Payer: Devoted Health Medicare |
$267.85
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$169.91
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$243.50
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$462.65
|
| Rate for Payer: Health Management Network Commercial |
$413.95
|
| Rate for Payer: Humana Medicare |
$243.50
|
| Rate for Payer: Kaiser Permanente Commercial |
$438.30
|
| Rate for Payer: Kaiser Permanente Medicaid |
$248.37
|
| Rate for Payer: Kaiser Permanente Medicare |
$243.50
|
| Rate for Payer: MDX Hawaii PPO |
$472.39
|
| Rate for Payer: Ohana Health Plan Medicaid |
$243.50
|
| Rate for Payer: Ohana Health Plan Medicare |
$243.50
|
| Rate for Payer: UnitedHealthcare Medicaid |
$12.68
|
| Rate for Payer: UnitedHealthcare Medicare |
$243.50
|
| Rate for Payer: University Health Alliance Commercial |
$272.72
|
|
|
36591 Capillary Blood Draw (up to 6 per day)
|
Facility
|
IP
|
$487.00
|
|
|
Service Code
|
HCPCS 36591
|
| Hospital Charge Code |
8743031
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$413.95 |
| Max. Negotiated Rate |
$472.39 |
| Rate for Payer: Cash Price |
$316.55
|
| Rate for Payer: Health Management Network Commercial |
$413.95
|
| Rate for Payer: Kaiser Permanente Commercial |
$438.30
|
| Rate for Payer: MDX Hawaii PPO |
$472.39
|
|
|
36591-Collect Blood Port/Access Device
|
Facility
|
IP
|
$405.00
|
|
|
Service Code
|
HCPCS 36591
|
| Hospital Charge Code |
8080199
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$344.25 |
| Max. Negotiated Rate |
$392.85 |
| Rate for Payer: Cash Price |
$263.25
|
| Rate for Payer: Health Management Network Commercial |
$344.25
|
| Rate for Payer: Kaiser Permanente Commercial |
$364.50
|
| Rate for Payer: MDX Hawaii PPO |
$392.85
|
|
|
36591-Collect Blood Port/Access Device
|
Facility
|
OP
|
$405.00
|
|
|
Service Code
|
HCPCS 36591
|
| Hospital Charge Code |
8080199
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$202.50 |
| Max. Negotiated Rate |
$1,600.00 |
| Rate for Payer: AlohaCare Medicaid |
$202.50
|
| Rate for Payer: AlohaCare Medicare |
$202.50
|
| Rate for Payer: Cash Price |
$263.25
|
| Rate for Payer: Cash Price |
$263.25
|
| Rate for Payer: Devoted Health Medicare |
$222.75
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$469.00
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$1,600.00
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$202.50
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$450.00
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$384.75
|
| Rate for Payer: Health Management Network Commercial |
$344.25
|
| Rate for Payer: Humana Medicare |
$202.50
|
| Rate for Payer: Kaiser Permanente Commercial |
$364.50
|
| Rate for Payer: Kaiser Permanente Medicaid |
$937.50
|
| Rate for Payer: Kaiser Permanente Medicare |
$202.50
|
| Rate for Payer: MDX Hawaii PPO |
$392.85
|
| Rate for Payer: Ohana Health Plan Medicaid |
$202.50
|
| Rate for Payer: Ohana Health Plan Medicare |
$202.50
|
| Rate for Payer: UnitedHealthcare Medicare |
$202.50
|
| Rate for Payer: University Health Alliance Commercial |
$295.20
|
|
|
36591 Collection of blood specimen from a completely implantable venous access device
|
Professional
|
Both
|
$185.00
|
|
|
Service Code
|
HCPCS 36591
|
| Hospital Charge Code |
8038970
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$31.55 |
| Max. Negotiated Rate |
$434.26 |
| Rate for Payer: AlohaCare Medicaid |
$31.55
|
| Rate for Payer: AlohaCare Medicare |
$34.37
|
| Rate for Payer: Cash Price |
$120.25
|
| Rate for Payer: Cash Price |
$120.25
|
| Rate for Payer: Cash Price |
$120.25
|
| Rate for Payer: Devoted Health Medicare |
$37.81
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$434.26
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$303.73
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$339.46
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$246.64
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$265.97
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$181.39
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$209.49
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$237.64
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$434.26
|
| Rate for Payer: Health Management Network Commercial |
$157.25
|
| Rate for Payer: Kaiser Permanente Commercial |
$237.64
|
| Rate for Payer: Kaiser Permanente Commercial |
$41.24
|
| Rate for Payer: Kaiser Permanente Commercial |
$181.39
|
| Rate for Payer: Kaiser Permanente Commercial |
$209.49
|
| Rate for Payer: Kaiser Permanente Commercial |
$246.64
|
| Rate for Payer: Kaiser Permanente Commercial |
$265.97
|
| Rate for Payer: Kaiser Permanente Commercial |
$303.73
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Medicaid |
$434.26
|
| Rate for Payer: Kaiser Permanente Medicare |
$181.39
|
| Rate for Payer: Kaiser Permanente Medicare |
$209.49
|
| Rate for Payer: Kaiser Permanente Medicare |
$237.64
|
| Rate for Payer: Kaiser Permanente Medicare |
$265.97
|
| Rate for Payer: Kaiser Permanente Medicare |
$303.73
|
| Rate for Payer: Kaiser Permanente Medicare |
$339.46
|
| Rate for Payer: Kaiser Permanente Medicare |
$246.64
|
| Rate for Payer: Ohana Health Plan Medicaid |
$31.55
|
| Rate for Payer: Ohana Health Plan Medicare |
$34.37
|
| Rate for Payer: UnitedHealthcare Medicaid |
$434.26
|
| Rate for Payer: UnitedHealthcare Medicare |
$265.97
|
| Rate for Payer: UnitedHealthcare Medicare |
$339.46
|
| Rate for Payer: UnitedHealthcare Medicare |
$181.39
|
| Rate for Payer: UnitedHealthcare Medicare |
$209.49
|
| Rate for Payer: UnitedHealthcare Medicare |
$237.64
|
| Rate for Payer: UnitedHealthcare Medicare |
$246.64
|
| Rate for Payer: UnitedHealthcare Medicare |
$303.73
|
|
|
36592 BLD DRAW per RN Central line
|
Facility
|
OP
|
$301.00
|
|
|
Service Code
|
HCPCS 36592
|
| Hospital Charge Code |
8518810
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$15.71 |
| Max. Negotiated Rate |
$291.97 |
| Rate for Payer: AlohaCare Medicaid |
$150.50
|
| Rate for Payer: AlohaCare Medicare |
$150.50
|
| Rate for Payer: Cash Price |
$195.65
|
| Rate for Payer: Cash Price |
$195.65
|
| Rate for Payer: Devoted Health Medicare |
$165.55
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$169.91
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$150.50
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$285.95
|
| Rate for Payer: Health Management Network Commercial |
$255.85
|
| Rate for Payer: Humana Medicare |
$150.50
|
| Rate for Payer: Kaiser Permanente Commercial |
$270.90
|
| Rate for Payer: Kaiser Permanente Medicaid |
$153.51
|
| Rate for Payer: Kaiser Permanente Medicare |
$150.50
|
| Rate for Payer: MDX Hawaii PPO |
$291.97
|
| Rate for Payer: Ohana Health Plan Medicaid |
$150.50
|
| Rate for Payer: Ohana Health Plan Medicare |
$150.50
|
| Rate for Payer: UnitedHealthcare Medicaid |
$15.71
|
| Rate for Payer: UnitedHealthcare Medicare |
$150.50
|
| Rate for Payer: University Health Alliance Commercial |
$168.56
|
|
|
36592 BLD DRAW per RN Central line
|
Facility
|
IP
|
$301.00
|
|
|
Service Code
|
HCPCS 36592
|
| Hospital Charge Code |
8518810
|
|
Hospital Revenue Code
|
300
|
| 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: Kaiser Permanente Commercial |
$270.90
|
| Rate for Payer: MDX Hawaii PPO |
$291.97
|
|
|
36593 DECLOT PICC, CVC, etc.
|
Facility
|
OP
|
$1,428.00
|
|
|
Service Code
|
HCPCS 36593
|
| Hospital Charge Code |
8518811
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$450.00 |
| Max. Negotiated Rate |
$1,600.00 |
| Rate for Payer: AlohaCare Medicaid |
$714.00
|
| Rate for Payer: AlohaCare Medicare |
$714.00
|
| Rate for Payer: Cash Price |
$928.20
|
| Rate for Payer: Cash Price |
$928.20
|
| Rate for Payer: Devoted Health Medicare |
$785.40
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$469.00
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$1,600.00
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$714.00
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$450.00
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$1,356.60
|
| Rate for Payer: Health Management Network Commercial |
$1,213.80
|
| Rate for Payer: Humana Medicare |
$714.00
|
| Rate for Payer: Kaiser Permanente Commercial |
$1,285.20
|
| Rate for Payer: Kaiser Permanente Medicaid |
$937.50
|
| Rate for Payer: Kaiser Permanente Medicare |
$714.00
|
| Rate for Payer: MDX Hawaii PPO |
$1,385.16
|
| Rate for Payer: Ohana Health Plan Medicaid |
$714.00
|
| Rate for Payer: Ohana Health Plan Medicare |
$714.00
|
| Rate for Payer: UnitedHealthcare Medicare |
$714.00
|
| Rate for Payer: University Health Alliance Commercial |
$1,040.87
|
|
|
36593 DECLOT PICC, CVC, etc.
|
Facility
|
IP
|
$1,428.00
|
|
|
Service Code
|
HCPCS 36593
|
| Hospital Charge Code |
8518811
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$1,213.80 |
| Max. Negotiated Rate |
$1,385.16 |
| Rate for Payer: Cash Price |
$928.20
|
| Rate for Payer: Health Management Network Commercial |
$1,213.80
|
| Rate for Payer: Kaiser Permanente Commercial |
$1,285.20
|
| Rate for Payer: MDX Hawaii PPO |
$1,385.16
|
|
|
36593 Declotting by thrombolytic agent of implanted vascular access device or catheter
|
Professional
|
Both
|
$460.00
|
|
|
Service Code
|
HCPCS 36593
|
| Hospital Charge Code |
8038971
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$35.62 |
| Max. Negotiated Rate |
$434.26 |
| Rate for Payer: AlohaCare Medicaid |
$39.39
|
| Rate for Payer: AlohaCare Medicare |
$42.92
|
| Rate for Payer: Cash Price |
$299.00
|
| Rate for Payer: Cash Price |
$299.00
|
| Rate for Payer: Cash Price |
$299.00
|
| Rate for Payer: Devoted Health Medicare |
$47.21
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$434.26
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$265.97
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$339.46
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$237.64
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$246.64
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$303.73
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$181.39
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$209.49
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$434.26
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$35.62
|
| Rate for Payer: Health Management Network Commercial |
$391.00
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$51.50
|
| Rate for Payer: Kaiser Permanente Commercial |
$181.39
|
| Rate for Payer: Kaiser Permanente Commercial |
$209.49
|
| Rate for Payer: Kaiser Permanente Commercial |
$237.64
|
| Rate for Payer: Kaiser Permanente Commercial |
$246.64
|
| Rate for Payer: Kaiser Permanente Commercial |
$265.97
|
| Rate for Payer: Kaiser Permanente Commercial |
$303.73
|
| Rate for Payer: Kaiser Permanente Medicaid |
$434.26
|
| Rate for Payer: Kaiser Permanente Medicare |
$339.46
|
| Rate for Payer: Kaiser Permanente Medicare |
$181.39
|
| Rate for Payer: Kaiser Permanente Medicare |
$209.49
|
| Rate for Payer: Kaiser Permanente Medicare |
$237.64
|
| Rate for Payer: Kaiser Permanente Medicare |
$246.64
|
| Rate for Payer: Kaiser Permanente Medicare |
$303.73
|
| Rate for Payer: Kaiser Permanente Medicare |
$265.97
|
| Rate for Payer: Ohana Health Plan Medicaid |
$39.39
|
| Rate for Payer: Ohana Health Plan Medicare |
$42.92
|
| Rate for Payer: UnitedHealthcare Medicaid |
$434.26
|
| Rate for Payer: UnitedHealthcare Medicare |
$303.73
|
| Rate for Payer: UnitedHealthcare Medicare |
$181.39
|
| Rate for Payer: UnitedHealthcare Medicare |
$209.49
|
| Rate for Payer: UnitedHealthcare Medicare |
$237.64
|
| Rate for Payer: UnitedHealthcare Medicare |
$246.64
|
| Rate for Payer: UnitedHealthcare Medicare |
$265.97
|
| Rate for Payer: UnitedHealthcare Medicare |
$339.46
|
|
|
36593 Declot Vascular Device Charges
|
Facility
|
OP
|
$1,263.00
|
|
|
Service Code
|
HCPCS 36593
|
| Hospital Charge Code |
8221488
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$19.39 |
| Max. Negotiated Rate |
$1,225.11 |
| Rate for Payer: AlohaCare Medicaid |
$631.50
|
| Rate for Payer: AlohaCare Medicare |
$631.50
|
| Rate for Payer: Cash Price |
$820.95
|
| Rate for Payer: Cash Price |
$820.95
|
| Rate for Payer: Devoted Health Medicare |
$694.65
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$421.82
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$631.50
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$1,199.85
|
| Rate for Payer: Health Management Network Commercial |
$1,073.55
|
| Rate for Payer: Humana Medicare |
$631.50
|
| Rate for Payer: Kaiser Permanente Commercial |
$1,136.70
|
| Rate for Payer: Kaiser Permanente Medicaid |
$644.13
|
| Rate for Payer: Kaiser Permanente Medicare |
$631.50
|
| Rate for Payer: MDX Hawaii PPO |
$1,225.11
|
| Rate for Payer: Ohana Health Plan Medicaid |
$631.50
|
| Rate for Payer: Ohana Health Plan Medicare |
$631.50
|
| Rate for Payer: UnitedHealthcare Medicaid |
$19.39
|
| Rate for Payer: UnitedHealthcare Medicare |
$631.50
|
| Rate for Payer: University Health Alliance Commercial |
$707.28
|
|
|
36593 Declot Vascular Device Charges
|
Facility
|
IP
|
$1,263.00
|
|
|
Service Code
|
HCPCS 36593
|
| Hospital Charge Code |
8221488
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,073.55 |
| Max. Negotiated Rate |
$1,225.11 |
| Rate for Payer: Cash Price |
$820.95
|
| Rate for Payer: Health Management Network Commercial |
$1,073.55
|
| Rate for Payer: Kaiser Permanente Commercial |
$1,136.70
|
| Rate for Payer: MDX Hawaii PPO |
$1,225.11
|
|
|
36595 Mechanical removal of pericatheter obstructive material
|
Professional
|
Both
|
$4,394.00
|
|
|
Service Code
|
HCPCS 36595
|
| Hospital Charge Code |
8038972
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$155.41 |
| Max. Negotiated Rate |
$3,734.90 |
| Rate for Payer: AlohaCare Medicaid |
$176.30
|
| Rate for Payer: AlohaCare Medicare |
$155.41
|
| Rate for Payer: Cash Price |
$2,856.10
|
| Rate for Payer: Cash Price |
$2,856.10
|
| Rate for Payer: Cash Price |
$2,856.10
|
| Rate for Payer: Devoted Health Medicare |
$170.95
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$434.26
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$279.36
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$246.64
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$303.73
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$339.46
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$237.64
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$265.97
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$181.39
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$209.49
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$434.26
|
| Rate for Payer: Health Management Network Commercial |
$3,734.90
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$186.49
|
| Rate for Payer: Kaiser Permanente Commercial |
$181.39
|
| Rate for Payer: Kaiser Permanente Commercial |
$209.49
|
| Rate for Payer: Kaiser Permanente Commercial |
$237.64
|
| Rate for Payer: Kaiser Permanente Commercial |
$246.64
|
| Rate for Payer: Kaiser Permanente Commercial |
$265.97
|
| Rate for Payer: Kaiser Permanente Commercial |
$303.73
|
| Rate for Payer: Kaiser Permanente Medicaid |
$434.26
|
| Rate for Payer: Kaiser Permanente Medicare |
$339.46
|
| Rate for Payer: Kaiser Permanente Medicare |
$246.64
|
| Rate for Payer: Kaiser Permanente Medicare |
$265.97
|
| Rate for Payer: Kaiser Permanente Medicare |
$303.73
|
| Rate for Payer: Kaiser Permanente Medicare |
$181.39
|
| Rate for Payer: Kaiser Permanente Medicare |
$209.49
|
| Rate for Payer: Kaiser Permanente Medicare |
$237.64
|
| Rate for Payer: Ohana Health Plan Medicaid |
$176.30
|
| Rate for Payer: Ohana Health Plan Medicare |
$155.41
|
| Rate for Payer: UnitedHealthcare Medicaid |
$434.26
|
| Rate for Payer: UnitedHealthcare Medicare |
$265.97
|
| Rate for Payer: UnitedHealthcare Medicare |
$339.46
|
| Rate for Payer: UnitedHealthcare Medicare |
$181.39
|
| Rate for Payer: UnitedHealthcare Medicare |
$303.73
|
| Rate for Payer: UnitedHealthcare Medicare |
$209.49
|
| Rate for Payer: UnitedHealthcare Medicare |
$237.64
|
| Rate for Payer: UnitedHealthcare Medicare |
$246.64
|
| Rate for Payer: University Health Alliance Commercial |
$246.52
|
|
|
36597 Repositioning of previously placed central venous catheter under fluoroscopic guidance
|
Professional
|
Both
|
$2,191.00
|
|
|
Service Code
|
HCPCS 36597
|
| Hospital Charge Code |
8038973
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$51.05 |
| Max. Negotiated Rate |
$1,862.35 |
| Rate for Payer: AlohaCare Medicaid |
$58.38
|
| Rate for Payer: AlohaCare Medicare |
$51.05
|
| Rate for Payer: Cash Price |
$1,424.15
|
| Rate for Payer: Cash Price |
$1,424.15
|
| Rate for Payer: Cash Price |
$1,424.15
|
| Rate for Payer: Devoted Health Medicare |
$56.16
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$434.26
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$91.97
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$246.64
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$303.73
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$339.46
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$237.64
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$265.97
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$181.39
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$209.49
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$434.26
|
| Rate for Payer: Health Management Network Commercial |
$1,862.35
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$61.26
|
| Rate for Payer: Kaiser Permanente Commercial |
$181.39
|
| Rate for Payer: Kaiser Permanente Commercial |
$209.49
|
| Rate for Payer: Kaiser Permanente Commercial |
$237.64
|
| Rate for Payer: Kaiser Permanente Commercial |
$246.64
|
| Rate for Payer: Kaiser Permanente Commercial |
$265.97
|
| Rate for Payer: Kaiser Permanente Commercial |
$303.73
|
| Rate for Payer: Kaiser Permanente Medicaid |
$434.26
|
| Rate for Payer: Kaiser Permanente Medicare |
$339.46
|
| Rate for Payer: Kaiser Permanente Medicare |
$246.64
|
| Rate for Payer: Kaiser Permanente Medicare |
$265.97
|
| Rate for Payer: Kaiser Permanente Medicare |
$303.73
|
| Rate for Payer: Kaiser Permanente Medicare |
$181.39
|
| Rate for Payer: Kaiser Permanente Medicare |
$209.49
|
| Rate for Payer: Kaiser Permanente Medicare |
$237.64
|
| Rate for Payer: Ohana Health Plan Medicaid |
$58.38
|
| Rate for Payer: Ohana Health Plan Medicare |
$51.05
|
| Rate for Payer: UnitedHealthcare Medicaid |
$434.26
|
| Rate for Payer: UnitedHealthcare Medicare |
$265.97
|
| Rate for Payer: UnitedHealthcare Medicare |
$339.46
|
| Rate for Payer: UnitedHealthcare Medicare |
$181.39
|
| Rate for Payer: UnitedHealthcare Medicare |
$303.73
|
| Rate for Payer: UnitedHealthcare Medicare |
$209.49
|
| Rate for Payer: UnitedHealthcare Medicare |
$237.64
|
| Rate for Payer: UnitedHealthcare Medicare |
$246.64
|
| Rate for Payer: University Health Alliance Commercial |
$72.75
|
|
|
36600-Arterial Puncture
|
Facility
|
IP
|
$255.00
|
|
|
Service Code
|
HCPCS 36600
|
| Hospital Charge Code |
8080201
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$216.75 |
| Max. Negotiated Rate |
$247.35 |
| Rate for Payer: Cash Price |
$165.75
|
| Rate for Payer: Health Management Network Commercial |
$216.75
|
| Rate for Payer: Kaiser Permanente Commercial |
$229.50
|
| Rate for Payer: MDX Hawaii PPO |
$247.35
|
|
|
36600-Arterial Puncture
|
Facility
|
OP
|
$255.00
|
|
|
Service Code
|
HCPCS 36600
|
| Hospital Charge Code |
8080201
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$15.16 |
| Max. Negotiated Rate |
$247.35 |
| Rate for Payer: AlohaCare Medicaid |
$127.50
|
| Rate for Payer: AlohaCare Medicare |
$127.50
|
| Rate for Payer: Cash Price |
$165.75
|
| Rate for Payer: Cash Price |
$165.75
|
| Rate for Payer: Devoted Health Medicare |
$140.25
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$169.91
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$127.50
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$242.25
|
| Rate for Payer: Health Management Network Commercial |
$216.75
|
| Rate for Payer: Humana Medicare |
$127.50
|
| Rate for Payer: Kaiser Permanente Commercial |
$229.50
|
| Rate for Payer: Kaiser Permanente Medicaid |
$130.05
|
| Rate for Payer: Kaiser Permanente Medicare |
$127.50
|
| Rate for Payer: MDX Hawaii PPO |
$247.35
|
| Rate for Payer: Ohana Health Plan Medicaid |
$127.50
|
| Rate for Payer: Ohana Health Plan Medicare |
$127.50
|
| Rate for Payer: UnitedHealthcare Medicaid |
$15.16
|
| Rate for Payer: UnitedHealthcare Medicare |
$127.50
|
| Rate for Payer: University Health Alliance Commercial |
$142.80
|
|
|
36600 ARTERIAL PUNCTURE (BLOOD GAS)
|
Facility
|
IP
|
$260.00
|
|
|
Service Code
|
HCPCS 36600
|
| Hospital Charge Code |
8743028
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$221.00 |
| Max. Negotiated Rate |
$252.20 |
| Rate for Payer: Cash Price |
$169.00
|
| Rate for Payer: Health Management Network Commercial |
$221.00
|
| Rate for Payer: Kaiser Permanente Commercial |
$234.00
|
| Rate for Payer: MDX Hawaii PPO |
$252.20
|
|
|
36600 ARTERIAL PUNCTURE (BLOOD GAS)
|
Facility
|
OP
|
$260.00
|
|
|
Service Code
|
HCPCS 36600
|
| Hospital Charge Code |
8743028
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$15.16 |
| Max. Negotiated Rate |
$252.20 |
| Rate for Payer: AlohaCare Medicaid |
$130.00
|
| Rate for Payer: AlohaCare Medicare |
$130.00
|
| Rate for Payer: Cash Price |
$169.00
|
| Rate for Payer: Cash Price |
$169.00
|
| Rate for Payer: Devoted Health Medicare |
$143.00
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$169.91
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$130.00
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$247.00
|
| Rate for Payer: Health Management Network Commercial |
$221.00
|
| Rate for Payer: Humana Medicare |
$130.00
|
| Rate for Payer: Kaiser Permanente Commercial |
$234.00
|
| Rate for Payer: Kaiser Permanente Medicaid |
$132.60
|
| Rate for Payer: Kaiser Permanente Medicare |
$130.00
|
| Rate for Payer: MDX Hawaii PPO |
$252.20
|
| Rate for Payer: Ohana Health Plan Medicaid |
$130.00
|
| Rate for Payer: Ohana Health Plan Medicare |
$130.00
|
| Rate for Payer: UnitedHealthcare Medicaid |
$15.16
|
| Rate for Payer: UnitedHealthcare Medicare |
$130.00
|
| Rate for Payer: University Health Alliance Commercial |
$145.60
|
|
|
36600 ARTERIAL PUNCTURE FOR RESPIRATORY
|
Professional
|
Both
|
$185.00
|
|
|
Service Code
|
HCPCS 36600
|
| Hospital Charge Code |
8051034
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$13.02 |
| Max. Negotiated Rate |
$434.26 |
| Rate for Payer: AlohaCare Medicaid |
$14.85
|
| Rate for Payer: AlohaCare Medicare |
$13.02
|
| Rate for Payer: Cash Price |
$120.25
|
| Rate for Payer: Cash Price |
$120.25
|
| Rate for Payer: Cash Price |
$120.25
|
| Rate for Payer: Devoted Health Medicare |
$14.32
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$434.26
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$24.11
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$339.46
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$181.39
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$209.49
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$237.64
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$246.64
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$265.97
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$303.73
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$434.26
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$23.40
|
| Rate for Payer: Health Management Network Commercial |
$157.25
|
| Rate for Payer: Kaiser Permanente Commercial |
$265.97
|
| Rate for Payer: Kaiser Permanente Commercial |
$15.62
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$303.73
|
| Rate for Payer: Kaiser Permanente Commercial |
$181.39
|
| Rate for Payer: Kaiser Permanente Commercial |
$209.49
|
| Rate for Payer: Kaiser Permanente Commercial |
$237.64
|
| Rate for Payer: Kaiser Permanente Commercial |
$246.64
|
| Rate for Payer: Kaiser Permanente Medicaid |
$434.26
|
| Rate for Payer: Kaiser Permanente Medicare |
$339.46
|
| Rate for Payer: Kaiser Permanente Medicare |
$246.64
|
| Rate for Payer: Kaiser Permanente Medicare |
$265.97
|
| Rate for Payer: Kaiser Permanente Medicare |
$303.73
|
| Rate for Payer: Kaiser Permanente Medicare |
$181.39
|
| Rate for Payer: Kaiser Permanente Medicare |
$209.49
|
| Rate for Payer: Kaiser Permanente Medicare |
$237.64
|
| Rate for Payer: Ohana Health Plan Medicaid |
$14.85
|
| Rate for Payer: Ohana Health Plan Medicare |
$13.02
|
| Rate for Payer: UnitedHealthcare Medicaid |
$434.26
|
| Rate for Payer: UnitedHealthcare Medicare |
$209.49
|
| Rate for Payer: UnitedHealthcare Medicare |
$246.64
|
| Rate for Payer: UnitedHealthcare Medicare |
$265.97
|
| Rate for Payer: UnitedHealthcare Medicare |
$303.73
|
| Rate for Payer: UnitedHealthcare Medicare |
$339.46
|
| Rate for Payer: UnitedHealthcare Medicare |
$181.39
|
| Rate for Payer: UnitedHealthcare Medicare |
$237.64
|
| Rate for Payer: University Health Alliance Commercial |
$24.00
|
|
