|
45915 Removal of fecal impaction or foreign body (separate procedure) under anesthesia
|
Professional
|
Both
|
$1,665.00
|
|
|
Service Code
|
HCPCS 45915
|
| Hospital Charge Code |
8039455
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$102.44 |
| Max. Negotiated Rate |
$1,415.25 |
| Rate for Payer: AlohaCare Medicaid |
$235.96
|
| Rate for Payer: AlohaCare Medicare |
$237.77
|
| Rate for Payer: Cash Price |
$1,082.25
|
| Rate for Payer: Cash Price |
$1,082.25
|
| Rate for Payer: Cash Price |
$1,082.25
|
| Rate for Payer: Devoted Health Medicare |
$261.55
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$434.26
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$370.56
|
| 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 |
$102.44
|
| Rate for Payer: Health Management Network Commercial |
$1,415.25
|
| Rate for Payer: Kaiser Permanente Commercial |
$303.73
|
| Rate for Payer: Kaiser Permanente Commercial |
$285.32
|
| 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 |
$235.96
|
| Rate for Payer: Ohana Health Plan Medicare |
$237.77
|
| 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 |
$313.74
|
|
|
45990 Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic
|
Professional
|
Both
|
$386.00
|
|
|
Service Code
|
HCPCS 45990
|
| Hospital Charge Code |
8039456
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$98.59 |
| Max. Negotiated Rate |
$434.26 |
| Rate for Payer: AlohaCare Medicaid |
$105.67
|
| Rate for Payer: AlohaCare Medicare |
$98.59
|
| Rate for Payer: Cash Price |
$250.90
|
| Rate for Payer: Cash Price |
$250.90
|
| Rate for Payer: Cash Price |
$250.90
|
| Rate for Payer: Devoted Health Medicare |
$108.45
|
| 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 |
$99.58
|
| Rate for Payer: Health Management Network Commercial |
$328.10
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$118.31
|
| 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 |
$105.67
|
| Rate for Payer: Ohana Health Plan Medicare |
$98.59
|
| 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
|
|
|
46020 Placement of seton
|
Professional
|
Both
|
$3,863.00
|
|
|
Service Code
|
HCPCS 46020
|
| Hospital Charge Code |
8039458
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$111.09 |
| Max. Negotiated Rate |
$3,283.55 |
| Rate for Payer: AlohaCare Medicaid |
$117.79
|
| Rate for Payer: AlohaCare Medicare |
$111.09
|
| Rate for Payer: Cash Price |
$2,510.95
|
| Rate for Payer: Cash Price |
$2,510.95
|
| Rate for Payer: Cash Price |
$2,510.95
|
| Rate for Payer: Devoted Health Medicare |
$122.20
|
| 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 |
$219.96
|
| Rate for Payer: Health Management Network Commercial |
$3,283.55
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$133.31
|
| 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 |
$117.79
|
| Rate for Payer: Ohana Health Plan Medicare |
$111.09
|
| 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
|
|
|
46030 Removal of anal seton, other marker
|
Professional
|
Both
|
$1,665.00
|
|
|
Service Code
|
HCPCS 46030
|
| Hospital Charge Code |
8039459
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$56.94 |
| Max. Negotiated Rate |
$1,415.25 |
| Rate for Payer: AlohaCare Medicaid |
$87.02
|
| Rate for Payer: AlohaCare Medicare |
$80.46
|
| Rate for Payer: Cash Price |
$1,082.25
|
| Rate for Payer: Cash Price |
$1,082.25
|
| Rate for Payer: Cash Price |
$1,082.25
|
| Rate for Payer: Devoted Health Medicare |
$88.51
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$434.26
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$136.20
|
| 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 |
$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 |
$56.94
|
| Rate for Payer: Health Management Network Commercial |
$1,415.25
|
| Rate for Payer: Kaiser Permanente Commercial |
$303.73
|
| Rate for Payer: Kaiser Permanente Commercial |
$96.55
|
| 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 |
$87.02
|
| Rate for Payer: Ohana Health Plan Medicare |
$80.46
|
| 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 |
$115.00
|
|
|
46040 I & D ISCHIORECTAL ABSCESS - ER SERV PR
|
Professional
|
Both
|
$1,766.00
|
|
|
Service Code
|
HCPCS 46040
|
| Hospital Charge Code |
8051048
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$181.39 |
| Max. Negotiated Rate |
$1,501.10 |
| Rate for Payer: AlohaCare Medicaid |
$443.86
|
| Rate for Payer: AlohaCare Medicare |
$448.12
|
| Rate for Payer: Cash Price |
$1,147.90
|
| Rate for Payer: Cash Price |
$1,147.90
|
| Rate for Payer: Cash Price |
$1,147.90
|
| Rate for Payer: Devoted Health Medicare |
$492.93
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$434.26
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$683.45
|
| 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 |
$238.42
|
| Rate for Payer: Health Management Network Commercial |
$1,501.10
|
| Rate for Payer: Kaiser Permanente Commercial |
$303.73
|
| Rate for Payer: Kaiser Permanente Commercial |
$537.74
|
| 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 |
$443.86
|
| Rate for Payer: Ohana Health Plan Medicare |
$448.12
|
| 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 |
$555.80
|
|
|
46040 I & D ISCHIORECTAL ABSCESS - ER SERV PR
|
Professional
|
Both
|
$1,766.00
|
|
|
Service Code
|
HCPCS 46040
|
| Hospital Charge Code |
8051048
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$238.42 |
| Max. Negotiated Rate |
$1,501.10 |
| Rate for Payer: AlohaCare Medicaid |
$443.86
|
| Rate for Payer: AlohaCare Medicare |
$448.12
|
| Rate for Payer: Cash Price |
$1,147.90
|
| Rate for Payer: Cash Price |
$1,147.90
|
| Rate for Payer: Devoted Health Medicare |
$492.93
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$443.86
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$683.45
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$448.12
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$443.86
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$238.42
|
| Rate for Payer: Health Management Network Commercial |
$1,501.10
|
| Rate for Payer: Kaiser Permanente Commercial |
$537.74
|
| Rate for Payer: Kaiser Permanente Medicaid |
$537.74
|
| Rate for Payer: Kaiser Permanente Medicare |
$537.74
|
| Rate for Payer: Ohana Health Plan Medicaid |
$443.86
|
| Rate for Payer: Ohana Health Plan Medicare |
$448.12
|
| Rate for Payer: UnitedHealthcare Medicaid |
$443.86
|
| Rate for Payer: UnitedHealthcare Medicare |
$448.12
|
| Rate for Payer: University Health Alliance Commercial |
$555.80
|
|
|
46040-I&D Ischiorectal/Perirectal Abscess
|
Facility
|
OP
|
$5,679.00
|
|
|
Service Code
|
HCPCS 46040
|
| Hospital Charge Code |
8080052
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$450.00 |
| Max. Negotiated Rate |
$6,743.44 |
| Rate for Payer: AlohaCare Medicaid |
$2,839.50
|
| Rate for Payer: AlohaCare Medicare |
$2,839.50
|
| Rate for Payer: Cash Price |
$3,691.35
|
| Rate for Payer: Cash Price |
$3,691.35
|
| Rate for Payer: Devoted Health Medicare |
$3,123.45
|
| 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 |
$2,839.50
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$450.00
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$5,395.05
|
| Rate for Payer: Health Management Network Commercial |
$4,827.15
|
| Rate for Payer: Humana Medicare |
$2,839.50
|
| Rate for Payer: Kaiser Permanente Commercial |
$5,111.10
|
| Rate for Payer: Kaiser Permanente Medicaid |
$937.50
|
| Rate for Payer: Kaiser Permanente Medicare |
$2,839.50
|
| Rate for Payer: MDX Hawaii PPO |
$5,508.63
|
| Rate for Payer: Ohana Health Plan Medicaid |
$2,839.50
|
| Rate for Payer: Ohana Health Plan Medicare |
$2,839.50
|
| Rate for Payer: UnitedHealthcare Medicaid |
$456.03
|
| Rate for Payer: UnitedHealthcare Medicare |
$2,839.50
|
| Rate for Payer: University Health Alliance Commercial |
$6,743.44
|
|
|
46040-I&D Ischiorectal/Perirectal Abscess
|
Facility
|
IP
|
$5,679.00
|
|
|
Service Code
|
HCPCS 46040
|
| Hospital Charge Code |
8080052
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$4,827.15 |
| Max. Negotiated Rate |
$5,508.63 |
| Rate for Payer: Cash Price |
$3,691.35
|
| Rate for Payer: Health Management Network Commercial |
$4,827.15
|
| Rate for Payer: Kaiser Permanente Commercial |
$5,111.10
|
| Rate for Payer: MDX Hawaii PPO |
$5,508.63
|
|
|
46040 I&D ISCHIORECTAL&/PERIRECTAL ABSCESS SPX TechFee
|
Facility
|
IP
|
$6,998.00
|
|
|
Service Code
|
HCPCS 46040
|
| Hospital Charge Code |
8211329
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$5,948.30 |
| Max. Negotiated Rate |
$6,788.06 |
| Rate for Payer: Cash Price |
$4,548.70
|
| Rate for Payer: Health Management Network Commercial |
$5,948.30
|
| Rate for Payer: Kaiser Permanente Commercial |
$6,298.20
|
| Rate for Payer: MDX Hawaii PPO |
$6,788.06
|
|
|
46040 I&D ISCHIORECTAL&/PERIRECTAL ABSCESS SPX TechFee
|
Facility
|
OP
|
$6,998.00
|
|
|
Service Code
|
HCPCS 46040
|
| Hospital Charge Code |
8211329
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$450.00 |
| Max. Negotiated Rate |
$6,788.06 |
| Rate for Payer: AlohaCare Medicaid |
$3,499.00
|
| Rate for Payer: AlohaCare Medicare |
$3,499.00
|
| Rate for Payer: Cash Price |
$4,548.70
|
| Rate for Payer: Cash Price |
$4,548.70
|
| Rate for Payer: Devoted Health Medicare |
$3,848.90
|
| 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 |
$3,499.00
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$450.00
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$6,648.10
|
| Rate for Payer: Health Management Network Commercial |
$5,948.30
|
| Rate for Payer: Humana Medicare |
$3,499.00
|
| Rate for Payer: Kaiser Permanente Commercial |
$6,298.20
|
| Rate for Payer: Kaiser Permanente Medicaid |
$937.50
|
| Rate for Payer: Kaiser Permanente Medicare |
$3,499.00
|
| Rate for Payer: MDX Hawaii PPO |
$6,788.06
|
| Rate for Payer: Ohana Health Plan Medicaid |
$3,499.00
|
| Rate for Payer: Ohana Health Plan Medicare |
$3,499.00
|
| Rate for Payer: UnitedHealthcare Medicaid |
$456.03
|
| Rate for Payer: UnitedHealthcare Medicare |
$3,499.00
|
| Rate for Payer: University Health Alliance Commercial |
$6,743.44
|
|
|
46040 INCISION AND DRAINAGE OF ISCHIORECTAL AND/OR PERIRECTAL ABSCESS (SEPARATE PROCEDURE) ProFee
|
Professional
|
Both
|
$1,766.00
|
|
|
Service Code
|
HCPCS 46040
|
| Hospital Charge Code |
8020155
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$238.42 |
| Max. Negotiated Rate |
$1,501.10 |
| Rate for Payer: AlohaCare Medicaid |
$443.86
|
| Rate for Payer: AlohaCare Medicare |
$448.12
|
| Rate for Payer: Cash Price |
$1,147.90
|
| Rate for Payer: Cash Price |
$1,147.90
|
| Rate for Payer: Devoted Health Medicare |
$492.93
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$443.86
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$683.45
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$448.12
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$443.86
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$238.42
|
| Rate for Payer: Health Management Network Commercial |
$1,501.10
|
| Rate for Payer: Kaiser Permanente Commercial |
$537.74
|
| Rate for Payer: Kaiser Permanente Medicaid |
$537.74
|
| Rate for Payer: Kaiser Permanente Medicare |
$537.74
|
| Rate for Payer: Ohana Health Plan Medicaid |
$443.86
|
| Rate for Payer: Ohana Health Plan Medicare |
$448.12
|
| Rate for Payer: UnitedHealthcare Medicaid |
$443.86
|
| Rate for Payer: UnitedHealthcare Medicare |
$448.12
|
| Rate for Payer: University Health Alliance Commercial |
$555.80
|
|
|
46045 I&D of intramural, intramuscular, or submucosal abscess, transanal, under anesthesia
|
Professional
|
Both
|
$3,863.00
|
|
|
Service Code
|
HCPCS 46045
|
| Hospital Charge Code |
8039461
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$181.39 |
| Max. Negotiated Rate |
$3,283.55 |
| Rate for Payer: AlohaCare Medicaid |
$456.47
|
| Rate for Payer: AlohaCare Medicare |
$459.42
|
| Rate for Payer: Cash Price |
$2,510.95
|
| Rate for Payer: Cash Price |
$2,510.95
|
| Rate for Payer: Cash Price |
$2,510.95
|
| Rate for Payer: Devoted Health Medicare |
$505.36
|
| 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 |
$183.56
|
| Rate for Payer: Health Management Network Commercial |
$3,283.55
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$551.30
|
| 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 |
$456.47
|
| Rate for Payer: Ohana Health Plan Medicare |
$459.42
|
| 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
|
|
|
46050 I & D PERIANAL ABSCESS - ER SERV PROC
|
Professional
|
Both
|
$1,294.00
|
|
|
Service Code
|
HCPCS 46050
|
| Hospital Charge Code |
8051049
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$87.88 |
| Max. Negotiated Rate |
$1,099.90 |
| Rate for Payer: AlohaCare Medicaid |
$106.57
|
| Rate for Payer: AlohaCare Medicare |
$107.72
|
| Rate for Payer: Cash Price |
$841.10
|
| Rate for Payer: Cash Price |
$841.10
|
| Rate for Payer: Cash Price |
$841.10
|
| Rate for Payer: Devoted Health Medicare |
$118.49
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$434.26
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$162.23
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$181.39
|
| 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 |
$237.64
|
| 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 |
$87.88
|
| Rate for Payer: Health Management Network Commercial |
$1,099.90
|
| Rate for Payer: Kaiser Permanente Commercial |
$129.26
|
| Rate for Payer: Kaiser Permanente Commercial |
$265.97
|
| 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 |
$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 |
$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 |
$106.57
|
| Rate for Payer: Ohana Health Plan Medicare |
$107.72
|
| Rate for Payer: UnitedHealthcare Medicaid |
$434.26
|
| Rate for Payer: UnitedHealthcare Medicare |
$181.39
|
| 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 |
$209.49
|
| Rate for Payer: UnitedHealthcare Medicare |
$237.64
|
| Rate for Payer: University Health Alliance Commercial |
$150.00
|
|
|
46050 I & D PERIANAL ABSCESS - ER SERV PROC
|
Professional
|
Both
|
$1,294.00
|
|
|
Service Code
|
HCPCS 46050
|
| Hospital Charge Code |
8051049
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$87.88 |
| Max. Negotiated Rate |
$1,099.90 |
| Rate for Payer: AlohaCare Medicaid |
$106.57
|
| Rate for Payer: AlohaCare Medicare |
$107.72
|
| Rate for Payer: Cash Price |
$841.10
|
| Rate for Payer: Cash Price |
$841.10
|
| Rate for Payer: Devoted Health Medicare |
$118.49
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$106.57
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$162.23
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$107.72
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$106.57
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$87.88
|
| Rate for Payer: Health Management Network Commercial |
$1,099.90
|
| Rate for Payer: Kaiser Permanente Commercial |
$129.26
|
| Rate for Payer: Kaiser Permanente Medicaid |
$129.26
|
| Rate for Payer: Kaiser Permanente Medicare |
$129.26
|
| Rate for Payer: Ohana Health Plan Medicaid |
$106.57
|
| Rate for Payer: Ohana Health Plan Medicare |
$107.72
|
| Rate for Payer: UnitedHealthcare Medicaid |
$106.57
|
| Rate for Payer: UnitedHealthcare Medicare |
$107.72
|
| Rate for Payer: University Health Alliance Commercial |
$150.00
|
|
|
46050-I&D Perianal Abscess Superficial
|
Facility
|
OP
|
$1,644.00
|
|
|
Service Code
|
HCPCS 46050
|
| Hospital Charge Code |
8080054
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$340.18 |
| Max. Negotiated Rate |
$1,600.00 |
| Rate for Payer: AlohaCare Medicaid |
$822.00
|
| Rate for Payer: AlohaCare Medicare |
$822.00
|
| Rate for Payer: Cash Price |
$1,068.60
|
| Rate for Payer: Cash Price |
$1,068.60
|
| Rate for Payer: Devoted Health Medicare |
$904.20
|
| 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 |
$822.00
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$450.00
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$1,561.80
|
| Rate for Payer: Health Management Network Commercial |
$1,397.40
|
| Rate for Payer: Humana Medicare |
$822.00
|
| Rate for Payer: Kaiser Permanente Commercial |
$1,479.60
|
| Rate for Payer: Kaiser Permanente Medicaid |
$937.50
|
| Rate for Payer: Kaiser Permanente Medicare |
$822.00
|
| Rate for Payer: MDX Hawaii PPO |
$1,594.68
|
| Rate for Payer: Ohana Health Plan Medicaid |
$822.00
|
| Rate for Payer: Ohana Health Plan Medicare |
$822.00
|
| Rate for Payer: UnitedHealthcare Medicaid |
$340.18
|
| Rate for Payer: UnitedHealthcare Medicare |
$822.00
|
| Rate for Payer: University Health Alliance Commercial |
$1,198.31
|
|
|
46050-I&D Perianal Abscess Superficial
|
Facility
|
IP
|
$1,644.00
|
|
|
Service Code
|
HCPCS 46050
|
| Hospital Charge Code |
8080054
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$1,397.40 |
| Max. Negotiated Rate |
$1,594.68 |
| Rate for Payer: Cash Price |
$1,068.60
|
| Rate for Payer: Health Management Network Commercial |
$1,397.40
|
| Rate for Payer: Kaiser Permanente Commercial |
$1,479.60
|
| Rate for Payer: MDX Hawaii PPO |
$1,594.68
|
|
|
46050 I&D PERIANAL ABSCESS SUPERFICIAL TechFee
|
Facility
|
IP
|
$1,995.00
|
|
|
Service Code
|
HCPCS 46050
|
| Hospital Charge Code |
8211330
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$1,695.75 |
| Max. Negotiated Rate |
$1,935.15 |
| Rate for Payer: Cash Price |
$1,296.75
|
| Rate for Payer: Health Management Network Commercial |
$1,695.75
|
| Rate for Payer: Kaiser Permanente Commercial |
$1,795.50
|
| Rate for Payer: MDX Hawaii PPO |
$1,935.15
|
|
|
46050 I&D PERIANAL ABSCESS SUPERFICIAL TechFee
|
Facility
|
OP
|
$1,995.00
|
|
|
Service Code
|
HCPCS 46050
|
| Hospital Charge Code |
8211330
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$340.18 |
| Max. Negotiated Rate |
$1,935.15 |
| Rate for Payer: AlohaCare Medicaid |
$997.50
|
| Rate for Payer: AlohaCare Medicare |
$997.50
|
| Rate for Payer: Cash Price |
$1,296.75
|
| Rate for Payer: Cash Price |
$1,296.75
|
| Rate for Payer: Devoted Health Medicare |
$1,097.25
|
| 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 |
$997.50
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$450.00
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$1,895.25
|
| Rate for Payer: Health Management Network Commercial |
$1,695.75
|
| Rate for Payer: Humana Medicare |
$997.50
|
| Rate for Payer: Kaiser Permanente Commercial |
$1,795.50
|
| Rate for Payer: Kaiser Permanente Medicaid |
$937.50
|
| Rate for Payer: Kaiser Permanente Medicare |
$997.50
|
| Rate for Payer: MDX Hawaii PPO |
$1,935.15
|
| Rate for Payer: Ohana Health Plan Medicaid |
$997.50
|
| Rate for Payer: Ohana Health Plan Medicare |
$997.50
|
| Rate for Payer: UnitedHealthcare Medicaid |
$340.18
|
| Rate for Payer: UnitedHealthcare Medicare |
$997.50
|
| Rate for Payer: University Health Alliance Commercial |
$1,454.16
|
|
|
46060 I&D of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular
|
Professional
|
Both
|
$3,863.00
|
|
|
Service Code
|
HCPCS 46060
|
| Hospital Charge Code |
8039463
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$181.39 |
| Max. Negotiated Rate |
$3,283.55 |
| Rate for Payer: AlohaCare Medicaid |
$508.11
|
| Rate for Payer: AlohaCare Medicare |
$508.24
|
| Rate for Payer: Cash Price |
$2,510.95
|
| Rate for Payer: Cash Price |
$2,510.95
|
| Rate for Payer: Cash Price |
$2,510.95
|
| Rate for Payer: Devoted Health Medicare |
$559.06
|
| 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 |
$427.70
|
| Rate for Payer: Health Management Network Commercial |
$3,283.55
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$609.89
|
| 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 |
$508.11
|
| Rate for Payer: Ohana Health Plan Medicare |
$508.24
|
| 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
|
|
|
46080 Sphincterotomy, anal, division of sphincter (separate procedure)
|
Professional
|
Both
|
$3,863.00
|
|
|
Service Code
|
HCPCS 46080
|
| Hospital Charge Code |
8039464
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$150.13 |
| Max. Negotiated Rate |
$3,283.55 |
| Rate for Payer: AlohaCare Medicaid |
$159.59
|
| Rate for Payer: AlohaCare Medicare |
$150.13
|
| Rate for Payer: Cash Price |
$2,510.95
|
| Rate for Payer: Cash Price |
$2,510.95
|
| Rate for Payer: Cash Price |
$2,510.95
|
| Rate for Payer: Devoted Health Medicare |
$165.14
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$434.26
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$248.73
|
| 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 |
$188.50
|
| Rate for Payer: Health Management Network Commercial |
$3,283.55
|
| Rate for Payer: Kaiser Permanente Commercial |
$303.73
|
| Rate for Payer: Kaiser Permanente Commercial |
$180.16
|
| 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 |
$159.59
|
| Rate for Payer: Ohana Health Plan Medicare |
$150.13
|
| 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 |
$213.56
|
|
|
46083-Incision Hemorrhoid Thrombosed External
|
Facility
|
IP
|
$1,498.00
|
|
|
Service Code
|
HCPCS 46083
|
| Hospital Charge Code |
8080056
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$1,273.30 |
| Max. Negotiated Rate |
$1,453.06 |
| Rate for Payer: Cash Price |
$973.70
|
| Rate for Payer: Health Management Network Commercial |
$1,273.30
|
| Rate for Payer: Kaiser Permanente Commercial |
$1,348.20
|
| Rate for Payer: MDX Hawaii PPO |
$1,453.06
|
|
|
46083-Incision Hemorrhoid Thrombosed External
|
Facility
|
OP
|
$1,498.00
|
|
|
Service Code
|
HCPCS 46083
|
| Hospital Charge Code |
8080056
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$450.00 |
| Max. Negotiated Rate |
$1,600.00 |
| Rate for Payer: AlohaCare Medicaid |
$749.00
|
| Rate for Payer: AlohaCare Medicare |
$749.00
|
| Rate for Payer: Cash Price |
$973.70
|
| Rate for Payer: Cash Price |
$973.70
|
| Rate for Payer: Devoted Health Medicare |
$823.90
|
| 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 |
$749.00
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$450.00
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$1,423.10
|
| Rate for Payer: Health Management Network Commercial |
$1,273.30
|
| Rate for Payer: Humana Medicare |
$749.00
|
| Rate for Payer: Kaiser Permanente Commercial |
$1,348.20
|
| Rate for Payer: Kaiser Permanente Medicaid |
$937.50
|
| Rate for Payer: Kaiser Permanente Medicare |
$749.00
|
| Rate for Payer: MDX Hawaii PPO |
$1,453.06
|
| Rate for Payer: Ohana Health Plan Medicaid |
$749.00
|
| Rate for Payer: Ohana Health Plan Medicare |
$749.00
|
| Rate for Payer: UnitedHealthcare Medicare |
$749.00
|
| Rate for Payer: University Health Alliance Commercial |
$1,091.89
|
|
|
46083 Incision of thrombosed hemorrhoid, external
|
Professional
|
Both
|
$509.00
|
|
|
Service Code
|
HCPCS 46083
|
| Hospital Charge Code |
8039465
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$95.42 |
| Max. Negotiated Rate |
$434.26 |
| Rate for Payer: AlohaCare Medicaid |
$114.89
|
| Rate for Payer: AlohaCare Medicare |
$110.61
|
| Rate for Payer: Cash Price |
$330.85
|
| Rate for Payer: Cash Price |
$330.85
|
| Rate for Payer: Cash Price |
$330.85
|
| Rate for Payer: Devoted Health Medicare |
$121.67
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$434.26
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$174.71
|
| 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 |
$95.42
|
| Rate for Payer: Health Management Network Commercial |
$432.65
|
| Rate for Payer: Kaiser Permanente Commercial |
$303.73
|
| Rate for Payer: Kaiser Permanente Commercial |
$132.73
|
| 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 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 |
$114.89
|
| Rate for Payer: Ohana Health Plan Medicare |
$110.61
|
| 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 |
$175.00
|
|
|
46200 Fissurectomy, including sphincterotomy, when performed
|
Professional
|
Both
|
$3,863.00
|
|
|
Service Code
|
HCPCS 46200
|
| Hospital Charge Code |
8039466
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$181.39 |
| Max. Negotiated Rate |
$3,283.55 |
| Rate for Payer: AlohaCare Medicaid |
$362.67
|
| Rate for Payer: AlohaCare Medicare |
$368.14
|
| Rate for Payer: Cash Price |
$2,510.95
|
| Rate for Payer: Cash Price |
$2,510.95
|
| Rate for Payer: Cash Price |
$2,510.95
|
| Rate for Payer: Devoted Health Medicare |
$404.95
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$434.26
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$537.29
|
| 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 |
$203.84
|
| Rate for Payer: Health Management Network Commercial |
$3,283.55
|
| Rate for Payer: Kaiser Permanente Commercial |
$303.73
|
| Rate for Payer: Kaiser Permanente Commercial |
$441.77
|
| 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 |
$362.67
|
| Rate for Payer: Ohana Health Plan Medicare |
$368.14
|
| 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 |
$471.63
|
|
|
46220 Excision of single external papilla or tag, anus
|
Professional
|
Both
|
$1,665.00
|
|
|
Service Code
|
HCPCS 46220
|
| Hospital Charge Code |
8039467
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$47.58 |
| Max. Negotiated Rate |
$1,415.25 |
| Rate for Payer: AlohaCare Medicaid |
$126.89
|
| Rate for Payer: AlohaCare Medicare |
$123.37
|
| Rate for Payer: Cash Price |
$1,082.25
|
| Rate for Payer: Cash Price |
$1,082.25
|
| Rate for Payer: Cash Price |
$1,082.25
|
| Rate for Payer: Devoted Health Medicare |
$135.71
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$434.26
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$194.85
|
| 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 |
$47.58
|
| Rate for Payer: Health Management Network Commercial |
$1,415.25
|
| Rate for Payer: Kaiser Permanente Commercial |
$303.73
|
| Rate for Payer: Kaiser Permanente Commercial |
$148.04
|
| 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 |
$126.89
|
| Rate for Payer: Ohana Health Plan Medicare |
$123.37
|
| 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 |
$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 |
$163.25
|
|
