Price Transparency

Know your out-of-pocket cost for care.

search
Charge Type Setting Price  
Service Code HCPCS 49495
Hospital Charge Code 8039577
Hospital Revenue Code 521
Min. Negotiated Rate $181.39
Max. Negotiated Rate $4,235.55
Rate for Payer: AlohaCare Medicaid $411.63
Rate for Payer: AlohaCare Medicare $396.33
Rate for Payer: Cash Price $3,238.95
Rate for Payer: Cash Price $3,238.95
Rate for Payer: Cash Price $3,238.95
Rate for Payer: Devoted Health Medicare $435.96
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 $417.30
Rate for Payer: Health Management Network Commercial $4,235.55
Rate for Payer: Kaiser Permanente Commercial $339.46
Rate for Payer: Kaiser Permanente Commercial $475.60
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 $411.63
Rate for Payer: Ohana Health Plan Medicare $396.33
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
Service Code HCPCS 49496
Hospital Charge Code 8039578
Hospital Revenue Code 521
Min. Negotiated Rate $181.39
Max. Negotiated Rate $4,235.55
Rate for Payer: AlohaCare Medicaid $618.46
Rate for Payer: AlohaCare Medicare $590.03
Rate for Payer: Cash Price $3,238.95
Rate for Payer: Cash Price $3,238.95
Rate for Payer: Cash Price $3,238.95
Rate for Payer: Devoted Health Medicare $649.03
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 $545.22
Rate for Payer: Health Management Network Commercial $4,235.55
Rate for Payer: Kaiser Permanente Commercial $339.46
Rate for Payer: Kaiser Permanente Commercial $708.04
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 $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 $618.46
Rate for Payer: Ohana Health Plan Medicare $590.03
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
Service Code HCPCS 49500
Hospital Charge Code 8039579
Hospital Revenue Code 521
Min. Negotiated Rate $181.39
Max. Negotiated Rate $7,658.50
Rate for Payer: AlohaCare Medicaid $424.93
Rate for Payer: AlohaCare Medicare $414.83
Rate for Payer: Cash Price $5,856.50
Rate for Payer: Cash Price $5,856.50
Rate for Payer: Cash Price $5,856.50
Rate for Payer: Devoted Health Medicare $456.31
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 $372.58
Rate for Payer: Health Management Network Commercial $7,658.50
Rate for Payer: Kaiser Permanente Commercial $339.46
Rate for Payer: Kaiser Permanente Commercial $497.80
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 $424.93
Rate for Payer: Ohana Health Plan Medicare $414.83
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
Service Code HCPCS 49501
Hospital Charge Code 8039580
Hospital Revenue Code 521
Min. Negotiated Rate $181.39
Max. Negotiated Rate $4,235.55
Rate for Payer: AlohaCare Medicaid $608.44
Rate for Payer: AlohaCare Medicare $579.62
Rate for Payer: Cash Price $3,238.95
Rate for Payer: Cash Price $3,238.95
Rate for Payer: Cash Price $3,238.95
Rate for Payer: Devoted Health Medicare $637.58
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 $371.02
Rate for Payer: Health Management Network Commercial $4,235.55
Rate for Payer: Kaiser Permanente Commercial $339.46
Rate for Payer: Kaiser Permanente Commercial $695.54
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 $608.44
Rate for Payer: Ohana Health Plan Medicare $579.62
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
Service Code HCPCS 49505
Hospital Charge Code 8039581
Hospital Revenue Code 975
Min. Negotiated Rate $424.58
Max. Negotiated Rate $4,235.55
Rate for Payer: AlohaCare Medicaid $526.25
Rate for Payer: AlohaCare Medicare $503.91
Rate for Payer: Cash Price $3,238.95
Rate for Payer: Cash Price $3,238.95
Rate for Payer: Devoted Health Medicare $554.30
Rate for Payer: Hawaii Medical Service Association Medicare $503.91
Rate for Payer: Hawaii Western Management Group Commercial $424.58
Rate for Payer: Health Management Network Commercial $4,235.55
Rate for Payer: Kaiser Permanente Commercial $604.69
Rate for Payer: Kaiser Permanente Medicaid $604.69
Rate for Payer: Kaiser Permanente Medicare $604.69
Rate for Payer: Ohana Health Plan Medicaid $526.25
Rate for Payer: Ohana Health Plan Medicare $503.91
Rate for Payer: UnitedHealthcare Medicaid $526.25
Rate for Payer: UnitedHealthcare Medicare $503.91
Service Code HCPCS 49505
Hospital Charge Code 8039581
Hospital Revenue Code 521
Min. Negotiated Rate $181.39
Max. Negotiated Rate $4,235.55
Rate for Payer: AlohaCare Medicaid $526.25
Rate for Payer: AlohaCare Medicare $503.91
Rate for Payer: Cash Price $3,238.95
Rate for Payer: Cash Price $3,238.95
Rate for Payer: Cash Price $3,238.95
Rate for Payer: Devoted Health Medicare $554.30
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 $424.58
Rate for Payer: Health Management Network Commercial $4,235.55
Rate for Payer: Kaiser Permanente Commercial $339.46
Rate for Payer: Kaiser Permanente Commercial $604.69
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 $526.25
Rate for Payer: Ohana Health Plan Medicare $503.91
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
Service Code HCPCS 49507
Hospital Charge Code 8039582
Hospital Revenue Code 975
Min. Negotiated Rate $518.70
Max. Negotiated Rate $4,235.55
Rate for Payer: AlohaCare Medicaid $589.94
Rate for Payer: AlohaCare Medicare $562.20
Rate for Payer: Cash Price $3,238.95
Rate for Payer: Cash Price $3,238.95
Rate for Payer: Devoted Health Medicare $618.42
Rate for Payer: Hawaii Medical Service Association Medicare $562.20
Rate for Payer: Hawaii Western Management Group Commercial $518.70
Rate for Payer: Health Management Network Commercial $4,235.55
Rate for Payer: Kaiser Permanente Commercial $674.64
Rate for Payer: Kaiser Permanente Medicaid $674.64
Rate for Payer: Kaiser Permanente Medicare $674.64
Rate for Payer: Ohana Health Plan Medicaid $589.94
Rate for Payer: Ohana Health Plan Medicare $562.20
Rate for Payer: UnitedHealthcare Medicaid $589.94
Rate for Payer: UnitedHealthcare Medicare $562.20
Service Code HCPCS 49507
Hospital Charge Code 8039582
Hospital Revenue Code 521
Min. Negotiated Rate $181.39
Max. Negotiated Rate $4,235.55
Rate for Payer: AlohaCare Medicaid $589.94
Rate for Payer: AlohaCare Medicare $562.20
Rate for Payer: Cash Price $3,238.95
Rate for Payer: Cash Price $3,238.95
Rate for Payer: Cash Price $3,238.95
Rate for Payer: Devoted Health Medicare $618.42
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 $518.70
Rate for Payer: Health Management Network Commercial $4,235.55
Rate for Payer: Kaiser Permanente Commercial $209.49
Rate for Payer: Kaiser Permanente Commercial $674.64
Rate for Payer: Kaiser Permanente Commercial $181.39
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 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 $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 $209.49
Rate for Payer: Kaiser Permanente Medicare $246.64
Rate for Payer: Ohana Health Plan Medicaid $589.94
Rate for Payer: Ohana Health Plan Medicare $562.20
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
Service Code HCPCS 49520
Hospital Charge Code 8039583
Hospital Revenue Code 975
Min. Negotiated Rate $522.34
Max. Negotiated Rate $4,235.55
Rate for Payer: AlohaCare Medicaid $632.99
Rate for Payer: AlohaCare Medicare $599.28
Rate for Payer: Cash Price $3,238.95
Rate for Payer: Cash Price $3,238.95
Rate for Payer: Devoted Health Medicare $659.21
Rate for Payer: Hawaii Medical Service Association Medicare $599.28
Rate for Payer: Hawaii Western Management Group Commercial $522.34
Rate for Payer: Health Management Network Commercial $4,235.55
Rate for Payer: Kaiser Permanente Commercial $719.14
Rate for Payer: Kaiser Permanente Medicaid $719.14
Rate for Payer: Kaiser Permanente Medicare $719.14
Rate for Payer: Ohana Health Plan Medicaid $632.99
Rate for Payer: Ohana Health Plan Medicare $599.28
Rate for Payer: UnitedHealthcare Medicaid $632.99
Rate for Payer: UnitedHealthcare Medicare $599.28
Service Code HCPCS 49520
Hospital Charge Code 8039583
Hospital Revenue Code 521
Min. Negotiated Rate $181.39
Max. Negotiated Rate $4,235.55
Rate for Payer: AlohaCare Medicaid $632.99
Rate for Payer: AlohaCare Medicare $599.28
Rate for Payer: Cash Price $3,238.95
Rate for Payer: Cash Price $3,238.95
Rate for Payer: Cash Price $3,238.95
Rate for Payer: Devoted Health Medicare $659.21
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 $522.34
Rate for Payer: Health Management Network Commercial $4,235.55
Rate for Payer: Kaiser Permanente Commercial $209.49
Rate for Payer: Kaiser Permanente Commercial $719.14
Rate for Payer: Kaiser Permanente Commercial $181.39
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 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 $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 $209.49
Rate for Payer: Kaiser Permanente Medicare $246.64
Rate for Payer: Ohana Health Plan Medicaid $632.99
Rate for Payer: Ohana Health Plan Medicare $599.28
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
Service Code HCPCS 49521
Hospital Charge Code 8039584
Hospital Revenue Code 521
Min. Negotiated Rate $181.39
Max. Negotiated Rate $7,658.50
Rate for Payer: AlohaCare Medicaid $713.60
Rate for Payer: AlohaCare Medicare $673.28
Rate for Payer: Cash Price $5,856.50
Rate for Payer: Cash Price $5,856.50
Rate for Payer: Cash Price $5,856.50
Rate for Payer: Devoted Health Medicare $740.61
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 $449.28
Rate for Payer: Health Management Network Commercial $7,658.50
Rate for Payer: Kaiser Permanente Commercial $209.49
Rate for Payer: Kaiser Permanente Commercial $807.94
Rate for Payer: Kaiser Permanente Commercial $181.39
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 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 $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 $209.49
Rate for Payer: Kaiser Permanente Medicare $246.64
Rate for Payer: Ohana Health Plan Medicaid $713.60
Rate for Payer: Ohana Health Plan Medicare $673.28
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
Service Code HCPCS 49525
Hospital Charge Code 8039585
Hospital Revenue Code 521
Min. Negotiated Rate $181.39
Max. Negotiated Rate $4,235.55
Rate for Payer: AlohaCare Medicaid $575.07
Rate for Payer: AlohaCare Medicare $548.07
Rate for Payer: Cash Price $3,238.95
Rate for Payer: Cash Price $3,238.95
Rate for Payer: Cash Price $3,238.95
Rate for Payer: Devoted Health Medicare $602.88
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 $379.86
Rate for Payer: Health Management Network Commercial $4,235.55
Rate for Payer: Kaiser Permanente Commercial $339.46
Rate for Payer: Kaiser Permanente Commercial $657.68
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 $575.07
Rate for Payer: Ohana Health Plan Medicare $548.07
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
Service Code HCPCS 49540
Hospital Charge Code 8039586
Hospital Revenue Code 521
Min. Negotiated Rate $181.39
Max. Negotiated Rate $7,151.90
Rate for Payer: AlohaCare Medicaid $670.34
Rate for Payer: AlohaCare Medicare $633.58
Rate for Payer: Cash Price $5,469.10
Rate for Payer: Cash Price $5,469.10
Rate for Payer: Cash Price $5,469.10
Rate for Payer: Devoted Health Medicare $696.94
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 $415.74
Rate for Payer: Health Management Network Commercial $7,151.90
Rate for Payer: Kaiser Permanente Commercial $339.46
Rate for Payer: Kaiser Permanente Commercial $760.30
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 $670.34
Rate for Payer: Ohana Health Plan Medicare $633.58
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
Service Code HCPCS 49550
Hospital Charge Code 8039587
Hospital Revenue Code 521
Min. Negotiated Rate $181.39
Max. Negotiated Rate $4,235.55
Rate for Payer: AlohaCare Medicaid $579.36
Rate for Payer: AlohaCare Medicare $551.97
Rate for Payer: Cash Price $3,238.95
Rate for Payer: Cash Price $3,238.95
Rate for Payer: Cash Price $3,238.95
Rate for Payer: Devoted Health Medicare $607.17
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 $352.04
Rate for Payer: Health Management Network Commercial $4,235.55
Rate for Payer: Kaiser Permanente Commercial $339.46
Rate for Payer: Kaiser Permanente Commercial $662.36
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 $579.36
Rate for Payer: Ohana Health Plan Medicare $551.97
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
Service Code HCPCS 49553
Hospital Charge Code 8039588
Hospital Revenue Code 521
Min. Negotiated Rate $181.39
Max. Negotiated Rate $4,235.55
Rate for Payer: AlohaCare Medicaid $632.78
Rate for Payer: AlohaCare Medicare $601.10
Rate for Payer: Cash Price $3,238.95
Rate for Payer: Cash Price $3,238.95
Rate for Payer: Cash Price $3,238.95
Rate for Payer: Devoted Health Medicare $661.21
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 $374.92
Rate for Payer: Health Management Network Commercial $4,235.55
Rate for Payer: Kaiser Permanente Commercial $339.46
Rate for Payer: Kaiser Permanente Commercial $721.32
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 $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 $632.78
Rate for Payer: Ohana Health Plan Medicare $601.10
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
Service Code HCPCS 49555
Hospital Charge Code 8039589
Hospital Revenue Code 521
Min. Negotiated Rate $181.39
Max. Negotiated Rate $4,235.55
Rate for Payer: AlohaCare Medicaid $605.42
Rate for Payer: AlohaCare Medicare $575.69
Rate for Payer: Cash Price $3,238.95
Rate for Payer: Cash Price $3,238.95
Rate for Payer: Cash Price $3,238.95
Rate for Payer: Devoted Health Medicare $633.26
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 $407.68
Rate for Payer: Health Management Network Commercial $4,235.55
Rate for Payer: Kaiser Permanente Commercial $339.46
Rate for Payer: Kaiser Permanente Commercial $690.83
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 $605.42
Rate for Payer: Ohana Health Plan Medicare $575.69
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
Service Code HCPCS 49557
Hospital Charge Code 8039590
Hospital Revenue Code 521
Min. Negotiated Rate $181.39
Max. Negotiated Rate $4,235.55
Rate for Payer: AlohaCare Medicaid $719.20
Rate for Payer: AlohaCare Medicare $680.43
Rate for Payer: Cash Price $3,238.95
Rate for Payer: Cash Price $3,238.95
Rate for Payer: Cash Price $3,238.95
Rate for Payer: Devoted Health Medicare $748.47
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 $458.38
Rate for Payer: Health Management Network Commercial $4,235.55
Rate for Payer: Kaiser Permanente Commercial $339.46
Rate for Payer: Kaiser Permanente Commercial $816.52
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 $719.20
Rate for Payer: Ohana Health Plan Medicare $680.43
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
Service Code HCPCS 49592
Hospital Charge Code 8039591
Hospital Revenue Code 521
Min. Negotiated Rate $181.39
Max. Negotiated Rate $7,151.90
Rate for Payer: AlohaCare Medicaid $460.99
Rate for Payer: AlohaCare Medicare $418.73
Rate for Payer: Cash Price $5,469.10
Rate for Payer: Cash Price $5,469.10
Rate for Payer: Cash Price $5,469.10
Rate for Payer: Devoted Health Medicare $460.60
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 $7,151.90
Rate for Payer: Kaiser Permanente Commercial $237.64
Rate for Payer: Kaiser Permanente Commercial $502.48
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 $460.99
Rate for Payer: Ohana Health Plan Medicare $418.73
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 $209.49
Rate for Payer: UnitedHealthcare Medicare $237.64
Rate for Payer: UnitedHealthcare Medicare $246.64
Rate for Payer: UnitedHealthcare Medicare $303.73
Service Code HCPCS 49592
Hospital Charge Code 8039591
Hospital Revenue Code 975
Min. Negotiated Rate $418.73
Max. Negotiated Rate $7,151.90
Rate for Payer: AlohaCare Medicaid $460.99
Rate for Payer: AlohaCare Medicare $418.73
Rate for Payer: Cash Price $5,469.10
Rate for Payer: Cash Price $5,469.10
Rate for Payer: Devoted Health Medicare $460.60
Rate for Payer: Hawaii Medical Service Association Medicare $418.73
Rate for Payer: Health Management Network Commercial $7,151.90
Rate for Payer: Kaiser Permanente Commercial $502.48
Rate for Payer: Kaiser Permanente Medicaid $502.48
Rate for Payer: Kaiser Permanente Medicare $502.48
Rate for Payer: Ohana Health Plan Medicaid $460.99
Rate for Payer: Ohana Health Plan Medicare $418.73
Rate for Payer: UnitedHealthcare Medicaid $460.99
Rate for Payer: UnitedHealthcare Medicare $418.73
Service Code HCPCS 49592
Hospital Charge Code 8039592
Hospital Revenue Code 521
Min. Negotiated Rate $181.39
Max. Negotiated Rate $7,151.90
Rate for Payer: AlohaCare Medicaid $460.99
Rate for Payer: AlohaCare Medicare $418.73
Rate for Payer: Cash Price $5,469.10
Rate for Payer: Cash Price $5,469.10
Rate for Payer: Cash Price $5,469.10
Rate for Payer: Devoted Health Medicare $460.60
Rate for Payer: Hawaii Medical Service Association ABD $434.26
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 $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 $303.73
Rate for Payer: Hawaii Medical Service Association Medicare $339.46
Rate for Payer: Hawaii Medical Service Association Non-ABD $434.26
Rate for Payer: Health Management Network Commercial $7,151.90
Rate for Payer: Kaiser Permanente Commercial $303.73
Rate for Payer: Kaiser Permanente Commercial $502.48
Rate for Payer: Kaiser Permanente Commercial $339.46
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 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 $460.99
Rate for Payer: Ohana Health Plan Medicare $418.73
Rate for Payer: UnitedHealthcare Medicaid $434.26
Rate for Payer: UnitedHealthcare Medicare $339.46
Rate for Payer: UnitedHealthcare Medicare $265.97
Rate for Payer: UnitedHealthcare Medicare $303.73
Rate for Payer: UnitedHealthcare Medicare $237.64
Rate for Payer: UnitedHealthcare Medicare $209.49
Rate for Payer: UnitedHealthcare Medicare $246.64
Rate for Payer: UnitedHealthcare Medicare $181.39
Service Code HCPCS 49593
Hospital Charge Code 8039593
Hospital Revenue Code 975
Min. Negotiated Rate $502.59
Max. Negotiated Rate $7,658.50
Rate for Payer: AlohaCare Medicaid $554.95
Rate for Payer: AlohaCare Medicare $502.59
Rate for Payer: Cash Price $5,856.50
Rate for Payer: Cash Price $5,856.50
Rate for Payer: Devoted Health Medicare $552.85
Rate for Payer: Hawaii Medical Service Association Medicare $502.59
Rate for Payer: Health Management Network Commercial $7,658.50
Rate for Payer: Kaiser Permanente Commercial $603.11
Rate for Payer: Kaiser Permanente Medicaid $603.11
Rate for Payer: Kaiser Permanente Medicare $603.11
Rate for Payer: Ohana Health Plan Medicaid $554.95
Rate for Payer: Ohana Health Plan Medicare $502.59
Rate for Payer: UnitedHealthcare Medicaid $554.95
Rate for Payer: UnitedHealthcare Medicare $502.59
Service Code HCPCS 49593
Hospital Charge Code 8039593
Hospital Revenue Code 521
Min. Negotiated Rate $181.39
Max. Negotiated Rate $7,658.50
Rate for Payer: AlohaCare Medicaid $554.95
Rate for Payer: AlohaCare Medicare $502.59
Rate for Payer: Cash Price $5,856.50
Rate for Payer: Cash Price $5,856.50
Rate for Payer: Cash Price $5,856.50
Rate for Payer: Devoted Health Medicare $552.85
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 $7,658.50
Rate for Payer: Kaiser Permanente Commercial $237.64
Rate for Payer: Kaiser Permanente Commercial $603.11
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 $554.95
Rate for Payer: Ohana Health Plan Medicare $502.59
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
Service Code HCPCS 49594
Hospital Charge Code 8039595
Hospital Revenue Code 521
Min. Negotiated Rate $181.39
Max. Negotiated Rate $7,151.90
Rate for Payer: AlohaCare Medicaid $720.76
Rate for Payer: AlohaCare Medicare $651.53
Rate for Payer: Cash Price $5,469.10
Rate for Payer: Cash Price $5,469.10
Rate for Payer: Cash Price $5,469.10
Rate for Payer: Devoted Health Medicare $716.68
Rate for Payer: Hawaii Medical Service Association ABD $434.26
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 $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 $303.73
Rate for Payer: Hawaii Medical Service Association Medicare $339.46
Rate for Payer: Hawaii Medical Service Association Non-ABD $434.26
Rate for Payer: Health Management Network Commercial $7,151.90
Rate for Payer: Kaiser Permanente Commercial $303.73
Rate for Payer: Kaiser Permanente Commercial $781.84
Rate for Payer: Kaiser Permanente Commercial $339.46
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 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 $720.76
Rate for Payer: Ohana Health Plan Medicare $651.53
Rate for Payer: UnitedHealthcare Medicaid $434.26
Rate for Payer: UnitedHealthcare Medicare $339.46
Rate for Payer: UnitedHealthcare Medicare $265.97
Rate for Payer: UnitedHealthcare Medicare $303.73
Rate for Payer: UnitedHealthcare Medicare $237.64
Rate for Payer: UnitedHealthcare Medicare $209.49
Rate for Payer: UnitedHealthcare Medicare $246.64
Rate for Payer: UnitedHealthcare Medicare $181.39
Service Code HCPCS 49596
Hospital Charge Code 8039596
Hospital Revenue Code 521
Min. Negotiated Rate $181.39
Max. Negotiated Rate $1,072.12
Rate for Payer: AlohaCare Medicaid $988.71
Rate for Payer: AlohaCare Medicare $893.43
Rate for Payer: Cash Price $790.40
Rate for Payer: Cash Price $790.40
Rate for Payer: Cash Price $790.40
Rate for Payer: Devoted Health Medicare $982.77
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 $1,033.60
Rate for Payer: Kaiser Permanente Commercial $237.64
Rate for Payer: Kaiser Permanente Commercial $1,072.12
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 $988.71
Rate for Payer: Ohana Health Plan Medicare $893.43
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
Service Code HCPCS 49596
Hospital Charge Code 8039596
Hospital Revenue Code 975
Min. Negotiated Rate $893.43
Max. Negotiated Rate $1,072.12
Rate for Payer: AlohaCare Medicaid $988.71
Rate for Payer: AlohaCare Medicare $893.43
Rate for Payer: Cash Price $790.40
Rate for Payer: Cash Price $790.40
Rate for Payer: Devoted Health Medicare $982.77
Rate for Payer: Hawaii Medical Service Association Medicare $893.43
Rate for Payer: Health Management Network Commercial $1,033.60
Rate for Payer: Kaiser Permanente Commercial $1,072.12
Rate for Payer: Kaiser Permanente Medicaid $1,072.12
Rate for Payer: Kaiser Permanente Medicare $1,072.12
Rate for Payer: Ohana Health Plan Medicaid $988.71
Rate for Payer: Ohana Health Plan Medicare $893.43
Rate for Payer: UnitedHealthcare Medicaid $988.71
Rate for Payer: UnitedHealthcare Medicare $893.43