|
49572 Repair epigastric hernia (eg, preperitoneal fat); incarcerated or strangulated
|
Professional
|
Both
|
$8,414.00
|
|
|
Service Code
|
HCPCS 49592
|
| Hospital Charge Code |
8039597
|
|
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
|
|
|
49580 Repair umbilical hernia, younger than age 5 years; reducible
|
Professional
|
Both
|
$9,010.00
|
|
|
Service Code
|
HCPCS 49593
|
| Hospital Charge Code |
8039598
|
|
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
|
|
|
49582 Repair umbilical hernia, younger than age 5 years; incarcerated or strangulated
|
Professional
|
Both
|
$8,414.00
|
|
|
Service Code
|
HCPCS 49594
|
| Hospital Charge Code |
8039599
|
|
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 |
$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 |
$781.84
|
| 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 |
$720.76
|
| Rate for Payer: Ohana Health Plan Medicare |
$651.53
|
| 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
|
|
|
49587 Repair umbilical hernia, age 5 years or older; incarcerated or strangulated
|
Professional
|
Both
|
$9,010.00
|
|
|
Service Code
|
HCPCS 49595
|
| Hospital Charge Code |
8039601
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$181.39 |
| Max. Negotiated Rate |
$7,658.50 |
| Rate for Payer: AlohaCare Medicaid |
$745.70
|
| Rate for Payer: AlohaCare Medicare |
$674.07
|
| 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 |
$741.48
|
| 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 |
$808.88
|
| 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 |
$745.70
|
| Rate for Payer: Ohana Health Plan Medicare |
$674.07
|
| 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
|
|
|
49590 Repair spigelian hernia
|
Professional
|
Both
|
$2,013.00
|
|
|
Service Code
|
HCPCS 49596
|
| Hospital Charge Code |
8039602
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$181.39 |
| Max. Negotiated Rate |
$1,711.05 |
| Rate for Payer: AlohaCare Medicaid |
$988.71
|
| Rate for Payer: AlohaCare Medicare |
$893.43
|
| Rate for Payer: Cash Price |
$1,308.45
|
| Rate for Payer: Cash Price |
$1,308.45
|
| Rate for Payer: Cash Price |
$1,308.45
|
| 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 |
$1,711.05
|
| 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
|
|
|
49591 RPR OF ANTERIOR ABD HERNIA(S), ANY APPROACH,INITIAL,IMPLANT OF MESH OR OTHR, < 3CM,REDUCIBLE
|
Professional
|
Both
|
$1,900.00
|
|
|
Service Code
|
HCPCS 49591
|
| Hospital Charge Code |
10602930
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$304.52 |
| Max. Negotiated Rate |
$1,615.00 |
| Rate for Payer: AlohaCare Medicaid |
$333.31
|
| Rate for Payer: AlohaCare Medicare |
$304.52
|
| Rate for Payer: Cash Price |
$1,235.00
|
| Rate for Payer: Cash Price |
$1,235.00
|
| Rate for Payer: Devoted Health Medicare |
$334.97
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$304.52
|
| Rate for Payer: Health Management Network Commercial |
$1,615.00
|
| Rate for Payer: Kaiser Permanente Commercial |
$365.42
|
| Rate for Payer: Kaiser Permanente Medicaid |
$365.42
|
| Rate for Payer: Kaiser Permanente Medicare |
$365.42
|
| Rate for Payer: Ohana Health Plan Medicaid |
$333.31
|
| Rate for Payer: Ohana Health Plan Medicare |
$304.52
|
| Rate for Payer: UnitedHealthcare Medicaid |
$333.31
|
| Rate for Payer: UnitedHealthcare Medicare |
$304.52
|
|
|
49592 RPR AA HRN 1ST < 3 NCR/STRN
|
Professional
|
Both
|
$8,414.00
|
|
|
Service Code
|
HCPCS 49592
|
| Hospital Charge Code |
10807798
|
|
Hospital Revenue Code
|
960
|
| 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
|
|
|
49592 RPR OF ANTERIOR ABD HERN(S), ANY APPR,INITIAL,MESH OR OTHR, < 3CM INCARCERATE/STRANGULATED
|
Professional
|
Both
|
$2,100.00
|
|
|
Service Code
|
HCPCS 49592
|
| Hospital Charge Code |
10602931
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$418.73 |
| Max. Negotiated Rate |
$1,785.00 |
| Rate for Payer: AlohaCare Medicaid |
$460.99
|
| Rate for Payer: AlohaCare Medicare |
$418.73
|
| Rate for Payer: Cash Price |
$1,365.00
|
| Rate for Payer: Cash Price |
$1,365.00
|
| 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 |
$1,785.00
|
| 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
|
|
|
49592 RPR OF ANTERIOR ABD HERN(S), ANY APPR,INITIAL,MESH OR OTHR, < 3CM INCARCERATE/STRANGULATED
|
Facility
|
OP
|
$9,480.00
|
|
|
Service Code
|
HCPCS 49592
|
| Hospital Charge Code |
10602931
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$521.33 |
| Max. Negotiated Rate |
$9,195.60 |
| Rate for Payer: AlohaCare Medicaid |
$4,740.00
|
| Rate for Payer: AlohaCare Medicare |
$4,740.00
|
| Rate for Payer: Cash Price |
$6,162.00
|
| Rate for Payer: Cash Price |
$6,162.00
|
| Rate for Payer: Cash Price |
$6,162.00
|
| Rate for Payer: Devoted Health Medicare |
$5,214.00
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$7,720.59
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$4,740.00
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$9,006.00
|
| Rate for Payer: Health Management Network Commercial |
$8,058.00
|
| Rate for Payer: Humana Medicare |
$4,740.00
|
| Rate for Payer: Kaiser Permanente Commercial |
$8,532.00
|
| Rate for Payer: Kaiser Permanente Medicaid |
$4,834.80
|
| Rate for Payer: Kaiser Permanente Medicare |
$4,740.00
|
| Rate for Payer: MDX Hawaii PPO |
$9,195.60
|
| Rate for Payer: Ohana Health Plan Medicaid |
$4,740.00
|
| Rate for Payer: Ohana Health Plan Medicare |
$4,740.00
|
| Rate for Payer: UnitedHealthcare Medicaid |
$521.33
|
| Rate for Payer: UnitedHealthcare Medicare |
$4,740.00
|
| Rate for Payer: University Health Alliance Commercial |
$6,743.44
|
|
|
49592 RPR OF ANTERIOR ABD HERN(S), ANY APPR,INITIAL,MESH OR OTHR, < 3CM INCARCERATE/STRANGULATED
|
Facility
|
IP
|
$9,480.00
|
|
|
Service Code
|
HCPCS 49592
|
| Hospital Charge Code |
10602931
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$8,058.00 |
| Max. Negotiated Rate |
$9,195.60 |
| Rate for Payer: Cash Price |
$6,162.00
|
| Rate for Payer: Health Management Network Commercial |
$8,058.00
|
| Rate for Payer: Kaiser Permanente Commercial |
$8,532.00
|
| Rate for Payer: MDX Hawaii PPO |
$9,195.60
|
|
|
49593 RPR OF ANT ABDOM HERNIA(S), ANY APPR,INITIAL, INCLU IMPLNT OF MESH OR OTHR, 3-10CM, REDUCIBLE
|
Facility
|
IP
|
$7,405.00
|
|
|
Service Code
|
HCPCS 49593
|
| Hospital Charge Code |
10602932
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$6,294.25 |
| Max. Negotiated Rate |
$7,182.85 |
| Rate for Payer: Cash Price |
$4,813.25
|
| Rate for Payer: Health Management Network Commercial |
$6,294.25
|
| Rate for Payer: Kaiser Permanente Commercial |
$6,664.50
|
| Rate for Payer: MDX Hawaii PPO |
$7,182.85
|
|
|
49593 RPR OF ANT ABDOM HERNIA(S), ANY APPR,INITIAL, INCLU IMPLNT OF MESH OR OTHR, 3-10CM, REDUCIBLE
|
Facility
|
OP
|
$7,405.00
|
|
|
Service Code
|
HCPCS 49593
|
| Hospital Charge Code |
10602932
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$456.03 |
| Max. Negotiated Rate |
$10,679.55 |
| Rate for Payer: AlohaCare Medicaid |
$3,702.50
|
| Rate for Payer: AlohaCare Medicare |
$3,702.50
|
| Rate for Payer: Cash Price |
$4,813.25
|
| Rate for Payer: Cash Price |
$4,813.25
|
| Rate for Payer: Cash Price |
$4,813.25
|
| Rate for Payer: Devoted Health Medicare |
$4,072.75
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$8,267.55
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$3,702.50
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$7,034.75
|
| Rate for Payer: Health Management Network Commercial |
$6,294.25
|
| Rate for Payer: Humana Medicare |
$3,702.50
|
| Rate for Payer: Kaiser Permanente Commercial |
$6,664.50
|
| Rate for Payer: Kaiser Permanente Medicaid |
$3,776.55
|
| Rate for Payer: Kaiser Permanente Medicare |
$3,702.50
|
| Rate for Payer: MDX Hawaii PPO |
$7,182.85
|
| Rate for Payer: Ohana Health Plan Medicaid |
$3,702.50
|
| Rate for Payer: Ohana Health Plan Medicare |
$3,702.50
|
| Rate for Payer: UnitedHealthcare Medicaid |
$456.03
|
| Rate for Payer: UnitedHealthcare Medicare |
$3,702.50
|
| Rate for Payer: University Health Alliance Commercial |
$10,679.55
|
|
|
49593 RPR OF ANT ABDOM HERNIA(S), ANY APPR,INITIAL, INCLU IMPLNT OF MESH OR OTHR, 3-10CM, REDUCIBLE
|
Professional
|
Both
|
$910.00
|
|
|
Service Code
|
HCPCS 49593
|
| Hospital Charge Code |
10602932
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$502.59 |
| Max. Negotiated Rate |
$773.50 |
| Rate for Payer: AlohaCare Medicaid |
$554.95
|
| Rate for Payer: AlohaCare Medicare |
$502.59
|
| Rate for Payer: Cash Price |
$591.50
|
| Rate for Payer: Cash Price |
$591.50
|
| 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 |
$773.50
|
| 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
|
|
|
49594 RPR OF ANTERIOR ABD HERN(S), ANY APPR,INITIAL,MESH OR OTHR, 3-10CM INCARCERATE/STRANGULATED
|
Professional
|
Both
|
$8,414.00
|
|
|
Service Code
|
HCPCS 49594
|
| Hospital Charge Code |
10602933
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$651.53 |
| 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: Devoted Health Medicare |
$716.68
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$651.53
|
| Rate for Payer: Health Management Network Commercial |
$7,151.90
|
| Rate for Payer: Kaiser Permanente Commercial |
$781.84
|
| Rate for Payer: Kaiser Permanente Medicaid |
$781.84
|
| Rate for Payer: Kaiser Permanente Medicare |
$781.84
|
| Rate for Payer: Ohana Health Plan Medicaid |
$720.76
|
| Rate for Payer: Ohana Health Plan Medicare |
$651.53
|
| Rate for Payer: UnitedHealthcare Medicaid |
$720.76
|
| Rate for Payer: UnitedHealthcare Medicare |
$651.53
|
|
|
49594 RPR OF ANTERIOR ABD HERN(S), ANY APPR,INITIAL,MESH OR OTHR, 3-10CM INCARCERATE/STRANGULATED
|
Facility
|
IP
|
$10,795.00
|
|
|
Service Code
|
HCPCS 49594
|
| Hospital Charge Code |
10602933
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$9,175.75 |
| Max. Negotiated Rate |
$10,471.15 |
| Rate for Payer: Cash Price |
$7,016.75
|
| Rate for Payer: Health Management Network Commercial |
$9,175.75
|
| Rate for Payer: Kaiser Permanente Commercial |
$9,715.50
|
| Rate for Payer: MDX Hawaii PPO |
$10,471.15
|
|
|
49594 RPR OF ANTERIOR ABD HERN(S), ANY APPR,INITIAL,MESH OR OTHR, 3-10CM INCARCERATE/STRANGULATED
|
Facility
|
OP
|
$10,795.00
|
|
|
Service Code
|
HCPCS 49594
|
| Hospital Charge Code |
10602933
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$521.33 |
| Max. Negotiated Rate |
$11,157.19 |
| Rate for Payer: AlohaCare Medicaid |
$5,397.50
|
| Rate for Payer: AlohaCare Medicare |
$5,397.50
|
| Rate for Payer: Cash Price |
$7,016.75
|
| Rate for Payer: Cash Price |
$7,016.75
|
| Rate for Payer: Cash Price |
$7,016.75
|
| Rate for Payer: Devoted Health Medicare |
$5,937.25
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$7,720.59
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$5,397.50
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$10,255.25
|
| Rate for Payer: Health Management Network Commercial |
$9,175.75
|
| Rate for Payer: Humana Medicare |
$5,397.50
|
| Rate for Payer: Kaiser Permanente Commercial |
$9,715.50
|
| Rate for Payer: Kaiser Permanente Medicaid |
$5,505.45
|
| Rate for Payer: Kaiser Permanente Medicare |
$5,397.50
|
| Rate for Payer: MDX Hawaii PPO |
$10,471.15
|
| Rate for Payer: Ohana Health Plan Medicaid |
$5,397.50
|
| Rate for Payer: Ohana Health Plan Medicare |
$5,397.50
|
| Rate for Payer: UnitedHealthcare Medicaid |
$521.33
|
| Rate for Payer: UnitedHealthcare Medicare |
$5,397.50
|
| Rate for Payer: University Health Alliance Commercial |
$11,157.19
|
|
|
49595 RPR OF ANTERIOR ABD HERNIA(S), ANY APPROACH,INITIAL,IMPLANT OF MESH OR OTHR, > 3CM,REDUCIBLE
|
Professional
|
Both
|
$9,010.00
|
|
|
Service Code
|
HCPCS 49595
|
| Hospital Charge Code |
10599842
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$674.07 |
| Max. Negotiated Rate |
$7,658.50 |
| Rate for Payer: AlohaCare Medicaid |
$745.70
|
| Rate for Payer: AlohaCare Medicare |
$674.07
|
| Rate for Payer: Cash Price |
$5,856.50
|
| Rate for Payer: Cash Price |
$5,856.50
|
| Rate for Payer: Devoted Health Medicare |
$741.48
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$674.07
|
| Rate for Payer: Health Management Network Commercial |
$7,658.50
|
| Rate for Payer: Kaiser Permanente Commercial |
$808.88
|
| Rate for Payer: Kaiser Permanente Medicaid |
$808.88
|
| Rate for Payer: Kaiser Permanente Medicare |
$808.88
|
| Rate for Payer: Ohana Health Plan Medicaid |
$745.70
|
| Rate for Payer: Ohana Health Plan Medicare |
$674.07
|
| Rate for Payer: UnitedHealthcare Medicaid |
$745.70
|
| Rate for Payer: UnitedHealthcare Medicare |
$674.07
|
|
|
49595 RPR OF ANTERIOR ABD HERNIA(S), ANY APPROACH,INITIAL,IMPLANT OF MESH OR OTHR, > 3CM,REDUCIBLE
|
Facility
|
OP
|
$17,774.00
|
|
|
Service Code
|
HCPCS 49595
|
| Hospital Charge Code |
10599842
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$456.03 |
| Max. Negotiated Rate |
$17,240.78 |
| Rate for Payer: AlohaCare Medicaid |
$8,887.00
|
| Rate for Payer: AlohaCare Medicare |
$8,887.00
|
| Rate for Payer: Cash Price |
$11,553.10
|
| Rate for Payer: Cash Price |
$11,553.10
|
| Rate for Payer: Cash Price |
$11,553.10
|
| Rate for Payer: Devoted Health Medicare |
$9,775.70
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$8,267.55
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$8,887.00
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$16,885.30
|
| Rate for Payer: Health Management Network Commercial |
$15,107.90
|
| Rate for Payer: Humana Medicare |
$8,887.00
|
| Rate for Payer: Kaiser Permanente Commercial |
$15,996.60
|
| Rate for Payer: Kaiser Permanente Medicaid |
$9,064.74
|
| Rate for Payer: Kaiser Permanente Medicare |
$8,887.00
|
| Rate for Payer: MDX Hawaii PPO |
$17,240.78
|
| Rate for Payer: Ohana Health Plan Medicaid |
$8,887.00
|
| Rate for Payer: Ohana Health Plan Medicare |
$8,887.00
|
| Rate for Payer: UnitedHealthcare Medicaid |
$456.03
|
| Rate for Payer: UnitedHealthcare Medicare |
$8,887.00
|
| Rate for Payer: University Health Alliance Commercial |
$11,157.19
|
|
|
49595 RPR OF ANTERIOR ABD HERNIA(S), ANY APPROACH,INITIAL,IMPLANT OF MESH OR OTHR, > 3CM,REDUCIBLE
|
Facility
|
IP
|
$17,774.00
|
|
|
Service Code
|
HCPCS 49595
|
| Hospital Charge Code |
10599842
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$15,107.90 |
| Max. Negotiated Rate |
$17,240.78 |
| Rate for Payer: Cash Price |
$11,553.10
|
| Rate for Payer: Health Management Network Commercial |
$15,107.90
|
| Rate for Payer: Kaiser Permanente Commercial |
$15,996.60
|
| Rate for Payer: MDX Hawaii PPO |
$17,240.78
|
|
|
49596 RPR OF ANTERIOR ABD HERN(S), ANY APPR,INITIAL,MESH OR OTHR, > 3CM INCARCERATE/STRANGULATED
|
Professional
|
Both
|
$1,239.00
|
|
|
Service Code
|
HCPCS 49596
|
| Hospital Charge Code |
10599843
|
|
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 |
$805.35
|
| Rate for Payer: Cash Price |
$805.35
|
| 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 |
$1,053.15
|
| 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
|
|
|
49600 Repair of small omphalocele, with primary closure
|
Professional
|
Both
|
$4,983.00
|
|
|
Service Code
|
HCPCS 49600
|
| Hospital Charge Code |
8039603
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$181.39 |
| Max. Negotiated Rate |
$4,235.55 |
| Rate for Payer: AlohaCare Medicaid |
$733.10
|
| Rate for Payer: AlohaCare Medicare |
$692.55
|
| 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 |
$761.80
|
| 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 |
$453.44
|
| Rate for Payer: Health Management Network Commercial |
$4,235.55
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$831.06
|
| 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 |
$733.10
|
| Rate for Payer: Ohana Health Plan Medicare |
$692.55
|
| 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
|
|
|
49605 Repair of large omphalocele or gastroschisis; with or without prosthesis
|
Professional
|
Both
|
$11,963.00
|
|
|
Service Code
|
HCPCS 49605
|
| Hospital Charge Code |
8039604
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$181.39 |
| Max. Negotiated Rate |
$10,168.55 |
| Rate for Payer: AlohaCare Medicaid |
$4,737.60
|
| Rate for Payer: AlohaCare Medicare |
$4,294.00
|
| Rate for Payer: Cash Price |
$7,775.95
|
| Rate for Payer: Cash Price |
$7,775.95
|
| Rate for Payer: Cash Price |
$7,775.95
|
| Rate for Payer: Devoted Health Medicare |
$4,723.40
|
| 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 |
$918.06
|
| Rate for Payer: Health Management Network Commercial |
$10,168.55
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$5,152.80
|
| 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 |
$4,737.60
|
| Rate for Payer: Ohana Health Plan Medicare |
$4,294.00
|
| 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
|
|
|
49613 RPR OF ANTERIOR ABD HERNIA(S), ANY APPROACH,RECURRENT,IMPLANT OF MESH OR OTHR, < 3CM,REDUCIBLE
|
Professional
|
Both
|
$4,983.00
|
|
|
Service Code
|
HCPCS 49613
|
| Hospital Charge Code |
10602934
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$372.40 |
| Max. Negotiated Rate |
$4,235.55 |
| Rate for Payer: AlohaCare Medicaid |
$410.64
|
| Rate for Payer: AlohaCare Medicare |
$372.40
|
| Rate for Payer: Cash Price |
$3,238.95
|
| Rate for Payer: Cash Price |
$3,238.95
|
| Rate for Payer: Devoted Health Medicare |
$409.64
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$372.40
|
| Rate for Payer: Health Management Network Commercial |
$4,235.55
|
| Rate for Payer: Kaiser Permanente Commercial |
$446.88
|
| Rate for Payer: Kaiser Permanente Medicaid |
$446.88
|
| Rate for Payer: Kaiser Permanente Medicare |
$446.88
|
| Rate for Payer: Ohana Health Plan Medicaid |
$410.64
|
| Rate for Payer: Ohana Health Plan Medicare |
$372.40
|
| Rate for Payer: UnitedHealthcare Medicaid |
$410.64
|
| Rate for Payer: UnitedHealthcare Medicare |
$372.40
|
|
|
49613 RPR OF ANTERIOR ABD HERNIA(S), ANY APPROACH,RECURRENT,IMPLANT OF MESH OR OTHR, < 3CM,REDUCIBLE
|
Facility
|
OP
|
$591.00
|
|
|
Service Code
|
HCPCS 49613
|
| Hospital Charge Code |
10602934
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$295.50 |
| Max. Negotiated Rate |
$6,743.44 |
| Rate for Payer: AlohaCare Medicaid |
$295.50
|
| Rate for Payer: AlohaCare Medicare |
$295.50
|
| Rate for Payer: Cash Price |
$384.15
|
| Rate for Payer: Cash Price |
$384.15
|
| Rate for Payer: Cash Price |
$384.15
|
| Rate for Payer: Devoted Health Medicare |
$325.05
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$4,572.44
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$295.50
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$561.45
|
| Rate for Payer: Health Management Network Commercial |
$502.35
|
| Rate for Payer: Humana Medicare |
$295.50
|
| Rate for Payer: Kaiser Permanente Commercial |
$531.90
|
| Rate for Payer: Kaiser Permanente Medicaid |
$301.41
|
| Rate for Payer: Kaiser Permanente Medicare |
$295.50
|
| Rate for Payer: MDX Hawaii PPO |
$573.27
|
| Rate for Payer: Ohana Health Plan Medicaid |
$295.50
|
| Rate for Payer: Ohana Health Plan Medicare |
$295.50
|
| Rate for Payer: UnitedHealthcare Medicaid |
$456.03
|
| Rate for Payer: UnitedHealthcare Medicare |
$295.50
|
| Rate for Payer: University Health Alliance Commercial |
$6,743.44
|
|
|
49613 RPR OF ANTERIOR ABD HERNIA(S), ANY APPROACH,RECURRENT,IMPLANT OF MESH OR OTHR, < 3CM,REDUCIBLE
|
Facility
|
IP
|
$591.00
|
|
|
Service Code
|
HCPCS 49613
|
| Hospital Charge Code |
10602934
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$502.35 |
| Max. Negotiated Rate |
$573.27 |
| Rate for Payer: Cash Price |
$384.15
|
| Rate for Payer: Health Management Network Commercial |
$502.35
|
| Rate for Payer: Kaiser Permanente Commercial |
$531.90
|
| Rate for Payer: MDX Hawaii PPO |
$573.27
|
|
