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Charge Type Setting Price  
Service Code MSDRG 146
Min. Negotiated Rate $35,363.38
Max. Negotiated Rate $35,363.38
Rate for Payer: Hawaii Medical Service Association Commercial $35,363.38
Service Code MSDRG 148
Min. Negotiated Rate $35,363.38
Max. Negotiated Rate $35,363.38
Rate for Payer: Hawaii Medical Service Association Commercial $35,363.38
Service Code HCPCS 86665
Hospital Charge Code 8117903
Hospital Revenue Code 302
Min. Negotiated Rate $85.85
Max. Negotiated Rate $97.97
Rate for Payer: Cash Price $65.65
Rate for Payer: Health Management Network Commercial $85.85
Rate for Payer: Kaiser Permanente Commercial $90.90
Rate for Payer: MDX Hawaii PPO $97.97
Service Code HCPCS 86665
Hospital Charge Code 8117903
Hospital Revenue Code 302
Min. Negotiated Rate $18.14
Max. Negotiated Rate $97.97
Rate for Payer: AlohaCare Medicaid $50.50
Rate for Payer: AlohaCare Medicare $50.50
Rate for Payer: Cash Price $65.65
Rate for Payer: Cash Price $65.65
Rate for Payer: Devoted Health Medicare $55.55
Rate for Payer: Hawaii Medical Service Association ABD $25.07
Rate for Payer: Hawaii Medical Service Association Commercial $22.68
Rate for Payer: Hawaii Medical Service Association Medicare $50.50
Rate for Payer: Hawaii Medical Service Association Non-ABD $26.32
Rate for Payer: Hawaii Western Management Group Commercial $18.14
Rate for Payer: Health Management Network Commercial $85.85
Rate for Payer: Humana Medicare $50.50
Rate for Payer: Kaiser Permanente Commercial $90.90
Rate for Payer: Kaiser Permanente Medicaid $51.51
Rate for Payer: Kaiser Permanente Medicare $50.50
Rate for Payer: MDX Hawaii PPO $97.97
Rate for Payer: Ohana Health Plan Medicaid $50.50
Rate for Payer: Ohana Health Plan Medicare $50.50
Rate for Payer: UnitedHealthcare Medicaid $25.07
Rate for Payer: UnitedHealthcare Medicare $50.50
Rate for Payer: University Health Alliance Commercial $46.90
Service Code HCPCS 93306
Hospital Charge Code 8495487
Hospital Revenue Code 483
Min. Negotiated Rate $2,584.00
Max. Negotiated Rate $2,948.80
Rate for Payer: Cash Price $1,976.00
Rate for Payer: Health Management Network Commercial $2,584.00
Rate for Payer: Kaiser Permanente Commercial $2,736.00
Rate for Payer: MDX Hawaii PPO $2,948.80
Service Code HCPCS 93306
Hospital Charge Code 8495487
Hospital Revenue Code 483
Min. Negotiated Rate $132.88
Max. Negotiated Rate $2,948.80
Rate for Payer: AlohaCare Medicaid $1,520.00
Rate for Payer: AlohaCare Medicare $1,520.00
Rate for Payer: Cash Price $1,976.00
Rate for Payer: Cash Price $1,976.00
Rate for Payer: Devoted Health Medicare $1,672.00
Rate for Payer: Hawaii Medical Service Association ABD $132.88
Rate for Payer: Hawaii Medical Service Association Commercial $697.81
Rate for Payer: Hawaii Medical Service Association Medicare $1,520.00
Rate for Payer: Hawaii Medical Service Association Non-ABD $191.15
Rate for Payer: Hawaii Western Management Group Commercial $2,888.00
Rate for Payer: Health Management Network Commercial $2,584.00
Rate for Payer: Humana Medicare $1,520.00
Rate for Payer: Kaiser Permanente Commercial $2,736.00
Rate for Payer: Kaiser Permanente Medicaid $1,550.40
Rate for Payer: Kaiser Permanente Medicare $1,520.00
Rate for Payer: MDX Hawaii PPO $2,948.80
Rate for Payer: Ohana Health Plan Medicaid $1,520.00
Rate for Payer: Ohana Health Plan Medicare $1,520.00
Rate for Payer: UnitedHealthcare Medicaid $132.88
Rate for Payer: UnitedHealthcare Medicare $1,520.00
Rate for Payer: University Health Alliance Commercial $1,702.40
Service Code HCPCS 86658
Hospital Charge Code 8228865
Hospital Revenue Code 302
Min. Negotiated Rate $10.92
Max. Negotiated Rate $97.97
Rate for Payer: AlohaCare Medicaid $50.50
Rate for Payer: AlohaCare Medicare $50.50
Rate for Payer: Cash Price $65.65
Rate for Payer: Cash Price $65.65
Rate for Payer: Devoted Health Medicare $55.55
Rate for Payer: Hawaii Medical Service Association ABD $10.92
Rate for Payer: Hawaii Medical Service Association Commercial $16.29
Rate for Payer: Hawaii Medical Service Association Medicare $50.50
Rate for Payer: Hawaii Medical Service Association Non-ABD $17.99
Rate for Payer: Hawaii Western Management Group Commercial $13.03
Rate for Payer: Health Management Network Commercial $85.85
Rate for Payer: Humana Medicare $50.50
Rate for Payer: Kaiser Permanente Commercial $90.90
Rate for Payer: Kaiser Permanente Medicaid $51.51
Rate for Payer: Kaiser Permanente Medicare $50.50
Rate for Payer: MDX Hawaii PPO $97.97
Rate for Payer: Ohana Health Plan Medicaid $50.50
Rate for Payer: Ohana Health Plan Medicare $50.50
Rate for Payer: UnitedHealthcare Medicaid $10.92
Rate for Payer: UnitedHealthcare Medicare $50.50
Rate for Payer: University Health Alliance Commercial $33.67
Service Code HCPCS 86658
Hospital Charge Code 8228865
Hospital Revenue Code 302
Min. Negotiated Rate $85.85
Max. Negotiated Rate $97.97
Rate for Payer: Cash Price $65.65
Rate for Payer: Health Management Network Commercial $85.85
Rate for Payer: Kaiser Permanente Commercial $90.90
Rate for Payer: MDX Hawaii PPO $97.97
Service Code MSDRG 003
Min. Negotiated Rate $10,400.00
Max. Negotiated Rate $466,787.19
Rate for Payer: Hawaii Medical Service Association Commercial $466,787.19
Rate for Payer: University Health Alliance Commercial $10,400.00
Service Code HCPCS 93000
Hospital Charge Code 8041485
Hospital Revenue Code 521
Min. Negotiated Rate $15.21
Max. Negotiated Rate $434.26
Rate for Payer: AlohaCare Medicaid $15.21
Rate for Payer: AlohaCare Medicare $16.32
Rate for Payer: Cash Price $59.80
Rate for Payer: Cash Price $59.80
Rate for Payer: Cash Price $59.80
Rate for Payer: Devoted Health Medicare $17.95
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: Hawaii Western Management Group Commercial $30.55
Rate for Payer: Health Management Network Commercial $78.20
Rate for Payer: Kaiser Permanente Commercial $265.97
Rate for Payer: Kaiser Permanente Commercial $19.58
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 $303.73
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 $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: Kaiser Permanente Medicare $246.64
Rate for Payer: Ohana Health Plan Medicaid $15.21
Rate for Payer: Ohana Health Plan Medicare $16.32
Rate for Payer: UnitedHealthcare Medicaid $434.26
Rate for Payer: UnitedHealthcare Medicare $246.64
Rate for Payer: UnitedHealthcare Medicare $237.64
Rate for Payer: UnitedHealthcare Medicare $209.49
Rate for Payer: UnitedHealthcare Medicare $181.39
Rate for Payer: UnitedHealthcare Medicare $265.97
Rate for Payer: UnitedHealthcare Medicare $303.73
Rate for Payer: UnitedHealthcare Medicare $339.46
Service Code HCPCS 93005
Hospital Charge Code 8228954
Hospital Revenue Code 730
Min. Negotiated Rate $314.50
Max. Negotiated Rate $358.90
Rate for Payer: Cash Price $240.50
Rate for Payer: Health Management Network Commercial $314.50
Rate for Payer: Kaiser Permanente Commercial $333.00
Rate for Payer: MDX Hawaii PPO $358.90
Service Code HCPCS 93005
Hospital Charge Code 8228954
Hospital Revenue Code 730
Min. Negotiated Rate $15.16
Max. Negotiated Rate $358.90
Rate for Payer: AlohaCare Medicaid $185.00
Rate for Payer: AlohaCare Medicare $185.00
Rate for Payer: Cash Price $240.50
Rate for Payer: Cash Price $240.50
Rate for Payer: Devoted Health Medicare $203.50
Rate for Payer: Hawaii Medical Service Association Commercial $75.34
Rate for Payer: Hawaii Medical Service Association Medicare $185.00
Rate for Payer: Hawaii Western Management Group Commercial $351.50
Rate for Payer: Health Management Network Commercial $314.50
Rate for Payer: Humana Medicare $185.00
Rate for Payer: Kaiser Permanente Commercial $333.00
Rate for Payer: Kaiser Permanente Medicaid $188.70
Rate for Payer: Kaiser Permanente Medicare $185.00
Rate for Payer: MDX Hawaii PPO $358.90
Rate for Payer: Ohana Health Plan Medicaid $185.00
Rate for Payer: Ohana Health Plan Medicare $185.00
Rate for Payer: UnitedHealthcare Medicaid $15.16
Rate for Payer: UnitedHealthcare Medicare $185.00
Rate for Payer: University Health Alliance Commercial $207.20
Service Code HCPCS L3762
Hospital Charge Code 13381786
Hospital Revenue Code 274
Min. Negotiated Rate $80.08
Max. Negotiated Rate $138.71
Rate for Payer: Cash Price $92.95
Rate for Payer: Hawaii Western Management Group Commercial $100.10
Rate for Payer: Health Management Network Commercial $121.55
Rate for Payer: Kaiser Permanente Commercial $128.70
Rate for Payer: MDX Hawaii PPO $138.71
Rate for Payer: University Health Alliance Commercial $80.08
Service Code HCPCS L3762
Hospital Charge Code 13381786
Hospital Revenue Code 274
Min. Negotiated Rate $46.13
Max. Negotiated Rate $138.71
Rate for Payer: AlohaCare Medicaid $71.50
Rate for Payer: AlohaCare Medicare $71.50
Rate for Payer: Cash Price $92.95
Rate for Payer: Cash Price $92.95
Rate for Payer: Devoted Health Medicare $78.65
Rate for Payer: Hawaii Medical Service Association Medicare $71.50
Rate for Payer: Hawaii Western Management Group Commercial $100.10
Rate for Payer: Health Management Network Commercial $121.55
Rate for Payer: Humana Medicare $71.50
Rate for Payer: Kaiser Permanente Commercial $128.70
Rate for Payer: Kaiser Permanente Medicaid $72.93
Rate for Payer: Kaiser Permanente Medicare $71.50
Rate for Payer: MDX Hawaii PPO $138.71
Rate for Payer: Ohana Health Plan Medicaid $71.50
Rate for Payer: Ohana Health Plan Medicare $71.50
Rate for Payer: UnitedHealthcare Medicaid $46.13
Rate for Payer: UnitedHealthcare Medicare $71.50
Rate for Payer: University Health Alliance Commercial $80.08
Service Code HCPCS L3762
Hospital Charge Code 13381792
Hospital Revenue Code 274
Min. Negotiated Rate $46.13
Max. Negotiated Rate $206.61
Rate for Payer: AlohaCare Medicaid $106.50
Rate for Payer: AlohaCare Medicare $106.50
Rate for Payer: Cash Price $138.45
Rate for Payer: Cash Price $138.45
Rate for Payer: Devoted Health Medicare $117.15
Rate for Payer: Hawaii Medical Service Association Medicare $106.50
Rate for Payer: Hawaii Western Management Group Commercial $149.10
Rate for Payer: Health Management Network Commercial $181.05
Rate for Payer: Humana Medicare $106.50
Rate for Payer: Kaiser Permanente Commercial $191.70
Rate for Payer: Kaiser Permanente Medicaid $108.63
Rate for Payer: Kaiser Permanente Medicare $106.50
Rate for Payer: MDX Hawaii PPO $206.61
Rate for Payer: Ohana Health Plan Medicaid $106.50
Rate for Payer: Ohana Health Plan Medicare $106.50
Rate for Payer: UnitedHealthcare Medicaid $46.13
Rate for Payer: UnitedHealthcare Medicare $106.50
Rate for Payer: University Health Alliance Commercial $119.28
Service Code HCPCS L3762
Hospital Charge Code 13381792
Hospital Revenue Code 274
Min. Negotiated Rate $119.28
Max. Negotiated Rate $206.61
Rate for Payer: Cash Price $138.45
Rate for Payer: Hawaii Western Management Group Commercial $149.10
Rate for Payer: Health Management Network Commercial $181.05
Rate for Payer: Kaiser Permanente Commercial $191.70
Rate for Payer: MDX Hawaii PPO $206.61
Rate for Payer: University Health Alliance Commercial $119.28
Service Code HCPCS L3762
Hospital Charge Code 13381787
Hospital Revenue Code 274
Min. Negotiated Rate $119.28
Max. Negotiated Rate $206.61
Rate for Payer: Cash Price $138.45
Rate for Payer: Hawaii Western Management Group Commercial $149.10
Rate for Payer: Health Management Network Commercial $181.05
Rate for Payer: Kaiser Permanente Commercial $191.70
Rate for Payer: MDX Hawaii PPO $206.61
Rate for Payer: University Health Alliance Commercial $119.28
Service Code HCPCS L3762
Hospital Charge Code 13381787
Hospital Revenue Code 274
Min. Negotiated Rate $46.13
Max. Negotiated Rate $206.61
Rate for Payer: AlohaCare Medicaid $106.50
Rate for Payer: AlohaCare Medicare $106.50
Rate for Payer: Cash Price $138.45
Rate for Payer: Cash Price $138.45
Rate for Payer: Devoted Health Medicare $117.15
Rate for Payer: Hawaii Medical Service Association Medicare $106.50
Rate for Payer: Hawaii Western Management Group Commercial $149.10
Rate for Payer: Health Management Network Commercial $181.05
Rate for Payer: Humana Medicare $106.50
Rate for Payer: Kaiser Permanente Commercial $191.70
Rate for Payer: Kaiser Permanente Medicaid $108.63
Rate for Payer: Kaiser Permanente Medicare $106.50
Rate for Payer: MDX Hawaii PPO $206.61
Rate for Payer: Ohana Health Plan Medicaid $106.50
Rate for Payer: Ohana Health Plan Medicare $106.50
Rate for Payer: UnitedHealthcare Medicaid $46.13
Rate for Payer: UnitedHealthcare Medicare $106.50
Rate for Payer: University Health Alliance Commercial $119.28
Service Code HCPCS 80051
Hospital Charge Code 8117904
Hospital Revenue Code 301
Min. Negotiated Rate $82.45
Max. Negotiated Rate $94.09
Rate for Payer: Cash Price $63.05
Rate for Payer: Health Management Network Commercial $82.45
Rate for Payer: Kaiser Permanente Commercial $87.30
Rate for Payer: MDX Hawaii PPO $94.09
Service Code HCPCS 80051
Hospital Charge Code 8117904
Hospital Revenue Code 301
Min. Negotiated Rate $7.01
Max. Negotiated Rate $94.09
Rate for Payer: AlohaCare Medicaid $48.50
Rate for Payer: AlohaCare Medicare $48.50
Rate for Payer: Cash Price $63.05
Rate for Payer: Cash Price $63.05
Rate for Payer: Devoted Health Medicare $53.35
Rate for Payer: Hawaii Medical Service Association ABD $9.69
Rate for Payer: Hawaii Medical Service Association Commercial $8.76
Rate for Payer: Hawaii Medical Service Association Medicare $48.50
Rate for Payer: Hawaii Medical Service Association Non-ABD $10.17
Rate for Payer: Hawaii Western Management Group Commercial $7.01
Rate for Payer: Health Management Network Commercial $82.45
Rate for Payer: Humana Medicare $48.50
Rate for Payer: Kaiser Permanente Commercial $87.30
Rate for Payer: Kaiser Permanente Medicaid $49.47
Rate for Payer: Kaiser Permanente Medicare $48.50
Rate for Payer: MDX Hawaii PPO $94.09
Rate for Payer: Ohana Health Plan Medicaid $48.50
Rate for Payer: Ohana Health Plan Medicare $48.50
Rate for Payer: UnitedHealthcare Medicaid $9.69
Rate for Payer: UnitedHealthcare Medicare $48.50
Rate for Payer: University Health Alliance Commercial $18.13
Service Code NDC 00597015237
Hospital Charge Code 2501081
Hospital Revenue Code 250
Min. Negotiated Rate $96.50
Max. Negotiated Rate $110.12
Rate for Payer: Cash Price $73.79
Rate for Payer: Health Management Network Commercial $96.50
Rate for Payer: Kaiser Permanente Commercial $102.18
Rate for Payer: MDX Hawaii PPO $110.12
Service Code NDC 00597015230
Hospital Charge Code 2501081
Hospital Revenue Code 250
Min. Negotiated Rate $99.75
Max. Negotiated Rate $113.83
Rate for Payer: Cash Price $76.28
Rate for Payer: Health Management Network Commercial $99.75
Rate for Payer: Kaiser Permanente Commercial $105.61
Rate for Payer: MDX Hawaii PPO $113.83
Service Code NDC 00597015230
Hospital Charge Code 2501081
Hospital Revenue Code 250
Min. Negotiated Rate $58.67
Max. Negotiated Rate $113.83
Rate for Payer: AlohaCare Medicaid $58.67
Rate for Payer: AlohaCare Medicare $58.67
Rate for Payer: Cash Price $76.28
Rate for Payer: Devoted Health Medicare $64.54
Rate for Payer: Hawaii Medical Service Association Medicare $58.67
Rate for Payer: Hawaii Western Management Group Commercial $111.48
Rate for Payer: Health Management Network Commercial $99.75
Rate for Payer: Humana Medicare $58.67
Rate for Payer: Kaiser Permanente Commercial $105.61
Rate for Payer: Kaiser Permanente Medicaid $59.85
Rate for Payer: Kaiser Permanente Medicare $58.67
Rate for Payer: MDX Hawaii PPO $113.83
Rate for Payer: Ohana Health Plan Medicaid $58.67
Rate for Payer: Ohana Health Plan Medicare $58.67
Rate for Payer: UnitedHealthcare Medicaid $70.41
Rate for Payer: UnitedHealthcare Medicare $58.67
Rate for Payer: University Health Alliance Commercial $85.54
Service Code NDC 00597015237
Hospital Charge Code 2501081
Hospital Revenue Code 250
Min. Negotiated Rate $56.77
Max. Negotiated Rate $110.12
Rate for Payer: AlohaCare Medicaid $56.77
Rate for Payer: AlohaCare Medicare $56.77
Rate for Payer: Cash Price $73.79
Rate for Payer: Devoted Health Medicare $62.44
Rate for Payer: Hawaii Medical Service Association Medicare $56.77
Rate for Payer: Hawaii Western Management Group Commercial $107.85
Rate for Payer: Health Management Network Commercial $96.50
Rate for Payer: Humana Medicare $56.77
Rate for Payer: Kaiser Permanente Commercial $102.18
Rate for Payer: Kaiser Permanente Medicaid $57.90
Rate for Payer: Kaiser Permanente Medicare $56.77
Rate for Payer: MDX Hawaii PPO $110.12
Rate for Payer: Ohana Health Plan Medicaid $56.77
Rate for Payer: Ohana Health Plan Medicare $56.77
Rate for Payer: UnitedHealthcare Medicaid $68.12
Rate for Payer: UnitedHealthcare Medicare $56.77
Rate for Payer: University Health Alliance Commercial $82.75
Service Code NDC 00597015337
Hospital Charge Code 2501082
Hospital Revenue Code 250
Min. Negotiated Rate $96.50
Max. Negotiated Rate $110.12
Rate for Payer: Cash Price $73.79
Rate for Payer: Health Management Network Commercial $96.50
Rate for Payer: Kaiser Permanente Commercial $102.18
Rate for Payer: MDX Hawaii PPO $110.12