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Charge Type Setting Price  
Service Code HCPCS 26037
Hospital Charge Code 8037889
Hospital Revenue Code 521
Min. Negotiated Rate $181.39
Max. Negotiated Rate $3,870.90
Rate for Payer: AlohaCare Medicaid $588.86
Rate for Payer: AlohaCare Medicare $538.67
Rate for Payer: Cash Price $2,960.10
Rate for Payer: Cash Price $2,960.10
Rate for Payer: Cash Price $2,960.10
Rate for Payer: Devoted Health Medicare $592.54
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 $572.00
Rate for Payer: Health Management Network Commercial $3,870.90
Rate for Payer: Kaiser Permanente Commercial $339.46
Rate for Payer: Kaiser Permanente Commercial $646.40
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 $588.86
Rate for Payer: Ohana Health Plan Medicare $538.67
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 26040
Hospital Charge Code 8037890
Hospital Revenue Code 521
Min. Negotiated Rate $181.39
Max. Negotiated Rate $1,902.30
Rate for Payer: AlohaCare Medicaid $343.61
Rate for Payer: AlohaCare Medicare $323.93
Rate for Payer: Cash Price $1,454.70
Rate for Payer: Cash Price $1,454.70
Rate for Payer: Cash Price $1,454.70
Rate for Payer: Devoted Health Medicare $356.32
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 $1,902.30
Rate for Payer: Kaiser Permanente Commercial $237.64
Rate for Payer: Kaiser Permanente Commercial $388.72
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 $343.61
Rate for Payer: Ohana Health Plan Medicare $323.93
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 26045
Hospital Charge Code 8037891
Hospital Revenue Code 521
Min. Negotiated Rate $181.39
Max. Negotiated Rate $3,870.90
Rate for Payer: AlohaCare Medicaid $504.43
Rate for Payer: AlohaCare Medicare $469.08
Rate for Payer: Cash Price $2,960.10
Rate for Payer: Cash Price $2,960.10
Rate for Payer: Cash Price $2,960.10
Rate for Payer: Devoted Health Medicare $515.99
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 $449.02
Rate for Payer: Health Management Network Commercial $3,870.90
Rate for Payer: Kaiser Permanente Commercial $339.46
Rate for Payer: Kaiser Permanente Commercial $562.90
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 $504.43
Rate for Payer: Ohana Health Plan Medicare $469.08
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 26055
Hospital Charge Code 8037892
Hospital Revenue Code 521
Min. Negotiated Rate $181.39
Max. Negotiated Rate $1,902.30
Rate for Payer: AlohaCare Medicaid $316.49
Rate for Payer: AlohaCare Medicare $302.31
Rate for Payer: Cash Price $1,454.70
Rate for Payer: Cash Price $1,454.70
Rate for Payer: Cash Price $1,454.70
Rate for Payer: Devoted Health Medicare $332.54
Rate for Payer: Hawaii Medical Service Association ABD $434.26
Rate for Payer: Hawaii Medical Service Association Commercial $479.55
Rate for Payer: Hawaii Medical Service Association Medicare $246.64
Rate for Payer: Hawaii Medical Service Association Medicare $303.73
Rate for Payer: Hawaii Medical Service Association Medicare $339.46
Rate for Payer: Hawaii Medical Service Association Medicare $209.49
Rate for Payer: Hawaii Medical Service Association Medicare $237.64
Rate for Payer: Hawaii Medical Service Association Medicare $265.97
Rate for Payer: Hawaii Medical Service Association Medicare $181.39
Rate for Payer: Hawaii Medical Service Association Non-ABD $434.26
Rate for Payer: Hawaii Western Management Group Commercial $272.22
Rate for Payer: Health Management Network Commercial $1,902.30
Rate for Payer: Kaiser Permanente Commercial $303.73
Rate for Payer: Kaiser Permanente Commercial $362.77
Rate for Payer: Kaiser Permanente Commercial $181.39
Rate for Payer: Kaiser Permanente Commercial $209.49
Rate for Payer: Kaiser Permanente Commercial $237.64
Rate for Payer: Kaiser Permanente Commercial $246.64
Rate for Payer: Kaiser Permanente Commercial $265.97
Rate for Payer: Kaiser Permanente Commercial $339.46
Rate for Payer: Kaiser Permanente Medicaid $434.26
Rate for Payer: Kaiser Permanente Medicare $339.46
Rate for Payer: Kaiser Permanente Medicare $246.64
Rate for Payer: Kaiser Permanente Medicare $265.97
Rate for Payer: Kaiser Permanente Medicare $303.73
Rate for Payer: Kaiser Permanente Medicare $181.39
Rate for Payer: Kaiser Permanente Medicare $209.49
Rate for Payer: Kaiser Permanente Medicare $237.64
Rate for Payer: Ohana Health Plan Medicaid $316.49
Rate for Payer: Ohana Health Plan Medicare $302.31
Rate for Payer: UnitedHealthcare Medicaid $434.26
Rate for Payer: UnitedHealthcare Medicare $265.97
Rate for Payer: UnitedHealthcare Medicare $339.46
Rate for Payer: UnitedHealthcare Medicare $181.39
Rate for Payer: UnitedHealthcare Medicare $303.73
Rate for Payer: UnitedHealthcare Medicare $209.49
Rate for Payer: UnitedHealthcare Medicare $237.64
Rate for Payer: UnitedHealthcare Medicare $246.64
Rate for Payer: University Health Alliance Commercial $406.02
Service Code HCPCS 26070
Hospital Charge Code 8037893
Hospital Revenue Code 521
Min. Negotiated Rate $181.39
Max. Negotiated Rate $1,902.30
Rate for Payer: AlohaCare Medicaid $348.35
Rate for Payer: AlohaCare Medicare $326.19
Rate for Payer: Cash Price $1,454.70
Rate for Payer: Cash Price $1,454.70
Rate for Payer: Cash Price $1,454.70
Rate for Payer: Devoted Health Medicare $358.81
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 $238.68
Rate for Payer: Health Management Network Commercial $1,902.30
Rate for Payer: Kaiser Permanente Commercial $339.46
Rate for Payer: Kaiser Permanente Commercial $391.43
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 $348.35
Rate for Payer: Ohana Health Plan Medicare $326.19
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 26075
Hospital Charge Code 8037894
Hospital Revenue Code 521
Min. Negotiated Rate $181.39
Max. Negotiated Rate $3,870.90
Rate for Payer: AlohaCare Medicaid $365.04
Rate for Payer: AlohaCare Medicare $344.17
Rate for Payer: Cash Price $2,960.10
Rate for Payer: Cash Price $2,960.10
Rate for Payer: Cash Price $2,960.10
Rate for Payer: Devoted Health Medicare $378.59
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 $277.42
Rate for Payer: Health Management Network Commercial $3,870.90
Rate for Payer: Kaiser Permanente Commercial $339.46
Rate for Payer: Kaiser Permanente Commercial $413.00
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 $365.04
Rate for Payer: Ohana Health Plan Medicare $344.17
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 26080
Hospital Charge Code 8037895
Hospital Revenue Code 521
Min. Negotiated Rate $181.39
Max. Negotiated Rate $1,902.30
Rate for Payer: AlohaCare Medicaid $431.25
Rate for Payer: AlohaCare Medicare $405.30
Rate for Payer: Cash Price $1,454.70
Rate for Payer: Cash Price $1,454.70
Rate for Payer: Cash Price $1,454.70
Rate for Payer: Devoted Health Medicare $445.83
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 $262.86
Rate for Payer: Health Management Network Commercial $1,902.30
Rate for Payer: Kaiser Permanente Commercial $339.46
Rate for Payer: Kaiser Permanente Commercial $486.36
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 $431.25
Rate for Payer: Ohana Health Plan Medicare $405.30
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 26100
Hospital Charge Code 8037896
Hospital Revenue Code 521
Min. Negotiated Rate $181.39
Max. Negotiated Rate $3,870.90
Rate for Payer: AlohaCare Medicaid $367.15
Rate for Payer: AlohaCare Medicare $353.43
Rate for Payer: Cash Price $2,960.10
Rate for Payer: Cash Price $2,960.10
Rate for Payer: Cash Price $2,960.10
Rate for Payer: Devoted Health Medicare $388.77
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 $226.98
Rate for Payer: Health Management Network Commercial $3,870.90
Rate for Payer: Kaiser Permanente Commercial $339.46
Rate for Payer: Kaiser Permanente Commercial $424.12
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 $367.15
Rate for Payer: Ohana Health Plan Medicare $353.43
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 26105
Hospital Charge Code 8037897
Hospital Revenue Code 521
Min. Negotiated Rate $181.39
Max. Negotiated Rate $3,870.90
Rate for Payer: AlohaCare Medicaid $369.25
Rate for Payer: AlohaCare Medicare $355.01
Rate for Payer: Cash Price $2,960.10
Rate for Payer: Cash Price $2,960.10
Rate for Payer: Cash Price $2,960.10
Rate for Payer: Devoted Health Medicare $390.51
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 $288.08
Rate for Payer: Health Management Network Commercial $3,870.90
Rate for Payer: Kaiser Permanente Commercial $339.46
Rate for Payer: Kaiser Permanente Commercial $426.01
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 $369.25
Rate for Payer: Ohana Health Plan Medicare $355.01
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 26110
Hospital Charge Code 8037898
Hospital Revenue Code 521
Min. Negotiated Rate $181.39
Max. Negotiated Rate $1,902.30
Rate for Payer: AlohaCare Medicaid $352.20
Rate for Payer: AlohaCare Medicare $332.58
Rate for Payer: Cash Price $1,454.70
Rate for Payer: Cash Price $1,454.70
Rate for Payer: Cash Price $1,454.70
Rate for Payer: Devoted Health Medicare $365.84
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 $242.06
Rate for Payer: Health Management Network Commercial $1,902.30
Rate for Payer: Kaiser Permanente Commercial $339.46
Rate for Payer: Kaiser Permanente Commercial $399.10
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 $352.20
Rate for Payer: Ohana Health Plan Medicare $332.58
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 26111
Hospital Charge Code 8037899
Hospital Revenue Code 521
Min. Negotiated Rate $181.39
Max. Negotiated Rate $1,954.15
Rate for Payer: AlohaCare Medicaid $438.69
Rate for Payer: AlohaCare Medicare $403.44
Rate for Payer: Cash Price $1,494.35
Rate for Payer: Cash Price $1,494.35
Rate for Payer: Cash Price $1,494.35
Rate for Payer: Devoted Health Medicare $443.78
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 $308.10
Rate for Payer: Health Management Network Commercial $1,954.15
Rate for Payer: Kaiser Permanente Commercial $339.46
Rate for Payer: Kaiser Permanente Commercial $484.13
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 $438.69
Rate for Payer: Ohana Health Plan Medicare $403.44
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 26113
Hospital Charge Code 8037900
Hospital Revenue Code 521
Min. Negotiated Rate $181.39
Max. Negotiated Rate $1,954.15
Rate for Payer: AlohaCare Medicaid $577.52
Rate for Payer: AlohaCare Medicare $525.97
Rate for Payer: Cash Price $1,494.35
Rate for Payer: Cash Price $1,494.35
Rate for Payer: Cash Price $1,494.35
Rate for Payer: Devoted Health Medicare $578.57
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 $527.80
Rate for Payer: Health Management Network Commercial $1,954.15
Rate for Payer: Kaiser Permanente Commercial $339.46
Rate for Payer: Kaiser Permanente Commercial $631.16
Rate for Payer: Kaiser Permanente Commercial $181.39
Rate for Payer: Kaiser Permanente Commercial $209.49
Rate for Payer: Kaiser Permanente Commercial $237.64
Rate for Payer: Kaiser Permanente Commercial $246.64
Rate for Payer: Kaiser Permanente Commercial $265.97
Rate for Payer: Kaiser Permanente Commercial $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 $577.52
Rate for Payer: Ohana Health Plan Medicare $525.97
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 26115
Hospital Charge Code 8037901
Hospital Revenue Code 521
Min. Negotiated Rate $181.39
Max. Negotiated Rate $1,954.15
Rate for Payer: AlohaCare Medicaid $355.80
Rate for Payer: AlohaCare Medicare $333.70
Rate for Payer: Cash Price $1,494.35
Rate for Payer: Cash Price $1,494.35
Rate for Payer: Cash Price $1,494.35
Rate for Payer: Devoted Health Medicare $367.07
Rate for Payer: Hawaii Medical Service Association ABD $434.26
Rate for Payer: Hawaii Medical Service Association Commercial $539.36
Rate for Payer: Hawaii Medical Service Association Medicare $246.64
Rate for Payer: Hawaii Medical Service Association Medicare $303.73
Rate for Payer: Hawaii Medical Service Association Medicare $339.46
Rate for Payer: Hawaii Medical Service Association Medicare $209.49
Rate for Payer: Hawaii Medical Service Association Medicare $237.64
Rate for Payer: Hawaii Medical Service Association Medicare $265.97
Rate for Payer: Hawaii Medical Service Association Medicare $181.39
Rate for Payer: Hawaii Medical Service Association Non-ABD $434.26
Rate for Payer: Hawaii Western Management Group Commercial $263.64
Rate for Payer: Health Management Network Commercial $1,954.15
Rate for Payer: Kaiser Permanente Commercial $303.73
Rate for Payer: Kaiser Permanente Commercial $400.44
Rate for Payer: Kaiser Permanente Commercial $181.39
Rate for Payer: Kaiser Permanente Commercial $209.49
Rate for Payer: Kaiser Permanente Commercial $237.64
Rate for Payer: Kaiser Permanente Commercial $246.64
Rate for Payer: Kaiser Permanente Commercial $265.97
Rate for Payer: Kaiser Permanente Commercial $339.46
Rate for Payer: Kaiser Permanente Medicaid $434.26
Rate for Payer: Kaiser Permanente Medicare $339.46
Rate for Payer: Kaiser Permanente Medicare $246.64
Rate for Payer: Kaiser Permanente Medicare $265.97
Rate for Payer: Kaiser Permanente Medicare $303.73
Rate for Payer: Kaiser Permanente Medicare $181.39
Rate for Payer: Kaiser Permanente Medicare $209.49
Rate for Payer: Kaiser Permanente Medicare $237.64
Rate for Payer: Ohana Health Plan Medicaid $355.80
Rate for Payer: Ohana Health Plan Medicare $333.70
Rate for Payer: UnitedHealthcare Medicaid $434.26
Rate for Payer: UnitedHealthcare Medicare $265.97
Rate for Payer: UnitedHealthcare Medicare $339.46
Rate for Payer: UnitedHealthcare Medicare $181.39
Rate for Payer: UnitedHealthcare Medicare $303.73
Rate for Payer: UnitedHealthcare Medicare $209.49
Rate for Payer: UnitedHealthcare Medicare $237.64
Rate for Payer: UnitedHealthcare Medicare $246.64
Rate for Payer: University Health Alliance Commercial $500.00
Service Code HCPCS 26116
Hospital Charge Code 8037902
Hospital Revenue Code 521
Min. Negotiated Rate $181.39
Max. Negotiated Rate $1,954.15
Rate for Payer: AlohaCare Medicaid $555.78
Rate for Payer: AlohaCare Medicare $508.32
Rate for Payer: Cash Price $1,494.35
Rate for Payer: Cash Price $1,494.35
Rate for Payer: Cash Price $1,494.35
Rate for Payer: Devoted Health Medicare $559.15
Rate for Payer: Hawaii Medical Service Association ABD $434.26
Rate for Payer: Hawaii Medical Service Association Medicare $265.97
Rate for Payer: Hawaii Medical Service Association Medicare $339.46
Rate for Payer: Hawaii Medical Service Association Medicare $237.64
Rate for Payer: Hawaii Medical Service Association Medicare $246.64
Rate for Payer: Hawaii Medical Service Association Medicare $303.73
Rate for Payer: Hawaii Medical Service Association Medicare $181.39
Rate for Payer: Hawaii Medical Service Association Medicare $209.49
Rate for Payer: Hawaii Medical Service Association Non-ABD $434.26
Rate for Payer: Hawaii Western Management Group Commercial $427.70
Rate for Payer: Health Management Network Commercial $1,954.15
Rate for Payer: Kaiser Permanente Commercial $339.46
Rate for Payer: Kaiser Permanente Commercial $609.98
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 $555.78
Rate for Payer: Ohana Health Plan Medicare $508.32
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 26117
Hospital Charge Code 8037903
Hospital Revenue Code 521
Min. Negotiated Rate $181.39
Max. Negotiated Rate $3,436.55
Rate for Payer: AlohaCare Medicaid $776.75
Rate for Payer: AlohaCare Medicare $707.43
Rate for Payer: Cash Price $2,627.95
Rate for Payer: Cash Price $2,627.95
Rate for Payer: Cash Price $2,627.95
Rate for Payer: Devoted Health Medicare $778.17
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 $454.22
Rate for Payer: Health Management Network Commercial $3,436.55
Rate for Payer: Kaiser Permanente Commercial $339.46
Rate for Payer: Kaiser Permanente Commercial $848.92
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 $776.75
Rate for Payer: Ohana Health Plan Medicare $707.43
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 26118
Hospital Charge Code 8037904
Hospital Revenue Code 521
Min. Negotiated Rate $181.39
Max. Negotiated Rate $3,436.55
Rate for Payer: AlohaCare Medicaid $1,081.63
Rate for Payer: AlohaCare Medicare $987.09
Rate for Payer: Cash Price $2,627.95
Rate for Payer: Cash Price $2,627.95
Rate for Payer: Cash Price $2,627.95
Rate for Payer: Devoted Health Medicare $1,085.80
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 $3,436.55
Rate for Payer: Kaiser Permanente Commercial $237.64
Rate for Payer: Kaiser Permanente Commercial $1,184.51
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 $1,081.63
Rate for Payer: Ohana Health Plan Medicare $987.09
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 26121
Hospital Charge Code 8037905
Hospital Revenue Code 521
Min. Negotiated Rate $181.39
Max. Negotiated Rate $3,870.90
Rate for Payer: AlohaCare Medicaid $633.77
Rate for Payer: AlohaCare Medicare $577.43
Rate for Payer: Cash Price $2,960.10
Rate for Payer: Cash Price $2,960.10
Rate for Payer: Cash Price $2,960.10
Rate for Payer: Devoted Health Medicare $635.17
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 $687.70
Rate for Payer: Health Management Network Commercial $3,870.90
Rate for Payer: Kaiser Permanente Commercial $339.46
Rate for Payer: Kaiser Permanente Commercial $692.92
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 $633.77
Rate for Payer: Ohana Health Plan Medicare $577.43
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 26123
Hospital Charge Code 8037906
Hospital Revenue Code 521
Min. Negotiated Rate $181.39
Max. Negotiated Rate $3,870.90
Rate for Payer: AlohaCare Medicaid $882.75
Rate for Payer: AlohaCare Medicare $802.08
Rate for Payer: Cash Price $2,960.10
Rate for Payer: Cash Price $2,960.10
Rate for Payer: Cash Price $2,960.10
Rate for Payer: Devoted Health Medicare $882.29
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 $781.04
Rate for Payer: Health Management Network Commercial $3,870.90
Rate for Payer: Kaiser Permanente Commercial $339.46
Rate for Payer: Kaiser Permanente Commercial $962.50
Rate for Payer: Kaiser Permanente Commercial $181.39
Rate for Payer: Kaiser Permanente Commercial $209.49
Rate for Payer: Kaiser Permanente Commercial $237.64
Rate for Payer: Kaiser Permanente Commercial $246.64
Rate for Payer: Kaiser Permanente Commercial $265.97
Rate for Payer: Kaiser Permanente Commercial $303.73
Rate for Payer: Kaiser Permanente Medicaid $434.26
Rate for Payer: Kaiser Permanente Medicare $339.46
Rate for Payer: Kaiser Permanente Medicare $181.39
Rate for Payer: Kaiser Permanente Medicare $209.49
Rate for Payer: Kaiser Permanente Medicare $237.64
Rate for Payer: Kaiser Permanente Medicare $246.64
Rate for Payer: Kaiser Permanente Medicare $303.73
Rate for Payer: Kaiser Permanente Medicare $265.97
Rate for Payer: Ohana Health Plan Medicaid $882.75
Rate for Payer: Ohana Health Plan Medicare $802.08
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 26125
Hospital Charge Code 8037907
Hospital Revenue Code 521
Min. Negotiated Rate $181.39
Max. Negotiated Rate $657.05
Rate for Payer: AlohaCare Medicaid $266.13
Rate for Payer: AlohaCare Medicare $222.81
Rate for Payer: Cash Price $502.45
Rate for Payer: Cash Price $502.45
Rate for Payer: Cash Price $502.45
Rate for Payer: Devoted Health Medicare $245.09
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 $247.26
Rate for Payer: Health Management Network Commercial $657.05
Rate for Payer: Kaiser Permanente Commercial $339.46
Rate for Payer: Kaiser Permanente Commercial $267.37
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 $266.13
Rate for Payer: Ohana Health Plan Medicare $222.81
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 26130
Hospital Charge Code 8037908
Hospital Revenue Code 521
Min. Negotiated Rate $181.39
Max. Negotiated Rate $3,870.90
Rate for Payer: AlohaCare Medicaid $501.28
Rate for Payer: AlohaCare Medicare $474.68
Rate for Payer: Cash Price $2,960.10
Rate for Payer: Cash Price $2,960.10
Rate for Payer: Cash Price $2,960.10
Rate for Payer: Devoted Health Medicare $522.15
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 $371.80
Rate for Payer: Health Management Network Commercial $3,870.90
Rate for Payer: Kaiser Permanente Commercial $339.46
Rate for Payer: Kaiser Permanente Commercial $569.62
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 $501.28
Rate for Payer: Ohana Health Plan Medicare $474.68
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 26135
Hospital Charge Code 8037909
Hospital Revenue Code 521
Min. Negotiated Rate $181.39
Max. Negotiated Rate $3,870.90
Rate for Payer: AlohaCare Medicaid $586.32
Rate for Payer: AlohaCare Medicare $534.14
Rate for Payer: Cash Price $2,960.10
Rate for Payer: Cash Price $2,960.10
Rate for Payer: Cash Price $2,960.10
Rate for Payer: Devoted Health Medicare $587.55
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 $381.42
Rate for Payer: Health Management Network Commercial $3,870.90
Rate for Payer: Kaiser Permanente Commercial $339.46
Rate for Payer: Kaiser Permanente Commercial $640.97
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 $586.32
Rate for Payer: Ohana Health Plan Medicare $534.14
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 26140
Hospital Charge Code 8037910
Hospital Revenue Code 521
Min. Negotiated Rate $181.39
Max. Negotiated Rate $1,902.30
Rate for Payer: AlohaCare Medicaid $541.54
Rate for Payer: AlohaCare Medicare $496.03
Rate for Payer: Cash Price $1,454.70
Rate for Payer: Cash Price $1,454.70
Rate for Payer: Cash Price $1,454.70
Rate for Payer: Devoted Health Medicare $545.63
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 $476.84
Rate for Payer: Health Management Network Commercial $1,902.30
Rate for Payer: Kaiser Permanente Commercial $339.46
Rate for Payer: Kaiser Permanente Commercial $595.24
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 $541.54
Rate for Payer: Ohana Health Plan Medicare $496.03
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 26145
Hospital Charge Code 8037911
Hospital Revenue Code 521
Min. Negotiated Rate $181.39
Max. Negotiated Rate $1,902.30
Rate for Payer: AlohaCare Medicaid $548.81
Rate for Payer: AlohaCare Medicare $502.18
Rate for Payer: Cash Price $1,454.70
Rate for Payer: Cash Price $1,454.70
Rate for Payer: Cash Price $1,454.70
Rate for Payer: Devoted Health Medicare $552.40
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 $390.78
Rate for Payer: Health Management Network Commercial $1,902.30
Rate for Payer: Kaiser Permanente Commercial $339.46
Rate for Payer: Kaiser Permanente Commercial $602.62
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 $548.81
Rate for Payer: Ohana Health Plan Medicare $502.18
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 26160
Hospital Charge Code 8037912
Hospital Revenue Code 521
Min. Negotiated Rate $181.39
Max. Negotiated Rate $1,902.30
Rate for Payer: AlohaCare Medicaid $341.51
Rate for Payer: AlohaCare Medicare $322.68
Rate for Payer: Cash Price $1,454.70
Rate for Payer: Cash Price $1,454.70
Rate for Payer: Cash Price $1,454.70
Rate for Payer: Devoted Health Medicare $354.95
Rate for Payer: Hawaii Medical Service Association ABD $434.26
Rate for Payer: Hawaii Medical Service Association Commercial $517.64
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 $339.46
Rate for Payer: Hawaii Medical Service Association Medicare $209.49
Rate for Payer: Hawaii Medical Service Association Medicare $237.64
Rate for Payer: Hawaii Medical Service Association Medicare $265.97
Rate for Payer: Hawaii Medical Service Association Medicare $181.39
Rate for Payer: Hawaii Medical Service Association Non-ABD $434.26
Rate for Payer: Hawaii Western Management Group Commercial $238.42
Rate for Payer: Health Management Network Commercial $1,902.30
Rate for Payer: Kaiser Permanente Commercial $303.73
Rate for Payer: Kaiser Permanente Commercial $387.22
Rate for Payer: Kaiser Permanente Commercial $181.39
Rate for Payer: Kaiser Permanente Commercial $209.49
Rate for Payer: Kaiser Permanente Commercial $237.64
Rate for Payer: Kaiser Permanente Commercial $246.64
Rate for Payer: Kaiser Permanente Commercial $265.97
Rate for Payer: Kaiser Permanente Commercial $339.46
Rate for Payer: Kaiser Permanente Medicaid $434.26
Rate for Payer: Kaiser Permanente Medicare $339.46
Rate for Payer: Kaiser Permanente Medicare $246.64
Rate for Payer: Kaiser Permanente Medicare $265.97
Rate for Payer: Kaiser Permanente Medicare $303.73
Rate for Payer: Kaiser Permanente Medicare $181.39
Rate for Payer: Kaiser Permanente Medicare $209.49
Rate for Payer: Kaiser Permanente Medicare $237.64
Rate for Payer: Ohana Health Plan Medicaid $341.51
Rate for Payer: Ohana Health Plan Medicare $322.68
Rate for Payer: UnitedHealthcare Medicaid $434.26
Rate for Payer: UnitedHealthcare Medicare $265.97
Rate for Payer: UnitedHealthcare Medicare $339.46
Rate for Payer: UnitedHealthcare Medicare $181.39
Rate for Payer: UnitedHealthcare Medicare $303.73
Rate for Payer: UnitedHealthcare Medicare $209.49
Rate for Payer: UnitedHealthcare Medicare $237.64
Rate for Payer: UnitedHealthcare Medicare $246.64
Rate for Payer: University Health Alliance Commercial $450.00
Service Code HCPCS 26160
Hospital Charge Code 8037912
Hospital Revenue Code 975
Min. Negotiated Rate $238.42
Max. Negotiated Rate $1,902.30
Rate for Payer: AlohaCare Medicaid $341.51
Rate for Payer: AlohaCare Medicare $322.68
Rate for Payer: Cash Price $1,454.70
Rate for Payer: Cash Price $1,454.70
Rate for Payer: Devoted Health Medicare $354.95
Rate for Payer: Hawaii Medical Service Association ABD $341.51
Rate for Payer: Hawaii Medical Service Association Commercial $517.64
Rate for Payer: Hawaii Medical Service Association Medicare $322.68
Rate for Payer: Hawaii Medical Service Association Non-ABD $341.51
Rate for Payer: Hawaii Western Management Group Commercial $238.42
Rate for Payer: Health Management Network Commercial $1,902.30
Rate for Payer: Kaiser Permanente Commercial $387.22
Rate for Payer: Kaiser Permanente Medicaid $387.22
Rate for Payer: Kaiser Permanente Medicare $387.22
Rate for Payer: Ohana Health Plan Medicaid $341.51
Rate for Payer: Ohana Health Plan Medicare $322.68
Rate for Payer: UnitedHealthcare Medicaid $341.51
Rate for Payer: UnitedHealthcare Medicare $322.68
Rate for Payer: University Health Alliance Commercial $450.00