|
32554 THORACENTESIS w/o IMAGING LT CHARGE
|
Facility
|
IP
|
$1,402.00
|
|
|
Service Code
|
HCPCS 32554 LT
|
| Hospital Charge Code |
8408927
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,191.70 |
| Max. Negotiated Rate |
$1,359.94 |
| Rate for Payer: Cash Price |
$911.30
|
| Rate for Payer: Health Management Network Commercial |
$1,191.70
|
| Rate for Payer: Kaiser Permanente Commercial |
$1,261.80
|
| Rate for Payer: MDX Hawaii PPO |
$1,359.94
|
|
|
32554 THORACENTESIS w/o IMAGING RT CHARGE
|
Facility
|
IP
|
$1,402.00
|
|
|
Service Code
|
HCPCS 32554 RT
|
| Hospital Charge Code |
8408928
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,191.70 |
| Max. Negotiated Rate |
$1,359.94 |
| Rate for Payer: Cash Price |
$911.30
|
| Rate for Payer: Health Management Network Commercial |
$1,191.70
|
| Rate for Payer: Kaiser Permanente Commercial |
$1,261.80
|
| Rate for Payer: MDX Hawaii PPO |
$1,359.94
|
|
|
32554 THORACENTESIS w/o IMAGING RT CHARGE
|
Facility
|
OP
|
$1,402.00
|
|
|
Service Code
|
HCPCS 32554 RT
|
| Hospital Charge Code |
8408928
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$340.18 |
| Max. Negotiated Rate |
$4,035.20 |
| Rate for Payer: AlohaCare Medicaid |
$701.00
|
| Rate for Payer: AlohaCare Medicare |
$701.00
|
| Rate for Payer: Cash Price |
$911.30
|
| Rate for Payer: Cash Price |
$911.30
|
| Rate for Payer: Devoted Health Medicare |
$771.10
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$701.00
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$1,331.90
|
| Rate for Payer: Health Management Network Commercial |
$1,191.70
|
| Rate for Payer: Humana Medicare |
$701.00
|
| Rate for Payer: Kaiser Permanente Commercial |
$1,261.80
|
| Rate for Payer: Kaiser Permanente Medicaid |
$715.02
|
| Rate for Payer: Kaiser Permanente Medicare |
$701.00
|
| Rate for Payer: MDX Hawaii PPO |
$1,359.94
|
| Rate for Payer: Ohana Health Plan Medicaid |
$701.00
|
| Rate for Payer: Ohana Health Plan Medicare |
$701.00
|
| Rate for Payer: UnitedHealthcare Medicaid |
$340.18
|
| Rate for Payer: UnitedHealthcare Medicare |
$701.00
|
| Rate for Payer: University Health Alliance Commercial |
$4,035.20
|
|
|
32555 THORACENTESIS, NEEDLE OR CATHETER, ASPIRATION OF THE PLEURAL SPACE; WITH IMAGING GUIDA ProFee
|
Professional
|
Both
|
$873.00
|
|
|
Service Code
|
HCPCS 32555
|
| Hospital Charge Code |
8018685
|
|
Hospital Revenue Code
|
972
|
| Min. Negotiated Rate |
$92.50 |
| Max. Negotiated Rate |
$742.05 |
| Rate for Payer: AlohaCare Medicaid |
$106.83
|
| Rate for Payer: AlohaCare Medicare |
$92.50
|
| Rate for Payer: Cash Price |
$567.45
|
| Rate for Payer: Cash Price |
$567.45
|
| Rate for Payer: Devoted Health Medicare |
$101.75
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$106.83
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$169.92
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$92.50
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$106.83
|
| Rate for Payer: Health Management Network Commercial |
$742.05
|
| Rate for Payer: Kaiser Permanente Commercial |
$111.00
|
| Rate for Payer: Kaiser Permanente Medicaid |
$111.00
|
| Rate for Payer: Kaiser Permanente Medicare |
$111.00
|
| Rate for Payer: Ohana Health Plan Medicaid |
$106.83
|
| Rate for Payer: Ohana Health Plan Medicare |
$92.50
|
| Rate for Payer: UnitedHealthcare Medicaid |
$106.83
|
| Rate for Payer: UnitedHealthcare Medicare |
$92.50
|
| Rate for Payer: University Health Alliance Commercial |
$132.55
|
|
|
32555 Thoracentesis w/ Imaging
|
Facility
|
OP
|
$2,140.00
|
|
|
Service Code
|
HCPCS 32555
|
| Hospital Charge Code |
8705582
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$340.18 |
| Max. Negotiated Rate |
$4,035.20 |
| Rate for Payer: AlohaCare Medicaid |
$1,070.00
|
| Rate for Payer: AlohaCare Medicare |
$1,070.00
|
| Rate for Payer: Cash Price |
$1,391.00
|
| Rate for Payer: Cash Price |
$1,391.00
|
| Rate for Payer: Devoted Health Medicare |
$1,177.00
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$469.00
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$1,600.00
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$1,070.00
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$450.00
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$2,033.00
|
| Rate for Payer: Health Management Network Commercial |
$1,819.00
|
| Rate for Payer: Humana Medicare |
$1,070.00
|
| Rate for Payer: Kaiser Permanente Commercial |
$1,926.00
|
| Rate for Payer: Kaiser Permanente Medicaid |
$937.50
|
| Rate for Payer: Kaiser Permanente Medicare |
$1,070.00
|
| Rate for Payer: MDX Hawaii PPO |
$2,075.80
|
| Rate for Payer: Ohana Health Plan Medicaid |
$1,070.00
|
| Rate for Payer: Ohana Health Plan Medicare |
$1,070.00
|
| Rate for Payer: UnitedHealthcare Medicaid |
$340.18
|
| Rate for Payer: UnitedHealthcare Medicare |
$1,070.00
|
| Rate for Payer: University Health Alliance Commercial |
$4,035.20
|
|
|
32555 Thoracentesis w/ Imaging
|
Facility
|
IP
|
$2,140.00
|
|
|
Service Code
|
HCPCS 32555
|
| Hospital Charge Code |
8705582
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$1,819.00 |
| Max. Negotiated Rate |
$2,075.80 |
| Rate for Payer: Cash Price |
$1,391.00
|
| Rate for Payer: Health Management Network Commercial |
$1,819.00
|
| Rate for Payer: Kaiser Permanente Commercial |
$1,926.00
|
| Rate for Payer: MDX Hawaii PPO |
$2,075.80
|
|
|
32555-Thoracentesis w/ Imaging Guidance
|
Facility
|
IP
|
$1,832.00
|
|
|
Service Code
|
HCPCS 32555
|
| Hospital Charge Code |
8080189
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$1,557.20 |
| Max. Negotiated Rate |
$1,777.04 |
| Rate for Payer: Cash Price |
$1,190.80
|
| Rate for Payer: Health Management Network Commercial |
$1,557.20
|
| Rate for Payer: Kaiser Permanente Commercial |
$1,648.80
|
| Rate for Payer: MDX Hawaii PPO |
$1,777.04
|
|
|
32555-Thoracentesis w/ Imaging Guidance
|
Facility
|
OP
|
$1,832.00
|
|
|
Service Code
|
HCPCS 32555
|
| Hospital Charge Code |
8080189
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$340.18 |
| Max. Negotiated Rate |
$4,035.20 |
| Rate for Payer: AlohaCare Medicaid |
$916.00
|
| Rate for Payer: AlohaCare Medicare |
$916.00
|
| Rate for Payer: Cash Price |
$1,190.80
|
| Rate for Payer: Cash Price |
$1,190.80
|
| Rate for Payer: Devoted Health Medicare |
$1,007.60
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$469.00
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$1,600.00
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$916.00
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$450.00
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$1,740.40
|
| Rate for Payer: Health Management Network Commercial |
$1,557.20
|
| Rate for Payer: Humana Medicare |
$916.00
|
| Rate for Payer: Kaiser Permanente Commercial |
$1,648.80
|
| Rate for Payer: Kaiser Permanente Medicaid |
$937.50
|
| Rate for Payer: Kaiser Permanente Medicare |
$916.00
|
| Rate for Payer: MDX Hawaii PPO |
$1,777.04
|
| Rate for Payer: Ohana Health Plan Medicaid |
$916.00
|
| Rate for Payer: Ohana Health Plan Medicare |
$916.00
|
| Rate for Payer: UnitedHealthcare Medicaid |
$340.18
|
| Rate for Payer: UnitedHealthcare Medicare |
$916.00
|
| Rate for Payer: University Health Alliance Commercial |
$4,035.20
|
|
|
32555 Thoracentesis with Imaging LT Charges
|
Facility
|
IP
|
$1,832.00
|
|
|
Service Code
|
HCPCS 32555 LT
|
| Hospital Charge Code |
8221533
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,557.20 |
| Max. Negotiated Rate |
$1,777.04 |
| Rate for Payer: Cash Price |
$1,190.80
|
| Rate for Payer: Health Management Network Commercial |
$1,557.20
|
| Rate for Payer: Kaiser Permanente Commercial |
$1,648.80
|
| Rate for Payer: MDX Hawaii PPO |
$1,777.04
|
|
|
32555 Thoracentesis with Imaging LT Charges
|
Facility
|
OP
|
$1,832.00
|
|
|
Service Code
|
HCPCS 32555 LT
|
| Hospital Charge Code |
8221533
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$340.18 |
| Max. Negotiated Rate |
$4,035.20 |
| Rate for Payer: AlohaCare Medicaid |
$916.00
|
| Rate for Payer: AlohaCare Medicare |
$916.00
|
| Rate for Payer: Cash Price |
$1,190.80
|
| Rate for Payer: Cash Price |
$1,190.80
|
| Rate for Payer: Devoted Health Medicare |
$1,007.60
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$916.00
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$1,740.40
|
| Rate for Payer: Health Management Network Commercial |
$1,557.20
|
| Rate for Payer: Humana Medicare |
$916.00
|
| Rate for Payer: Kaiser Permanente Commercial |
$1,648.80
|
| Rate for Payer: Kaiser Permanente Medicaid |
$934.32
|
| Rate for Payer: Kaiser Permanente Medicare |
$916.00
|
| Rate for Payer: MDX Hawaii PPO |
$1,777.04
|
| Rate for Payer: Ohana Health Plan Medicaid |
$916.00
|
| Rate for Payer: Ohana Health Plan Medicare |
$916.00
|
| Rate for Payer: UnitedHealthcare Medicaid |
$340.18
|
| Rate for Payer: UnitedHealthcare Medicare |
$916.00
|
| Rate for Payer: University Health Alliance Commercial |
$4,035.20
|
|
|
32556 - Drainage, percutaneous w/o guidance
|
Facility
|
OP
|
$3,408.00
|
|
|
Service Code
|
HCPCS 32556
|
| Hospital Charge Code |
10498927
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$450.00 |
| Max. Negotiated Rate |
$3,305.76 |
| Rate for Payer: AlohaCare Medicaid |
$1,704.00
|
| Rate for Payer: AlohaCare Medicare |
$1,704.00
|
| Rate for Payer: Cash Price |
$2,215.20
|
| Rate for Payer: Cash Price |
$2,215.20
|
| Rate for Payer: Devoted Health Medicare |
$1,874.40
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$469.00
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$1,600.00
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$1,704.00
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$450.00
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$3,237.60
|
| Rate for Payer: Health Management Network Commercial |
$2,896.80
|
| Rate for Payer: Humana Medicare |
$1,704.00
|
| Rate for Payer: Kaiser Permanente Commercial |
$3,067.20
|
| Rate for Payer: Kaiser Permanente Medicaid |
$937.50
|
| Rate for Payer: Kaiser Permanente Medicare |
$1,704.00
|
| Rate for Payer: MDX Hawaii PPO |
$3,305.76
|
| Rate for Payer: Ohana Health Plan Medicaid |
$1,704.00
|
| Rate for Payer: Ohana Health Plan Medicare |
$1,704.00
|
| Rate for Payer: UnitedHealthcare Medicaid |
$456.03
|
| Rate for Payer: UnitedHealthcare Medicare |
$1,704.00
|
| Rate for Payer: University Health Alliance Commercial |
$2,484.09
|
|
|
32556 - Drainage, percutaneous w/o guidance
|
Facility
|
IP
|
$3,408.00
|
|
|
Service Code
|
HCPCS 32556
|
| Hospital Charge Code |
10498927
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$2,896.80 |
| Max. Negotiated Rate |
$3,305.76 |
| Rate for Payer: Cash Price |
$2,215.20
|
| Rate for Payer: Health Management Network Commercial |
$2,896.80
|
| Rate for Payer: Kaiser Permanente Commercial |
$3,067.20
|
| Rate for Payer: MDX Hawaii PPO |
$3,305.76
|
|
|
32556 PLEURAL DRAINAGE, PERCUTANEOUS, WITH INSERTION OF INDWELLING CATHETER; WITHOUT IMAGING ProFee
|
Professional
|
Both
|
$2,671.00
|
|
|
Service Code
|
HCPCS 32556
|
| Hospital Charge Code |
8018686
|
|
Hospital Revenue Code
|
987
|
| Min. Negotiated Rate |
$109.16 |
| Max. Negotiated Rate |
$2,270.35 |
| Rate for Payer: AlohaCare Medicaid |
$120.34
|
| Rate for Payer: AlohaCare Medicare |
$109.16
|
| Rate for Payer: Cash Price |
$1,736.15
|
| Rate for Payer: Cash Price |
$1,736.15
|
| Rate for Payer: Devoted Health Medicare |
$120.08
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$120.34
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$190.35
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$109.16
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$120.34
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$609.44
|
| Rate for Payer: Health Management Network Commercial |
$2,270.35
|
| Rate for Payer: Kaiser Permanente Commercial |
$130.99
|
| Rate for Payer: Kaiser Permanente Medicaid |
$130.99
|
| Rate for Payer: Kaiser Permanente Medicare |
$130.99
|
| Rate for Payer: Ohana Health Plan Medicaid |
$120.34
|
| Rate for Payer: Ohana Health Plan Medicare |
$109.16
|
| Rate for Payer: UnitedHealthcare Medicaid |
$120.34
|
| Rate for Payer: UnitedHealthcare Medicare |
$109.16
|
| Rate for Payer: University Health Alliance Commercial |
$164.44
|
|
|
32557 Pleural drainage, percutaneous, with insertion of indwelling catheter; with imaging guidance
|
Professional
|
Both
|
$2,103.00
|
|
|
Service Code
|
HCPCS 32557
|
| Hospital Charge Code |
8038700
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$126.91 |
| Max. Negotiated Rate |
$1,787.55 |
| Rate for Payer: AlohaCare Medicaid |
$145.60
|
| Rate for Payer: AlohaCare Medicare |
$126.91
|
| Rate for Payer: Cash Price |
$1,366.95
|
| Rate for Payer: Cash Price |
$1,366.95
|
| Rate for Payer: Cash Price |
$1,366.95
|
| Rate for Payer: Devoted Health Medicare |
$139.60
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$434.26
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$230.60
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$209.49
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$339.46
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$303.73
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$265.97
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$246.64
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$181.39
|
| 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 |
$1,787.55
|
| 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 Commercial |
$152.29
|
| Rate for Payer: Kaiser Permanente Commercial |
$181.39
|
| Rate for Payer: Kaiser Permanente Commercial |
$209.49
|
| Rate for Payer: Kaiser Permanente Commercial |
$237.64
|
| Rate for Payer: Kaiser Permanente Commercial |
$246.64
|
| Rate for Payer: Kaiser Permanente Medicaid |
$434.26
|
| Rate for Payer: Kaiser Permanente Medicare |
$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 |
$145.60
|
| Rate for Payer: Ohana Health Plan Medicare |
$126.91
|
| Rate for Payer: UnitedHealthcare Medicaid |
$434.26
|
| Rate for Payer: UnitedHealthcare Medicare |
$181.39
|
| Rate for Payer: UnitedHealthcare Medicare |
$209.49
|
| Rate for Payer: UnitedHealthcare Medicare |
$246.64
|
| Rate for Payer: UnitedHealthcare Medicare |
$303.73
|
| Rate for Payer: UnitedHealthcare Medicare |
$339.46
|
| Rate for Payer: UnitedHealthcare Medicare |
$265.97
|
| Rate for Payer: UnitedHealthcare Medicare |
$237.64
|
| Rate for Payer: University Health Alliance Commercial |
$180.63
|
|
|
32601 Thoracoscopy, diagnostic; lungs, pericardial sac, mediastinal or pleural space, without biopsy
|
Professional
|
Both
|
$8,414.00
|
|
|
Service Code
|
HCPCS 32601
|
| Hospital Charge Code |
8038701
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$181.39 |
| Max. Negotiated Rate |
$7,151.90 |
| Rate for Payer: AlohaCare Medicaid |
$294.55
|
| Rate for Payer: AlohaCare Medicare |
$278.80
|
| 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 |
$306.68
|
| 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 |
$359.06
|
| Rate for Payer: Health Management Network Commercial |
$7,151.90
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$334.56
|
| 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 |
$294.55
|
| Rate for Payer: Ohana Health Plan Medicare |
$278.80
|
| 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
|
|
|
32606 Thoracoscopy, diagnostic (separate procedure); mediastinal space, with biopsy
|
Professional
|
Both
|
$8,414.00
|
|
|
Service Code
|
HCPCS 32606
|
| Hospital Charge Code |
8038702
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$181.39 |
| Max. Negotiated Rate |
$7,151.90 |
| Rate for Payer: AlohaCare Medicaid |
$437.85
|
| Rate for Payer: AlohaCare Medicare |
$411.60
|
| 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 |
$452.76
|
| 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 |
$369.72
|
| Rate for Payer: Health Management Network Commercial |
$7,151.90
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$493.92
|
| 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 |
$437.85
|
| Rate for Payer: Ohana Health Plan Medicare |
$411.60
|
| 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
|
|
|
32650 Thoracoscopy, surgical; with pleurodesis (eg, mechanical or chemical)
|
Professional
|
Both
|
$1,898.00
|
|
|
Service Code
|
HCPCS 32650
|
| Hospital Charge Code |
8038704
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$181.39 |
| Max. Negotiated Rate |
$1,613.30 |
| Rate for Payer: AlohaCare Medicaid |
$656.53
|
| Rate for Payer: AlohaCare Medicare |
$643.37
|
| Rate for Payer: Cash Price |
$1,233.70
|
| Rate for Payer: Cash Price |
$1,233.70
|
| Rate for Payer: Cash Price |
$1,233.70
|
| Rate for Payer: Devoted Health Medicare |
$707.71
|
| 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 |
$568.10
|
| Rate for Payer: Health Management Network Commercial |
$1,613.30
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$772.04
|
| Rate for Payer: Kaiser Permanente Commercial |
$181.39
|
| Rate for Payer: Kaiser Permanente Commercial |
$209.49
|
| Rate for Payer: Kaiser Permanente Commercial |
$237.64
|
| Rate for Payer: Kaiser Permanente Commercial |
$246.64
|
| Rate for Payer: Kaiser Permanente Commercial |
$265.97
|
| Rate for Payer: Kaiser Permanente Commercial |
$303.73
|
| Rate for Payer: Kaiser Permanente Medicaid |
$434.26
|
| Rate for Payer: Kaiser Permanente Medicare |
$339.46
|
| Rate for Payer: Kaiser Permanente Medicare |
$181.39
|
| Rate for Payer: Kaiser Permanente Medicare |
$209.49
|
| Rate for Payer: Kaiser Permanente Medicare |
$237.64
|
| Rate for Payer: Kaiser Permanente Medicare |
$246.64
|
| Rate for Payer: Kaiser Permanente Medicare |
$303.73
|
| Rate for Payer: Kaiser Permanente Medicare |
$265.97
|
| Rate for Payer: Ohana Health Plan Medicaid |
$656.53
|
| Rate for Payer: Ohana Health Plan Medicare |
$643.37
|
| 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
|
|
|
32655 Thoracoscopy, surgical; with resection-plication of bullae, includes any pleural procedure whe
|
Professional
|
Both
|
$2,594.00
|
|
|
Service Code
|
HCPCS 32655
|
| Hospital Charge Code |
8038705
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$181.39 |
| Max. Negotiated Rate |
$2,204.90 |
| Rate for Payer: AlohaCare Medicaid |
$927.56
|
| Rate for Payer: AlohaCare Medicare |
$895.54
|
| Rate for Payer: Cash Price |
$1,686.10
|
| Rate for Payer: Cash Price |
$1,686.10
|
| Rate for Payer: Cash Price |
$1,686.10
|
| Rate for Payer: Devoted Health Medicare |
$985.09
|
| 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 |
$816.14
|
| Rate for Payer: Health Management Network Commercial |
$2,204.90
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$1,074.65
|
| 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 |
$927.56
|
| Rate for Payer: Ohana Health Plan Medicare |
$895.54
|
| 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
|
|
|
32656 Thoracoscopy, surgical; with parietal pleurectomy
|
Professional
|
Both
|
$2,240.00
|
|
|
Service Code
|
HCPCS 32656
|
| Hospital Charge Code |
8038706
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$181.39 |
| Max. Negotiated Rate |
$1,904.00 |
| Rate for Payer: AlohaCare Medicaid |
$783.59
|
| Rate for Payer: AlohaCare Medicare |
$766.45
|
| Rate for Payer: Cash Price |
$1,456.00
|
| Rate for Payer: Cash Price |
$1,456.00
|
| Rate for Payer: Cash Price |
$1,456.00
|
| Rate for Payer: Devoted Health Medicare |
$843.10
|
| 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 |
$793.26
|
| Rate for Payer: Health Management Network Commercial |
$1,904.00
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$919.74
|
| Rate for Payer: Kaiser Permanente Commercial |
$181.39
|
| Rate for Payer: Kaiser Permanente Commercial |
$209.49
|
| Rate for Payer: Kaiser Permanente Commercial |
$237.64
|
| Rate for Payer: Kaiser Permanente Commercial |
$246.64
|
| Rate for Payer: Kaiser Permanente Commercial |
$265.97
|
| Rate for Payer: Kaiser Permanente Commercial |
$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 |
$783.59
|
| Rate for Payer: Ohana Health Plan Medicare |
$766.45
|
| 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
|
|
|
32659 Thoracoscopy, surgical; with creation of window or drainage
|
Professional
|
Both
|
$2,082.00
|
|
|
Service Code
|
HCPCS 32659
|
| Hospital Charge Code |
8038707
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$181.39 |
| Max. Negotiated Rate |
$1,769.70 |
| Rate for Payer: AlohaCare Medicaid |
$719.34
|
| Rate for Payer: AlohaCare Medicare |
$707.10
|
| Rate for Payer: Cash Price |
$1,353.30
|
| Rate for Payer: Cash Price |
$1,353.30
|
| Rate for Payer: Cash Price |
$1,353.30
|
| Rate for Payer: Devoted Health Medicare |
$777.81
|
| 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 |
$978.90
|
| Rate for Payer: Health Management Network Commercial |
$1,769.70
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$848.52
|
| Rate for Payer: Kaiser Permanente Commercial |
$181.39
|
| Rate for Payer: Kaiser Permanente Commercial |
$209.49
|
| Rate for Payer: Kaiser Permanente Commercial |
$237.64
|
| Rate for Payer: Kaiser Permanente Commercial |
$246.64
|
| Rate for Payer: Kaiser Permanente Commercial |
$265.97
|
| Rate for Payer: Kaiser Permanente Commercial |
$303.73
|
| Rate for Payer: Kaiser Permanente Medicaid |
$434.26
|
| Rate for Payer: Kaiser Permanente Medicare |
$339.46
|
| Rate for Payer: Kaiser Permanente Medicare |
$181.39
|
| Rate for Payer: Kaiser Permanente Medicare |
$209.49
|
| Rate for Payer: Kaiser Permanente Medicare |
$237.64
|
| Rate for Payer: Kaiser Permanente Medicare |
$246.64
|
| Rate for Payer: Kaiser Permanente Medicare |
$303.73
|
| Rate for Payer: Kaiser Permanente Medicare |
$265.97
|
| Rate for Payer: Ohana Health Plan Medicaid |
$719.34
|
| Rate for Payer: Ohana Health Plan Medicare |
$707.10
|
| Rate for Payer: UnitedHealthcare Medicaid |
$434.26
|
| Rate for Payer: UnitedHealthcare Medicare |
$303.73
|
| Rate for Payer: UnitedHealthcare Medicare |
$181.39
|
| Rate for Payer: UnitedHealthcare Medicare |
$209.49
|
| Rate for Payer: UnitedHealthcare Medicare |
$237.64
|
| Rate for Payer: UnitedHealthcare Medicare |
$246.64
|
| Rate for Payer: UnitedHealthcare Medicare |
$265.97
|
| Rate for Payer: UnitedHealthcare Medicare |
$339.46
|
|
|
32663 Thoracoscopy, surgical; with lobectomy (single lobe)
|
Professional
|
Both
|
$3,604.00
|
|
|
Service Code
|
HCPCS 32663
|
| Hospital Charge Code |
8038708
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$181.39 |
| Max. Negotiated Rate |
$3,063.40 |
| Rate for Payer: AlohaCare Medicaid |
$1,338.61
|
| Rate for Payer: AlohaCare Medicare |
$1,277.03
|
| Rate for Payer: Cash Price |
$2,342.60
|
| Rate for Payer: Cash Price |
$2,342.60
|
| Rate for Payer: Cash Price |
$2,342.60
|
| Rate for Payer: Devoted Health Medicare |
$1,404.73
|
| 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 |
$1,068.86
|
| Rate for Payer: Health Management Network Commercial |
$3,063.40
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$1,532.44
|
| 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 |
$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 |
$1,338.61
|
| Rate for Payer: Ohana Health Plan Medicare |
$1,277.03
|
| 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
|
|
|
32664 Thoracoscopy, surgical; with thoracic sympathectomy
|
Professional
|
Both
|
$2,336.00
|
|
|
Service Code
|
HCPCS 32664
|
| Hospital Charge Code |
8038709
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$181.39 |
| Max. Negotiated Rate |
$1,985.60 |
| Rate for Payer: AlohaCare Medicaid |
$822.77
|
| Rate for Payer: AlohaCare Medicare |
$799.22
|
| Rate for Payer: Cash Price |
$1,518.40
|
| Rate for Payer: Cash Price |
$1,518.40
|
| Rate for Payer: Cash Price |
$1,518.40
|
| Rate for Payer: Devoted Health Medicare |
$879.14
|
| 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 |
$748.80
|
| Rate for Payer: Health Management Network Commercial |
$1,985.60
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$959.06
|
| 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 |
$822.77
|
| Rate for Payer: Ohana Health Plan Medicare |
$799.22
|
| 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
|
|
|
32800 Repair lung hernia through chest wall
|
Professional
|
Both
|
$2,565.00
|
|
|
Service Code
|
HCPCS 32800
|
| Hospital Charge Code |
8038713
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$181.39 |
| Max. Negotiated Rate |
$2,180.25 |
| Rate for Payer: AlohaCare Medicaid |
$915.92
|
| Rate for Payer: AlohaCare Medicare |
$902.10
|
| Rate for Payer: Cash Price |
$1,667.25
|
| Rate for Payer: Cash Price |
$1,667.25
|
| Rate for Payer: Cash Price |
$1,667.25
|
| Rate for Payer: Devoted Health Medicare |
$992.31
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$434.26
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$265.97
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$339.46
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$237.64
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$246.64
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$303.73
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$181.39
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$209.49
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$434.26
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$674.18
|
| Rate for Payer: Health Management Network Commercial |
$2,180.25
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$1,082.52
|
| Rate for Payer: Kaiser Permanente Commercial |
$181.39
|
| Rate for Payer: Kaiser Permanente Commercial |
$209.49
|
| Rate for Payer: Kaiser Permanente Commercial |
$237.64
|
| Rate for Payer: Kaiser Permanente Commercial |
$246.64
|
| Rate for Payer: Kaiser Permanente Commercial |
$265.97
|
| Rate for Payer: Kaiser Permanente Commercial |
$303.73
|
| Rate for Payer: Kaiser Permanente Medicaid |
$434.26
|
| Rate for Payer: Kaiser Permanente Medicare |
$339.46
|
| Rate for Payer: Kaiser Permanente Medicare |
$181.39
|
| Rate for Payer: Kaiser Permanente Medicare |
$209.49
|
| Rate for Payer: Kaiser Permanente Medicare |
$237.64
|
| Rate for Payer: Kaiser Permanente Medicare |
$246.64
|
| Rate for Payer: Kaiser Permanente Medicare |
$303.73
|
| Rate for Payer: Kaiser Permanente Medicare |
$265.97
|
| Rate for Payer: Ohana Health Plan Medicaid |
$915.92
|
| Rate for Payer: Ohana Health Plan Medicare |
$902.10
|
| Rate for Payer: UnitedHealthcare Medicaid |
$434.26
|
| Rate for Payer: UnitedHealthcare Medicare |
$303.73
|
| Rate for Payer: UnitedHealthcare Medicare |
$181.39
|
| Rate for Payer: UnitedHealthcare Medicare |
$209.49
|
| Rate for Payer: UnitedHealthcare Medicare |
$237.64
|
| Rate for Payer: UnitedHealthcare Medicare |
$246.64
|
| Rate for Payer: UnitedHealthcare Medicare |
$265.97
|
| Rate for Payer: UnitedHealthcare Medicare |
$339.46
|
|
|
32810 Closure of chest wall following open flap drainage for empyema (Clagett type procedure)
|
Professional
|
Both
|
$2,473.00
|
|
|
Service Code
|
HCPCS 32810
|
| Hospital Charge Code |
8038714
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$181.39 |
| Max. Negotiated Rate |
$2,102.05 |
| Rate for Payer: AlohaCare Medicaid |
$878.46
|
| Rate for Payer: AlohaCare Medicare |
$858.54
|
| Rate for Payer: Cash Price |
$1,607.45
|
| Rate for Payer: Cash Price |
$1,607.45
|
| Rate for Payer: Cash Price |
$1,607.45
|
| Rate for Payer: Devoted Health Medicare |
$944.39
|
| 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 |
$2,102.05
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$1,030.25
|
| 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 |
$878.46
|
| Rate for Payer: Ohana Health Plan Medicare |
$858.54
|
| 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
|
|
|
32820 Major reconstruction, chest wall (posttraumatic)
|
Professional
|
Both
|
$3,487.00
|
|
|
Service Code
|
HCPCS 32820
|
| Hospital Charge Code |
8038715
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$181.39 |
| Max. Negotiated Rate |
$2,963.95 |
| Rate for Payer: AlohaCare Medicaid |
$1,291.06
|
| Rate for Payer: AlohaCare Medicare |
$1,291.25
|
| Rate for Payer: Cash Price |
$2,266.55
|
| Rate for Payer: Cash Price |
$2,266.55
|
| Rate for Payer: Cash Price |
$2,266.55
|
| Rate for Payer: Devoted Health Medicare |
$1,420.38
|
| 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 |
$1,219.14
|
| Rate for Payer: Health Management Network Commercial |
$2,963.95
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$1,549.50
|
| 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 |
$1,291.06
|
| Rate for Payer: Ohana Health Plan Medicare |
$1,291.25
|
| 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
|
|
