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CT chest without contrast
CPT 71250 · negotiated-rate distribution across hospitals in HI
Hospitals
9
Min
$151.38
Median
$194.84
Max
$320.07
Range multiplier
2.1×
By payer (22 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| hmsa | 4 | 15 | $119.7 | $211.43 | $429.76 | 3.6× |
| UnitedHealthcare | 5 | 8 | $119.7 | $194.84 | $194.84 | 1.6× |
| alohacare | 3 | 7 | $59.52 | $119.7 | $160.72 | 2.7× |
| Kaiser Permanente | 3 | 7 | $59.52 | $119.7 | $946.8 | 15.9× |
| uha | 4 | 6 | $51.88 | $379.38 | $396.53 | 7.6× |
| ohana | 2 | 6 | $59.52 | $128.66 | $160.72 | 2.7× |
| hmaa | 4 | 5 | $322.87 | $518.82 | $518.82 | 1.6× |
| hma | 4 | 4 | $320.07 | $320.07 | $368.21 | 1.2× |
| hawaii medical service association (hmsa) | 1 | 3 | $194.84 | $211.43 | $388.51 | 2.0× |
| Multiplan | 1 | 2 | $80 | $82.5 | $85 | 1.1× |
| Humana | 2 | 2 | $119.7 | $128.66 | $137.62 | 1.1× |
| # | 1 | 2 | $266.42 | $272.07 | $277.72 | 1.0× |
| verdegard | 1 | 1 | $600.06 | $600.06 | $600.06 | 1.0× |
| dmba | 1 | 1 | $841.6 | $841.6 | $841.6 | 1.0× |
| hawaii medical assurance association (hmaa) | 1 | 1 | $272.69 | $272.69 | $272.69 | 1.0× |
| hcha | 1 | 1 | $402.22 | $402.22 | $402.22 | 1.0× |
| mdx | 1 | 1 | $1,020.44 | $1,020.44 | $1,020.44 | 1.0× |
| mdx hawaii | 1 | 1 | $126.68 | $126.68 | $126.68 | 1.0× |
| medical cost containment professionals | 1 | 1 | $85 | $85 | $85 | 1.0× |
| ohana health plan | 1 | 1 | $95.21 | $95.21 | $95.21 | 1.0× |
| pacific administrators inc | 1 | 1 | $370.9 | $370.9 | $370.9 | 1.0× |
| university health alliance | 1 | 1 | $407.25 | $407.25 | $407.25 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| KAUAI VETERANS MEMORIAL HOSPITAL | WAIMEA KAUAI | HI | 5 | $1,525 | $991.25 | $194.84 | $320.07 | $518.82 |
| SAMUEL MAHELONA MEMORIAL HOSPITAL | KAPAA KAUAI | HI | 5 | $1,525 | $991.25 | $194.84 | $320.07 | $518.82 |
| WILCOX MEMORIAL HOSPTIAL | LIHUE | HI | 13 | $1,801 | $720.4 | $80 | $194.84 | $600.06 |
| KAHUKU MEDICAL CENTER | KAHUKU | HI | 12 | $1,052 | $683.8 | $51.88 | $160.72 | $1,020.44 |
| KONA COMMUNITY HOSPITAL | KEALAKEKUA | HI | 9 | $1,322 | $859.3 | $137.62 | $151.38 | $518.82 |
| NORTH HAWAII COMMUNITY HOSPITAL | KAMUELAA | HI | 0 | $1,976 | $1,383.2 | — | — | — |
| KFH-HAWAII | HONOLULU | HI | 0 | $5,080 | $2,844.8 | — | — | — |
| THE QUEENS MEDICAL CENTER | HONOLULU | HI | 0 | $1,976 | $1,383.2 | — | — | — |
| MOLOKAI GENERAL HOSPITAL | KAUNAKAKAI | HI | 0 | $2,291 | $1,603.7 | — | — | — |
Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.