3675 KILAUEA AVENUE, HONOLULU, HI, 96816
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| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| imaging | ||||||||
| EKG tracing only | CPT | 93005 | 2 | $186 | $120.9 | $31.7 | $33.92 | $36.14 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 4 | $170 | $110.5 | $11.7 | $20.41 | $23.9 |
| Comprehensive metabolic panel | CPT | 80053 | 4 | $212 | $137.8 | $14.61 | $25.5 | $29.84 |
| Lipid panel | CPT | 80061 | 4 | $228 | $148.2 | $18.51 | $32.3 | $37.81 |
| Renal function panel | CPT | 80069 | 4 | $164 | $106.6 | $12 | $20.96 | $24.5 |
| Hemoglobin A1c | CPT | 83036 | 4 | $185 | $120.25 | $13.42 | $23.42 | $27.39 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 4 | $356 | $231.4 | $23.21 | $40.54 | $47.41 |
| Complete blood count with automated differential | CPT | 85025 | 4 | $166 | $107.9 | $10.74 | $18.75 | $21.94 |
| Complete blood count without differential | CPT | 85027 | 4 | $126 | $81.9 | $8.95 | $15.6 | $18.26 |
| Urine culture bacterial | CPT | 87086 | 4 | $142 | $92.3 | $11.16 | $19.5 | $22.79 |
| Urine culture identification | CPT | 87088 | 4 | $146 | $94.9 | $10.55 | $18.44 | $21.55 |
| Payer | Codes covered | Median rate |
|---|---|---|
| hmaa | 11 | $24.5 |
| hmsa | 11 | $15.34 |
| hma | 10 | $21.02 |
| uha | 10 | $22.17 |
