▸ Payer

alohacare

Negotiated rates published by hospitals for alohacare across 1 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

177

States

Rate rows

826

Median neg. rate

$230

Top procedures for alohacare

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
ED visit level 3	CPT	99283	5	$255.77
ED visit level 4	CPT	99284	5	$349.59
ED visit level 5	CPT	99285	5	$465.4
Critical care, first hour	CPT	99291	5	$608.73
ED visit level 1	CPT	99281	5	$139.18
ED visit level 2	CPT	99282	5	$184.49
Upper GI endoscopy with biopsy	CPT	43239	4	$876.55
Sigmoidoscopy with biopsy	CPT	45331	4	$960.32
Shoulder arthroscopy with rotator cuff repair	CPT	29827	4	$5,760.12
ACL reconstruction	CPT	29888	4	$5,671.86
Complex cataract surgery	CPT	66982	4	$2,191.91
Lap inguinal hernia repair	CPT	49650	4	$4,622.14
Lap salpingo-oophorectomy	CPT	58661	4	$4,659.02
Colonoscopy diagnostic	CPT	45378	4	$881.73
Colonoscopy with biopsy	CPT	45380	4	$1,086.8
Colonoscopy with polyp removal	CPT	45385	4	$1,086.8
Knee arthroscopy with meniscectomy	CPT	29881	4	$2,730.59
Cataract surgery with lens implant	CPT	66984	4	$2,191.91
Upper GI endoscopy diagnostic	CPT	43235	4	$828.25
Heart failure & shock w MCC	MS-DRG	291	3	$16,780
Heart failure & shock w CC	MS-DRG	292	3	$11,147
Heart failure & shock w/o CC/MCC	MS-DRG	293	3	$7,210.55
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	3	$10,157
COPD w CC	MS-DRG	191	3	$11,091
GI hemorrhage w CC	MS-DRG	378	3	$12,768
GI hemorrhage w/o CC/MCC	MS-DRG	379	3	$8,258.42
Major small/large bowel procedures w CC	MS-DRG	330	3	$30,590
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	3	$21,467
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	3	$21,325
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	3	$17,033

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Kauai Veterans Memorial Hospital	Waimea Kauai	HI	$636.84
Kauai Veteran�s Memorial Hospital	—	—	$636.84
Kahuku Medical Center	Kahuku	HI	$1,270.26
Wilcox Memorial Hosptial	Lihue	HI	$4,285.87
Kona Community Hospital	Kealakekua	HI	$5,741.52
Pali Momi Medical Center	Aiea	HI	$15,284

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States with hospitals publishing rates for alohacare.

State	Hospitals	Avg rate
HI	5	$4,036.29

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