Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Pow mobil dev no dmepdac
Low
$163
Average
$164
Median
$163
High
$169
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4 hospital rates
iThe hospitals that file a UnitedHealthcare rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN Honolulu, HI facility · fee schedule · outpatient | 1 | $63 | $169 | $192 | 113% | — | $50 – $500 |
| 2 | PALI MOMI MEDICAL CENTER Aiea, HI facility · fee schedule · outpatient | 1 | $50 | $163 | $195 | 120% | — | $50 – $500 |
| 3 | STRAUB CLINIC & HOSPITAL Honolulu, HI facility · fee schedule · outpatient | 1 | $50 | $163 | $195 | 120% | — | $50 – $500 |
| 4 | WILCOX MEMORIAL HOSPITAL Lihue, HI facility · fee schedule · outpatient | 1 | $50 | $163 | $195 | 120% | — | $50 – $500 |
← Payers reporting HCPCS K0899 · Snapshot 20261112T181611Z-3fa9fb76