Hilo Benioff Medical Center

All Charges

Charge

Type

Setting

Price

DRILL #AR-2325D

Facility

$299.00

Hospital Revenue Code	272
Min. Negotiated Rate	$152.49
Max. Negotiated Rate	$290.03
Rate for Payer: Cash Price	$179.40
Rate for Payer: Hawaii Western Management Group Commercial	$284.05
Rate for Payer: Health Management Network Commercial	$254.15
Rate for Payer: Kaiser Permanente Commercial	$188.37
Rate for Payer: Kaiser Permanente Medicaid	$152.49
Rate for Payer: MDX Hawaii PPO	$290.03
Rate for Payer: University Health Alliance Commercial	$217.94

DRILL #AR-2325D

Facility

$299.00

Hospital Revenue Code	272
Min. Negotiated Rate	$254.15
Max. Negotiated Rate	$290.03
Rate for Payer: Cash Price	$179.40
Rate for Payer: Health Management Network Commercial	$254.15
Rate for Payer: MDX Hawaii PPO	$290.03

DRILL BB-TAK AR-13226

Facility

$210.00

Hospital Revenue Code	272
Min. Negotiated Rate	$178.50
Max. Negotiated Rate	$203.70
Rate for Payer: Cash Price	$126.00
Rate for Payer: Health Management Network Commercial	$178.50
Rate for Payer: MDX Hawaii PPO	$203.70

DRILL BB-TAK AR-13226

Facility

$210.00

Hospital Revenue Code	272
Min. Negotiated Rate	$107.10
Max. Negotiated Rate	$203.70
Rate for Payer: Cash Price	$126.00
Rate for Payer: Hawaii Western Management Group Commercial	$199.50
Rate for Payer: Health Management Network Commercial	$178.50
Rate for Payer: Kaiser Permanente Commercial	$132.30
Rate for Payer: Kaiser Permanente Medicaid	$107.10
Rate for Payer: MDX Hawaii PPO	$203.70
Rate for Payer: University Health Alliance Commercial	$153.07

DRILL BB-TAK THREAD AR-13226T

Facility

$357.00

Hospital Revenue Code	272
Min. Negotiated Rate	$182.07
Max. Negotiated Rate	$346.29
Rate for Payer: Cash Price	$214.20
Rate for Payer: Hawaii Western Management Group Commercial	$339.15
Rate for Payer: Health Management Network Commercial	$303.45
Rate for Payer: Kaiser Permanente Commercial	$224.91
Rate for Payer: Kaiser Permanente Medicaid	$182.07
Rate for Payer: MDX Hawaii PPO	$346.29
Rate for Payer: University Health Alliance Commercial	$260.22

DRILL BB-TAK THREAD AR-13226T

Facility

$357.00

Hospital Revenue Code	272
Min. Negotiated Rate	$303.45
Max. Negotiated Rate	$346.29
Rate for Payer: Cash Price	$214.20
Rate for Payer: Health Management Network Commercial	$303.45
Rate for Payer: MDX Hawaii PPO	$346.29

DRILL BIT 1.0MM DIAMOND

Facility

$494.00

Hospital Revenue Code	272
Min. Negotiated Rate	$251.94
Max. Negotiated Rate	$479.18
Rate for Payer: Cash Price	$296.40
Rate for Payer: Hawaii Western Management Group Commercial	$469.30
Rate for Payer: Health Management Network Commercial	$419.90
Rate for Payer: Kaiser Permanente Commercial	$311.22
Rate for Payer: Kaiser Permanente Medicaid	$251.94
Rate for Payer: MDX Hawaii PPO	$479.18
Rate for Payer: University Health Alliance Commercial	$360.08

DRILL BIT 1.0MM DIAMOND

Facility

$494.00

Hospital Revenue Code	272
Min. Negotiated Rate	$419.90
Max. Negotiated Rate	$479.18
Rate for Payer: Cash Price	$296.40
Rate for Payer: Health Management Network Commercial	$419.90
Rate for Payer: MDX Hawaii PPO	$479.18

DRILL BIT 1.0MM DIAMOND HBK

Facility

$571.00

Hospital Revenue Code	272
Min. Negotiated Rate	$291.21
Max. Negotiated Rate	$553.87
Rate for Payer: Cash Price	$342.60
Rate for Payer: Hawaii Western Management Group Commercial	$542.45
Rate for Payer: Health Management Network Commercial	$485.35
Rate for Payer: Kaiser Permanente Commercial	$359.73
Rate for Payer: Kaiser Permanente Medicaid	$291.21
Rate for Payer: MDX Hawaii PPO	$553.87
Rate for Payer: University Health Alliance Commercial	$416.20

DRILL BIT 1.0MM DIAMOND HBK

Facility

$571.00

Hospital Revenue Code	272
Min. Negotiated Rate	$485.35
Max. Negotiated Rate	$553.87
Rate for Payer: Cash Price	$342.60
Rate for Payer: Health Management Network Commercial	$485.35
Rate for Payer: MDX Hawaii PPO	$553.87

DRILL BIT 1.1 03.503.246

Facility

$1,386.00

Hospital Revenue Code	272
Min. Negotiated Rate	$1,178.10
Max. Negotiated Rate	$1,344.42
Rate for Payer: Cash Price	$831.60
Rate for Payer: Health Management Network Commercial	$1,178.10
Rate for Payer: MDX Hawaii PPO	$1,344.42

DRILL BIT 1.1 03.503.246

Facility

$1,386.00

Hospital Revenue Code	272
Min. Negotiated Rate	$706.86
Max. Negotiated Rate	$1,344.42
Rate for Payer: Cash Price	$831.60
Rate for Payer: Hawaii Western Management Group Commercial	$1,316.70
Rate for Payer: Health Management Network Commercial	$1,178.10
Rate for Payer: Kaiser Permanente Commercial	$873.18
Rate for Payer: Kaiser Permanente Medicaid	$706.86
Rate for Payer: MDX Hawaii PPO	$1,344.42
Rate for Payer: University Health Alliance Commercial	$1,010.26

DRILL BIT 1.1 MATRX 03.503.244

Facility

$1,215.00

Hospital Revenue Code	272
Min. Negotiated Rate	$1,032.75
Max. Negotiated Rate	$1,178.55
Rate for Payer: Cash Price	$729.00
Rate for Payer: Health Management Network Commercial	$1,032.75
Rate for Payer: MDX Hawaii PPO	$1,178.55

DRILL BIT 1.1 MATRX 03.503.244

Facility

$1,215.00

Hospital Revenue Code	272
Min. Negotiated Rate	$619.65
Max. Negotiated Rate	$1,178.55
Rate for Payer: Cash Price	$729.00
Rate for Payer: Hawaii Western Management Group Commercial	$1,154.25
Rate for Payer: Health Management Network Commercial	$1,032.75
Rate for Payer: Kaiser Permanente Commercial	$765.45
Rate for Payer: Kaiser Permanente Medicaid	$619.65
Rate for Payer: MDX Hawaii PPO	$1,178.55
Rate for Payer: University Health Alliance Commercial	$885.61

DRILL BIT 140X2.9MM 13001

Facility

$483.00

Hospital Revenue Code	272
Min. Negotiated Rate	$246.33
Max. Negotiated Rate	$468.51
Rate for Payer: Cash Price	$289.80
Rate for Payer: Hawaii Western Management Group Commercial	$458.85
Rate for Payer: Health Management Network Commercial	$410.55
Rate for Payer: Kaiser Permanente Commercial	$304.29
Rate for Payer: Kaiser Permanente Medicaid	$246.33
Rate for Payer: MDX Hawaii PPO	$468.51
Rate for Payer: University Health Alliance Commercial	$352.06

DRILL BIT 140X2.9MM 13001

Facility

$483.00

Hospital Revenue Code	272
Min. Negotiated Rate	$410.55
Max. Negotiated Rate	$468.51
Rate for Payer: Cash Price	$289.80
Rate for Payer: Health Management Network Commercial	$410.55
Rate for Payer: MDX Hawaii PPO	$468.51

DRILL BIT 140X2.9MM 13001A

Facility

$360.00

Hospital Revenue Code	272
Min. Negotiated Rate	$306.00
Max. Negotiated Rate	$349.20
Rate for Payer: Cash Price	$216.00
Rate for Payer: Health Management Network Commercial	$306.00
Rate for Payer: MDX Hawaii PPO	$349.20

DRILL BIT 140X2.9MM 13001A

Facility

$360.00

Hospital Revenue Code	272
Min. Negotiated Rate	$183.60
Max. Negotiated Rate	$349.20
Rate for Payer: Cash Price	$216.00
Rate for Payer: Hawaii Western Management Group Commercial	$342.00
Rate for Payer: Health Management Network Commercial	$306.00
Rate for Payer: Kaiser Permanente Commercial	$226.80
Rate for Payer: Kaiser Permanente Medicaid	$183.60
Rate for Payer: MDX Hawaii PPO	$349.20
Rate for Payer: University Health Alliance Commercial	$262.40

DRILL BIT 1.4MM 60-14326

Facility

$606.00

Hospital Revenue Code	272
Min. Negotiated Rate	$515.10
Max. Negotiated Rate	$587.82
Rate for Payer: Cash Price	$363.60
Rate for Payer: Health Management Network Commercial	$515.10
Rate for Payer: MDX Hawaii PPO	$587.82

DRILL BIT 1.4MM 60-14326

Facility

$606.00

Hospital Revenue Code	272
Min. Negotiated Rate	$309.06
Max. Negotiated Rate	$587.82
Rate for Payer: Cash Price	$363.60
Rate for Payer: Hawaii Western Management Group Commercial	$575.70
Rate for Payer: Health Management Network Commercial	$515.10
Rate for Payer: Kaiser Permanente Commercial	$381.78
Rate for Payer: Kaiser Permanente Medicaid	$309.06
Rate for Payer: MDX Hawaii PPO	$587.82
Rate for Payer: University Health Alliance Commercial	$441.71

DRILLBIT 15.0X310MM 03.010.165

Facility

$2,463.00

Hospital Revenue Code	272
Min. Negotiated Rate	$1,256.13
Max. Negotiated Rate	$2,389.11
Rate for Payer: Cash Price	$1,477.80
Rate for Payer: Hawaii Western Management Group Commercial	$2,339.85
Rate for Payer: Health Management Network Commercial	$2,093.55
Rate for Payer: Kaiser Permanente Commercial	$1,551.69
Rate for Payer: Kaiser Permanente Medicaid	$1,256.13
Rate for Payer: MDX Hawaii PPO	$2,389.11
Rate for Payer: University Health Alliance Commercial	$1,795.28

DRILLBIT 15.0X310MM 03.010.165

Facility

$2,463.00

Hospital Revenue Code	272
Min. Negotiated Rate	$2,093.55
Max. Negotiated Rate	$2,389.11
Rate for Payer: Cash Price	$1,477.80
Rate for Payer: Health Management Network Commercial	$2,093.55
Rate for Payer: MDX Hawaii PPO	$2,389.11

DRILL BIT 1.5 125MM 03.503.476

Facility

$1,712.00

Hospital Revenue Code	272
Min. Negotiated Rate	$873.12
Max. Negotiated Rate	$1,660.64
Rate for Payer: Cash Price	$1,027.20
Rate for Payer: Hawaii Western Management Group Commercial	$1,626.40
Rate for Payer: Health Management Network Commercial	$1,455.20
Rate for Payer: Kaiser Permanente Commercial	$1,078.56
Rate for Payer: Kaiser Permanente Medicaid	$873.12
Rate for Payer: MDX Hawaii PPO	$1,660.64
Rate for Payer: University Health Alliance Commercial	$1,247.88

DRILL BIT 1.5 125MM 03.503.476

Facility

$1,712.00

Hospital Revenue Code	272
Min. Negotiated Rate	$1,455.20
Max. Negotiated Rate	$1,660.64
Rate for Payer: Cash Price	$1,027.20
Rate for Payer: Health Management Network Commercial	$1,455.20
Rate for Payer: MDX Hawaii PPO	$1,660.64

DRILL BIT 1.5 12MM 03.503.412

Facility

$952.00

Hospital Revenue Code	272
Min. Negotiated Rate	$485.52
Max. Negotiated Rate	$923.44
Rate for Payer: Cash Price	$571.20
Rate for Payer: Hawaii Western Management Group Commercial	$904.40
Rate for Payer: Health Management Network Commercial	$809.20
Rate for Payer: Kaiser Permanente Commercial	$599.76
Rate for Payer: Kaiser Permanente Medicaid	$485.52
Rate for Payer: MDX Hawaii PPO	$923.44
Rate for Payer: University Health Alliance Commercial	$693.91

Know your out-of-pocket cost for care.

All Charges