Hilo Benioff Medical Center

All Charges

Charge

Type

Setting

Price

DRILL BIT 702611

Facility

$1,517.00

Hospital Revenue Code	272
Min. Negotiated Rate	$773.67
Max. Negotiated Rate	$1,471.49
Rate for Payer: Cash Price	$910.20
Rate for Payer: Hawaii Western Management Group Commercial	$1,441.15
Rate for Payer: Health Management Network Commercial	$1,289.45
Rate for Payer: Kaiser Permanente Commercial	$955.71
Rate for Payer: Kaiser Permanente Medicaid	$773.67
Rate for Payer: MDX Hawaii PPO	$1,471.49
Rate for Payer: University Health Alliance Commercial	$1,105.74

DRILL BIT 702611

Facility

$1,517.00

Hospital Revenue Code	272
Min. Negotiated Rate	$1,289.45
Max. Negotiated Rate	$1,471.49
Rate for Payer: Cash Price	$910.20
Rate for Payer: Health Management Network Commercial	$1,289.45
Rate for Payer: MDX Hawaii PPO	$1,471.49

DRILL BIT 7.0MM 5820-012-307D

Facility

$530.00

Hospital Revenue Code	272
Min. Negotiated Rate	$450.50
Max. Negotiated Rate	$514.10
Rate for Payer: Cash Price	$318.00
Rate for Payer: Health Management Network Commercial	$450.50
Rate for Payer: MDX Hawaii PPO	$514.10

DRILL BIT 7.0MM 5820-012-307D

Facility

$530.00

Hospital Revenue Code	272
Min. Negotiated Rate	$270.30
Max. Negotiated Rate	$514.10
Rate for Payer: Cash Price	$318.00
Rate for Payer: Hawaii Western Management Group Commercial	$503.50
Rate for Payer: Health Management Network Commercial	$450.50
Rate for Payer: Kaiser Permanente Commercial	$333.90
Rate for Payer: Kaiser Permanente Medicaid	$270.30
Rate for Payer: MDX Hawaii PPO	$514.10
Rate for Payer: University Health Alliance Commercial	$386.32

DRILL BIT 8.0MM DHS/DCS 338.10

Facility

$2,139.00

Hospital Revenue Code	272
Min. Negotiated Rate	$1,090.89
Max. Negotiated Rate	$2,074.83
Rate for Payer: Cash Price	$1,283.40
Rate for Payer: Hawaii Western Management Group Commercial	$2,032.05
Rate for Payer: Health Management Network Commercial	$1,818.15
Rate for Payer: Kaiser Permanente Commercial	$1,347.57
Rate for Payer: Kaiser Permanente Medicaid	$1,090.89
Rate for Payer: MDX Hawaii PPO	$2,074.83
Rate for Payer: University Health Alliance Commercial	$1,559.12

DRILL BIT 8.0MM DHS/DCS 338.10

Facility

$2,139.00

Hospital Revenue Code	272
Min. Negotiated Rate	$1,818.15
Max. Negotiated Rate	$2,074.83
Rate for Payer: Cash Price	$1,283.40
Rate for Payer: Health Management Network Commercial	$1,818.15
Rate for Payer: MDX Hawaii PPO	$2,074.83

DRILL BIT 95MM 03.113.023

Facility

$546.00

Hospital Revenue Code	272
Min. Negotiated Rate	$278.46
Max. Negotiated Rate	$529.62
Rate for Payer: Cash Price	$327.60
Rate for Payer: Hawaii Western Management Group Commercial	$518.70
Rate for Payer: Health Management Network Commercial	$464.10
Rate for Payer: Kaiser Permanente Commercial	$343.98
Rate for Payer: Kaiser Permanente Medicaid	$278.46
Rate for Payer: MDX Hawaii PPO	$529.62
Rate for Payer: University Health Alliance Commercial	$397.98

DRILL BIT 95MM 03.113.023

Facility

$546.00

Hospital Revenue Code	272
Min. Negotiated Rate	$464.10
Max. Negotiated Rate	$529.62
Rate for Payer: Cash Price	$327.60
Rate for Payer: Health Management Network Commercial	$464.10
Rate for Payer: MDX Hawaii PPO	$529.62

DRILL BIT AO 2.0X135 703690

Facility

$648.00

Hospital Revenue Code	272
Min. Negotiated Rate	$550.80
Max. Negotiated Rate	$628.56
Rate for Payer: Cash Price	$388.80
Rate for Payer: Health Management Network Commercial	$550.80
Rate for Payer: MDX Hawaii PPO	$628.56

DRILL BIT AO 2.0X135 703690

Facility

$648.00

Hospital Revenue Code	272
Min. Negotiated Rate	$330.48
Max. Negotiated Rate	$628.56
Rate for Payer: Cash Price	$388.80
Rate for Payer: Hawaii Western Management Group Commercial	$615.60
Rate for Payer: Health Management Network Commercial	$550.80
Rate for Payer: Kaiser Permanente Commercial	$408.24
Rate for Payer: Kaiser Permanente Medicaid	$330.48
Rate for Payer: MDX Hawaii PPO	$628.56
Rate for Payer: University Health Alliance Commercial	$472.33

DRILL BIT ASNIS 3.2X300 702626

Facility

$804.00

Hospital Revenue Code	272
Min. Negotiated Rate	$410.04
Max. Negotiated Rate	$779.88
Rate for Payer: Cash Price	$482.40
Rate for Payer: Hawaii Western Management Group Commercial	$763.80
Rate for Payer: Health Management Network Commercial	$683.40
Rate for Payer: Kaiser Permanente Commercial	$506.52
Rate for Payer: Kaiser Permanente Medicaid	$410.04
Rate for Payer: MDX Hawaii PPO	$779.88
Rate for Payer: University Health Alliance Commercial	$586.04

DRILL BIT ASNIS 3.2X300 702626

Facility

$804.00

Hospital Revenue Code	272
Min. Negotiated Rate	$683.40
Max. Negotiated Rate	$779.88
Rate for Payer: Cash Price	$482.40
Rate for Payer: Health Management Network Commercial	$683.40
Rate for Payer: MDX Hawaii PPO	$779.88

DRILL BIT CAL 2.5MM AR-8916-06

Facility

$428.00

Hospital Revenue Code	272
Min. Negotiated Rate	$363.80
Max. Negotiated Rate	$415.16
Rate for Payer: Cash Price	$256.80
Rate for Payer: Health Management Network Commercial	$363.80
Rate for Payer: MDX Hawaii PPO	$415.16

DRILL BIT CAL 2.5MM AR-8916-06

Facility

$428.00

Hospital Revenue Code	272
Min. Negotiated Rate	$218.28
Max. Negotiated Rate	$415.16
Rate for Payer: Cash Price	$256.80
Rate for Payer: Hawaii Western Management Group Commercial	$406.60
Rate for Payer: Health Management Network Commercial	$363.80
Rate for Payer: Kaiser Permanente Commercial	$269.64
Rate for Payer: Kaiser Permanente Medicaid	$218.28
Rate for Payer: MDX Hawaii PPO	$415.16
Rate for Payer: University Health Alliance Commercial	$311.97

DRILL BIT CAL 4.0/180MM 11030A

Facility

$473.00

Hospital Revenue Code	272
Min. Negotiated Rate	$241.23
Max. Negotiated Rate	$458.81
Rate for Payer: Cash Price	$283.80
Rate for Payer: Hawaii Western Management Group Commercial	$449.35
Rate for Payer: Health Management Network Commercial	$402.05
Rate for Payer: Kaiser Permanente Commercial	$297.99
Rate for Payer: Kaiser Permanente Medicaid	$241.23
Rate for Payer: MDX Hawaii PPO	$458.81
Rate for Payer: University Health Alliance Commercial	$344.77

DRILL BIT CAL 4.0/180MM 11030A

Facility

$473.00

Hospital Revenue Code	272
Min. Negotiated Rate	$402.05
Max. Negotiated Rate	$458.81
Rate for Payer: Cash Price	$283.80
Rate for Payer: Health Management Network Commercial	$402.05
Rate for Payer: MDX Hawaii PPO	$458.81

DRILL BIT CAL 4.8/180MM 11021A

Facility

$473.00

Hospital Revenue Code	272
Min. Negotiated Rate	$402.05
Max. Negotiated Rate	$458.81
Rate for Payer: Cash Price	$283.80
Rate for Payer: Health Management Network Commercial	$402.05
Rate for Payer: MDX Hawaii PPO	$458.81

DRILL BIT CAL 4.8/180MM 11021A

Facility

$473.00

Hospital Revenue Code	272
Min. Negotiated Rate	$241.23
Max. Negotiated Rate	$458.81
Rate for Payer: Cash Price	$283.80
Rate for Payer: Hawaii Western Management Group Commercial	$449.35
Rate for Payer: Health Management Network Commercial	$402.05
Rate for Payer: Kaiser Permanente Commercial	$297.99
Rate for Payer: Kaiser Permanente Medicaid	$241.23
Rate for Payer: MDX Hawaii PPO	$458.81
Rate for Payer: University Health Alliance Commercial	$344.77

DRILL BIT CAL 4.8/280MM 11027A

Facility

$473.00

Hospital Revenue Code	272
Min. Negotiated Rate	$241.23
Max. Negotiated Rate	$458.81
Rate for Payer: Cash Price	$283.80
Rate for Payer: Hawaii Western Management Group Commercial	$449.35
Rate for Payer: Health Management Network Commercial	$402.05
Rate for Payer: Kaiser Permanente Commercial	$297.99
Rate for Payer: Kaiser Permanente Medicaid	$241.23
Rate for Payer: MDX Hawaii PPO	$458.81
Rate for Payer: University Health Alliance Commercial	$344.77

DRILL BIT CAL 4.8/280MM 11027A

Facility

$473.00

Hospital Revenue Code	272
Min. Negotiated Rate	$402.05
Max. Negotiated Rate	$458.81
Rate for Payer: Cash Price	$283.80
Rate for Payer: Health Management Network Commercial	$402.05
Rate for Payer: MDX Hawaii PPO	$458.81

DRILL BIT CAN 3.2/150MM 11013A

Facility

$506.00

Hospital Revenue Code	272
Min. Negotiated Rate	$430.10
Max. Negotiated Rate	$490.82
Rate for Payer: Cash Price	$303.60
Rate for Payer: Health Management Network Commercial	$430.10
Rate for Payer: MDX Hawaii PPO	$490.82

DRILL BIT CAN 3.2/150MM 11013A

Facility

$506.00

Hospital Revenue Code	272
Min. Negotiated Rate	$258.06
Max. Negotiated Rate	$490.82
Rate for Payer: Cash Price	$303.60
Rate for Payer: Hawaii Western Management Group Commercial	$480.70
Rate for Payer: Health Management Network Commercial	$430.10
Rate for Payer: Kaiser Permanente Commercial	$318.78
Rate for Payer: Kaiser Permanente Medicaid	$258.06
Rate for Payer: MDX Hawaii PPO	$490.82
Rate for Payer: University Health Alliance Commercial	$368.82

DRILL BIT CAN 3.2/200MM 11011A

Facility

$473.00

Hospital Revenue Code	272
Min. Negotiated Rate	$241.23
Max. Negotiated Rate	$458.81
Rate for Payer: Cash Price	$283.80
Rate for Payer: Hawaii Western Management Group Commercial	$449.35
Rate for Payer: Health Management Network Commercial	$402.05
Rate for Payer: Kaiser Permanente Commercial	$297.99
Rate for Payer: Kaiser Permanente Medicaid	$241.23
Rate for Payer: MDX Hawaii PPO	$458.81
Rate for Payer: University Health Alliance Commercial	$344.77

DRILL BIT CAN 3.2/200MM 11011A

Facility

$473.00

Hospital Revenue Code	272
Min. Negotiated Rate	$402.05
Max. Negotiated Rate	$458.81
Rate for Payer: Cash Price	$283.80
Rate for Payer: Health Management Network Commercial	$402.05
Rate for Payer: MDX Hawaii PPO	$458.81

DRILL BIT CAN 4.8/280MM 11.012

Facility

$624.00

Hospital Revenue Code	272
Min. Negotiated Rate	$530.40
Max. Negotiated Rate	$605.28
Rate for Payer: Cash Price	$374.40
Rate for Payer: Health Management Network Commercial	$530.40
Rate for Payer: MDX Hawaii PPO	$605.28

Know your out-of-pocket cost for care.

All Charges