Hilo Benioff Medical Center

All Charges

Charge

Type

Setting

Price

DRILL SHORT 3.1 705031

Facility

$1,372.00

Hospital Revenue Code	272
Min. Negotiated Rate	$699.72
Max. Negotiated Rate	$1,330.84
Rate for Payer: Cash Price	$823.20
Rate for Payer: Hawaii Western Management Group Commercial	$1,303.40
Rate for Payer: Health Management Network Commercial	$1,166.20
Rate for Payer: Kaiser Permanente Commercial	$864.36
Rate for Payer: Kaiser Permanente Medicaid	$699.72
Rate for Payer: MDX Hawaii PPO	$1,330.84
Rate for Payer: University Health Alliance Commercial	$1,000.05

DRILL SHORT QR 2.5MM 320-2025

Facility

$538.00

Hospital Revenue Code	272
Min. Negotiated Rate	$274.38
Max. Negotiated Rate	$521.86
Rate for Payer: Cash Price	$322.80
Rate for Payer: Hawaii Western Management Group Commercial	$511.10
Rate for Payer: Health Management Network Commercial	$457.30
Rate for Payer: Kaiser Permanente Commercial	$338.94
Rate for Payer: Kaiser Permanente Medicaid	$274.38
Rate for Payer: MDX Hawaii PPO	$521.86
Rate for Payer: University Health Alliance Commercial	$392.15

DRILL SHORT QR 2.5MM 320-2025

Facility

$538.00

Hospital Revenue Code	272
Min. Negotiated Rate	$457.30
Max. Negotiated Rate	$521.86
Rate for Payer: Cash Price	$322.80
Rate for Payer: Health Management Network Commercial	$457.30
Rate for Payer: MDX Hawaii PPO	$521.86

DRILL SLEEVE 14/8X130MM

Facility

$896.00

Hospital Revenue Code	272
Min. Negotiated Rate	$761.60
Max. Negotiated Rate	$869.12
Rate for Payer: Cash Price	$537.60
Rate for Payer: Health Management Network Commercial	$761.60
Rate for Payer: MDX Hawaii PPO	$869.12

DRILL SLEEVE 14/8X130MM

Facility

$896.00

Hospital Revenue Code	272
Min. Negotiated Rate	$456.96
Max. Negotiated Rate	$869.12
Rate for Payer: Cash Price	$537.60
Rate for Payer: Hawaii Western Management Group Commercial	$851.20
Rate for Payer: Health Management Network Commercial	$761.60
Rate for Payer: Kaiser Permanente Commercial	$564.48
Rate for Payer: Kaiser Permanente Medicaid	$456.96
Rate for Payer: MDX Hawaii PPO	$869.12
Rate for Payer: University Health Alliance Commercial	$653.09

DRILL SLEEVE 1.7MM 2.4MM HOLE

Facility

$236.00

Hospital Revenue Code	272
Min. Negotiated Rate	$120.36
Max. Negotiated Rate	$228.92
Rate for Payer: Cash Price	$141.60
Rate for Payer: Hawaii Western Management Group Commercial	$224.20
Rate for Payer: Health Management Network Commercial	$200.60
Rate for Payer: Kaiser Permanente Commercial	$148.68
Rate for Payer: Kaiser Permanente Medicaid	$120.36
Rate for Payer: MDX Hawaii PPO	$228.92
Rate for Payer: University Health Alliance Commercial	$172.02

DRILL SLEEVE 1.7MM 2.4MM HOLE

Facility

$236.00

Hospital Revenue Code	272
Min. Negotiated Rate	$200.60
Max. Negotiated Rate	$228.92
Rate for Payer: Cash Price	$141.60
Rate for Payer: Health Management Network Commercial	$200.60
Rate for Payer: MDX Hawaii PPO	$228.92

DRILL SLEEVE 3.5X2.5MM 312.30

Facility

$314.00

Hospital Revenue Code	272
Min. Negotiated Rate	$266.90
Max. Negotiated Rate	$304.58
Rate for Payer: Cash Price	$188.40
Rate for Payer: Health Management Network Commercial	$266.90
Rate for Payer: MDX Hawaii PPO	$304.58

DRILL SLEEVE 3.5X2.5MM 312.30

Facility

$314.00

Hospital Revenue Code	272
Min. Negotiated Rate	$160.14
Max. Negotiated Rate	$304.58
Rate for Payer: Cash Price	$188.40
Rate for Payer: Hawaii Western Management Group Commercial	$298.30
Rate for Payer: Health Management Network Commercial	$266.90
Rate for Payer: Kaiser Permanente Commercial	$197.82
Rate for Payer: Kaiser Permanente Medicaid	$160.14
Rate for Payer: MDX Hawaii PPO	$304.58
Rate for Payer: University Health Alliance Commercial	$228.87

DRILL SLEEVE 8/3.2X200MM

Facility

$984.00

Hospital Revenue Code	272
Min. Negotiated Rate	$501.84
Max. Negotiated Rate	$954.48
Rate for Payer: Cash Price	$590.40
Rate for Payer: Hawaii Western Management Group Commercial	$934.80
Rate for Payer: Health Management Network Commercial	$836.40
Rate for Payer: Kaiser Permanente Commercial	$619.92
Rate for Payer: Kaiser Permanente Medicaid	$501.84
Rate for Payer: MDX Hawaii PPO	$954.48
Rate for Payer: University Health Alliance Commercial	$717.24

DRILL SLEEVE 8/3.2X200MM

Facility

$984.00

Hospital Revenue Code	272
Min. Negotiated Rate	$836.40
Max. Negotiated Rate	$954.48
Rate for Payer: Cash Price	$590.40
Rate for Payer: Health Management Network Commercial	$836.40
Rate for Payer: MDX Hawaii PPO	$954.48

DRILL SPEEDGUIDE 2.6 30 703894

Facility

$1,110.00

Hospital Revenue Code	272
Min. Negotiated Rate	$943.50
Max. Negotiated Rate	$1,076.70
Rate for Payer: Cash Price	$666.00
Rate for Payer: Health Management Network Commercial	$943.50
Rate for Payer: MDX Hawaii PPO	$1,076.70

DRILL SPEEDGUIDE 2.6 30 703894

Facility

$1,110.00

Hospital Revenue Code	272
Min. Negotiated Rate	$566.10
Max. Negotiated Rate	$1,076.70
Rate for Payer: Cash Price	$666.00
Rate for Payer: Hawaii Western Management Group Commercial	$1,054.50
Rate for Payer: Health Management Network Commercial	$943.50
Rate for Payer: Kaiser Permanente Commercial	$699.30
Rate for Payer: Kaiser Permanente Medicaid	$566.10
Rate for Payer: MDX Hawaii PPO	$1,076.70
Rate for Payer: University Health Alliance Commercial	$809.08

DRILL STEP 2.4MM #AR-1250LT

Facility

$320.00

Hospital Revenue Code	272
Min. Negotiated Rate	$163.20
Max. Negotiated Rate	$310.40
Rate for Payer: Cash Price	$192.00
Rate for Payer: Hawaii Western Management Group Commercial	$304.00
Rate for Payer: Health Management Network Commercial	$272.00
Rate for Payer: Kaiser Permanente Commercial	$201.60
Rate for Payer: Kaiser Permanente Medicaid	$163.20
Rate for Payer: MDX Hawaii PPO	$310.40
Rate for Payer: University Health Alliance Commercial	$233.25

DRILL STEP 2.4MM #AR-1250LT

Facility

$320.00

Hospital Revenue Code	272
Min. Negotiated Rate	$272.00
Max. Negotiated Rate	$310.40
Rate for Payer: Cash Price	$192.00
Rate for Payer: Health Management Network Commercial	$272.00
Rate for Payer: MDX Hawaii PPO	$310.40

DRILL STEP AR-2752

Facility

$394.00

Hospital Revenue Code	272
Min. Negotiated Rate	$334.90
Max. Negotiated Rate	$382.18
Rate for Payer: Cash Price	$236.40
Rate for Payer: Health Management Network Commercial	$334.90
Rate for Payer: MDX Hawaii PPO	$382.18

DRILL STEP AR-2752

Facility

$394.00

Hospital Revenue Code	272
Min. Negotiated Rate	$200.94
Max. Negotiated Rate	$382.18
Rate for Payer: Cash Price	$236.40
Rate for Payer: Hawaii Western Management Group Commercial	$374.30
Rate for Payer: Health Management Network Commercial	$334.90
Rate for Payer: Kaiser Permanente Commercial	$248.22
Rate for Payer: Kaiser Permanente Medicaid	$200.94
Rate for Payer: MDX Hawaii PPO	$382.18
Rate for Payer: University Health Alliance Commercial	$287.19

DRILL TWIST 1.0X22 60-10422

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 TWIST 1.0X22 60-10422

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

DRILL TWIST 1.0X22MM 60-10322

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 TWIST 1.0X22MM 60-10322

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 TWIST 1.4X27 60-14426

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

DRILL TWIST 1.4X27 60-14426

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 TWIST 1.60MM DRILL-1.60

Facility

$450.00

Hospital Revenue Code	272
Min. Negotiated Rate	$382.50
Max. Negotiated Rate	$436.50
Rate for Payer: Cash Price	$270.00
Rate for Payer: Health Management Network Commercial	$382.50
Rate for Payer: MDX Hawaii PPO	$436.50

DRILL TWIST 1.60MM DRILL-1.60

Facility

$450.00

Hospital Revenue Code	272
Min. Negotiated Rate	$229.50
Max. Negotiated Rate	$436.50
Rate for Payer: Cash Price	$270.00
Rate for Payer: Hawaii Western Management Group Commercial	$427.50
Rate for Payer: Health Management Network Commercial	$382.50
Rate for Payer: Kaiser Permanente Commercial	$283.50
Rate for Payer: Kaiser Permanente Medicaid	$229.50
Rate for Payer: MDX Hawaii PPO	$436.50
Rate for Payer: University Health Alliance Commercial	$328.00

Know your out-of-pocket cost for care.

All Charges