Honoka'a Hospital and Skilled Nursing Facility

All Charges

Charge

Type

Setting

Price

DRILL 2.7 #00-2360-205-27

Facility

$863.00

Hospital Revenue Code	272
Min. Negotiated Rate	$733.55
Max. Negotiated Rate	$837.11
Rate for Payer: Cash Price	$517.80
Rate for Payer: Health Management Network Commercial	$733.55
Rate for Payer: Kaiser Permanente Commercial	$776.70
Rate for Payer: MDX Hawaii PPO	$837.11

DRILL 2.7 #00-2360-205-27

Facility

$863.00

Hospital Revenue Code	272
Min. Negotiated Rate	$431.50
Max. Negotiated Rate	$837.11
Rate for Payer: AlohaCare Medicaid	$431.50
Rate for Payer: AlohaCare Medicare	$655.88
Rate for Payer: Cash Price	$517.80
Rate for Payer: Devoted Health Medicare	$724.92
Rate for Payer: Hawaii Medical Service Association Medicare	$655.88
Rate for Payer: Hawaii Western Management Group Commercial	$819.85
Rate for Payer: Health Management Network Commercial	$733.55
Rate for Payer: Humana Medicare	$655.88
Rate for Payer: Kaiser Permanente Commercial	$776.70
Rate for Payer: Kaiser Permanente Medicaid	$440.13
Rate for Payer: Kaiser Permanente Medicare	$655.88
Rate for Payer: MDX Hawaii PPO	$837.11
Rate for Payer: Ohana Health Plan Medicaid	$655.88
Rate for Payer: Ohana Health Plan Medicare	$655.88
Rate for Payer: UnitedHealthcare Medicare	$655.88
Rate for Payer: University Health Alliance Commercial	$629.04

DRILL-2.7/110C S

Facility

$619.00

Hospital Revenue Code	272
Min. Negotiated Rate	$526.15
Max. Negotiated Rate	$600.43
Rate for Payer: Cash Price	$371.40
Rate for Payer: Health Management Network Commercial	$526.15
Rate for Payer: Kaiser Permanente Commercial	$557.10
Rate for Payer: MDX Hawaii PPO	$600.43

DRILL-2.7/110C S

Facility

$619.00

Hospital Revenue Code	272
Min. Negotiated Rate	$309.50
Max. Negotiated Rate	$600.43
Rate for Payer: AlohaCare Medicaid	$309.50
Rate for Payer: AlohaCare Medicare	$470.44
Rate for Payer: Cash Price	$371.40
Rate for Payer: Devoted Health Medicare	$519.96
Rate for Payer: Hawaii Medical Service Association Medicare	$470.44
Rate for Payer: Hawaii Western Management Group Commercial	$588.05
Rate for Payer: Health Management Network Commercial	$526.15
Rate for Payer: Humana Medicare	$470.44
Rate for Payer: Kaiser Permanente Commercial	$557.10
Rate for Payer: Kaiser Permanente Medicaid	$315.69
Rate for Payer: Kaiser Permanente Medicare	$470.44
Rate for Payer: MDX Hawaii PPO	$600.43
Rate for Payer: Ohana Health Plan Medicaid	$470.44
Rate for Payer: Ohana Health Plan Medicare	$470.44
Rate for Payer: UnitedHealthcare Medicare	$470.44
Rate for Payer: University Health Alliance Commercial	$451.19

DRILL 2.75MM, .066 CANNULATION

Facility

$1,752.00

Hospital Revenue Code	272
Min. Negotiated Rate	$876.00
Max. Negotiated Rate	$1,699.44
Rate for Payer: AlohaCare Medicaid	$876.00
Rate for Payer: AlohaCare Medicare	$1,331.52
Rate for Payer: Cash Price	$1,051.20
Rate for Payer: Devoted Health Medicare	$1,471.68
Rate for Payer: Hawaii Medical Service Association Medicare	$1,331.52
Rate for Payer: Hawaii Western Management Group Commercial	$1,664.40
Rate for Payer: Health Management Network Commercial	$1,489.20
Rate for Payer: Humana Medicare	$1,331.52
Rate for Payer: Kaiser Permanente Commercial	$1,576.80
Rate for Payer: Kaiser Permanente Medicaid	$893.52
Rate for Payer: Kaiser Permanente Medicare	$1,331.52
Rate for Payer: MDX Hawaii PPO	$1,699.44
Rate for Payer: Ohana Health Plan Medicaid	$1,331.52
Rate for Payer: Ohana Health Plan Medicare	$1,331.52
Rate for Payer: UnitedHealthcare Medicare	$1,331.52
Rate for Payer: University Health Alliance Commercial	$1,277.03

DRILL 2.75MM, .066 CANNULATION

Facility

$1,752.00

Hospital Revenue Code	272
Min. Negotiated Rate	$1,489.20
Max. Negotiated Rate	$1,699.44
Rate for Payer: Cash Price	$1,051.20
Rate for Payer: Health Management Network Commercial	$1,489.20
Rate for Payer: Kaiser Permanente Commercial	$1,576.80
Rate for Payer: MDX Hawaii PPO	$1,699.44

DRILL 2.7MM CANN QR 316-0427

Facility

$879.00

Hospital Revenue Code	272
Min. Negotiated Rate	$747.15
Max. Negotiated Rate	$852.63
Rate for Payer: Cash Price	$527.40
Rate for Payer: Health Management Network Commercial	$747.15
Rate for Payer: Kaiser Permanente Commercial	$791.10
Rate for Payer: MDX Hawaii PPO	$852.63

DRILL 2.7MM CANN QR 316-0427

Facility

$879.00

Hospital Revenue Code	272
Min. Negotiated Rate	$439.50
Max. Negotiated Rate	$852.63
Rate for Payer: AlohaCare Medicaid	$439.50
Rate for Payer: AlohaCare Medicare	$668.04
Rate for Payer: Cash Price	$527.40
Rate for Payer: Devoted Health Medicare	$738.36
Rate for Payer: Hawaii Medical Service Association Medicare	$668.04
Rate for Payer: Hawaii Western Management Group Commercial	$835.05
Rate for Payer: Health Management Network Commercial	$747.15
Rate for Payer: Humana Medicare	$668.04
Rate for Payer: Kaiser Permanente Commercial	$791.10
Rate for Payer: Kaiser Permanente Medicaid	$448.29
Rate for Payer: Kaiser Permanente Medicare	$668.04
Rate for Payer: MDX Hawaii PPO	$852.63
Rate for Payer: Ohana Health Plan Medicaid	$668.04
Rate for Payer: Ohana Health Plan Medicare	$668.04
Rate for Payer: UnitedHealthcare Medicare	$668.04
Rate for Payer: University Health Alliance Commercial	$640.70

DRILL 2.7MM DISTAL LCK AR-2669

Facility

$394.00

Hospital Revenue Code	272
Min. Negotiated Rate	$197.00
Max. Negotiated Rate	$382.18
Rate for Payer: AlohaCare Medicaid	$197.00
Rate for Payer: AlohaCare Medicare	$299.44
Rate for Payer: Cash Price	$236.40
Rate for Payer: Devoted Health Medicare	$330.96
Rate for Payer: Hawaii Medical Service Association Medicare	$299.44
Rate for Payer: Hawaii Western Management Group Commercial	$374.30
Rate for Payer: Health Management Network Commercial	$334.90
Rate for Payer: Humana Medicare	$299.44
Rate for Payer: Kaiser Permanente Commercial	$354.60
Rate for Payer: Kaiser Permanente Medicaid	$200.94
Rate for Payer: Kaiser Permanente Medicare	$299.44
Rate for Payer: MDX Hawaii PPO	$382.18
Rate for Payer: Ohana Health Plan Medicaid	$299.44
Rate for Payer: Ohana Health Plan Medicare	$299.44
Rate for Payer: UnitedHealthcare Medicare	$299.44
Rate for Payer: University Health Alliance Commercial	$287.19

DRILL 2.7MM DISTAL LCK AR-2669

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: Kaiser Permanente Commercial	$354.60
Rate for Payer: MDX Hawaii PPO	$382.18

DRILL 2.7X40 DRLL-SSC-27040

Facility

$536.00

Hospital Revenue Code	272
Min. Negotiated Rate	$455.60
Max. Negotiated Rate	$519.92
Rate for Payer: Cash Price	$321.60
Rate for Payer: Health Management Network Commercial	$455.60
Rate for Payer: Kaiser Permanente Commercial	$482.40
Rate for Payer: MDX Hawaii PPO	$519.92

DRILL 2.7X40 DRLL-SSC-27040

Facility

$536.00

Hospital Revenue Code	272
Min. Negotiated Rate	$268.00
Max. Negotiated Rate	$519.92
Rate for Payer: AlohaCare Medicaid	$268.00
Rate for Payer: AlohaCare Medicare	$407.36
Rate for Payer: Cash Price	$321.60
Rate for Payer: Devoted Health Medicare	$450.24
Rate for Payer: Hawaii Medical Service Association Medicare	$407.36
Rate for Payer: Hawaii Western Management Group Commercial	$509.20
Rate for Payer: Health Management Network Commercial	$455.60
Rate for Payer: Humana Medicare	$407.36
Rate for Payer: Kaiser Permanente Commercial	$482.40
Rate for Payer: Kaiser Permanente Medicaid	$273.36
Rate for Payer: Kaiser Permanente Medicare	$407.36
Rate for Payer: MDX Hawaii PPO	$519.92
Rate for Payer: Ohana Health Plan Medicaid	$407.36
Rate for Payer: Ohana Health Plan Medicare	$407.36
Rate for Payer: UnitedHealthcare Medicare	$407.36
Rate for Payer: University Health Alliance Commercial	$390.69

DRILL 2.7X70 IJS-CDC-2770

Facility

$900.00

Hospital Revenue Code	272
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$873.00
Rate for Payer: Cash Price	$540.00
Rate for Payer: Health Management Network Commercial	$765.00
Rate for Payer: Kaiser Permanente Commercial	$810.00
Rate for Payer: MDX Hawaii PPO	$873.00

DRILL 2.7X70 IJS-CDC-2770

Facility

$900.00

Hospital Revenue Code	272
Min. Negotiated Rate	$450.00
Max. Negotiated Rate	$873.00
Rate for Payer: AlohaCare Medicaid	$450.00
Rate for Payer: AlohaCare Medicare	$684.00
Rate for Payer: Cash Price	$540.00
Rate for Payer: Devoted Health Medicare	$756.00
Rate for Payer: Hawaii Medical Service Association Medicare	$684.00
Rate for Payer: Hawaii Western Management Group Commercial	$855.00
Rate for Payer: Health Management Network Commercial	$765.00
Rate for Payer: Humana Medicare	$684.00
Rate for Payer: Kaiser Permanente Commercial	$810.00
Rate for Payer: Kaiser Permanente Medicaid	$459.00
Rate for Payer: Kaiser Permanente Medicare	$684.00
Rate for Payer: MDX Hawaii PPO	$873.00
Rate for Payer: Ohana Health Plan Medicaid	$684.00
Rate for Payer: Ohana Health Plan Medicare	$684.00
Rate for Payer: UnitedHealthcare Medicare	$684.00
Rate for Payer: University Health Alliance Commercial	$656.01

DRILL 2.9MM PROX CORT 316-0317

Facility

$683.00

Hospital Revenue Code	272
Min. Negotiated Rate	$580.55
Max. Negotiated Rate	$662.51
Rate for Payer: Cash Price	$409.80
Rate for Payer: Health Management Network Commercial	$580.55
Rate for Payer: Kaiser Permanente Commercial	$614.70
Rate for Payer: MDX Hawaii PPO	$662.51

DRILL 2.9MM PROX CORT 316-0317

Facility

$683.00

Hospital Revenue Code	272
Min. Negotiated Rate	$341.50
Max. Negotiated Rate	$662.51
Rate for Payer: AlohaCare Medicaid	$341.50
Rate for Payer: AlohaCare Medicare	$519.08
Rate for Payer: Cash Price	$409.80
Rate for Payer: Devoted Health Medicare	$573.72
Rate for Payer: Hawaii Medical Service Association Medicare	$519.08
Rate for Payer: Hawaii Western Management Group Commercial	$648.85
Rate for Payer: Health Management Network Commercial	$580.55
Rate for Payer: Humana Medicare	$519.08
Rate for Payer: Kaiser Permanente Commercial	$614.70
Rate for Payer: Kaiser Permanente Medicaid	$348.33
Rate for Payer: Kaiser Permanente Medicare	$519.08
Rate for Payer: MDX Hawaii PPO	$662.51
Rate for Payer: Ohana Health Plan Medicaid	$519.08
Rate for Payer: Ohana Health Plan Medicare	$519.08
Rate for Payer: UnitedHealthcare Medicare	$519.08
Rate for Payer: University Health Alliance Commercial	$497.84

DRILL 3.0 110MM CANN SMTH

Facility

$825.00

Hospital Revenue Code	272
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$800.25
Rate for Payer: AlohaCare Medicaid	$412.50
Rate for Payer: AlohaCare Medicare	$627.00
Rate for Payer: Cash Price	$495.00
Rate for Payer: Devoted Health Medicare	$693.00
Rate for Payer: Hawaii Medical Service Association Medicare	$627.00
Rate for Payer: Hawaii Western Management Group Commercial	$783.75
Rate for Payer: Health Management Network Commercial	$701.25
Rate for Payer: Humana Medicare	$627.00
Rate for Payer: Kaiser Permanente Commercial	$742.50
Rate for Payer: Kaiser Permanente Medicaid	$420.75
Rate for Payer: Kaiser Permanente Medicare	$627.00
Rate for Payer: MDX Hawaii PPO	$800.25
Rate for Payer: Ohana Health Plan Medicaid	$627.00
Rate for Payer: Ohana Health Plan Medicare	$627.00
Rate for Payer: UnitedHealthcare Medicare	$627.00
Rate for Payer: University Health Alliance Commercial	$601.34

DRILL 3.0 110MM CANN SMTH

Facility

$825.00

Hospital Revenue Code	272
Min. Negotiated Rate	$701.25
Max. Negotiated Rate	$800.25
Rate for Payer: Cash Price	$495.00
Rate for Payer: Health Management Network Commercial	$701.25
Rate for Payer: Kaiser Permanente Commercial	$742.50
Rate for Payer: MDX Hawaii PPO	$800.25

DRILL 3.1 703585

Facility

$860.00

Hospital Revenue Code	272
Min. Negotiated Rate	$430.00
Max. Negotiated Rate	$834.20
Rate for Payer: AlohaCare Medicaid	$430.00
Rate for Payer: AlohaCare Medicare	$653.60
Rate for Payer: Cash Price	$516.00
Rate for Payer: Devoted Health Medicare	$722.40
Rate for Payer: Hawaii Medical Service Association Medicare	$653.60
Rate for Payer: Hawaii Western Management Group Commercial	$817.00
Rate for Payer: Health Management Network Commercial	$731.00
Rate for Payer: Humana Medicare	$653.60
Rate for Payer: Kaiser Permanente Commercial	$774.00
Rate for Payer: Kaiser Permanente Medicaid	$438.60
Rate for Payer: Kaiser Permanente Medicare	$653.60
Rate for Payer: MDX Hawaii PPO	$834.20
Rate for Payer: Ohana Health Plan Medicaid	$653.60
Rate for Payer: Ohana Health Plan Medicare	$653.60
Rate for Payer: UnitedHealthcare Medicare	$653.60
Rate for Payer: University Health Alliance Commercial	$626.85

DRILL 3.1 703585

Facility

$860.00

Hospital Revenue Code	272
Min. Negotiated Rate	$731.00
Max. Negotiated Rate	$834.20
Rate for Payer: Cash Price	$516.00
Rate for Payer: Health Management Network Commercial	$731.00
Rate for Payer: Kaiser Permanente Commercial	$774.00
Rate for Payer: MDX Hawaii PPO	$834.20

DRILL 3.2 150MM DRILL-3.2/150C

Facility

$825.00

Hospital Revenue Code	272
Min. Negotiated Rate	$701.25
Max. Negotiated Rate	$800.25
Rate for Payer: Cash Price	$495.00
Rate for Payer: Health Management Network Commercial	$701.25
Rate for Payer: Kaiser Permanente Commercial	$742.50
Rate for Payer: MDX Hawaii PPO	$800.25

DRILL 3.2 150MM DRILL-3.2/150C

Facility

$825.00

Hospital Revenue Code	272
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$800.25
Rate for Payer: AlohaCare Medicaid	$412.50
Rate for Payer: AlohaCare Medicare	$627.00
Rate for Payer: Cash Price	$495.00
Rate for Payer: Devoted Health Medicare	$693.00
Rate for Payer: Hawaii Medical Service Association Medicare	$627.00
Rate for Payer: Hawaii Western Management Group Commercial	$783.75
Rate for Payer: Health Management Network Commercial	$701.25
Rate for Payer: Humana Medicare	$627.00
Rate for Payer: Kaiser Permanente Commercial	$742.50
Rate for Payer: Kaiser Permanente Medicaid	$420.75
Rate for Payer: Kaiser Permanente Medicare	$627.00
Rate for Payer: MDX Hawaii PPO	$800.25
Rate for Payer: Ohana Health Plan Medicaid	$627.00
Rate for Payer: Ohana Health Plan Medicare	$627.00
Rate for Payer: UnitedHealthcare Medicare	$627.00
Rate for Payer: University Health Alliance Commercial	$601.34

DRILL 3.2 SHORT GRAD BRAD PT

Facility

$1,173.00

Hospital Revenue Code	272
Min. Negotiated Rate	$586.50
Max. Negotiated Rate	$1,137.81
Rate for Payer: AlohaCare Medicaid	$586.50
Rate for Payer: AlohaCare Medicare	$891.48
Rate for Payer: Cash Price	$703.80
Rate for Payer: Devoted Health Medicare	$985.32
Rate for Payer: Hawaii Medical Service Association Medicare	$891.48
Rate for Payer: Hawaii Western Management Group Commercial	$1,114.35
Rate for Payer: Health Management Network Commercial	$997.05
Rate for Payer: Humana Medicare	$891.48
Rate for Payer: Kaiser Permanente Commercial	$1,055.70
Rate for Payer: Kaiser Permanente Medicaid	$598.23
Rate for Payer: Kaiser Permanente Medicare	$891.48
Rate for Payer: MDX Hawaii PPO	$1,137.81
Rate for Payer: Ohana Health Plan Medicaid	$891.48
Rate for Payer: Ohana Health Plan Medicare	$891.48
Rate for Payer: UnitedHealthcare Medicare	$891.48
Rate for Payer: University Health Alliance Commercial	$855.00

DRILL 3.2 SHORT GRAD BRAD PT

Facility

$1,173.00

Hospital Revenue Code	272
Min. Negotiated Rate	$997.05
Max. Negotiated Rate	$1,137.81
Rate for Payer: Cash Price	$703.80
Rate for Payer: Health Management Network Commercial	$997.05
Rate for Payer: Kaiser Permanente Commercial	$1,055.70
Rate for Payer: MDX Hawaii PPO	$1,137.81

DRILL 3.3X110MM 4806-110-33

Facility

$638.00

Hospital Revenue Code	272
Min. Negotiated Rate	$542.30
Max. Negotiated Rate	$618.86
Rate for Payer: Cash Price	$382.80
Rate for Payer: Health Management Network Commercial	$542.30
Rate for Payer: Kaiser Permanente Commercial	$574.20
Rate for Payer: MDX Hawaii PPO	$618.86

Know your out-of-pocket cost for care.

All Charges