Honoka'a Hospital and Skilled Nursing Facility

All Charges

Charge

Type

Setting

Price

DRILL ACORN 7.5MM

Facility

$899.00

Hospital Revenue Code	272
Min. Negotiated Rate	$449.50
Max. Negotiated Rate	$872.03
Rate for Payer: AlohaCare Medicaid	$449.50
Rate for Payer: AlohaCare Medicare	$683.24
Rate for Payer: Cash Price	$539.40
Rate for Payer: Devoted Health Medicare	$755.16
Rate for Payer: Hawaii Medical Service Association Medicare	$683.24
Rate for Payer: Hawaii Western Management Group Commercial	$854.05
Rate for Payer: Health Management Network Commercial	$764.15
Rate for Payer: Humana Medicare	$683.24
Rate for Payer: Kaiser Permanente Commercial	$809.10
Rate for Payer: Kaiser Permanente Medicaid	$458.49
Rate for Payer: Kaiser Permanente Medicare	$683.24
Rate for Payer: MDX Hawaii PPO	$872.03
Rate for Payer: Ohana Health Plan Medicaid	$683.24
Rate for Payer: Ohana Health Plan Medicare	$683.24
Rate for Payer: UnitedHealthcare Medicare	$683.24
Rate for Payer: University Health Alliance Commercial	$655.28

DRILL ACORN 7.5MM

Facility

$899.00

Hospital Revenue Code	272
Min. Negotiated Rate	$764.15
Max. Negotiated Rate	$872.03
Rate for Payer: Cash Price	$539.40
Rate for Payer: Health Management Network Commercial	$764.15
Rate for Payer: Kaiser Permanente Commercial	$809.10
Rate for Payer: MDX Hawaii PPO	$872.03

DRILL AO 4.2X130MM 1806-4280S

Facility

$898.00

Hospital Revenue Code	272
Min. Negotiated Rate	$449.00
Max. Negotiated Rate	$871.06
Rate for Payer: AlohaCare Medicaid	$449.00
Rate for Payer: AlohaCare Medicare	$682.48
Rate for Payer: Cash Price	$538.80
Rate for Payer: Devoted Health Medicare	$754.32
Rate for Payer: Hawaii Medical Service Association Medicare	$682.48
Rate for Payer: Hawaii Western Management Group Commercial	$853.10
Rate for Payer: Health Management Network Commercial	$763.30
Rate for Payer: Humana Medicare	$682.48
Rate for Payer: Kaiser Permanente Commercial	$808.20
Rate for Payer: Kaiser Permanente Medicaid	$457.98
Rate for Payer: Kaiser Permanente Medicare	$682.48
Rate for Payer: MDX Hawaii PPO	$871.06
Rate for Payer: Ohana Health Plan Medicaid	$682.48
Rate for Payer: Ohana Health Plan Medicare	$682.48
Rate for Payer: UnitedHealthcare Medicare	$682.48
Rate for Payer: University Health Alliance Commercial	$654.55

DRILL AO 4.2X130MM 1806-4280S

Facility

$898.00

Hospital Revenue Code	272
Min. Negotiated Rate	$763.30
Max. Negotiated Rate	$871.06
Rate for Payer: Cash Price	$538.80
Rate for Payer: Health Management Network Commercial	$763.30
Rate for Payer: Kaiser Permanente Commercial	$808.20
Rate for Payer: MDX Hawaii PPO	$871.06

DRILL AO 4X180 1806-4000S

Facility

$986.00

Hospital Revenue Code	272
Min. Negotiated Rate	$493.00
Max. Negotiated Rate	$956.42
Rate for Payer: AlohaCare Medicaid	$493.00
Rate for Payer: AlohaCare Medicare	$749.36
Rate for Payer: Cash Price	$591.60
Rate for Payer: Devoted Health Medicare	$828.24
Rate for Payer: Hawaii Medical Service Association Medicare	$749.36
Rate for Payer: Hawaii Western Management Group Commercial	$936.70
Rate for Payer: Health Management Network Commercial	$838.10
Rate for Payer: Humana Medicare	$749.36
Rate for Payer: Kaiser Permanente Commercial	$887.40
Rate for Payer: Kaiser Permanente Medicaid	$502.86
Rate for Payer: Kaiser Permanente Medicare	$749.36
Rate for Payer: MDX Hawaii PPO	$956.42
Rate for Payer: Ohana Health Plan Medicaid	$749.36
Rate for Payer: Ohana Health Plan Medicare	$749.36
Rate for Payer: UnitedHealthcare Medicare	$749.36
Rate for Payer: University Health Alliance Commercial	$718.70

DRILL AO 4X180 1806-4000S

Facility

$986.00

Hospital Revenue Code	272
Min. Negotiated Rate	$838.10
Max. Negotiated Rate	$956.42
Rate for Payer: Cash Price	$591.60
Rate for Payer: Health Management Network Commercial	$838.10
Rate for Payer: Kaiser Permanente Commercial	$887.40
Rate for Payer: MDX Hawaii PPO	$956.42

DRILL #AR-1923D

Facility

$299.00

Hospital Revenue Code	272
Min. Negotiated Rate	$149.50
Max. Negotiated Rate	$290.03
Rate for Payer: AlohaCare Medicaid	$149.50
Rate for Payer: AlohaCare Medicare	$227.24
Rate for Payer: Cash Price	$179.40
Rate for Payer: Devoted Health Medicare	$251.16
Rate for Payer: Hawaii Medical Service Association Medicare	$227.24
Rate for Payer: Hawaii Western Management Group Commercial	$284.05
Rate for Payer: Health Management Network Commercial	$254.15
Rate for Payer: Humana Medicare	$227.24
Rate for Payer: Kaiser Permanente Commercial	$269.10
Rate for Payer: Kaiser Permanente Medicaid	$152.49
Rate for Payer: Kaiser Permanente Medicare	$227.24
Rate for Payer: MDX Hawaii PPO	$290.03
Rate for Payer: Ohana Health Plan Medicaid	$227.24
Rate for Payer: Ohana Health Plan Medicare	$227.24
Rate for Payer: UnitedHealthcare Medicare	$227.24
Rate for Payer: University Health Alliance Commercial	$217.94

DRILL #AR-1923D

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: Kaiser Permanente Commercial	$269.10
Rate for Payer: MDX Hawaii PPO	$290.03

DRILL #AR-1923DT

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: Kaiser Permanente Commercial	$269.10
Rate for Payer: MDX Hawaii PPO	$290.03

DRILL #AR-1923DT

Facility

$299.00

Hospital Revenue Code	272
Min. Negotiated Rate	$149.50
Max. Negotiated Rate	$290.03
Rate for Payer: AlohaCare Medicaid	$149.50
Rate for Payer: AlohaCare Medicare	$227.24
Rate for Payer: Cash Price	$179.40
Rate for Payer: Devoted Health Medicare	$251.16
Rate for Payer: Hawaii Medical Service Association Medicare	$227.24
Rate for Payer: Hawaii Western Management Group Commercial	$284.05
Rate for Payer: Health Management Network Commercial	$254.15
Rate for Payer: Humana Medicare	$227.24
Rate for Payer: Kaiser Permanente Commercial	$269.10
Rate for Payer: Kaiser Permanente Medicaid	$152.49
Rate for Payer: Kaiser Permanente Medicare	$227.24
Rate for Payer: MDX Hawaii PPO	$290.03
Rate for Payer: Ohana Health Plan Medicaid	$227.24
Rate for Payer: Ohana Health Plan Medicare	$227.24
Rate for Payer: UnitedHealthcare Medicare	$227.24
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: Kaiser Permanente Commercial	$269.10
Rate for Payer: MDX Hawaii PPO	$290.03

DRILL #AR-2325D

Facility

$299.00

Hospital Revenue Code	272
Min. Negotiated Rate	$149.50
Max. Negotiated Rate	$290.03
Rate for Payer: AlohaCare Medicaid	$149.50
Rate for Payer: AlohaCare Medicare	$227.24
Rate for Payer: Cash Price	$179.40
Rate for Payer: Devoted Health Medicare	$251.16
Rate for Payer: Hawaii Medical Service Association Medicare	$227.24
Rate for Payer: Hawaii Western Management Group Commercial	$284.05
Rate for Payer: Health Management Network Commercial	$254.15
Rate for Payer: Humana Medicare	$227.24
Rate for Payer: Kaiser Permanente Commercial	$269.10
Rate for Payer: Kaiser Permanente Medicaid	$152.49
Rate for Payer: Kaiser Permanente Medicare	$227.24
Rate for Payer: MDX Hawaii PPO	$290.03
Rate for Payer: Ohana Health Plan Medicaid	$227.24
Rate for Payer: Ohana Health Plan Medicare	$227.24
Rate for Payer: UnitedHealthcare Medicare	$227.24
Rate for Payer: University Health Alliance Commercial	$217.94

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: Kaiser Permanente Commercial	$189.00
Rate for Payer: MDX Hawaii PPO	$203.70

DRILL BB-TAK AR-13226

Facility

$210.00

Hospital Revenue Code	272
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$203.70
Rate for Payer: AlohaCare Medicaid	$105.00
Rate for Payer: AlohaCare Medicare	$159.60
Rate for Payer: Cash Price	$126.00
Rate for Payer: Devoted Health Medicare	$176.40
Rate for Payer: Hawaii Medical Service Association Medicare	$159.60
Rate for Payer: Hawaii Western Management Group Commercial	$199.50
Rate for Payer: Health Management Network Commercial	$178.50
Rate for Payer: Humana Medicare	$159.60
Rate for Payer: Kaiser Permanente Commercial	$189.00
Rate for Payer: Kaiser Permanente Medicaid	$107.10
Rate for Payer: Kaiser Permanente Medicare	$159.60
Rate for Payer: MDX Hawaii PPO	$203.70
Rate for Payer: Ohana Health Plan Medicaid	$159.60
Rate for Payer: Ohana Health Plan Medicare	$159.60
Rate for Payer: UnitedHealthcare Medicare	$159.60
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	$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: Kaiser Permanente Commercial	$321.30
Rate for Payer: MDX Hawaii PPO	$346.29

DRILL BB-TAK THREAD AR-13226T

Facility

$357.00

Hospital Revenue Code	272
Min. Negotiated Rate	$178.50
Max. Negotiated Rate	$346.29
Rate for Payer: AlohaCare Medicaid	$178.50
Rate for Payer: AlohaCare Medicare	$271.32
Rate for Payer: Cash Price	$214.20
Rate for Payer: Devoted Health Medicare	$299.88
Rate for Payer: Hawaii Medical Service Association Medicare	$271.32
Rate for Payer: Hawaii Western Management Group Commercial	$339.15
Rate for Payer: Health Management Network Commercial	$303.45
Rate for Payer: Humana Medicare	$271.32
Rate for Payer: Kaiser Permanente Commercial	$321.30
Rate for Payer: Kaiser Permanente Medicaid	$182.07
Rate for Payer: Kaiser Permanente Medicare	$271.32
Rate for Payer: MDX Hawaii PPO	$346.29
Rate for Payer: Ohana Health Plan Medicaid	$271.32
Rate for Payer: Ohana Health Plan Medicare	$271.32
Rate for Payer: UnitedHealthcare Medicare	$271.32
Rate for Payer: University Health Alliance Commercial	$260.22

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: Kaiser Permanente Commercial	$444.60
Rate for Payer: MDX Hawaii PPO	$479.18

DRILL BIT 1.0MM DIAMOND

Facility

$494.00

Hospital Revenue Code	272
Min. Negotiated Rate	$247.00
Max. Negotiated Rate	$479.18
Rate for Payer: AlohaCare Medicaid	$247.00
Rate for Payer: AlohaCare Medicare	$375.44
Rate for Payer: Cash Price	$296.40
Rate for Payer: Devoted Health Medicare	$414.96
Rate for Payer: Hawaii Medical Service Association Medicare	$375.44
Rate for Payer: Hawaii Western Management Group Commercial	$469.30
Rate for Payer: Health Management Network Commercial	$419.90
Rate for Payer: Humana Medicare	$375.44
Rate for Payer: Kaiser Permanente Commercial	$444.60
Rate for Payer: Kaiser Permanente Medicaid	$251.94
Rate for Payer: Kaiser Permanente Medicare	$375.44
Rate for Payer: MDX Hawaii PPO	$479.18
Rate for Payer: Ohana Health Plan Medicaid	$375.44
Rate for Payer: Ohana Health Plan Medicare	$375.44
Rate for Payer: UnitedHealthcare Medicare	$375.44
Rate for Payer: University Health Alliance Commercial	$360.08

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: Kaiser Permanente Commercial	$513.90
Rate for Payer: MDX Hawaii PPO	$553.87

DRILL BIT 1.0MM DIAMOND HBK

Facility

$571.00

Hospital Revenue Code	272
Min. Negotiated Rate	$285.50
Max. Negotiated Rate	$553.87
Rate for Payer: AlohaCare Medicaid	$285.50
Rate for Payer: AlohaCare Medicare	$433.96
Rate for Payer: Cash Price	$342.60
Rate for Payer: Devoted Health Medicare	$479.64
Rate for Payer: Hawaii Medical Service Association Medicare	$433.96
Rate for Payer: Hawaii Western Management Group Commercial	$542.45
Rate for Payer: Health Management Network Commercial	$485.35
Rate for Payer: Humana Medicare	$433.96
Rate for Payer: Kaiser Permanente Commercial	$513.90
Rate for Payer: Kaiser Permanente Medicaid	$291.21
Rate for Payer: Kaiser Permanente Medicare	$433.96
Rate for Payer: MDX Hawaii PPO	$553.87
Rate for Payer: Ohana Health Plan Medicaid	$433.96
Rate for Payer: Ohana Health Plan Medicare	$433.96
Rate for Payer: UnitedHealthcare Medicare	$433.96
Rate for Payer: University Health Alliance Commercial	$416.20

DRILL BIT 1.1 03.503.246

Facility

$1,386.00

Hospital Revenue Code	272
Min. Negotiated Rate	$693.00
Max. Negotiated Rate	$1,344.42
Rate for Payer: AlohaCare Medicaid	$693.00
Rate for Payer: AlohaCare Medicare	$1,053.36
Rate for Payer: Cash Price	$831.60
Rate for Payer: Devoted Health Medicare	$1,164.24
Rate for Payer: Hawaii Medical Service Association Medicare	$1,053.36
Rate for Payer: Hawaii Western Management Group Commercial	$1,316.70
Rate for Payer: Health Management Network Commercial	$1,178.10
Rate for Payer: Humana Medicare	$1,053.36
Rate for Payer: Kaiser Permanente Commercial	$1,247.40
Rate for Payer: Kaiser Permanente Medicaid	$706.86
Rate for Payer: Kaiser Permanente Medicare	$1,053.36
Rate for Payer: MDX Hawaii PPO	$1,344.42
Rate for Payer: Ohana Health Plan Medicaid	$1,053.36
Rate for Payer: Ohana Health Plan Medicare	$1,053.36
Rate for Payer: UnitedHealthcare Medicare	$1,053.36
Rate for Payer: University Health Alliance Commercial	$1,010.26

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: Kaiser Permanente Commercial	$1,247.40
Rate for Payer: MDX Hawaii PPO	$1,344.42

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: Kaiser Permanente Commercial	$1,093.50
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	$607.50
Max. Negotiated Rate	$1,178.55
Rate for Payer: AlohaCare Medicaid	$607.50
Rate for Payer: AlohaCare Medicare	$923.40
Rate for Payer: Cash Price	$729.00
Rate for Payer: Devoted Health Medicare	$1,020.60
Rate for Payer: Hawaii Medical Service Association Medicare	$923.40
Rate for Payer: Hawaii Western Management Group Commercial	$1,154.25
Rate for Payer: Health Management Network Commercial	$1,032.75
Rate for Payer: Humana Medicare	$923.40
Rate for Payer: Kaiser Permanente Commercial	$1,093.50
Rate for Payer: Kaiser Permanente Medicaid	$619.65
Rate for Payer: Kaiser Permanente Medicare	$923.40
Rate for Payer: MDX Hawaii PPO	$1,178.55
Rate for Payer: Ohana Health Plan Medicaid	$923.40
Rate for Payer: Ohana Health Plan Medicare	$923.40
Rate for Payer: UnitedHealthcare Medicare	$923.40
Rate for Payer: University Health Alliance Commercial	$885.61

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: Kaiser Permanente Commercial	$434.70
Rate for Payer: MDX Hawaii PPO	$468.51

Know your out-of-pocket cost for care.

All Charges