Honoka'a Hospital and Skilled Nursing Facility

All Charges

Charge

Type

Setting

Price

DRILL BIT 2.5MM 829029070

Facility

$713.00

Hospital Revenue Code	272
Min. Negotiated Rate	$606.05
Max. Negotiated Rate	$691.61
Rate for Payer: Cash Price	$427.80
Rate for Payer: Health Management Network Commercial	$606.05
Rate for Payer: Kaiser Permanente Commercial	$641.70
Rate for Payer: MDX Hawaii PPO	$691.61

DRILL BIT 2.5MM 829029070

Facility

$713.00

Hospital Revenue Code	272
Min. Negotiated Rate	$356.50
Max. Negotiated Rate	$691.61
Rate for Payer: AlohaCare Medicaid	$356.50
Rate for Payer: AlohaCare Medicare	$541.88
Rate for Payer: Cash Price	$427.80
Rate for Payer: Devoted Health Medicare	$598.92
Rate for Payer: Hawaii Medical Service Association Medicare	$541.88
Rate for Payer: Hawaii Western Management Group Commercial	$677.35
Rate for Payer: Health Management Network Commercial	$606.05
Rate for Payer: Humana Medicare	$541.88
Rate for Payer: Kaiser Permanente Commercial	$641.70
Rate for Payer: Kaiser Permanente Medicaid	$363.63
Rate for Payer: Kaiser Permanente Medicare	$541.88
Rate for Payer: MDX Hawaii PPO	$691.61
Rate for Payer: Ohana Health Plan Medicaid	$541.88
Rate for Payer: Ohana Health Plan Medicare	$541.88
Rate for Payer: UnitedHealthcare Medicare	$541.88
Rate for Payer: University Health Alliance Commercial	$519.71

DRILL BIT 2.5MM AR-8943-30

Facility

$340.00

Hospital Revenue Code	272
Min. Negotiated Rate	$289.00
Max. Negotiated Rate	$329.80
Rate for Payer: Cash Price	$204.00
Rate for Payer: Health Management Network Commercial	$289.00
Rate for Payer: Kaiser Permanente Commercial	$306.00
Rate for Payer: MDX Hawaii PPO	$329.80

DRILL BIT 2.5MM AR-8943-30

Facility

$340.00

Hospital Revenue Code	272
Min. Negotiated Rate	$170.00
Max. Negotiated Rate	$329.80
Rate for Payer: AlohaCare Medicaid	$170.00
Rate for Payer: AlohaCare Medicare	$258.40
Rate for Payer: Cash Price	$204.00
Rate for Payer: Devoted Health Medicare	$285.60
Rate for Payer: Hawaii Medical Service Association Medicare	$258.40
Rate for Payer: Hawaii Western Management Group Commercial	$323.00
Rate for Payer: Health Management Network Commercial	$289.00
Rate for Payer: Humana Medicare	$258.40
Rate for Payer: Kaiser Permanente Commercial	$306.00
Rate for Payer: Kaiser Permanente Medicaid	$173.40
Rate for Payer: Kaiser Permanente Medicare	$258.40
Rate for Payer: MDX Hawaii PPO	$329.80
Rate for Payer: Ohana Health Plan Medicaid	$258.40
Rate for Payer: Ohana Health Plan Medicare	$258.40
Rate for Payer: UnitedHealthcare Medicare	$258.40
Rate for Payer: University Health Alliance Commercial	$247.83

DRILL BIT 2.5MM CAL AR-8943-13

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 2.5MM CAL AR-8943-13

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 BIT 2.5MM DB25

Facility

$675.00

Hospital Revenue Code	272
Min. Negotiated Rate	$573.75
Max. Negotiated Rate	$654.75
Rate for Payer: Cash Price	$405.00
Rate for Payer: Health Management Network Commercial	$573.75
Rate for Payer: Kaiser Permanente Commercial	$607.50
Rate for Payer: MDX Hawaii PPO	$654.75

DRILL BIT 2.5MM DB25

Facility

$675.00

Hospital Revenue Code	272
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$654.75
Rate for Payer: AlohaCare Medicaid	$337.50
Rate for Payer: AlohaCare Medicare	$513.00
Rate for Payer: Cash Price	$405.00
Rate for Payer: Devoted Health Medicare	$567.00
Rate for Payer: Hawaii Medical Service Association Medicare	$513.00
Rate for Payer: Hawaii Western Management Group Commercial	$641.25
Rate for Payer: Health Management Network Commercial	$573.75
Rate for Payer: Humana Medicare	$513.00
Rate for Payer: Kaiser Permanente Commercial	$607.50
Rate for Payer: Kaiser Permanente Medicaid	$344.25
Rate for Payer: Kaiser Permanente Medicare	$513.00
Rate for Payer: MDX Hawaii PPO	$654.75
Rate for Payer: Ohana Health Plan Medicaid	$513.00
Rate for Payer: Ohana Health Plan Medicare	$513.00
Rate for Payer: UnitedHealthcare Medicare	$513.00
Rate for Payer: University Health Alliance Commercial	$492.01

DRILL BIT 2.5MMX135MM 542020

Facility

$1,099.00

Hospital Revenue Code	272
Min. Negotiated Rate	$549.50
Max. Negotiated Rate	$1,066.03
Rate for Payer: AlohaCare Medicaid	$549.50
Rate for Payer: AlohaCare Medicare	$835.24
Rate for Payer: Cash Price	$659.40
Rate for Payer: Devoted Health Medicare	$923.16
Rate for Payer: Hawaii Medical Service Association Medicare	$835.24
Rate for Payer: Hawaii Western Management Group Commercial	$1,044.05
Rate for Payer: Health Management Network Commercial	$934.15
Rate for Payer: Humana Medicare	$835.24
Rate for Payer: Kaiser Permanente Commercial	$989.10
Rate for Payer: Kaiser Permanente Medicaid	$560.49
Rate for Payer: Kaiser Permanente Medicare	$835.24
Rate for Payer: MDX Hawaii PPO	$1,066.03
Rate for Payer: Ohana Health Plan Medicaid	$835.24
Rate for Payer: Ohana Health Plan Medicare	$835.24
Rate for Payer: UnitedHealthcare Medicare	$835.24
Rate for Payer: University Health Alliance Commercial	$801.06

DRILL BIT 2.5MMX135MM 542020

Facility

$1,099.00

Hospital Revenue Code	272
Min. Negotiated Rate	$934.15
Max. Negotiated Rate	$1,066.03
Rate for Payer: Cash Price	$659.40
Rate for Payer: Health Management Network Commercial	$934.15
Rate for Payer: Kaiser Permanente Commercial	$989.10
Rate for Payer: MDX Hawaii PPO	$1,066.03

DRILL BIT 2.5MMX215MM

Facility

$1,225.00

Hospital Revenue Code	272
Min. Negotiated Rate	$1,041.25
Max. Negotiated Rate	$1,188.25
Rate for Payer: Cash Price	$735.00
Rate for Payer: Health Management Network Commercial	$1,041.25
Rate for Payer: Kaiser Permanente Commercial	$1,102.50
Rate for Payer: MDX Hawaii PPO	$1,188.25

DRILL BIT 2.5MMX215MM

Facility

$1,225.00

Hospital Revenue Code	272
Min. Negotiated Rate	$612.50
Max. Negotiated Rate	$1,188.25
Rate for Payer: AlohaCare Medicaid	$612.50
Rate for Payer: AlohaCare Medicare	$931.00
Rate for Payer: Cash Price	$735.00
Rate for Payer: Devoted Health Medicare	$1,029.00
Rate for Payer: Hawaii Medical Service Association Medicare	$931.00
Rate for Payer: Hawaii Western Management Group Commercial	$1,163.75
Rate for Payer: Health Management Network Commercial	$1,041.25
Rate for Payer: Humana Medicare	$931.00
Rate for Payer: Kaiser Permanente Commercial	$1,102.50
Rate for Payer: Kaiser Permanente Medicaid	$624.75
Rate for Payer: Kaiser Permanente Medicare	$931.00
Rate for Payer: MDX Hawaii PPO	$1,188.25
Rate for Payer: Ohana Health Plan Medicaid	$931.00
Rate for Payer: Ohana Health Plan Medicare	$931.00
Rate for Payer: UnitedHealthcare Medicare	$931.00
Rate for Payer: University Health Alliance Commercial	$892.90

DRILL BIT 2.6MM AR-8943-02

Facility

$689.00

Hospital Revenue Code	272
Min. Negotiated Rate	$344.50
Max. Negotiated Rate	$668.33
Rate for Payer: AlohaCare Medicaid	$344.50
Rate for Payer: AlohaCare Medicare	$523.64
Rate for Payer: Cash Price	$413.40
Rate for Payer: Devoted Health Medicare	$578.76
Rate for Payer: Hawaii Medical Service Association Medicare	$523.64
Rate for Payer: Hawaii Western Management Group Commercial	$654.55
Rate for Payer: Health Management Network Commercial	$585.65
Rate for Payer: Humana Medicare	$523.64
Rate for Payer: Kaiser Permanente Commercial	$620.10
Rate for Payer: Kaiser Permanente Medicaid	$351.39
Rate for Payer: Kaiser Permanente Medicare	$523.64
Rate for Payer: MDX Hawaii PPO	$668.33
Rate for Payer: Ohana Health Plan Medicaid	$523.64
Rate for Payer: Ohana Health Plan Medicare	$523.64
Rate for Payer: UnitedHealthcare Medicare	$523.64
Rate for Payer: University Health Alliance Commercial	$502.21

DRILL BIT 2.6MM AR-8943-02

Facility

$689.00

Hospital Revenue Code	272
Min. Negotiated Rate	$585.65
Max. Negotiated Rate	$668.33
Rate for Payer: Cash Price	$413.40
Rate for Payer: Health Management Network Commercial	$585.65
Rate for Payer: Kaiser Permanente Commercial	$620.10
Rate for Payer: MDX Hawaii PPO	$668.33

DRILL BIT 2.7/100MM QC 310.26

Facility

$348.00

Hospital Revenue Code	272
Min. Negotiated Rate	$295.80
Max. Negotiated Rate	$337.56
Rate for Payer: Cash Price	$208.80
Rate for Payer: Health Management Network Commercial	$295.80
Rate for Payer: Kaiser Permanente Commercial	$313.20
Rate for Payer: MDX Hawaii PPO	$337.56

DRILL BIT 2.7/100MM QC 310.26

Facility

$348.00

Hospital Revenue Code	272
Min. Negotiated Rate	$174.00
Max. Negotiated Rate	$337.56
Rate for Payer: AlohaCare Medicaid	$174.00
Rate for Payer: AlohaCare Medicare	$264.48
Rate for Payer: Cash Price	$208.80
Rate for Payer: Devoted Health Medicare	$292.32
Rate for Payer: Hawaii Medical Service Association Medicare	$264.48
Rate for Payer: Hawaii Western Management Group Commercial	$330.60
Rate for Payer: Health Management Network Commercial	$295.80
Rate for Payer: Humana Medicare	$264.48
Rate for Payer: Kaiser Permanente Commercial	$313.20
Rate for Payer: Kaiser Permanente Medicaid	$177.48
Rate for Payer: Kaiser Permanente Medicare	$264.48
Rate for Payer: MDX Hawaii PPO	$337.56
Rate for Payer: Ohana Health Plan Medicaid	$264.48
Rate for Payer: Ohana Health Plan Medicare	$264.48
Rate for Payer: UnitedHealthcare Medicare	$264.48
Rate for Payer: University Health Alliance Commercial	$253.66

DRILL BIT 2.7 703897

Facility

$924.00

Hospital Revenue Code	272
Min. Negotiated Rate	$785.40
Max. Negotiated Rate	$896.28
Rate for Payer: Cash Price	$554.40
Rate for Payer: Health Management Network Commercial	$785.40
Rate for Payer: Kaiser Permanente Commercial	$831.60
Rate for Payer: MDX Hawaii PPO	$896.28

DRILL BIT 2.7 703897

Facility

$924.00

Hospital Revenue Code	272
Min. Negotiated Rate	$462.00
Max. Negotiated Rate	$896.28
Rate for Payer: AlohaCare Medicaid	$462.00
Rate for Payer: AlohaCare Medicare	$702.24
Rate for Payer: Cash Price	$554.40
Rate for Payer: Devoted Health Medicare	$776.16
Rate for Payer: Hawaii Medical Service Association Medicare	$702.24
Rate for Payer: Hawaii Western Management Group Commercial	$877.80
Rate for Payer: Health Management Network Commercial	$785.40
Rate for Payer: Humana Medicare	$702.24
Rate for Payer: Kaiser Permanente Commercial	$831.60
Rate for Payer: Kaiser Permanente Medicaid	$471.24
Rate for Payer: Kaiser Permanente Medicare	$702.24
Rate for Payer: MDX Hawaii PPO	$896.28
Rate for Payer: Ohana Health Plan Medicaid	$702.24
Rate for Payer: Ohana Health Plan Medicare	$702.24
Rate for Payer: UnitedHealthcare Medicare	$702.24
Rate for Payer: University Health Alliance Commercial	$673.50

DRILL BIT 2.7 D 125MM L 700348

Facility

$591.00

Hospital Revenue Code	272
Min. Negotiated Rate	$502.35
Max. Negotiated Rate	$573.27
Rate for Payer: Cash Price	$354.60
Rate for Payer: Health Management Network Commercial	$502.35
Rate for Payer: Kaiser Permanente Commercial	$531.90
Rate for Payer: MDX Hawaii PPO	$573.27

DRILL BIT 2.7 D 125MM L 700348

Facility

$591.00

Hospital Revenue Code	272
Min. Negotiated Rate	$295.50
Max. Negotiated Rate	$573.27
Rate for Payer: AlohaCare Medicaid	$295.50
Rate for Payer: AlohaCare Medicare	$449.16
Rate for Payer: Cash Price	$354.60
Rate for Payer: Devoted Health Medicare	$496.44
Rate for Payer: Hawaii Medical Service Association Medicare	$449.16
Rate for Payer: Hawaii Western Management Group Commercial	$561.45
Rate for Payer: Health Management Network Commercial	$502.35
Rate for Payer: Humana Medicare	$449.16
Rate for Payer: Kaiser Permanente Commercial	$531.90
Rate for Payer: Kaiser Permanente Medicaid	$301.41
Rate for Payer: Kaiser Permanente Medicare	$449.16
Rate for Payer: MDX Hawaii PPO	$573.27
Rate for Payer: Ohana Health Plan Medicaid	$449.16
Rate for Payer: Ohana Health Plan Medicare	$449.16
Rate for Payer: UnitedHealthcare Medicare	$449.16
Rate for Payer: University Health Alliance Commercial	$430.78

DRILL BIT 2.7MM 13550

Facility

$489.00

Hospital Revenue Code	272
Min. Negotiated Rate	$415.65
Max. Negotiated Rate	$474.33
Rate for Payer: Cash Price	$293.40
Rate for Payer: Health Management Network Commercial	$415.65
Rate for Payer: Kaiser Permanente Commercial	$440.10
Rate for Payer: MDX Hawaii PPO	$474.33

DRILL BIT 2.7MM 13550

Facility

$489.00

Hospital Revenue Code	272
Min. Negotiated Rate	$244.50
Max. Negotiated Rate	$474.33
Rate for Payer: AlohaCare Medicaid	$244.50
Rate for Payer: AlohaCare Medicare	$371.64
Rate for Payer: Cash Price	$293.40
Rate for Payer: Devoted Health Medicare	$410.76
Rate for Payer: Hawaii Medical Service Association Medicare	$371.64
Rate for Payer: Hawaii Western Management Group Commercial	$464.55
Rate for Payer: Health Management Network Commercial	$415.65
Rate for Payer: Humana Medicare	$371.64
Rate for Payer: Kaiser Permanente Commercial	$440.10
Rate for Payer: Kaiser Permanente Medicaid	$249.39
Rate for Payer: Kaiser Permanente Medicare	$371.64
Rate for Payer: MDX Hawaii PPO	$474.33
Rate for Payer: Ohana Health Plan Medicaid	$371.64
Rate for Payer: Ohana Health Plan Medicare	$371.64
Rate for Payer: UnitedHealthcare Medicare	$371.64
Rate for Payer: University Health Alliance Commercial	$356.43

DRILL BIT 2.7MM 13550A

Facility

$342.00

Hospital Revenue Code	272
Min. Negotiated Rate	$290.70
Max. Negotiated Rate	$331.74
Rate for Payer: Cash Price	$205.20
Rate for Payer: Health Management Network Commercial	$290.70
Rate for Payer: Kaiser Permanente Commercial	$307.80
Rate for Payer: MDX Hawaii PPO	$331.74

DRILL BIT 2.7MM 13550A

Facility

$342.00

Hospital Revenue Code	272
Min. Negotiated Rate	$171.00
Max. Negotiated Rate	$331.74
Rate for Payer: AlohaCare Medicaid	$171.00
Rate for Payer: AlohaCare Medicare	$259.92
Rate for Payer: Cash Price	$205.20
Rate for Payer: Devoted Health Medicare	$287.28
Rate for Payer: Hawaii Medical Service Association Medicare	$259.92
Rate for Payer: Hawaii Western Management Group Commercial	$324.90
Rate for Payer: Health Management Network Commercial	$290.70
Rate for Payer: Humana Medicare	$259.92
Rate for Payer: Kaiser Permanente Commercial	$307.80
Rate for Payer: Kaiser Permanente Medicaid	$174.42
Rate for Payer: Kaiser Permanente Medicare	$259.92
Rate for Payer: MDX Hawaii PPO	$331.74
Rate for Payer: Ohana Health Plan Medicaid	$259.92
Rate for Payer: Ohana Health Plan Medicare	$259.92
Rate for Payer: UnitedHealthcare Medicare	$259.92
Rate for Payer: University Health Alliance Commercial	$249.28

DRILL BIT 2.7MM 214227070

Facility

$713.00

Hospital Revenue Code	272
Min. Negotiated Rate	$356.50
Max. Negotiated Rate	$691.61
Rate for Payer: AlohaCare Medicaid	$356.50
Rate for Payer: AlohaCare Medicare	$541.88
Rate for Payer: Cash Price	$427.80
Rate for Payer: Devoted Health Medicare	$598.92
Rate for Payer: Hawaii Medical Service Association Medicare	$541.88
Rate for Payer: Hawaii Western Management Group Commercial	$677.35
Rate for Payer: Health Management Network Commercial	$606.05
Rate for Payer: Humana Medicare	$541.88
Rate for Payer: Kaiser Permanente Commercial	$641.70
Rate for Payer: Kaiser Permanente Medicaid	$363.63
Rate for Payer: Kaiser Permanente Medicare	$541.88
Rate for Payer: MDX Hawaii PPO	$691.61
Rate for Payer: Ohana Health Plan Medicaid	$541.88
Rate for Payer: Ohana Health Plan Medicare	$541.88
Rate for Payer: UnitedHealthcare Medicare	$541.88
Rate for Payer: University Health Alliance Commercial	$519.71

Know your out-of-pocket cost for care.

All Charges