Honoka'a Hospital and Skilled Nursing Facility

All Charges

Charge

Type

Setting

Price

DRILL BIT 3.2MM 2129-57-012

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 BIT 3.2MM X 145MM

Facility

$776.00

Hospital Revenue Code	272
Min. Negotiated Rate	$388.00
Max. Negotiated Rate	$752.72
Rate for Payer: AlohaCare Medicaid	$388.00
Rate for Payer: AlohaCare Medicare	$589.76
Rate for Payer: Cash Price	$465.60
Rate for Payer: Devoted Health Medicare	$651.84
Rate for Payer: Hawaii Medical Service Association Medicare	$589.76
Rate for Payer: Hawaii Western Management Group Commercial	$737.20
Rate for Payer: Health Management Network Commercial	$659.60
Rate for Payer: Humana Medicare	$589.76
Rate for Payer: Kaiser Permanente Commercial	$698.40
Rate for Payer: Kaiser Permanente Medicaid	$395.76
Rate for Payer: Kaiser Permanente Medicare	$589.76
Rate for Payer: MDX Hawaii PPO	$752.72
Rate for Payer: Ohana Health Plan Medicaid	$589.76
Rate for Payer: Ohana Health Plan Medicare	$589.76
Rate for Payer: UnitedHealthcare Medicare	$589.76
Rate for Payer: University Health Alliance Commercial	$565.63

DRILL BIT 3.2MM X 145MM

Facility

$776.00

Hospital Revenue Code	272
Min. Negotiated Rate	$659.60
Max. Negotiated Rate	$752.72
Rate for Payer: Cash Price	$465.60
Rate for Payer: Health Management Network Commercial	$659.60
Rate for Payer: Kaiser Permanente Commercial	$698.40
Rate for Payer: MDX Hawaii PPO	$752.72

DRILL BIT 3.2MMX300MM 324.212

Facility

$841.00

Hospital Revenue Code	272
Min. Negotiated Rate	$420.50
Max. Negotiated Rate	$815.77
Rate for Payer: AlohaCare Medicaid	$420.50
Rate for Payer: AlohaCare Medicare	$639.16
Rate for Payer: Cash Price	$504.60
Rate for Payer: Devoted Health Medicare	$706.44
Rate for Payer: Hawaii Medical Service Association Medicare	$639.16
Rate for Payer: Hawaii Western Management Group Commercial	$798.95
Rate for Payer: Health Management Network Commercial	$714.85
Rate for Payer: Humana Medicare	$639.16
Rate for Payer: Kaiser Permanente Commercial	$756.90
Rate for Payer: Kaiser Permanente Medicaid	$428.91
Rate for Payer: Kaiser Permanente Medicare	$639.16
Rate for Payer: MDX Hawaii PPO	$815.77
Rate for Payer: Ohana Health Plan Medicaid	$639.16
Rate for Payer: Ohana Health Plan Medicare	$639.16
Rate for Payer: UnitedHealthcare Medicare	$639.16
Rate for Payer: University Health Alliance Commercial	$613.00

DRILL BIT 3.2MMX300MM 324.212

Facility

$841.00

Hospital Revenue Code	272
Min. Negotiated Rate	$714.85
Max. Negotiated Rate	$815.77
Rate for Payer: Cash Price	$504.60
Rate for Payer: Health Management Network Commercial	$714.85
Rate for Payer: Kaiser Permanente Commercial	$756.90
Rate for Payer: MDX Hawaii PPO	$815.77

DRILL BIT 3.2, THREE-FLUTED

Facility

$997.00

Hospital Revenue Code	272
Min. Negotiated Rate	$498.50
Max. Negotiated Rate	$967.09
Rate for Payer: AlohaCare Medicaid	$498.50
Rate for Payer: AlohaCare Medicare	$757.72
Rate for Payer: Cash Price	$598.20
Rate for Payer: Devoted Health Medicare	$837.48
Rate for Payer: Hawaii Medical Service Association Medicare	$757.72
Rate for Payer: Hawaii Western Management Group Commercial	$947.15
Rate for Payer: Health Management Network Commercial	$847.45
Rate for Payer: Humana Medicare	$757.72
Rate for Payer: Kaiser Permanente Commercial	$897.30
Rate for Payer: Kaiser Permanente Medicaid	$508.47
Rate for Payer: Kaiser Permanente Medicare	$757.72
Rate for Payer: MDX Hawaii PPO	$967.09
Rate for Payer: Ohana Health Plan Medicaid	$757.72
Rate for Payer: Ohana Health Plan Medicare	$757.72
Rate for Payer: UnitedHealthcare Medicare	$757.72
Rate for Payer: University Health Alliance Commercial	$726.71

DRILL BIT 3.2, THREE-FLUTED

Facility

$997.00

Hospital Revenue Code	272
Min. Negotiated Rate	$847.45
Max. Negotiated Rate	$967.09
Rate for Payer: Cash Price	$598.20
Rate for Payer: Health Management Network Commercial	$847.45
Rate for Payer: Kaiser Permanente Commercial	$897.30
Rate for Payer: MDX Hawaii PPO	$967.09

DRILL BIT 3.2X130MM JC 310.32

Facility

$461.00

Hospital Revenue Code	272
Min. Negotiated Rate	$230.50
Max. Negotiated Rate	$447.17
Rate for Payer: AlohaCare Medicaid	$230.50
Rate for Payer: AlohaCare Medicare	$350.36
Rate for Payer: Cash Price	$276.60
Rate for Payer: Devoted Health Medicare	$387.24
Rate for Payer: Hawaii Medical Service Association Medicare	$350.36
Rate for Payer: Hawaii Western Management Group Commercial	$437.95
Rate for Payer: Health Management Network Commercial	$391.85
Rate for Payer: Humana Medicare	$350.36
Rate for Payer: Kaiser Permanente Commercial	$414.90
Rate for Payer: Kaiser Permanente Medicaid	$235.11
Rate for Payer: Kaiser Permanente Medicare	$350.36
Rate for Payer: MDX Hawaii PPO	$447.17
Rate for Payer: Ohana Health Plan Medicaid	$350.36
Rate for Payer: Ohana Health Plan Medicare	$350.36
Rate for Payer: UnitedHealthcare Medicare	$350.36
Rate for Payer: University Health Alliance Commercial	$336.02

DRILL BIT 3.2X130MM JC 310.32

Facility

$461.00

Hospital Revenue Code	272
Min. Negotiated Rate	$391.85
Max. Negotiated Rate	$447.17
Rate for Payer: Cash Price	$276.60
Rate for Payer: Health Management Network Commercial	$391.85
Rate for Payer: Kaiser Permanente Commercial	$414.90
Rate for Payer: MDX Hawaii PPO	$447.17

DRILL BIT 3.2X315 AO 703542

Facility

$1,078.00

Hospital Revenue Code	272
Min. Negotiated Rate	$916.30
Max. Negotiated Rate	$1,045.66
Rate for Payer: Cash Price	$646.80
Rate for Payer: Health Management Network Commercial	$916.30
Rate for Payer: Kaiser Permanente Commercial	$970.20
Rate for Payer: MDX Hawaii PPO	$1,045.66

DRILL BIT 3.2X315 AO 703542

Facility

$1,078.00

Hospital Revenue Code	272
Min. Negotiated Rate	$539.00
Max. Negotiated Rate	$1,045.66
Rate for Payer: AlohaCare Medicaid	$539.00
Rate for Payer: AlohaCare Medicare	$819.28
Rate for Payer: Cash Price	$646.80
Rate for Payer: Devoted Health Medicare	$905.52
Rate for Payer: Hawaii Medical Service Association Medicare	$819.28
Rate for Payer: Hawaii Western Management Group Commercial	$1,024.10
Rate for Payer: Health Management Network Commercial	$916.30
Rate for Payer: Humana Medicare	$819.28
Rate for Payer: Kaiser Permanente Commercial	$970.20
Rate for Payer: Kaiser Permanente Medicaid	$549.78
Rate for Payer: Kaiser Permanente Medicare	$819.28
Rate for Payer: MDX Hawaii PPO	$1,045.66
Rate for Payer: Ohana Health Plan Medicaid	$819.28
Rate for Payer: Ohana Health Plan Medicare	$819.28
Rate for Payer: UnitedHealthcare Medicare	$819.28
Rate for Payer: University Health Alliance Commercial	$785.75

DRILL BIT 3.3MM 02.00024.118

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 BIT 3.3MM 02.00024.118

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 BIT 3.3X25MM #2107-3325

Facility

$578.00

Hospital Revenue Code	272
Min. Negotiated Rate	$491.30
Max. Negotiated Rate	$560.66
Rate for Payer: Cash Price	$346.80
Rate for Payer: Health Management Network Commercial	$491.30
Rate for Payer: Kaiser Permanente Commercial	$520.20
Rate for Payer: MDX Hawaii PPO	$560.66

DRILL BIT 3.3X25MM #2107-3325

Facility

$578.00

Hospital Revenue Code	272
Min. Negotiated Rate	$289.00
Max. Negotiated Rate	$560.66
Rate for Payer: AlohaCare Medicaid	$289.00
Rate for Payer: AlohaCare Medicare	$439.28
Rate for Payer: Cash Price	$346.80
Rate for Payer: Devoted Health Medicare	$485.52
Rate for Payer: Hawaii Medical Service Association Medicare	$439.28
Rate for Payer: Hawaii Western Management Group Commercial	$549.10
Rate for Payer: Health Management Network Commercial	$491.30
Rate for Payer: Humana Medicare	$439.28
Rate for Payer: Kaiser Permanente Commercial	$520.20
Rate for Payer: Kaiser Permanente Medicaid	$294.78
Rate for Payer: Kaiser Permanente Medicare	$439.28
Rate for Payer: MDX Hawaii PPO	$560.66
Rate for Payer: Ohana Health Plan Medicaid	$439.28
Rate for Payer: Ohana Health Plan Medicare	$439.28
Rate for Payer: UnitedHealthcare Medicare	$439.28
Rate for Payer: University Health Alliance Commercial	$421.30

DRILL BIT 3.3X25MM 7005-3325S

Facility

$537.00

Hospital Revenue Code	272
Min. Negotiated Rate	$456.45
Max. Negotiated Rate	$520.89
Rate for Payer: Cash Price	$322.20
Rate for Payer: Health Management Network Commercial	$456.45
Rate for Payer: Kaiser Permanente Commercial	$483.30
Rate for Payer: MDX Hawaii PPO	$520.89

DRILL BIT 3.3X25MM 7005-3325S

Facility

$537.00

Hospital Revenue Code	272
Min. Negotiated Rate	$268.50
Max. Negotiated Rate	$520.89
Rate for Payer: AlohaCare Medicaid	$268.50
Rate for Payer: AlohaCare Medicare	$408.12
Rate for Payer: Cash Price	$322.20
Rate for Payer: Devoted Health Medicare	$451.08
Rate for Payer: Hawaii Medical Service Association Medicare	$408.12
Rate for Payer: Hawaii Western Management Group Commercial	$510.15
Rate for Payer: Health Management Network Commercial	$456.45
Rate for Payer: Humana Medicare	$408.12
Rate for Payer: Kaiser Permanente Commercial	$483.30
Rate for Payer: Kaiser Permanente Medicaid	$273.87
Rate for Payer: Kaiser Permanente Medicare	$408.12
Rate for Payer: MDX Hawaii PPO	$520.89
Rate for Payer: Ohana Health Plan Medicaid	$408.12
Rate for Payer: Ohana Health Plan Medicare	$408.12
Rate for Payer: UnitedHealthcare Medicare	$408.12
Rate for Payer: University Health Alliance Commercial	$391.42

DRILL BIT 3.5 230MM 1806-3540S

Facility

$739.00

Hospital Revenue Code	272
Min. Negotiated Rate	$628.15
Max. Negotiated Rate	$716.83
Rate for Payer: Cash Price	$443.40
Rate for Payer: Health Management Network Commercial	$628.15
Rate for Payer: Kaiser Permanente Commercial	$665.10
Rate for Payer: MDX Hawaii PPO	$716.83

DRILL BIT 3.5 230MM 1806-3540S

Facility

$739.00

Hospital Revenue Code	272
Min. Negotiated Rate	$369.50
Max. Negotiated Rate	$716.83
Rate for Payer: AlohaCare Medicaid	$369.50
Rate for Payer: AlohaCare Medicare	$561.64
Rate for Payer: Cash Price	$443.40
Rate for Payer: Devoted Health Medicare	$620.76
Rate for Payer: Hawaii Medical Service Association Medicare	$561.64
Rate for Payer: Hawaii Western Management Group Commercial	$702.05
Rate for Payer: Health Management Network Commercial	$628.15
Rate for Payer: Humana Medicare	$561.64
Rate for Payer: Kaiser Permanente Commercial	$665.10
Rate for Payer: Kaiser Permanente Medicaid	$376.89
Rate for Payer: Kaiser Permanente Medicare	$561.64
Rate for Payer: MDX Hawaii PPO	$716.83
Rate for Payer: Ohana Health Plan Medicaid	$561.64
Rate for Payer: Ohana Health Plan Medicare	$561.64
Rate for Payer: UnitedHealthcare Medicare	$561.64
Rate for Payer: University Health Alliance Commercial	$538.66

DRILL BIT 3.5 AR-4160-35

Facility

$332.00

Hospital Revenue Code	272
Min. Negotiated Rate	$166.00
Max. Negotiated Rate	$322.04
Rate for Payer: AlohaCare Medicaid	$166.00
Rate for Payer: AlohaCare Medicare	$252.32
Rate for Payer: Cash Price	$199.20
Rate for Payer: Devoted Health Medicare	$278.88
Rate for Payer: Hawaii Medical Service Association Medicare	$252.32
Rate for Payer: Hawaii Western Management Group Commercial	$315.40
Rate for Payer: Health Management Network Commercial	$282.20
Rate for Payer: Humana Medicare	$252.32
Rate for Payer: Kaiser Permanente Commercial	$298.80
Rate for Payer: Kaiser Permanente Medicaid	$169.32
Rate for Payer: Kaiser Permanente Medicare	$252.32
Rate for Payer: MDX Hawaii PPO	$322.04
Rate for Payer: Ohana Health Plan Medicaid	$252.32
Rate for Payer: Ohana Health Plan Medicare	$252.32
Rate for Payer: UnitedHealthcare Medicare	$252.32
Rate for Payer: University Health Alliance Commercial	$241.99

DRILL BIT 3.5 AR-4160-35

Facility

$332.00

Hospital Revenue Code	272
Min. Negotiated Rate	$282.20
Max. Negotiated Rate	$322.04
Rate for Payer: Cash Price	$199.20
Rate for Payer: Health Management Network Commercial	$282.20
Rate for Payer: Kaiser Permanente Commercial	$298.80
Rate for Payer: MDX Hawaii PPO	$322.04

DRILL BIT 3.5MM

Facility

$1,193.00

Hospital Revenue Code	272
Min. Negotiated Rate	$596.50
Max. Negotiated Rate	$1,157.21
Rate for Payer: AlohaCare Medicaid	$596.50
Rate for Payer: AlohaCare Medicare	$906.68
Rate for Payer: Cash Price	$715.80
Rate for Payer: Devoted Health Medicare	$1,002.12
Rate for Payer: Hawaii Medical Service Association Medicare	$906.68
Rate for Payer: Hawaii Western Management Group Commercial	$1,133.35
Rate for Payer: Health Management Network Commercial	$1,014.05
Rate for Payer: Humana Medicare	$906.68
Rate for Payer: Kaiser Permanente Commercial	$1,073.70
Rate for Payer: Kaiser Permanente Medicaid	$608.43
Rate for Payer: Kaiser Permanente Medicare	$906.68
Rate for Payer: MDX Hawaii PPO	$1,157.21
Rate for Payer: Ohana Health Plan Medicaid	$906.68
Rate for Payer: Ohana Health Plan Medicare	$906.68
Rate for Payer: UnitedHealthcare Medicare	$906.68
Rate for Payer: University Health Alliance Commercial	$869.58

DRILL BIT 3.5MM

Facility

$1,193.00

Hospital Revenue Code	272
Min. Negotiated Rate	$1,014.05
Max. Negotiated Rate	$1,157.21
Rate for Payer: Cash Price	$715.80
Rate for Payer: Health Management Network Commercial	$1,014.05
Rate for Payer: Kaiser Permanente Commercial	$1,073.70
Rate for Payer: MDX Hawaii PPO	$1,157.21

DRILL BIT 3.5X110MM QC 315.35

Facility

$600.00

Hospital Revenue Code	272
Min. Negotiated Rate	$510.00
Max. Negotiated Rate	$582.00
Rate for Payer: Cash Price	$360.00
Rate for Payer: Health Management Network Commercial	$510.00
Rate for Payer: Kaiser Permanente Commercial	$540.00
Rate for Payer: MDX Hawaii PPO	$582.00

DRILL BIT 3.5X110MM QC 315.35

Facility

$600.00

Hospital Revenue Code	272
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$582.00
Rate for Payer: AlohaCare Medicaid	$300.00
Rate for Payer: AlohaCare Medicare	$456.00
Rate for Payer: Cash Price	$360.00
Rate for Payer: Devoted Health Medicare	$504.00
Rate for Payer: Hawaii Medical Service Association Medicare	$456.00
Rate for Payer: Hawaii Western Management Group Commercial	$570.00
Rate for Payer: Health Management Network Commercial	$510.00
Rate for Payer: Humana Medicare	$456.00
Rate for Payer: Kaiser Permanente Commercial	$540.00
Rate for Payer: Kaiser Permanente Medicaid	$306.00
Rate for Payer: Kaiser Permanente Medicare	$456.00
Rate for Payer: MDX Hawaii PPO	$582.00
Rate for Payer: Ohana Health Plan Medicaid	$456.00
Rate for Payer: Ohana Health Plan Medicare	$456.00
Rate for Payer: UnitedHealthcare Medicare	$456.00
Rate for Payer: University Health Alliance Commercial	$437.34

Know your out-of-pocket cost for care.

All Charges