Honoka'a Hospital and Skilled Nursing Facility

All Charges

Charge

Type

Setting

Price

NAIL HUMERAL LF 1832-1035S

Facility

$5,973.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$3,344.88
Max. Negotiated Rate	$5,793.81
Rate for Payer: Cash Price	$3,583.80
Rate for Payer: Hawaii Western Management Group Commercial	$4,181.10
Rate for Payer: Health Management Network Commercial	$5,077.05
Rate for Payer: Kaiser Permanente Commercial	$5,375.70
Rate for Payer: MDX Hawaii PPO	$5,793.81
Rate for Payer: University Health Alliance Commercial	$3,344.88

NAIL HUMERAL LONG RIGHT 8X220

Facility

$4,070.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$2,035.00
Max. Negotiated Rate	$3,947.90
Rate for Payer: AlohaCare Medicaid	$2,035.00
Rate for Payer: AlohaCare Medicare	$3,093.20
Rate for Payer: Cash Price	$2,442.00
Rate for Payer: Devoted Health Medicare	$3,418.80
Rate for Payer: Hawaii Medical Service Association Medicare	$3,093.20
Rate for Payer: Hawaii Western Management Group Commercial	$2,849.00
Rate for Payer: Health Management Network Commercial	$3,459.50
Rate for Payer: Humana Medicare	$3,093.20
Rate for Payer: Kaiser Permanente Commercial	$3,663.00
Rate for Payer: Kaiser Permanente Medicaid	$2,075.70
Rate for Payer: Kaiser Permanente Medicare	$3,093.20
Rate for Payer: MDX Hawaii PPO	$3,947.90
Rate for Payer: Ohana Health Plan Medicaid	$3,093.20
Rate for Payer: Ohana Health Plan Medicare	$3,093.20
Rate for Payer: UnitedHealthcare Medicare	$3,093.20
Rate for Payer: University Health Alliance Commercial	$2,279.20

NAIL HUMERAL LONG RIGHT 8X220

Facility

$4,070.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$2,279.20
Max. Negotiated Rate	$3,947.90
Rate for Payer: Cash Price	$2,442.00
Rate for Payer: Hawaii Western Management Group Commercial	$2,849.00
Rate for Payer: Health Management Network Commercial	$3,459.50
Rate for Payer: Kaiser Permanente Commercial	$3,663.00
Rate for Payer: MDX Hawaii PPO	$3,947.90
Rate for Payer: University Health Alliance Commercial	$2,279.20

NAIL IM LNG 125D LF 8525-0340S

Facility

$7,092.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$3,971.52
Max. Negotiated Rate	$6,879.24
Rate for Payer: Cash Price	$4,255.20
Rate for Payer: Hawaii Western Management Group Commercial	$4,964.40
Rate for Payer: Health Management Network Commercial	$6,028.20
Rate for Payer: Kaiser Permanente Commercial	$6,382.80
Rate for Payer: MDX Hawaii PPO	$6,879.24
Rate for Payer: University Health Alliance Commercial	$3,971.52

NAIL IM LNG 125D LF 8525-0340S

Facility

$7,092.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$3,546.00
Max. Negotiated Rate	$6,879.24
Rate for Payer: AlohaCare Medicaid	$3,546.00
Rate for Payer: AlohaCare Medicare	$5,389.92
Rate for Payer: Cash Price	$4,255.20
Rate for Payer: Devoted Health Medicare	$5,957.28
Rate for Payer: Hawaii Medical Service Association Medicare	$5,389.92
Rate for Payer: Hawaii Western Management Group Commercial	$4,964.40
Rate for Payer: Health Management Network Commercial	$6,028.20
Rate for Payer: Humana Medicare	$5,389.92
Rate for Payer: Kaiser Permanente Commercial	$6,382.80
Rate for Payer: Kaiser Permanente Medicaid	$3,616.92
Rate for Payer: Kaiser Permanente Medicare	$5,389.92
Rate for Payer: MDX Hawaii PPO	$6,879.24
Rate for Payer: Ohana Health Plan Medicaid	$5,389.92
Rate for Payer: Ohana Health Plan Medicare	$5,389.92
Rate for Payer: UnitedHealthcare Medicare	$5,389.92
Rate for Payer: University Health Alliance Commercial	$3,971.52

NAIL IM LNG LT 12M 8525-2380S

Facility

$6,460.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$3,617.60
Max. Negotiated Rate	$6,266.20
Rate for Payer: Cash Price	$3,876.00
Rate for Payer: Hawaii Western Management Group Commercial	$4,522.00
Rate for Payer: Health Management Network Commercial	$5,491.00
Rate for Payer: Kaiser Permanente Commercial	$5,814.00
Rate for Payer: MDX Hawaii PPO	$6,266.20
Rate for Payer: University Health Alliance Commercial	$3,617.60

NAIL IM LNG LT 12M 8525-2380S

Facility

$6,460.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$3,230.00
Max. Negotiated Rate	$6,266.20
Rate for Payer: AlohaCare Medicaid	$3,230.00
Rate for Payer: AlohaCare Medicare	$4,909.60
Rate for Payer: Cash Price	$3,876.00
Rate for Payer: Devoted Health Medicare	$5,426.40
Rate for Payer: Hawaii Medical Service Association Medicare	$4,909.60
Rate for Payer: Hawaii Western Management Group Commercial	$4,522.00
Rate for Payer: Health Management Network Commercial	$5,491.00
Rate for Payer: Humana Medicare	$4,909.60
Rate for Payer: Kaiser Permanente Commercial	$5,814.00
Rate for Payer: Kaiser Permanente Medicaid	$3,294.60
Rate for Payer: Kaiser Permanente Medicare	$4,909.60
Rate for Payer: MDX Hawaii PPO	$6,266.20
Rate for Payer: Ohana Health Plan Medicaid	$4,909.60
Rate for Payer: Ohana Health Plan Medicare	$4,909.60
Rate for Payer: UnitedHealthcare Medicare	$4,909.60
Rate for Payer: University Health Alliance Commercial	$3,617.60

NAIL INTERMEDIATE RT

Facility

$6,770.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$3,791.20
Max. Negotiated Rate	$6,566.90
Rate for Payer: Cash Price	$4,062.00
Rate for Payer: Hawaii Western Management Group Commercial	$4,739.00
Rate for Payer: Health Management Network Commercial	$5,754.50
Rate for Payer: Kaiser Permanente Commercial	$6,093.00
Rate for Payer: MDX Hawaii PPO	$6,566.90
Rate for Payer: University Health Alliance Commercial	$3,791.20

NAIL INTERMEDIATE RT

Facility

$6,770.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$3,385.00
Max. Negotiated Rate	$6,566.90
Rate for Payer: AlohaCare Medicaid	$3,385.00
Rate for Payer: AlohaCare Medicare	$5,145.20
Rate for Payer: Cash Price	$4,062.00
Rate for Payer: Devoted Health Medicare	$5,686.80
Rate for Payer: Hawaii Medical Service Association Medicare	$5,145.20
Rate for Payer: Hawaii Western Management Group Commercial	$4,739.00
Rate for Payer: Health Management Network Commercial	$5,754.50
Rate for Payer: Humana Medicare	$5,145.20
Rate for Payer: Kaiser Permanente Commercial	$6,093.00
Rate for Payer: Kaiser Permanente Medicaid	$3,452.70
Rate for Payer: Kaiser Permanente Medicare	$5,145.20
Rate for Payer: MDX Hawaii PPO	$6,566.90
Rate for Payer: Ohana Health Plan Medicaid	$5,145.20
Rate for Payer: Ohana Health Plan Medicare	$5,145.20
Rate for Payer: UnitedHealthcare Medicare	$5,145.20
Rate for Payer: University Health Alliance Commercial	$3,791.20

NAIL INTRAM 9X260 LNG FEMORAL

Facility

$5,463.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$2,731.50
Max. Negotiated Rate	$5,299.11
Rate for Payer: AlohaCare Medicaid	$2,731.50
Rate for Payer: AlohaCare Medicare	$4,151.88
Rate for Payer: Cash Price	$3,277.80
Rate for Payer: Devoted Health Medicare	$4,588.92
Rate for Payer: Hawaii Medical Service Association Medicare	$4,151.88
Rate for Payer: Hawaii Western Management Group Commercial	$3,824.10
Rate for Payer: Health Management Network Commercial	$4,643.55
Rate for Payer: Humana Medicare	$4,151.88
Rate for Payer: Kaiser Permanente Commercial	$4,916.70
Rate for Payer: Kaiser Permanente Medicaid	$2,786.13
Rate for Payer: Kaiser Permanente Medicare	$4,151.88
Rate for Payer: MDX Hawaii PPO	$5,299.11
Rate for Payer: Ohana Health Plan Medicaid	$4,151.88
Rate for Payer: Ohana Health Plan Medicare	$4,151.88
Rate for Payer: UnitedHealthcare Medicare	$4,151.88
Rate for Payer: University Health Alliance Commercial	$3,059.28

NAIL INTRAM 9X260 LNG FEMORAL

Facility

$5,463.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$3,059.28
Max. Negotiated Rate	$5,299.11
Rate for Payer: Cash Price	$3,277.80
Rate for Payer: Hawaii Western Management Group Commercial	$3,824.10
Rate for Payer: Health Management Network Commercial	$4,643.55
Rate for Payer: Kaiser Permanente Commercial	$4,916.70
Rate for Payer: MDX Hawaii PPO	$5,299.11
Rate for Payer: University Health Alliance Commercial	$3,059.28

NAIL INTRAME125DEG LF 12X440MM

Facility

$6,460.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$3,617.60
Max. Negotiated Rate	$6,266.20
Rate for Payer: Cash Price	$3,876.00
Rate for Payer: Hawaii Western Management Group Commercial	$4,522.00
Rate for Payer: Health Management Network Commercial	$5,491.00
Rate for Payer: Kaiser Permanente Commercial	$5,814.00
Rate for Payer: MDX Hawaii PPO	$6,266.20
Rate for Payer: University Health Alliance Commercial	$3,617.60

NAIL INTRAME125DEG LF 12X440MM

Facility

$6,460.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$3,230.00
Max. Negotiated Rate	$6,266.20
Rate for Payer: AlohaCare Medicaid	$3,230.00
Rate for Payer: AlohaCare Medicare	$4,909.60
Rate for Payer: Cash Price	$3,876.00
Rate for Payer: Devoted Health Medicare	$5,426.40
Rate for Payer: Hawaii Medical Service Association Medicare	$4,909.60
Rate for Payer: Hawaii Western Management Group Commercial	$4,522.00
Rate for Payer: Health Management Network Commercial	$5,491.00
Rate for Payer: Humana Medicare	$4,909.60
Rate for Payer: Kaiser Permanente Commercial	$5,814.00
Rate for Payer: Kaiser Permanente Medicaid	$3,294.60
Rate for Payer: Kaiser Permanente Medicare	$4,909.60
Rate for Payer: MDX Hawaii PPO	$6,266.20
Rate for Payer: Ohana Health Plan Medicaid	$4,909.60
Rate for Payer: Ohana Health Plan Medicare	$4,909.60
Rate for Payer: UnitedHealthcare Medicare	$4,909.60
Rate for Payer: University Health Alliance Commercial	$3,617.60

NAIL INTRAMEDULLARY 2341-0936S

Facility

$5,125.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$2,870.00
Max. Negotiated Rate	$4,971.25
Rate for Payer: Cash Price	$3,075.00
Rate for Payer: Hawaii Western Management Group Commercial	$3,587.50
Rate for Payer: Health Management Network Commercial	$4,356.25
Rate for Payer: Kaiser Permanente Commercial	$4,612.50
Rate for Payer: MDX Hawaii PPO	$4,971.25
Rate for Payer: University Health Alliance Commercial	$2,870.00

NAIL INTRAMEDULLARY 2341-0936S

Facility

$5,125.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$2,562.50
Max. Negotiated Rate	$4,971.25
Rate for Payer: AlohaCare Medicaid	$2,562.50
Rate for Payer: AlohaCare Medicare	$3,895.00
Rate for Payer: Cash Price	$3,075.00
Rate for Payer: Devoted Health Medicare	$4,305.00
Rate for Payer: Hawaii Medical Service Association Medicare	$3,895.00
Rate for Payer: Hawaii Western Management Group Commercial	$3,587.50
Rate for Payer: Health Management Network Commercial	$4,356.25
Rate for Payer: Humana Medicare	$3,895.00
Rate for Payer: Kaiser Permanente Commercial	$4,612.50
Rate for Payer: Kaiser Permanente Medicaid	$2,613.75
Rate for Payer: Kaiser Permanente Medicare	$3,895.00
Rate for Payer: MDX Hawaii PPO	$4,971.25
Rate for Payer: Ohana Health Plan Medicaid	$3,895.00
Rate for Payer: Ohana Health Plan Medicare	$3,895.00
Rate for Payer: UnitedHealthcare Medicare	$3,895.00
Rate for Payer: University Health Alliance Commercial	$2,870.00

NAIL INTRAMEDULLARY 8525-2340S

Facility

$6,460.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$3,230.00
Max. Negotiated Rate	$6,266.20
Rate for Payer: AlohaCare Medicaid	$3,230.00
Rate for Payer: AlohaCare Medicare	$4,909.60
Rate for Payer: Cash Price	$3,876.00
Rate for Payer: Devoted Health Medicare	$5,426.40
Rate for Payer: Hawaii Medical Service Association Medicare	$4,909.60
Rate for Payer: Hawaii Western Management Group Commercial	$4,522.00
Rate for Payer: Health Management Network Commercial	$5,491.00
Rate for Payer: Humana Medicare	$4,909.60
Rate for Payer: Kaiser Permanente Commercial	$5,814.00
Rate for Payer: Kaiser Permanente Medicaid	$3,294.60
Rate for Payer: Kaiser Permanente Medicare	$4,909.60
Rate for Payer: MDX Hawaii PPO	$6,266.20
Rate for Payer: Ohana Health Plan Medicaid	$4,909.60
Rate for Payer: Ohana Health Plan Medicare	$4,909.60
Rate for Payer: UnitedHealthcare Medicare	$4,909.60
Rate for Payer: University Health Alliance Commercial	$3,617.60

NAIL INTRAMEDULLARY 8525-2340S

Facility

$6,460.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$3,617.60
Max. Negotiated Rate	$6,266.20
Rate for Payer: Cash Price	$3,876.00
Rate for Payer: Hawaii Western Management Group Commercial	$4,522.00
Rate for Payer: Health Management Network Commercial	$5,491.00
Rate for Payer: Kaiser Permanente Commercial	$5,814.00
Rate for Payer: MDX Hawaii PPO	$6,266.20
Rate for Payer: University Health Alliance Commercial	$3,617.60

NAIL INTRAMEDULLARY 8530-9300S

Facility

$6,460.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$3,230.00
Max. Negotiated Rate	$6,266.20
Rate for Payer: AlohaCare Medicaid	$3,230.00
Rate for Payer: AlohaCare Medicare	$4,909.60
Rate for Payer: Cash Price	$3,876.00
Rate for Payer: Devoted Health Medicare	$5,426.40
Rate for Payer: Hawaii Medical Service Association Medicare	$4,909.60
Rate for Payer: Hawaii Western Management Group Commercial	$4,522.00
Rate for Payer: Health Management Network Commercial	$5,491.00
Rate for Payer: Humana Medicare	$4,909.60
Rate for Payer: Kaiser Permanente Commercial	$5,814.00
Rate for Payer: Kaiser Permanente Medicaid	$3,294.60
Rate for Payer: Kaiser Permanente Medicare	$4,909.60
Rate for Payer: MDX Hawaii PPO	$6,266.20
Rate for Payer: Ohana Health Plan Medicaid	$4,909.60
Rate for Payer: Ohana Health Plan Medicare	$4,909.60
Rate for Payer: UnitedHealthcare Medicare	$4,909.60
Rate for Payer: University Health Alliance Commercial	$3,617.60

NAIL INTRAMEDULLARY 8530-9300S

Facility

$6,460.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$3,617.60
Max. Negotiated Rate	$6,266.20
Rate for Payer: Cash Price	$3,876.00
Rate for Payer: Hawaii Western Management Group Commercial	$4,522.00
Rate for Payer: Health Management Network Commercial	$5,491.00
Rate for Payer: Kaiser Permanente Commercial	$5,814.00
Rate for Payer: MDX Hawaii PPO	$6,266.20
Rate for Payer: University Health Alliance Commercial	$3,617.60

NAIL INTRAMEDULLARY 8530-9320S

Facility

$6,460.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$3,230.00
Max. Negotiated Rate	$6,266.20
Rate for Payer: AlohaCare Medicaid	$3,230.00
Rate for Payer: AlohaCare Medicare	$4,909.60
Rate for Payer: Cash Price	$3,876.00
Rate for Payer: Devoted Health Medicare	$5,426.40
Rate for Payer: Hawaii Medical Service Association Medicare	$4,909.60
Rate for Payer: Hawaii Western Management Group Commercial	$4,522.00
Rate for Payer: Health Management Network Commercial	$5,491.00
Rate for Payer: Humana Medicare	$4,909.60
Rate for Payer: Kaiser Permanente Commercial	$5,814.00
Rate for Payer: Kaiser Permanente Medicaid	$3,294.60
Rate for Payer: Kaiser Permanente Medicare	$4,909.60
Rate for Payer: MDX Hawaii PPO	$6,266.20
Rate for Payer: Ohana Health Plan Medicaid	$4,909.60
Rate for Payer: Ohana Health Plan Medicare	$4,909.60
Rate for Payer: UnitedHealthcare Medicare	$4,909.60
Rate for Payer: University Health Alliance Commercial	$3,617.60

NAIL INTRAMEDULLARY 8530-9320S

Facility

$6,460.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$3,617.60
Max. Negotiated Rate	$6,266.20
Rate for Payer: Cash Price	$3,876.00
Rate for Payer: Hawaii Western Management Group Commercial	$4,522.00
Rate for Payer: Health Management Network Commercial	$5,491.00
Rate for Payer: Kaiser Permanente Commercial	$5,814.00
Rate for Payer: MDX Hawaii PPO	$6,266.20
Rate for Payer: University Health Alliance Commercial	$3,617.60

NAIL INTRAME TIB 10 2341-1133S

Facility

$5,125.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$2,562.50
Max. Negotiated Rate	$4,971.25
Rate for Payer: AlohaCare Medicaid	$2,562.50
Rate for Payer: AlohaCare Medicare	$3,895.00
Rate for Payer: Cash Price	$3,075.00
Rate for Payer: Devoted Health Medicare	$4,305.00
Rate for Payer: Hawaii Medical Service Association Medicare	$3,895.00
Rate for Payer: Hawaii Western Management Group Commercial	$3,587.50
Rate for Payer: Health Management Network Commercial	$4,356.25
Rate for Payer: Humana Medicare	$3,895.00
Rate for Payer: Kaiser Permanente Commercial	$4,612.50
Rate for Payer: Kaiser Permanente Medicaid	$2,613.75
Rate for Payer: Kaiser Permanente Medicare	$3,895.00
Rate for Payer: MDX Hawaii PPO	$4,971.25
Rate for Payer: Ohana Health Plan Medicaid	$3,895.00
Rate for Payer: Ohana Health Plan Medicare	$3,895.00
Rate for Payer: UnitedHealthcare Medicare	$3,895.00
Rate for Payer: University Health Alliance Commercial	$2,870.00

NAIL INTRAME TIB 10 2341-1133S

Facility

$5,125.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$2,870.00
Max. Negotiated Rate	$4,971.25
Rate for Payer: Cash Price	$3,075.00
Rate for Payer: Hawaii Western Management Group Commercial	$3,587.50
Rate for Payer: Health Management Network Commercial	$4,356.25
Rate for Payer: Kaiser Permanente Commercial	$4,612.50
Rate for Payer: MDX Hawaii PPO	$4,971.25
Rate for Payer: University Health Alliance Commercial	$2,870.00

NAIL KIT 11X180X125 3125-1180S

Facility

$3,870.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$1,935.00
Max. Negotiated Rate	$3,753.90
Rate for Payer: AlohaCare Medicaid	$1,935.00
Rate for Payer: AlohaCare Medicare	$2,941.20
Rate for Payer: Cash Price	$2,322.00
Rate for Payer: Devoted Health Medicare	$3,250.80
Rate for Payer: Hawaii Medical Service Association Medicare	$2,941.20
Rate for Payer: Hawaii Western Management Group Commercial	$2,709.00
Rate for Payer: Health Management Network Commercial	$3,289.50
Rate for Payer: Humana Medicare	$2,941.20
Rate for Payer: Kaiser Permanente Commercial	$3,483.00
Rate for Payer: Kaiser Permanente Medicaid	$1,973.70
Rate for Payer: Kaiser Permanente Medicare	$2,941.20
Rate for Payer: MDX Hawaii PPO	$3,753.90
Rate for Payer: Ohana Health Plan Medicaid	$2,941.20
Rate for Payer: Ohana Health Plan Medicare	$2,941.20
Rate for Payer: UnitedHealthcare Medicare	$2,941.20
Rate for Payer: University Health Alliance Commercial	$2,167.20

NAIL KIT 11X180X125 3125-1180S

Facility

$3,870.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$2,167.20
Max. Negotiated Rate	$3,753.90
Rate for Payer: Cash Price	$2,322.00
Rate for Payer: Hawaii Western Management Group Commercial	$2,709.00
Rate for Payer: Health Management Network Commercial	$3,289.50
Rate for Payer: Kaiser Permanente Commercial	$3,483.00
Rate for Payer: MDX Hawaii PPO	$3,753.90
Rate for Payer: University Health Alliance Commercial	$2,167.20

Know your out-of-pocket cost for care.

All Charges