Kau Hospital

All Charges

Charge

Type

Setting

Price

NAIL 1.8MM THRD IM TI 38MM

Facility

$3,260.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$1,010.60
Max. Negotiated Rate	$3,162.20
Rate for Payer: AlohaCare Medicaid	$1,630.00
Rate for Payer: AlohaCare Medicare	$1,010.60
Rate for Payer: Cash Price	$1,956.00
Rate for Payer: Devoted Health Medicare	$1,108.40
Rate for Payer: Hawaii Medical Service Association Medicare	$1,010.60
Rate for Payer: Hawaii Western Management Group Commercial	$2,282.00
Rate for Payer: Health Management Network Commercial	$2,771.00
Rate for Payer: Humana Medicare	$1,010.60
Rate for Payer: Kaiser Permanente Commercial	$2,934.00
Rate for Payer: Kaiser Permanente Medicaid	$1,662.60
Rate for Payer: Kaiser Permanente Medicare	$1,010.60
Rate for Payer: MDX Hawaii PPO	$3,162.20
Rate for Payer: Ohana Health Plan Medicaid	$1,010.60
Rate for Payer: Ohana Health Plan Medicare	$1,010.60
Rate for Payer: UnitedHealthcare Medicare	$1,010.60
Rate for Payer: University Health Alliance Commercial	$1,825.60

NAIL 2.0X440MM ELASTC 475.920S

Facility

$1,332.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$412.92
Max. Negotiated Rate	$1,292.04
Rate for Payer: AlohaCare Medicaid	$666.00
Rate for Payer: AlohaCare Medicare	$412.92
Rate for Payer: Cash Price	$799.20
Rate for Payer: Devoted Health Medicare	$452.88
Rate for Payer: Hawaii Medical Service Association Medicare	$412.92
Rate for Payer: Hawaii Western Management Group Commercial	$932.40
Rate for Payer: Health Management Network Commercial	$1,132.20
Rate for Payer: Humana Medicare	$412.92
Rate for Payer: Kaiser Permanente Commercial	$1,198.80
Rate for Payer: Kaiser Permanente Medicaid	$679.32
Rate for Payer: Kaiser Permanente Medicare	$412.92
Rate for Payer: MDX Hawaii PPO	$1,292.04
Rate for Payer: Ohana Health Plan Medicaid	$412.92
Rate for Payer: Ohana Health Plan Medicare	$412.92
Rate for Payer: UnitedHealthcare Medicare	$412.92
Rate for Payer: University Health Alliance Commercial	$745.92

NAIL 2.0X440MM ELASTC 475.920S

Facility

$1,332.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$745.92
Max. Negotiated Rate	$1,292.04
Rate for Payer: Cash Price	$799.20
Rate for Payer: Hawaii Western Management Group Commercial	$932.40
Rate for Payer: Health Management Network Commercial	$1,132.20
Rate for Payer: Kaiser Permanente Commercial	$1,198.80
Rate for Payer: MDX Hawaii PPO	$1,292.04
Rate for Payer: University Health Alliance Commercial	$745.92

NAIL 2.1 T IM THRD GOLD 45MM

Facility

$3,260.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$1,010.60
Max. Negotiated Rate	$3,162.20
Rate for Payer: AlohaCare Medicaid	$1,630.00
Rate for Payer: AlohaCare Medicare	$1,010.60
Rate for Payer: Cash Price	$1,956.00
Rate for Payer: Devoted Health Medicare	$1,108.40
Rate for Payer: Hawaii Medical Service Association Medicare	$1,010.60
Rate for Payer: Hawaii Western Management Group Commercial	$2,282.00
Rate for Payer: Health Management Network Commercial	$2,771.00
Rate for Payer: Humana Medicare	$1,010.60
Rate for Payer: Kaiser Permanente Commercial	$2,934.00
Rate for Payer: Kaiser Permanente Medicaid	$1,662.60
Rate for Payer: Kaiser Permanente Medicare	$1,010.60
Rate for Payer: MDX Hawaii PPO	$3,162.20
Rate for Payer: Ohana Health Plan Medicaid	$1,010.60
Rate for Payer: Ohana Health Plan Medicare	$1,010.60
Rate for Payer: UnitedHealthcare Medicare	$1,010.60
Rate for Payer: University Health Alliance Commercial	$1,825.60

NAIL 2.1 T IM THRD GOLD 45MM

Facility

$3,260.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$1,825.60
Max. Negotiated Rate	$3,162.20
Rate for Payer: Cash Price	$1,956.00
Rate for Payer: Hawaii Western Management Group Commercial	$2,282.00
Rate for Payer: Health Management Network Commercial	$2,771.00
Rate for Payer: Kaiser Permanente Commercial	$2,934.00
Rate for Payer: MDX Hawaii PPO	$3,162.20
Rate for Payer: University Health Alliance Commercial	$1,825.60

NAIL 2.5X440MM ELASTC 475.925S

Facility

$1,416.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$438.96
Max. Negotiated Rate	$1,373.52
Rate for Payer: AlohaCare Medicaid	$708.00
Rate for Payer: AlohaCare Medicare	$438.96
Rate for Payer: Cash Price	$849.60
Rate for Payer: Devoted Health Medicare	$481.44
Rate for Payer: Hawaii Medical Service Association Medicare	$438.96
Rate for Payer: Hawaii Western Management Group Commercial	$991.20
Rate for Payer: Health Management Network Commercial	$1,203.60
Rate for Payer: Humana Medicare	$438.96
Rate for Payer: Kaiser Permanente Commercial	$1,274.40
Rate for Payer: Kaiser Permanente Medicaid	$722.16
Rate for Payer: Kaiser Permanente Medicare	$438.96
Rate for Payer: MDX Hawaii PPO	$1,373.52
Rate for Payer: Ohana Health Plan Medicaid	$438.96
Rate for Payer: Ohana Health Plan Medicare	$438.96
Rate for Payer: UnitedHealthcare Medicare	$438.96
Rate for Payer: University Health Alliance Commercial	$792.96

NAIL 2.5X440MM ELASTC 475.925S

Facility

$1,416.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$792.96
Max. Negotiated Rate	$1,373.52
Rate for Payer: Cash Price	$849.60
Rate for Payer: Hawaii Western Management Group Commercial	$991.20
Rate for Payer: Health Management Network Commercial	$1,203.60
Rate for Payer: Kaiser Permanente Commercial	$1,274.40
Rate for Payer: MDX Hawaii PPO	$1,373.52
Rate for Payer: University Health Alliance Commercial	$792.96

NAIL 3.0 T IM THRD LT BLU 40MM

Facility

$3,260.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$1,825.60
Max. Negotiated Rate	$3,162.20
Rate for Payer: Cash Price	$1,956.00
Rate for Payer: Hawaii Western Management Group Commercial	$2,282.00
Rate for Payer: Health Management Network Commercial	$2,771.00
Rate for Payer: Kaiser Permanente Commercial	$2,934.00
Rate for Payer: MDX Hawaii PPO	$3,162.20
Rate for Payer: University Health Alliance Commercial	$1,825.60

NAIL 3.0 T IM THRD LT BLU 40MM

Facility

$3,260.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$1,010.60
Max. Negotiated Rate	$3,162.20
Rate for Payer: AlohaCare Medicaid	$1,630.00
Rate for Payer: AlohaCare Medicare	$1,010.60
Rate for Payer: Cash Price	$1,956.00
Rate for Payer: Devoted Health Medicare	$1,108.40
Rate for Payer: Hawaii Medical Service Association Medicare	$1,010.60
Rate for Payer: Hawaii Western Management Group Commercial	$2,282.00
Rate for Payer: Health Management Network Commercial	$2,771.00
Rate for Payer: Humana Medicare	$1,010.60
Rate for Payer: Kaiser Permanente Commercial	$2,934.00
Rate for Payer: Kaiser Permanente Medicaid	$1,662.60
Rate for Payer: Kaiser Permanente Medicare	$1,010.60
Rate for Payer: MDX Hawaii PPO	$3,162.20
Rate for Payer: Ohana Health Plan Medicaid	$1,010.60
Rate for Payer: Ohana Health Plan Medicare	$1,010.60
Rate for Payer: UnitedHealthcare Medicare	$1,010.60
Rate for Payer: University Health Alliance Commercial	$1,825.60

NAIL 3.5X440MM ELASTC 475.935S

Facility

$1,541.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$862.96
Max. Negotiated Rate	$1,494.77
Rate for Payer: Cash Price	$924.60
Rate for Payer: Hawaii Western Management Group Commercial	$1,078.70
Rate for Payer: Health Management Network Commercial	$1,309.85
Rate for Payer: Kaiser Permanente Commercial	$1,386.90
Rate for Payer: MDX Hawaii PPO	$1,494.77
Rate for Payer: University Health Alliance Commercial	$862.96

NAIL 3.5X440MM ELASTC 475.935S

Facility

$1,541.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$477.71
Max. Negotiated Rate	$1,494.77
Rate for Payer: AlohaCare Medicaid	$770.50
Rate for Payer: AlohaCare Medicare	$477.71
Rate for Payer: Cash Price	$924.60
Rate for Payer: Devoted Health Medicare	$523.94
Rate for Payer: Hawaii Medical Service Association Medicare	$477.71
Rate for Payer: Hawaii Western Management Group Commercial	$1,078.70
Rate for Payer: Health Management Network Commercial	$1,309.85
Rate for Payer: Humana Medicare	$477.71
Rate for Payer: Kaiser Permanente Commercial	$1,386.90
Rate for Payer: Kaiser Permanente Medicaid	$785.91
Rate for Payer: Kaiser Permanente Medicare	$477.71
Rate for Payer: MDX Hawaii PPO	$1,494.77
Rate for Payer: Ohana Health Plan Medicaid	$477.71
Rate for Payer: Ohana Health Plan Medicare	$477.71
Rate for Payer: UnitedHealthcare Medicare	$477.71
Rate for Payer: University Health Alliance Commercial	$862.96

NAIL 60MM SPIRAL 04.013.044S

Facility

$2,111.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$654.41
Max. Negotiated Rate	$2,047.67
Rate for Payer: AlohaCare Medicaid	$1,055.50
Rate for Payer: AlohaCare Medicare	$654.41
Rate for Payer: Cash Price	$1,266.60
Rate for Payer: Devoted Health Medicare	$717.74
Rate for Payer: Hawaii Medical Service Association Medicare	$654.41
Rate for Payer: Hawaii Western Management Group Commercial	$1,477.70
Rate for Payer: Health Management Network Commercial	$1,794.35
Rate for Payer: Humana Medicare	$654.41
Rate for Payer: Kaiser Permanente Commercial	$1,899.90
Rate for Payer: Kaiser Permanente Medicaid	$1,076.61
Rate for Payer: Kaiser Permanente Medicare	$654.41
Rate for Payer: MDX Hawaii PPO	$2,047.67
Rate for Payer: Ohana Health Plan Medicaid	$654.41
Rate for Payer: Ohana Health Plan Medicare	$654.41
Rate for Payer: UnitedHealthcare Medicare	$654.41
Rate for Payer: University Health Alliance Commercial	$1,182.16

NAIL 60MM SPIRAL 04.013.044S

Facility

$2,111.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$1,182.16
Max. Negotiated Rate	$2,047.67
Rate for Payer: Cash Price	$1,266.60
Rate for Payer: Hawaii Western Management Group Commercial	$1,477.70
Rate for Payer: Health Management Network Commercial	$1,794.35
Rate for Payer: Kaiser Permanente Commercial	$1,899.90
Rate for Payer: MDX Hawaii PPO	$2,047.67
Rate for Payer: University Health Alliance Commercial	$1,182.16

NAIL 70MM SPIRAL 04.013.046S

Facility

$2,111.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$1,182.16
Max. Negotiated Rate	$2,047.67
Rate for Payer: Cash Price	$1,266.60
Rate for Payer: Hawaii Western Management Group Commercial	$1,477.70
Rate for Payer: Health Management Network Commercial	$1,794.35
Rate for Payer: Kaiser Permanente Commercial	$1,899.90
Rate for Payer: MDX Hawaii PPO	$2,047.67
Rate for Payer: University Health Alliance Commercial	$1,182.16

NAIL 70MM SPIRAL 04.013.046S

Facility

$2,111.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$654.41
Max. Negotiated Rate	$2,047.67
Rate for Payer: AlohaCare Medicaid	$1,055.50
Rate for Payer: AlohaCare Medicare	$654.41
Rate for Payer: Cash Price	$1,266.60
Rate for Payer: Devoted Health Medicare	$717.74
Rate for Payer: Hawaii Medical Service Association Medicare	$654.41
Rate for Payer: Hawaii Western Management Group Commercial	$1,477.70
Rate for Payer: Health Management Network Commercial	$1,794.35
Rate for Payer: Humana Medicare	$654.41
Rate for Payer: Kaiser Permanente Commercial	$1,899.90
Rate for Payer: Kaiser Permanente Medicaid	$1,076.61
Rate for Payer: Kaiser Permanente Medicare	$654.41
Rate for Payer: MDX Hawaii PPO	$2,047.67
Rate for Payer: Ohana Health Plan Medicaid	$654.41
Rate for Payer: Ohana Health Plan Medicare	$654.41
Rate for Payer: UnitedHealthcare Medicare	$654.41
Rate for Payer: University Health Alliance Commercial	$1,182.16

NAIL 75MM SPIRAL 04.013.047S

Facility

$2,111.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$654.41
Max. Negotiated Rate	$2,047.67
Rate for Payer: AlohaCare Medicaid	$1,055.50
Rate for Payer: AlohaCare Medicare	$654.41
Rate for Payer: Cash Price	$1,266.60
Rate for Payer: Devoted Health Medicare	$717.74
Rate for Payer: Hawaii Medical Service Association Medicare	$654.41
Rate for Payer: Hawaii Western Management Group Commercial	$1,477.70
Rate for Payer: Health Management Network Commercial	$1,794.35
Rate for Payer: Humana Medicare	$654.41
Rate for Payer: Kaiser Permanente Commercial	$1,899.90
Rate for Payer: Kaiser Permanente Medicaid	$1,076.61
Rate for Payer: Kaiser Permanente Medicare	$654.41
Rate for Payer: MDX Hawaii PPO	$2,047.67
Rate for Payer: Ohana Health Plan Medicaid	$654.41
Rate for Payer: Ohana Health Plan Medicare	$654.41
Rate for Payer: UnitedHealthcare Medicare	$654.41
Rate for Payer: University Health Alliance Commercial	$1,182.16

NAIL 75MM SPIRAL 04.013.047S

Facility

$2,111.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$1,182.16
Max. Negotiated Rate	$2,047.67
Rate for Payer: Cash Price	$1,266.60
Rate for Payer: Hawaii Western Management Group Commercial	$1,477.70
Rate for Payer: Health Management Network Commercial	$1,794.35
Rate for Payer: Kaiser Permanente Commercial	$1,899.90
Rate for Payer: MDX Hawaii PPO	$2,047.67
Rate for Payer: University Health Alliance Commercial	$1,182.16

NAIL 80MM SPIRAL 04.013.048S

Facility

$2,111.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$654.41
Max. Negotiated Rate	$2,047.67
Rate for Payer: AlohaCare Medicaid	$1,055.50
Rate for Payer: AlohaCare Medicare	$654.41
Rate for Payer: Cash Price	$1,266.60
Rate for Payer: Devoted Health Medicare	$717.74
Rate for Payer: Hawaii Medical Service Association Medicare	$654.41
Rate for Payer: Hawaii Western Management Group Commercial	$1,477.70
Rate for Payer: Health Management Network Commercial	$1,794.35
Rate for Payer: Humana Medicare	$654.41
Rate for Payer: Kaiser Permanente Commercial	$1,899.90
Rate for Payer: Kaiser Permanente Medicaid	$1,076.61
Rate for Payer: Kaiser Permanente Medicare	$654.41
Rate for Payer: MDX Hawaii PPO	$2,047.67
Rate for Payer: Ohana Health Plan Medicaid	$654.41
Rate for Payer: Ohana Health Plan Medicare	$654.41
Rate for Payer: UnitedHealthcare Medicare	$654.41
Rate for Payer: University Health Alliance Commercial	$1,182.16

NAIL 80MM SPIRAL 04.013.048S

Facility

$2,111.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$1,182.16
Max. Negotiated Rate	$2,047.67
Rate for Payer: Cash Price	$1,266.60
Rate for Payer: Hawaii Western Management Group Commercial	$1,477.70
Rate for Payer: Health Management Network Commercial	$1,794.35
Rate for Payer: Kaiser Permanente Commercial	$1,899.90
Rate for Payer: MDX Hawaii PPO	$2,047.67
Rate for Payer: University Health Alliance Commercial	$1,182.16

NAIL 90MM SPIRAL 04.013.050S

Facility

$2,111.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$654.41
Max. Negotiated Rate	$2,047.67
Rate for Payer: AlohaCare Medicaid	$1,055.50
Rate for Payer: AlohaCare Medicare	$654.41
Rate for Payer: Cash Price	$1,266.60
Rate for Payer: Devoted Health Medicare	$717.74
Rate for Payer: Hawaii Medical Service Association Medicare	$654.41
Rate for Payer: Hawaii Western Management Group Commercial	$1,477.70
Rate for Payer: Health Management Network Commercial	$1,794.35
Rate for Payer: Humana Medicare	$654.41
Rate for Payer: Kaiser Permanente Commercial	$1,899.90
Rate for Payer: Kaiser Permanente Medicaid	$1,076.61
Rate for Payer: Kaiser Permanente Medicare	$654.41
Rate for Payer: MDX Hawaii PPO	$2,047.67
Rate for Payer: Ohana Health Plan Medicaid	$654.41
Rate for Payer: Ohana Health Plan Medicare	$654.41
Rate for Payer: UnitedHealthcare Medicare	$654.41
Rate for Payer: University Health Alliance Commercial	$1,182.16

NAIL 90MM SPIRAL 04.013.050S

Facility

$2,111.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$1,182.16
Max. Negotiated Rate	$2,047.67
Rate for Payer: Cash Price	$1,266.60
Rate for Payer: Hawaii Western Management Group Commercial	$1,477.70
Rate for Payer: Health Management Network Commercial	$1,794.35
Rate for Payer: Kaiser Permanente Commercial	$1,899.90
Rate for Payer: MDX Hawaii PPO	$2,047.67
Rate for Payer: University Health Alliance Commercial	$1,182.16

NAIL 9M HUM TI CANN, 260MM

Facility

$4,922.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$2,756.32
Max. Negotiated Rate	$4,774.34
Rate for Payer: Cash Price	$2,953.20
Rate for Payer: Hawaii Western Management Group Commercial	$3,445.40
Rate for Payer: Health Management Network Commercial	$4,183.70
Rate for Payer: Kaiser Permanente Commercial	$4,429.80
Rate for Payer: MDX Hawaii PPO	$4,774.34
Rate for Payer: University Health Alliance Commercial	$2,756.32

NAIL 9M HUM TI CANN, 260MM

Facility

$4,922.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$1,525.82
Max. Negotiated Rate	$4,774.34
Rate for Payer: AlohaCare Medicaid	$2,461.00
Rate for Payer: AlohaCare Medicare	$1,525.82
Rate for Payer: Cash Price	$2,953.20
Rate for Payer: Devoted Health Medicare	$1,673.48
Rate for Payer: Hawaii Medical Service Association Medicare	$1,525.82
Rate for Payer: Hawaii Western Management Group Commercial	$3,445.40
Rate for Payer: Health Management Network Commercial	$4,183.70
Rate for Payer: Humana Medicare	$1,525.82
Rate for Payer: Kaiser Permanente Commercial	$4,429.80
Rate for Payer: Kaiser Permanente Medicaid	$2,510.22
Rate for Payer: Kaiser Permanente Medicare	$1,525.82
Rate for Payer: MDX Hawaii PPO	$4,774.34
Rate for Payer: Ohana Health Plan Medicaid	$1,525.82
Rate for Payer: Ohana Health Plan Medicare	$1,525.82
Rate for Payer: UnitedHealthcare Medicare	$1,525.82
Rate for Payer: University Health Alliance Commercial	$2,756.32

NAIL 9X380MM RT 04.033.968S

Facility

$5,002.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$2,801.12
Max. Negotiated Rate	$4,851.94
Rate for Payer: Cash Price	$3,001.20
Rate for Payer: Hawaii Western Management Group Commercial	$3,501.40
Rate for Payer: Health Management Network Commercial	$4,251.70
Rate for Payer: Kaiser Permanente Commercial	$4,501.80
Rate for Payer: MDX Hawaii PPO	$4,851.94
Rate for Payer: University Health Alliance Commercial	$2,801.12

NAIL 9X380MM RT 04.033.968S

Facility

$5,002.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$1,550.62
Max. Negotiated Rate	$4,851.94
Rate for Payer: AlohaCare Medicaid	$2,501.00
Rate for Payer: AlohaCare Medicare	$1,550.62
Rate for Payer: Cash Price	$3,001.20
Rate for Payer: Devoted Health Medicare	$1,700.68
Rate for Payer: Hawaii Medical Service Association Medicare	$1,550.62
Rate for Payer: Hawaii Western Management Group Commercial	$3,501.40
Rate for Payer: Health Management Network Commercial	$4,251.70
Rate for Payer: Humana Medicare	$1,550.62
Rate for Payer: Kaiser Permanente Commercial	$4,501.80
Rate for Payer: Kaiser Permanente Medicaid	$2,551.02
Rate for Payer: Kaiser Permanente Medicare	$1,550.62
Rate for Payer: MDX Hawaii PPO	$4,851.94
Rate for Payer: Ohana Health Plan Medicaid	$1,550.62
Rate for Payer: Ohana Health Plan Medicare	$1,550.62
Rate for Payer: UnitedHealthcare Medicare	$1,550.62
Rate for Payer: University Health Alliance Commercial	$2,801.12

Know your out-of-pocket cost for care.

All Charges