Kau Hospital

All Charges

Charge

Type

Setting

Price

NAIL TFNA 9X320 R 04.037.952S

Facility

$5,973.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$1,851.63
Max. Negotiated Rate	$5,793.81
Rate for Payer: AlohaCare Medicaid	$2,986.50
Rate for Payer: AlohaCare Medicare	$1,851.63
Rate for Payer: Cash Price	$3,583.80
Rate for Payer: Devoted Health Medicare	$2,030.82
Rate for Payer: Hawaii Medical Service Association Medicare	$1,851.63
Rate for Payer: Hawaii Western Management Group Commercial	$4,181.10
Rate for Payer: Health Management Network Commercial	$5,077.05
Rate for Payer: Humana Medicare	$1,851.63
Rate for Payer: Kaiser Permanente Commercial	$5,375.70
Rate for Payer: Kaiser Permanente Medicaid	$3,046.23
Rate for Payer: Kaiser Permanente Medicare	$1,851.63
Rate for Payer: MDX Hawaii PPO	$5,793.81
Rate for Payer: Ohana Health Plan Medicaid	$1,851.63
Rate for Payer: Ohana Health Plan Medicare	$1,851.63
Rate for Payer: UnitedHealthcare Medicare	$1,851.63
Rate for Payer: University Health Alliance Commercial	$3,344.88

NAIL TFNA 9X340 L 04.037.955S

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 TFNA 9X340 L 04.037.955S

Facility

$5,973.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$1,851.63
Max. Negotiated Rate	$5,793.81
Rate for Payer: AlohaCare Medicaid	$2,986.50
Rate for Payer: AlohaCare Medicare	$1,851.63
Rate for Payer: Cash Price	$3,583.80
Rate for Payer: Devoted Health Medicare	$2,030.82
Rate for Payer: Hawaii Medical Service Association Medicare	$1,851.63
Rate for Payer: Hawaii Western Management Group Commercial	$4,181.10
Rate for Payer: Health Management Network Commercial	$5,077.05
Rate for Payer: Humana Medicare	$1,851.63
Rate for Payer: Kaiser Permanente Commercial	$5,375.70
Rate for Payer: Kaiser Permanente Medicaid	$3,046.23
Rate for Payer: Kaiser Permanente Medicare	$1,851.63
Rate for Payer: MDX Hawaii PPO	$5,793.81
Rate for Payer: Ohana Health Plan Medicaid	$1,851.63
Rate for Payer: Ohana Health Plan Medicare	$1,851.63
Rate for Payer: UnitedHealthcare Medicare	$1,851.63
Rate for Payer: University Health Alliance Commercial	$3,344.88

NAIL TFNA 9X360 L 04.037.957S

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 TFNA 9X360 L 04.037.957S

Facility

$5,973.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$1,851.63
Max. Negotiated Rate	$5,793.81
Rate for Payer: AlohaCare Medicaid	$2,986.50
Rate for Payer: AlohaCare Medicare	$1,851.63
Rate for Payer: Cash Price	$3,583.80
Rate for Payer: Devoted Health Medicare	$2,030.82
Rate for Payer: Hawaii Medical Service Association Medicare	$1,851.63
Rate for Payer: Hawaii Western Management Group Commercial	$4,181.10
Rate for Payer: Health Management Network Commercial	$5,077.05
Rate for Payer: Humana Medicare	$1,851.63
Rate for Payer: Kaiser Permanente Commercial	$5,375.70
Rate for Payer: Kaiser Permanente Medicaid	$3,046.23
Rate for Payer: Kaiser Permanente Medicare	$1,851.63
Rate for Payer: MDX Hawaii PPO	$5,793.81
Rate for Payer: Ohana Health Plan Medicaid	$1,851.63
Rate for Payer: Ohana Health Plan Medicare	$1,851.63
Rate for Payer: UnitedHealthcare Medicare	$1,851.63
Rate for Payer: University Health Alliance Commercial	$3,344.88

NAIL TFNA 9X360 R 04.037.956S

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 TFNA 9X360 R 04.037.956S

Facility

$5,973.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$1,851.63
Max. Negotiated Rate	$5,793.81
Rate for Payer: AlohaCare Medicaid	$2,986.50
Rate for Payer: AlohaCare Medicare	$1,851.63
Rate for Payer: Cash Price	$3,583.80
Rate for Payer: Devoted Health Medicare	$2,030.82
Rate for Payer: Hawaii Medical Service Association Medicare	$1,851.63
Rate for Payer: Hawaii Western Management Group Commercial	$4,181.10
Rate for Payer: Health Management Network Commercial	$5,077.05
Rate for Payer: Humana Medicare	$1,851.63
Rate for Payer: Kaiser Permanente Commercial	$5,375.70
Rate for Payer: Kaiser Permanente Medicaid	$3,046.23
Rate for Payer: Kaiser Permanente Medicare	$1,851.63
Rate for Payer: MDX Hawaii PPO	$5,793.81
Rate for Payer: Ohana Health Plan Medicaid	$1,851.63
Rate for Payer: Ohana Health Plan Medicare	$1,851.63
Rate for Payer: UnitedHealthcare Medicare	$1,851.63
Rate for Payer: University Health Alliance Commercial	$3,344.88

NAIL TFNA 9X380 L 04.037.959S

Facility

$5,973.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$1,851.63
Max. Negotiated Rate	$5,793.81
Rate for Payer: AlohaCare Medicaid	$2,986.50
Rate for Payer: AlohaCare Medicare	$1,851.63
Rate for Payer: Cash Price	$3,583.80
Rate for Payer: Devoted Health Medicare	$2,030.82
Rate for Payer: Hawaii Medical Service Association Medicare	$1,851.63
Rate for Payer: Hawaii Western Management Group Commercial	$4,181.10
Rate for Payer: Health Management Network Commercial	$5,077.05
Rate for Payer: Humana Medicare	$1,851.63
Rate for Payer: Kaiser Permanente Commercial	$5,375.70
Rate for Payer: Kaiser Permanente Medicaid	$3,046.23
Rate for Payer: Kaiser Permanente Medicare	$1,851.63
Rate for Payer: MDX Hawaii PPO	$5,793.81
Rate for Payer: Ohana Health Plan Medicaid	$1,851.63
Rate for Payer: Ohana Health Plan Medicare	$1,851.63
Rate for Payer: UnitedHealthcare Medicare	$1,851.63
Rate for Payer: University Health Alliance Commercial	$3,344.88

NAIL TFNA 9X380 L 04.037.959S

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 TFNA 9X380 R 04.037.958S

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 TFNA 9X380 R 04.037.958S

Facility

$5,973.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$1,851.63
Max. Negotiated Rate	$5,793.81
Rate for Payer: AlohaCare Medicaid	$2,986.50
Rate for Payer: AlohaCare Medicare	$1,851.63
Rate for Payer: Cash Price	$3,583.80
Rate for Payer: Devoted Health Medicare	$2,030.82
Rate for Payer: Hawaii Medical Service Association Medicare	$1,851.63
Rate for Payer: Hawaii Western Management Group Commercial	$4,181.10
Rate for Payer: Health Management Network Commercial	$5,077.05
Rate for Payer: Humana Medicare	$1,851.63
Rate for Payer: Kaiser Permanente Commercial	$5,375.70
Rate for Payer: Kaiser Permanente Medicaid	$3,046.23
Rate for Payer: Kaiser Permanente Medicare	$1,851.63
Rate for Payer: MDX Hawaii PPO	$5,793.81
Rate for Payer: Ohana Health Plan Medicaid	$1,851.63
Rate for Payer: Ohana Health Plan Medicare	$1,851.63
Rate for Payer: UnitedHealthcare Medicare	$1,851.63
Rate for Payer: University Health Alliance Commercial	$3,344.88

NAIL TFNA 9X400 L 04.037.961S

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 TFNA 9X400 L 04.037.961S

Facility

$5,973.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$1,851.63
Max. Negotiated Rate	$5,793.81
Rate for Payer: AlohaCare Medicaid	$2,986.50
Rate for Payer: AlohaCare Medicare	$1,851.63
Rate for Payer: Cash Price	$3,583.80
Rate for Payer: Devoted Health Medicare	$2,030.82
Rate for Payer: Hawaii Medical Service Association Medicare	$1,851.63
Rate for Payer: Hawaii Western Management Group Commercial	$4,181.10
Rate for Payer: Health Management Network Commercial	$5,077.05
Rate for Payer: Humana Medicare	$1,851.63
Rate for Payer: Kaiser Permanente Commercial	$5,375.70
Rate for Payer: Kaiser Permanente Medicaid	$3,046.23
Rate for Payer: Kaiser Permanente Medicare	$1,851.63
Rate for Payer: MDX Hawaii PPO	$5,793.81
Rate for Payer: Ohana Health Plan Medicaid	$1,851.63
Rate for Payer: Ohana Health Plan Medicare	$1,851.63
Rate for Payer: UnitedHealthcare Medicare	$1,851.63
Rate for Payer: University Health Alliance Commercial	$3,344.88

NAIL TFNA 9X400 R 04.037.960S

Facility

$5,973.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$1,851.63
Max. Negotiated Rate	$5,793.81
Rate for Payer: AlohaCare Medicaid	$2,986.50
Rate for Payer: AlohaCare Medicare	$1,851.63
Rate for Payer: Cash Price	$3,583.80
Rate for Payer: Devoted Health Medicare	$2,030.82
Rate for Payer: Hawaii Medical Service Association Medicare	$1,851.63
Rate for Payer: Hawaii Western Management Group Commercial	$4,181.10
Rate for Payer: Health Management Network Commercial	$5,077.05
Rate for Payer: Humana Medicare	$1,851.63
Rate for Payer: Kaiser Permanente Commercial	$5,375.70
Rate for Payer: Kaiser Permanente Medicaid	$3,046.23
Rate for Payer: Kaiser Permanente Medicare	$1,851.63
Rate for Payer: MDX Hawaii PPO	$5,793.81
Rate for Payer: Ohana Health Plan Medicaid	$1,851.63
Rate for Payer: Ohana Health Plan Medicare	$1,851.63
Rate for Payer: UnitedHealthcare Medicare	$1,851.63
Rate for Payer: University Health Alliance Commercial	$3,344.88

NAIL TFNA 9X400 R 04.037.960S

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 TFNA 9X420 L 04.037.963S

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 TFNA 9X420 L 04.037.963S

Facility

$5,973.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$1,851.63
Max. Negotiated Rate	$5,793.81
Rate for Payer: AlohaCare Medicaid	$2,986.50
Rate for Payer: AlohaCare Medicare	$1,851.63
Rate for Payer: Cash Price	$3,583.80
Rate for Payer: Devoted Health Medicare	$2,030.82
Rate for Payer: Hawaii Medical Service Association Medicare	$1,851.63
Rate for Payer: Hawaii Western Management Group Commercial	$4,181.10
Rate for Payer: Health Management Network Commercial	$5,077.05
Rate for Payer: Humana Medicare	$1,851.63
Rate for Payer: Kaiser Permanente Commercial	$5,375.70
Rate for Payer: Kaiser Permanente Medicaid	$3,046.23
Rate for Payer: Kaiser Permanente Medicare	$1,851.63
Rate for Payer: MDX Hawaii PPO	$5,793.81
Rate for Payer: Ohana Health Plan Medicaid	$1,851.63
Rate for Payer: Ohana Health Plan Medicare	$1,851.63
Rate for Payer: UnitedHealthcare Medicare	$1,851.63
Rate for Payer: University Health Alliance Commercial	$3,344.88

NAIL TFNA 9X420 R 04.037.962S

Facility

$5,973.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$1,851.63
Max. Negotiated Rate	$5,793.81
Rate for Payer: AlohaCare Medicaid	$2,986.50
Rate for Payer: AlohaCare Medicare	$1,851.63
Rate for Payer: Cash Price	$3,583.80
Rate for Payer: Devoted Health Medicare	$2,030.82
Rate for Payer: Hawaii Medical Service Association Medicare	$1,851.63
Rate for Payer: Hawaii Western Management Group Commercial	$4,181.10
Rate for Payer: Health Management Network Commercial	$5,077.05
Rate for Payer: Humana Medicare	$1,851.63
Rate for Payer: Kaiser Permanente Commercial	$5,375.70
Rate for Payer: Kaiser Permanente Medicaid	$3,046.23
Rate for Payer: Kaiser Permanente Medicare	$1,851.63
Rate for Payer: MDX Hawaii PPO	$5,793.81
Rate for Payer: Ohana Health Plan Medicaid	$1,851.63
Rate for Payer: Ohana Health Plan Medicare	$1,851.63
Rate for Payer: UnitedHealthcare Medicare	$1,851.63
Rate for Payer: University Health Alliance Commercial	$3,344.88

NAIL TFNA 9X420 R 04.037.962S

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 TFNA 9X440 L 04.037.965S

Facility

$5,973.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$1,851.63
Max. Negotiated Rate	$5,793.81
Rate for Payer: AlohaCare Medicaid	$2,986.50
Rate for Payer: AlohaCare Medicare	$1,851.63
Rate for Payer: Cash Price	$3,583.80
Rate for Payer: Devoted Health Medicare	$2,030.82
Rate for Payer: Hawaii Medical Service Association Medicare	$1,851.63
Rate for Payer: Hawaii Western Management Group Commercial	$4,181.10
Rate for Payer: Health Management Network Commercial	$5,077.05
Rate for Payer: Humana Medicare	$1,851.63
Rate for Payer: Kaiser Permanente Commercial	$5,375.70
Rate for Payer: Kaiser Permanente Medicaid	$3,046.23
Rate for Payer: Kaiser Permanente Medicare	$1,851.63
Rate for Payer: MDX Hawaii PPO	$5,793.81
Rate for Payer: Ohana Health Plan Medicaid	$1,851.63
Rate for Payer: Ohana Health Plan Medicare	$1,851.63
Rate for Payer: UnitedHealthcare Medicare	$1,851.63
Rate for Payer: University Health Alliance Commercial	$3,344.88

NAIL TFNA 9X440 L 04.037.965S

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 TFNA 9X440 R 04.037.964S

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 TFNA 9X440 R 04.037.964S

Facility

$5,973.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$1,851.63
Max. Negotiated Rate	$5,793.81
Rate for Payer: AlohaCare Medicaid	$2,986.50
Rate for Payer: AlohaCare Medicare	$1,851.63
Rate for Payer: Cash Price	$3,583.80
Rate for Payer: Devoted Health Medicare	$2,030.82
Rate for Payer: Hawaii Medical Service Association Medicare	$1,851.63
Rate for Payer: Hawaii Western Management Group Commercial	$4,181.10
Rate for Payer: Health Management Network Commercial	$5,077.05
Rate for Payer: Humana Medicare	$1,851.63
Rate for Payer: Kaiser Permanente Commercial	$5,375.70
Rate for Payer: Kaiser Permanente Medicaid	$3,046.23
Rate for Payer: Kaiser Permanente Medicare	$1,851.63
Rate for Payer: MDX Hawaii PPO	$5,793.81
Rate for Payer: Ohana Health Plan Medicaid	$1,851.63
Rate for Payer: Ohana Health Plan Medicare	$1,851.63
Rate for Payer: UnitedHealthcare Medicare	$1,851.63
Rate for Payer: University Health Alliance Commercial	$3,344.88

NAIL THREAD IM 45 IMN2.7-45 T

Facility

$2,450.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$759.50
Max. Negotiated Rate	$2,376.50
Rate for Payer: AlohaCare Medicaid	$1,225.00
Rate for Payer: AlohaCare Medicare	$759.50
Rate for Payer: Cash Price	$1,470.00
Rate for Payer: Devoted Health Medicare	$833.00
Rate for Payer: Hawaii Medical Service Association Medicare	$759.50
Rate for Payer: Hawaii Western Management Group Commercial	$1,715.00
Rate for Payer: Health Management Network Commercial	$2,082.50
Rate for Payer: Humana Medicare	$759.50
Rate for Payer: Kaiser Permanente Commercial	$2,205.00
Rate for Payer: Kaiser Permanente Medicaid	$1,249.50
Rate for Payer: Kaiser Permanente Medicare	$759.50
Rate for Payer: MDX Hawaii PPO	$2,376.50
Rate for Payer: Ohana Health Plan Medicaid	$759.50
Rate for Payer: Ohana Health Plan Medicare	$759.50
Rate for Payer: UnitedHealthcare Medicare	$759.50
Rate for Payer: University Health Alliance Commercial	$1,372.00

NAIL THREAD IM 45 IMN2.7-45 T

Facility

$2,450.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$1,372.00
Max. Negotiated Rate	$2,376.50
Rate for Payer: Cash Price	$1,470.00
Rate for Payer: Hawaii Western Management Group Commercial	$1,715.00
Rate for Payer: Health Management Network Commercial	$2,082.50
Rate for Payer: Kaiser Permanente Commercial	$2,205.00
Rate for Payer: MDX Hawaii PPO	$2,376.50
Rate for Payer: University Health Alliance Commercial	$1,372.00

Know your out-of-pocket cost for care.

All Charges