Kau Hospital

All Charges

Charge

Type

Setting

Price

NAIL TI CANN HUMERAL 9X220MM

Facility

$5,982.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$1,854.42
Max. Negotiated Rate	$5,802.54
Rate for Payer: AlohaCare Medicaid	$2,991.00
Rate for Payer: AlohaCare Medicare	$1,854.42
Rate for Payer: Cash Price	$3,589.20
Rate for Payer: Devoted Health Medicare	$2,033.88
Rate for Payer: Hawaii Medical Service Association Medicare	$1,854.42
Rate for Payer: Hawaii Western Management Group Commercial	$4,187.40
Rate for Payer: Health Management Network Commercial	$5,084.70
Rate for Payer: Humana Medicare	$1,854.42
Rate for Payer: Kaiser Permanente Commercial	$5,383.80
Rate for Payer: Kaiser Permanente Medicaid	$3,050.82
Rate for Payer: Kaiser Permanente Medicare	$1,854.42
Rate for Payer: MDX Hawaii PPO	$5,802.54
Rate for Payer: Ohana Health Plan Medicaid	$1,854.42
Rate for Payer: Ohana Health Plan Medicare	$1,854.42
Rate for Payer: UnitedHealthcare Medicare	$1,854.42
Rate for Payer: University Health Alliance Commercial	$3,349.92

NAIL TI CANN HUMERAL 9X220MM

Facility

$5,982.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$3,349.92
Max. Negotiated Rate	$5,802.54
Rate for Payer: Cash Price	$3,589.20
Rate for Payer: Hawaii Western Management Group Commercial	$4,187.40
Rate for Payer: Health Management Network Commercial	$5,084.70
Rate for Payer: Kaiser Permanente Commercial	$5,383.80
Rate for Payer: MDX Hawaii PPO	$5,802.54
Rate for Payer: University Health Alliance Commercial	$3,349.92

NAIL TI CANN HUMERAL 9X230MM

Facility

$4,128.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$2,311.68
Max. Negotiated Rate	$4,004.16
Rate for Payer: Cash Price	$2,476.80
Rate for Payer: Hawaii Western Management Group Commercial	$2,889.60
Rate for Payer: Health Management Network Commercial	$3,508.80
Rate for Payer: Kaiser Permanente Commercial	$3,715.20
Rate for Payer: MDX Hawaii PPO	$4,004.16
Rate for Payer: University Health Alliance Commercial	$2,311.68

NAIL TI CANN HUMERAL 9X230MM

Facility

$4,128.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$1,279.68
Max. Negotiated Rate	$4,004.16
Rate for Payer: AlohaCare Medicaid	$2,064.00
Rate for Payer: AlohaCare Medicare	$1,279.68
Rate for Payer: Cash Price	$2,476.80
Rate for Payer: Devoted Health Medicare	$1,403.52
Rate for Payer: Hawaii Medical Service Association Medicare	$1,279.68
Rate for Payer: Hawaii Western Management Group Commercial	$2,889.60
Rate for Payer: Health Management Network Commercial	$3,508.80
Rate for Payer: Humana Medicare	$1,279.68
Rate for Payer: Kaiser Permanente Commercial	$3,715.20
Rate for Payer: Kaiser Permanente Medicaid	$2,105.28
Rate for Payer: Kaiser Permanente Medicare	$1,279.68
Rate for Payer: MDX Hawaii PPO	$4,004.16
Rate for Payer: Ohana Health Plan Medicaid	$1,279.68
Rate for Payer: Ohana Health Plan Medicare	$1,279.68
Rate for Payer: UnitedHealthcare Medicare	$1,279.68
Rate for Payer: University Health Alliance Commercial	$2,311.68

NAIL TI CANN HUMERAL 9X240MM

Facility

$5,982.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$1,854.42
Max. Negotiated Rate	$5,802.54
Rate for Payer: AlohaCare Medicaid	$2,991.00
Rate for Payer: AlohaCare Medicare	$1,854.42
Rate for Payer: Cash Price	$3,589.20
Rate for Payer: Devoted Health Medicare	$2,033.88
Rate for Payer: Hawaii Medical Service Association Medicare	$1,854.42
Rate for Payer: Hawaii Western Management Group Commercial	$4,187.40
Rate for Payer: Health Management Network Commercial	$5,084.70
Rate for Payer: Humana Medicare	$1,854.42
Rate for Payer: Kaiser Permanente Commercial	$5,383.80
Rate for Payer: Kaiser Permanente Medicaid	$3,050.82
Rate for Payer: Kaiser Permanente Medicare	$1,854.42
Rate for Payer: MDX Hawaii PPO	$5,802.54
Rate for Payer: Ohana Health Plan Medicaid	$1,854.42
Rate for Payer: Ohana Health Plan Medicare	$1,854.42
Rate for Payer: UnitedHealthcare Medicare	$1,854.42
Rate for Payer: University Health Alliance Commercial	$3,349.92

NAIL TI CANN HUMERAL 9X240MM

Facility

$5,982.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$3,349.92
Max. Negotiated Rate	$5,802.54
Rate for Payer: Cash Price	$3,589.20
Rate for Payer: Hawaii Western Management Group Commercial	$4,187.40
Rate for Payer: Health Management Network Commercial	$5,084.70
Rate for Payer: Kaiser Permanente Commercial	$5,383.80
Rate for Payer: MDX Hawaii PPO	$5,802.54
Rate for Payer: University Health Alliance Commercial	$3,349.92

NAIL TI CANN HUMERAL 9X270MM

Facility

$5,982.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$1,854.42
Max. Negotiated Rate	$5,802.54
Rate for Payer: AlohaCare Medicaid	$2,991.00
Rate for Payer: AlohaCare Medicare	$1,854.42
Rate for Payer: Cash Price	$3,589.20
Rate for Payer: Devoted Health Medicare	$2,033.88
Rate for Payer: Hawaii Medical Service Association Medicare	$1,854.42
Rate for Payer: Hawaii Western Management Group Commercial	$4,187.40
Rate for Payer: Health Management Network Commercial	$5,084.70
Rate for Payer: Humana Medicare	$1,854.42
Rate for Payer: Kaiser Permanente Commercial	$5,383.80
Rate for Payer: Kaiser Permanente Medicaid	$3,050.82
Rate for Payer: Kaiser Permanente Medicare	$1,854.42
Rate for Payer: MDX Hawaii PPO	$5,802.54
Rate for Payer: Ohana Health Plan Medicaid	$1,854.42
Rate for Payer: Ohana Health Plan Medicare	$1,854.42
Rate for Payer: UnitedHealthcare Medicare	$1,854.42
Rate for Payer: University Health Alliance Commercial	$3,349.92

NAIL TI CANN HUMERAL 9X270MM

Facility

$5,982.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$3,349.92
Max. Negotiated Rate	$5,802.54
Rate for Payer: Cash Price	$3,589.20
Rate for Payer: Hawaii Western Management Group Commercial	$4,187.40
Rate for Payer: Health Management Network Commercial	$5,084.70
Rate for Payer: Kaiser Permanente Commercial	$5,383.80
Rate for Payer: MDX Hawaii PPO	$5,802.54
Rate for Payer: University Health Alliance Commercial	$3,349.92

NAIL TI CANN HUMERAL 9X280MM

Facility

$4,128.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$2,311.68
Max. Negotiated Rate	$4,004.16
Rate for Payer: Cash Price	$2,476.80
Rate for Payer: Hawaii Western Management Group Commercial	$2,889.60
Rate for Payer: Health Management Network Commercial	$3,508.80
Rate for Payer: Kaiser Permanente Commercial	$3,715.20
Rate for Payer: MDX Hawaii PPO	$4,004.16
Rate for Payer: University Health Alliance Commercial	$2,311.68

NAIL TI CANN HUMERAL 9X280MM

Facility

$4,128.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$1,279.68
Max. Negotiated Rate	$4,004.16
Rate for Payer: AlohaCare Medicaid	$2,064.00
Rate for Payer: AlohaCare Medicare	$1,279.68
Rate for Payer: Cash Price	$2,476.80
Rate for Payer: Devoted Health Medicare	$1,403.52
Rate for Payer: Hawaii Medical Service Association Medicare	$1,279.68
Rate for Payer: Hawaii Western Management Group Commercial	$2,889.60
Rate for Payer: Health Management Network Commercial	$3,508.80
Rate for Payer: Humana Medicare	$1,279.68
Rate for Payer: Kaiser Permanente Commercial	$3,715.20
Rate for Payer: Kaiser Permanente Medicaid	$2,105.28
Rate for Payer: Kaiser Permanente Medicare	$1,279.68
Rate for Payer: MDX Hawaii PPO	$4,004.16
Rate for Payer: Ohana Health Plan Medicaid	$1,279.68
Rate for Payer: Ohana Health Plan Medicare	$1,279.68
Rate for Payer: UnitedHealthcare Medicare	$1,279.68
Rate for Payer: University Health Alliance Commercial	$2,311.68

NAIL TI CANN HUMERAL 9X290MM

Facility

$5,982.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$3,349.92
Max. Negotiated Rate	$5,802.54
Rate for Payer: Cash Price	$3,589.20
Rate for Payer: Hawaii Western Management Group Commercial	$4,187.40
Rate for Payer: Health Management Network Commercial	$5,084.70
Rate for Payer: Kaiser Permanente Commercial	$5,383.80
Rate for Payer: MDX Hawaii PPO	$5,802.54
Rate for Payer: University Health Alliance Commercial	$3,349.92

NAIL TI CANN HUMERAL 9X290MM

Facility

$5,982.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$1,854.42
Max. Negotiated Rate	$5,802.54
Rate for Payer: AlohaCare Medicaid	$2,991.00
Rate for Payer: AlohaCare Medicare	$1,854.42
Rate for Payer: Cash Price	$3,589.20
Rate for Payer: Devoted Health Medicare	$2,033.88
Rate for Payer: Hawaii Medical Service Association Medicare	$1,854.42
Rate for Payer: Hawaii Western Management Group Commercial	$4,187.40
Rate for Payer: Health Management Network Commercial	$5,084.70
Rate for Payer: Humana Medicare	$1,854.42
Rate for Payer: Kaiser Permanente Commercial	$5,383.80
Rate for Payer: Kaiser Permanente Medicaid	$3,050.82
Rate for Payer: Kaiser Permanente Medicare	$1,854.42
Rate for Payer: MDX Hawaii PPO	$5,802.54
Rate for Payer: Ohana Health Plan Medicaid	$1,854.42
Rate for Payer: Ohana Health Plan Medicare	$1,854.42
Rate for Payer: UnitedHealthcare Medicare	$1,854.42
Rate for Payer: University Health Alliance Commercial	$3,349.92

NAIL TI CANN HUMERAL 9X300MM

Facility

$5,982.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$1,854.42
Max. Negotiated Rate	$5,802.54
Rate for Payer: AlohaCare Medicaid	$2,991.00
Rate for Payer: AlohaCare Medicare	$1,854.42
Rate for Payer: Cash Price	$3,589.20
Rate for Payer: Devoted Health Medicare	$2,033.88
Rate for Payer: Hawaii Medical Service Association Medicare	$1,854.42
Rate for Payer: Hawaii Western Management Group Commercial	$4,187.40
Rate for Payer: Health Management Network Commercial	$5,084.70
Rate for Payer: Humana Medicare	$1,854.42
Rate for Payer: Kaiser Permanente Commercial	$5,383.80
Rate for Payer: Kaiser Permanente Medicaid	$3,050.82
Rate for Payer: Kaiser Permanente Medicare	$1,854.42
Rate for Payer: MDX Hawaii PPO	$5,802.54
Rate for Payer: Ohana Health Plan Medicaid	$1,854.42
Rate for Payer: Ohana Health Plan Medicare	$1,854.42
Rate for Payer: UnitedHealthcare Medicare	$1,854.42
Rate for Payer: University Health Alliance Commercial	$3,349.92

NAIL TI CANN HUMERAL 9X300MM

Facility

$5,982.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$3,349.92
Max. Negotiated Rate	$5,802.54
Rate for Payer: Cash Price	$3,589.20
Rate for Payer: Hawaii Western Management Group Commercial	$4,187.40
Rate for Payer: Health Management Network Commercial	$5,084.70
Rate for Payer: Kaiser Permanente Commercial	$5,383.80
Rate for Payer: MDX Hawaii PPO	$5,802.54
Rate for Payer: University Health Alliance Commercial	$3,349.92

NAIL TI END CAP 04.004.000S

Facility

$925.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$518.00
Max. Negotiated Rate	$897.25
Rate for Payer: Cash Price	$555.00
Rate for Payer: Hawaii Western Management Group Commercial	$647.50
Rate for Payer: Health Management Network Commercial	$786.25
Rate for Payer: Kaiser Permanente Commercial	$832.50
Rate for Payer: MDX Hawaii PPO	$897.25
Rate for Payer: University Health Alliance Commercial	$518.00

NAIL TI END CAP 04.004.000S

Facility

$925.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$286.75
Max. Negotiated Rate	$897.25
Rate for Payer: AlohaCare Medicaid	$462.50
Rate for Payer: AlohaCare Medicare	$286.75
Rate for Payer: Cash Price	$555.00
Rate for Payer: Devoted Health Medicare	$314.50
Rate for Payer: Hawaii Medical Service Association Medicare	$286.75
Rate for Payer: Hawaii Western Management Group Commercial	$647.50
Rate for Payer: Health Management Network Commercial	$786.25
Rate for Payer: Humana Medicare	$286.75
Rate for Payer: Kaiser Permanente Commercial	$832.50
Rate for Payer: Kaiser Permanente Medicaid	$471.75
Rate for Payer: Kaiser Permanente Medicare	$286.75
Rate for Payer: MDX Hawaii PPO	$897.25
Rate for Payer: Ohana Health Plan Medicaid	$286.75
Rate for Payer: Ohana Health Plan Medicare	$286.75
Rate for Payer: UnitedHealthcare Medicare	$286.75
Rate for Payer: University Health Alliance Commercial	$518.00

NAIL TI END CAP 04.004.002S

Facility

$1,130.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$632.80
Max. Negotiated Rate	$1,096.10
Rate for Payer: Cash Price	$678.00
Rate for Payer: Hawaii Western Management Group Commercial	$791.00
Rate for Payer: Health Management Network Commercial	$960.50
Rate for Payer: Kaiser Permanente Commercial	$1,017.00
Rate for Payer: MDX Hawaii PPO	$1,096.10
Rate for Payer: University Health Alliance Commercial	$632.80

NAIL TI END CAP 04.004.002S

Facility

$1,130.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$350.30
Max. Negotiated Rate	$1,096.10
Rate for Payer: AlohaCare Medicaid	$565.00
Rate for Payer: AlohaCare Medicare	$350.30
Rate for Payer: Cash Price	$678.00
Rate for Payer: Devoted Health Medicare	$384.20
Rate for Payer: Hawaii Medical Service Association Medicare	$350.30
Rate for Payer: Hawaii Western Management Group Commercial	$791.00
Rate for Payer: Health Management Network Commercial	$960.50
Rate for Payer: Humana Medicare	$350.30
Rate for Payer: Kaiser Permanente Commercial	$1,017.00
Rate for Payer: Kaiser Permanente Medicaid	$576.30
Rate for Payer: Kaiser Permanente Medicare	$350.30
Rate for Payer: MDX Hawaii PPO	$1,096.10
Rate for Payer: Ohana Health Plan Medicaid	$350.30
Rate for Payer: Ohana Health Plan Medicare	$350.30
Rate for Payer: UnitedHealthcare Medicare	$350.30
Rate for Payer: University Health Alliance Commercial	$632.80

NAIL TRCH 3 GMA 3125-0170S

Facility

$4,730.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$2,648.80
Max. Negotiated Rate	$4,588.10
Rate for Payer: Cash Price	$2,838.00
Rate for Payer: Hawaii Western Management Group Commercial	$3,311.00
Rate for Payer: Health Management Network Commercial	$4,020.50
Rate for Payer: Kaiser Permanente Commercial	$4,257.00
Rate for Payer: MDX Hawaii PPO	$4,588.10
Rate for Payer: University Health Alliance Commercial	$2,648.80

NAIL TRCH 3 GMA 3125-0170S

Facility

$4,730.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$1,466.30
Max. Negotiated Rate	$4,588.10
Rate for Payer: AlohaCare Medicaid	$2,365.00
Rate for Payer: AlohaCare Medicare	$1,466.30
Rate for Payer: Cash Price	$2,838.00
Rate for Payer: Devoted Health Medicare	$1,608.20
Rate for Payer: Hawaii Medical Service Association Medicare	$1,466.30
Rate for Payer: Hawaii Western Management Group Commercial	$3,311.00
Rate for Payer: Health Management Network Commercial	$4,020.50
Rate for Payer: Humana Medicare	$1,466.30
Rate for Payer: Kaiser Permanente Commercial	$4,257.00
Rate for Payer: Kaiser Permanente Medicaid	$2,412.30
Rate for Payer: Kaiser Permanente Medicare	$1,466.30
Rate for Payer: MDX Hawaii PPO	$4,588.10
Rate for Payer: Ohana Health Plan Medicaid	$1,466.30
Rate for Payer: Ohana Health Plan Medicare	$1,466.30
Rate for Payer: UnitedHealthcare Medicare	$1,466.30
Rate for Payer: University Health Alliance Commercial	$2,648.80

NAIL TROCH 10X320 8425-0320S

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 TROCH 10X320 8425-0320S

Facility

$7,092.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$2,198.52
Max. Negotiated Rate	$6,879.24
Rate for Payer: AlohaCare Medicaid	$3,546.00
Rate for Payer: AlohaCare Medicare	$2,198.52
Rate for Payer: Cash Price	$4,255.20
Rate for Payer: Devoted Health Medicare	$2,411.28
Rate for Payer: Hawaii Medical Service Association Medicare	$2,198.52
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	$2,198.52
Rate for Payer: Kaiser Permanente Commercial	$6,382.80
Rate for Payer: Kaiser Permanente Medicaid	$3,616.92
Rate for Payer: Kaiser Permanente Medicare	$2,198.52
Rate for Payer: MDX Hawaii PPO	$6,879.24
Rate for Payer: Ohana Health Plan Medicaid	$2,198.52
Rate for Payer: Ohana Health Plan Medicare	$2,198.52
Rate for Payer: UnitedHealthcare Medicare	$2,198.52
Rate for Payer: University Health Alliance Commercial	$3,971.52

NAIL TROCH 11X170 8125-1170S

Facility

$4,781.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$1,482.11
Max. Negotiated Rate	$4,637.57
Rate for Payer: AlohaCare Medicaid	$2,390.50
Rate for Payer: AlohaCare Medicare	$1,482.11
Rate for Payer: Cash Price	$2,868.60
Rate for Payer: Devoted Health Medicare	$1,625.54
Rate for Payer: Hawaii Medical Service Association Medicare	$1,482.11
Rate for Payer: Hawaii Western Management Group Commercial	$3,346.70
Rate for Payer: Health Management Network Commercial	$4,063.85
Rate for Payer: Humana Medicare	$1,482.11
Rate for Payer: Kaiser Permanente Commercial	$4,302.90
Rate for Payer: Kaiser Permanente Medicaid	$2,438.31
Rate for Payer: Kaiser Permanente Medicare	$1,482.11
Rate for Payer: MDX Hawaii PPO	$4,637.57
Rate for Payer: Ohana Health Plan Medicaid	$1,482.11
Rate for Payer: Ohana Health Plan Medicare	$1,482.11
Rate for Payer: UnitedHealthcare Medicare	$1,482.11
Rate for Payer: University Health Alliance Commercial	$2,677.36

NAIL TROCH 11X170 8125-1170S

Facility

$4,781.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$2,677.36
Max. Negotiated Rate	$4,637.57
Rate for Payer: Cash Price	$2,868.60
Rate for Payer: Hawaii Western Management Group Commercial	$3,346.70
Rate for Payer: Health Management Network Commercial	$4,063.85
Rate for Payer: Kaiser Permanente Commercial	$4,302.90
Rate for Payer: MDX Hawaii PPO	$4,637.57
Rate for Payer: University Health Alliance Commercial	$2,677.36

NAIL TROCHANTERIC 8130-0170S

Facility

$5,248.00

Service Code	HCPCS C1713
Hospital Revenue Code	278
Min. Negotiated Rate	$1,626.88
Max. Negotiated Rate	$5,090.56
Rate for Payer: AlohaCare Medicaid	$2,624.00
Rate for Payer: AlohaCare Medicare	$1,626.88
Rate for Payer: Cash Price	$3,148.80
Rate for Payer: Devoted Health Medicare	$1,784.32
Rate for Payer: Hawaii Medical Service Association Medicare	$1,626.88
Rate for Payer: Hawaii Western Management Group Commercial	$3,673.60
Rate for Payer: Health Management Network Commercial	$4,460.80
Rate for Payer: Humana Medicare	$1,626.88
Rate for Payer: Kaiser Permanente Commercial	$4,723.20
Rate for Payer: Kaiser Permanente Medicaid	$2,676.48
Rate for Payer: Kaiser Permanente Medicare	$1,626.88
Rate for Payer: MDX Hawaii PPO	$5,090.56
Rate for Payer: Ohana Health Plan Medicaid	$1,626.88
Rate for Payer: Ohana Health Plan Medicare	$1,626.88
Rate for Payer: UnitedHealthcare Medicare	$1,626.88
Rate for Payer: University Health Alliance Commercial	$2,938.88

Know your out-of-pocket cost for care.

All Charges