Kau Hospital

All Charges

Charge

Type

Setting

Price

REAMER 16MM METATARSL 323-1416

Facility

$2,596.00

Hospital Revenue Code	272
Min. Negotiated Rate	$2,206.60
Max. Negotiated Rate	$2,518.12
Rate for Payer: Cash Price	$1,557.60
Rate for Payer: Health Management Network Commercial	$2,206.60
Rate for Payer: Kaiser Permanente Commercial	$2,336.40
Rate for Payer: MDX Hawaii PPO	$2,518.12

REAMER 16MM PHALANX 323-1516

Facility

$2,596.00

Hospital Revenue Code	272
Min. Negotiated Rate	$2,206.60
Max. Negotiated Rate	$2,518.12
Rate for Payer: Cash Price	$1,557.60
Rate for Payer: Health Management Network Commercial	$2,206.60
Rate for Payer: Kaiser Permanente Commercial	$2,336.40
Rate for Payer: MDX Hawaii PPO	$2,518.12

REAMER 16MM PHALANX 323-1516

Facility

$2,596.00

Hospital Revenue Code	272
Min. Negotiated Rate	$804.76
Max. Negotiated Rate	$2,518.12
Rate for Payer: AlohaCare Medicaid	$1,298.00
Rate for Payer: AlohaCare Medicare	$804.76
Rate for Payer: Cash Price	$1,557.60
Rate for Payer: Devoted Health Medicare	$882.64
Rate for Payer: Hawaii Medical Service Association Medicare	$804.76
Rate for Payer: Hawaii Western Management Group Commercial	$2,466.20
Rate for Payer: Health Management Network Commercial	$2,206.60
Rate for Payer: Humana Medicare	$804.76
Rate for Payer: Kaiser Permanente Commercial	$2,336.40
Rate for Payer: Kaiser Permanente Medicaid	$1,323.96
Rate for Payer: Kaiser Permanente Medicare	$804.76
Rate for Payer: MDX Hawaii PPO	$2,518.12
Rate for Payer: Ohana Health Plan Medicaid	$804.76
Rate for Payer: Ohana Health Plan Medicare	$804.76
Rate for Payer: UnitedHealthcare Medicare	$804.76
Rate for Payer: University Health Alliance Commercial	$1,892.22

REAMER 18MM METATARSL 323-1418

Facility

$2,596.00

Hospital Revenue Code	272
Min. Negotiated Rate	$2,206.60
Max. Negotiated Rate	$2,518.12
Rate for Payer: Cash Price	$1,557.60
Rate for Payer: Health Management Network Commercial	$2,206.60
Rate for Payer: Kaiser Permanente Commercial	$2,336.40
Rate for Payer: MDX Hawaii PPO	$2,518.12

REAMER 18MM METATARSL 323-1418

Facility

$2,596.00

Hospital Revenue Code	272
Min. Negotiated Rate	$804.76
Max. Negotiated Rate	$2,518.12
Rate for Payer: AlohaCare Medicaid	$1,298.00
Rate for Payer: AlohaCare Medicare	$804.76
Rate for Payer: Cash Price	$1,557.60
Rate for Payer: Devoted Health Medicare	$882.64
Rate for Payer: Hawaii Medical Service Association Medicare	$804.76
Rate for Payer: Hawaii Western Management Group Commercial	$2,466.20
Rate for Payer: Health Management Network Commercial	$2,206.60
Rate for Payer: Humana Medicare	$804.76
Rate for Payer: Kaiser Permanente Commercial	$2,336.40
Rate for Payer: Kaiser Permanente Medicaid	$1,323.96
Rate for Payer: Kaiser Permanente Medicare	$804.76
Rate for Payer: MDX Hawaii PPO	$2,518.12
Rate for Payer: Ohana Health Plan Medicaid	$804.76
Rate for Payer: Ohana Health Plan Medicare	$804.76
Rate for Payer: UnitedHealthcare Medicare	$804.76
Rate for Payer: University Health Alliance Commercial	$1,892.22

REAMER 18MM PHALANX 323-1518

Facility

$2,596.00

Hospital Revenue Code	272
Min. Negotiated Rate	$2,206.60
Max. Negotiated Rate	$2,518.12
Rate for Payer: Cash Price	$1,557.60
Rate for Payer: Health Management Network Commercial	$2,206.60
Rate for Payer: Kaiser Permanente Commercial	$2,336.40
Rate for Payer: MDX Hawaii PPO	$2,518.12

REAMER 18MM PHALANX 323-1518

Facility

$2,596.00

Hospital Revenue Code	272
Min. Negotiated Rate	$804.76
Max. Negotiated Rate	$2,518.12
Rate for Payer: AlohaCare Medicaid	$1,298.00
Rate for Payer: AlohaCare Medicare	$804.76
Rate for Payer: Cash Price	$1,557.60
Rate for Payer: Devoted Health Medicare	$882.64
Rate for Payer: Hawaii Medical Service Association Medicare	$804.76
Rate for Payer: Hawaii Western Management Group Commercial	$2,466.20
Rate for Payer: Health Management Network Commercial	$2,206.60
Rate for Payer: Humana Medicare	$804.76
Rate for Payer: Kaiser Permanente Commercial	$2,336.40
Rate for Payer: Kaiser Permanente Medicaid	$1,323.96
Rate for Payer: Kaiser Permanente Medicare	$804.76
Rate for Payer: MDX Hawaii PPO	$2,518.12
Rate for Payer: Ohana Health Plan Medicaid	$804.76
Rate for Payer: Ohana Health Plan Medicare	$804.76
Rate for Payer: UnitedHealthcare Medicare	$804.76
Rate for Payer: University Health Alliance Commercial	$1,892.22

REAMER 20MM METATARSL 323-1420

Facility

$2,596.00

Hospital Revenue Code	272
Min. Negotiated Rate	$2,206.60
Max. Negotiated Rate	$2,518.12
Rate for Payer: Cash Price	$1,557.60
Rate for Payer: Health Management Network Commercial	$2,206.60
Rate for Payer: Kaiser Permanente Commercial	$2,336.40
Rate for Payer: MDX Hawaii PPO	$2,518.12

REAMER 20MM METATARSL 323-1420

Facility

$2,596.00

Hospital Revenue Code	272
Min. Negotiated Rate	$804.76
Max. Negotiated Rate	$2,518.12
Rate for Payer: AlohaCare Medicaid	$1,298.00
Rate for Payer: AlohaCare Medicare	$804.76
Rate for Payer: Cash Price	$1,557.60
Rate for Payer: Devoted Health Medicare	$882.64
Rate for Payer: Hawaii Medical Service Association Medicare	$804.76
Rate for Payer: Hawaii Western Management Group Commercial	$2,466.20
Rate for Payer: Health Management Network Commercial	$2,206.60
Rate for Payer: Humana Medicare	$804.76
Rate for Payer: Kaiser Permanente Commercial	$2,336.40
Rate for Payer: Kaiser Permanente Medicaid	$1,323.96
Rate for Payer: Kaiser Permanente Medicare	$804.76
Rate for Payer: MDX Hawaii PPO	$2,518.12
Rate for Payer: Ohana Health Plan Medicaid	$804.76
Rate for Payer: Ohana Health Plan Medicare	$804.76
Rate for Payer: UnitedHealthcare Medicare	$804.76
Rate for Payer: University Health Alliance Commercial	$1,892.22

REAMER 20MM PHALANX 323-1520

Facility

$2,596.00

Hospital Revenue Code	272
Min. Negotiated Rate	$2,206.60
Max. Negotiated Rate	$2,518.12
Rate for Payer: Cash Price	$1,557.60
Rate for Payer: Health Management Network Commercial	$2,206.60
Rate for Payer: Kaiser Permanente Commercial	$2,336.40
Rate for Payer: MDX Hawaii PPO	$2,518.12

REAMER 20MM PHALANX 323-1520

Facility

$2,596.00

Hospital Revenue Code	272
Min. Negotiated Rate	$804.76
Max. Negotiated Rate	$2,518.12
Rate for Payer: AlohaCare Medicaid	$1,298.00
Rate for Payer: AlohaCare Medicare	$804.76
Rate for Payer: Cash Price	$1,557.60
Rate for Payer: Devoted Health Medicare	$882.64
Rate for Payer: Hawaii Medical Service Association Medicare	$804.76
Rate for Payer: Hawaii Western Management Group Commercial	$2,466.20
Rate for Payer: Health Management Network Commercial	$2,206.60
Rate for Payer: Humana Medicare	$804.76
Rate for Payer: Kaiser Permanente Commercial	$2,336.40
Rate for Payer: Kaiser Permanente Medicaid	$1,323.96
Rate for Payer: Kaiser Permanente Medicare	$804.76
Rate for Payer: MDX Hawaii PPO	$2,518.12
Rate for Payer: Ohana Health Plan Medicaid	$804.76
Rate for Payer: Ohana Health Plan Medicare	$804.76
Rate for Payer: UnitedHealthcare Medicare	$804.76
Rate for Payer: University Health Alliance Commercial	$1,892.22

REAMER 22MM METATARSL 323-1422

Facility

$2,596.00

Hospital Revenue Code	272
Min. Negotiated Rate	$804.76
Max. Negotiated Rate	$2,518.12
Rate for Payer: AlohaCare Medicaid	$1,298.00
Rate for Payer: AlohaCare Medicare	$804.76
Rate for Payer: Cash Price	$1,557.60
Rate for Payer: Devoted Health Medicare	$882.64
Rate for Payer: Hawaii Medical Service Association Medicare	$804.76
Rate for Payer: Hawaii Western Management Group Commercial	$2,466.20
Rate for Payer: Health Management Network Commercial	$2,206.60
Rate for Payer: Humana Medicare	$804.76
Rate for Payer: Kaiser Permanente Commercial	$2,336.40
Rate for Payer: Kaiser Permanente Medicaid	$1,323.96
Rate for Payer: Kaiser Permanente Medicare	$804.76
Rate for Payer: MDX Hawaii PPO	$2,518.12
Rate for Payer: Ohana Health Plan Medicaid	$804.76
Rate for Payer: Ohana Health Plan Medicare	$804.76
Rate for Payer: UnitedHealthcare Medicare	$804.76
Rate for Payer: University Health Alliance Commercial	$1,892.22

REAMER 22MM METATARSL 323-1422

Facility

$2,596.00

Hospital Revenue Code	272
Min. Negotiated Rate	$2,206.60
Max. Negotiated Rate	$2,518.12
Rate for Payer: Cash Price	$1,557.60
Rate for Payer: Health Management Network Commercial	$2,206.60
Rate for Payer: Kaiser Permanente Commercial	$2,336.40
Rate for Payer: MDX Hawaii PPO	$2,518.12

REAMER 22MM PHALANX 323-1522

Facility

$2,596.00

Hospital Revenue Code	272
Min. Negotiated Rate	$804.76
Max. Negotiated Rate	$2,518.12
Rate for Payer: AlohaCare Medicaid	$1,298.00
Rate for Payer: AlohaCare Medicare	$804.76
Rate for Payer: Cash Price	$1,557.60
Rate for Payer: Devoted Health Medicare	$882.64
Rate for Payer: Hawaii Medical Service Association Medicare	$804.76
Rate for Payer: Hawaii Western Management Group Commercial	$2,466.20
Rate for Payer: Health Management Network Commercial	$2,206.60
Rate for Payer: Humana Medicare	$804.76
Rate for Payer: Kaiser Permanente Commercial	$2,336.40
Rate for Payer: Kaiser Permanente Medicaid	$1,323.96
Rate for Payer: Kaiser Permanente Medicare	$804.76
Rate for Payer: MDX Hawaii PPO	$2,518.12
Rate for Payer: Ohana Health Plan Medicaid	$804.76
Rate for Payer: Ohana Health Plan Medicare	$804.76
Rate for Payer: UnitedHealthcare Medicare	$804.76
Rate for Payer: University Health Alliance Commercial	$1,892.22

REAMER 22MM PHALANX 323-1522

Facility

$2,596.00

Hospital Revenue Code	272
Min. Negotiated Rate	$2,206.60
Max. Negotiated Rate	$2,518.12
Rate for Payer: Cash Price	$1,557.60
Rate for Payer: Health Management Network Commercial	$2,206.60
Rate for Payer: Kaiser Permanente Commercial	$2,336.40
Rate for Payer: MDX Hawaii PPO	$2,518.12

REAMER CANNULATED 2.7MM 117066

Facility

$3,240.00

Hospital Revenue Code	272
Min. Negotiated Rate	$2,754.00
Max. Negotiated Rate	$3,142.80
Rate for Payer: Cash Price	$1,944.00
Rate for Payer: Health Management Network Commercial	$2,754.00
Rate for Payer: Kaiser Permanente Commercial	$2,916.00
Rate for Payer: MDX Hawaii PPO	$3,142.80

REAMER CANNULATED 2.7MM 117066

Facility

$3,240.00

Hospital Revenue Code	272
Min. Negotiated Rate	$1,004.40
Max. Negotiated Rate	$3,142.80
Rate for Payer: AlohaCare Medicaid	$1,620.00
Rate for Payer: AlohaCare Medicare	$1,004.40
Rate for Payer: Cash Price	$1,944.00
Rate for Payer: Devoted Health Medicare	$1,101.60
Rate for Payer: Hawaii Medical Service Association Medicare	$1,004.40
Rate for Payer: Hawaii Western Management Group Commercial	$3,078.00
Rate for Payer: Health Management Network Commercial	$2,754.00
Rate for Payer: Humana Medicare	$1,004.40
Rate for Payer: Kaiser Permanente Commercial	$2,916.00
Rate for Payer: Kaiser Permanente Medicaid	$1,652.40
Rate for Payer: Kaiser Permanente Medicare	$1,004.40
Rate for Payer: MDX Hawaii PPO	$3,142.80
Rate for Payer: Ohana Health Plan Medicaid	$1,004.40
Rate for Payer: Ohana Health Plan Medicare	$1,004.40
Rate for Payer: UnitedHealthcare Medicare	$1,004.40
Rate for Payer: University Health Alliance Commercial	$2,361.64

REAMER FUSION CUP 18 RMRUFC-18

Facility

$1,211.00

Hospital Revenue Code	272
Min. Negotiated Rate	$375.41
Max. Negotiated Rate	$1,174.67
Rate for Payer: AlohaCare Medicaid	$605.50
Rate for Payer: AlohaCare Medicare	$375.41
Rate for Payer: Cash Price	$726.60
Rate for Payer: Devoted Health Medicare	$411.74
Rate for Payer: Hawaii Medical Service Association Medicare	$375.41
Rate for Payer: Hawaii Western Management Group Commercial	$1,150.45
Rate for Payer: Health Management Network Commercial	$1,029.35
Rate for Payer: Humana Medicare	$375.41
Rate for Payer: Kaiser Permanente Commercial	$1,089.90
Rate for Payer: Kaiser Permanente Medicaid	$617.61
Rate for Payer: Kaiser Permanente Medicare	$375.41
Rate for Payer: MDX Hawaii PPO	$1,174.67
Rate for Payer: Ohana Health Plan Medicaid	$375.41
Rate for Payer: Ohana Health Plan Medicare	$375.41
Rate for Payer: UnitedHealthcare Medicare	$375.41
Rate for Payer: University Health Alliance Commercial	$882.70

REAMER FUSION CUP 18 RMRUFC-18

Facility

$1,211.00

Hospital Revenue Code	272
Min. Negotiated Rate	$1,029.35
Max. Negotiated Rate	$1,174.67
Rate for Payer: Cash Price	$726.60
Rate for Payer: Health Management Network Commercial	$1,029.35
Rate for Payer: Kaiser Permanente Commercial	$1,089.90
Rate for Payer: MDX Hawaii PPO	$1,174.67

REAMER HEAD 12MM 352.250S

Facility

$1,536.00

Hospital Revenue Code	272
Min. Negotiated Rate	$476.16
Max. Negotiated Rate	$1,489.92
Rate for Payer: AlohaCare Medicaid	$768.00
Rate for Payer: AlohaCare Medicare	$476.16
Rate for Payer: Cash Price	$921.60
Rate for Payer: Devoted Health Medicare	$522.24
Rate for Payer: Hawaii Medical Service Association Medicare	$476.16
Rate for Payer: Hawaii Western Management Group Commercial	$1,459.20
Rate for Payer: Health Management Network Commercial	$1,305.60
Rate for Payer: Humana Medicare	$476.16
Rate for Payer: Kaiser Permanente Commercial	$1,382.40
Rate for Payer: Kaiser Permanente Medicaid	$783.36
Rate for Payer: Kaiser Permanente Medicare	$476.16
Rate for Payer: MDX Hawaii PPO	$1,489.92
Rate for Payer: Ohana Health Plan Medicaid	$476.16
Rate for Payer: Ohana Health Plan Medicare	$476.16
Rate for Payer: UnitedHealthcare Medicare	$476.16
Rate for Payer: University Health Alliance Commercial	$1,119.59

REAMER HEAD 12MM 352.250S

Facility

$1,536.00

Hospital Revenue Code	272
Min. Negotiated Rate	$1,305.60
Max. Negotiated Rate	$1,489.92
Rate for Payer: Cash Price	$921.60
Rate for Payer: Health Management Network Commercial	$1,305.60
Rate for Payer: Kaiser Permanente Commercial	$1,382.40
Rate for Payer: MDX Hawaii PPO	$1,489.92

REAMER HEAD 14MM 352.254S

Facility

$1,536.00

Hospital Revenue Code	272
Min. Negotiated Rate	$476.16
Max. Negotiated Rate	$1,489.92
Rate for Payer: AlohaCare Medicaid	$768.00
Rate for Payer: AlohaCare Medicare	$476.16
Rate for Payer: Cash Price	$921.60
Rate for Payer: Devoted Health Medicare	$522.24
Rate for Payer: Hawaii Medical Service Association Medicare	$476.16
Rate for Payer: Hawaii Western Management Group Commercial	$1,459.20
Rate for Payer: Health Management Network Commercial	$1,305.60
Rate for Payer: Humana Medicare	$476.16
Rate for Payer: Kaiser Permanente Commercial	$1,382.40
Rate for Payer: Kaiser Permanente Medicaid	$783.36
Rate for Payer: Kaiser Permanente Medicare	$476.16
Rate for Payer: MDX Hawaii PPO	$1,489.92
Rate for Payer: Ohana Health Plan Medicaid	$476.16
Rate for Payer: Ohana Health Plan Medicare	$476.16
Rate for Payer: UnitedHealthcare Medicare	$476.16
Rate for Payer: University Health Alliance Commercial	$1,119.59

REAMER HEAD 14MM 352.254S

Facility

$1,536.00

Hospital Revenue Code	272
Min. Negotiated Rate	$1,305.60
Max. Negotiated Rate	$1,489.92
Rate for Payer: Cash Price	$921.60
Rate for Payer: Health Management Network Commercial	$1,305.60
Rate for Payer: Kaiser Permanente Commercial	$1,382.40
Rate for Payer: MDX Hawaii PPO	$1,489.92

REAMER LOW PROFILE AR-1408LP

Facility

$768.00

Hospital Revenue Code	272
Min. Negotiated Rate	$238.08
Max. Negotiated Rate	$744.96
Rate for Payer: AlohaCare Medicaid	$384.00
Rate for Payer: AlohaCare Medicare	$238.08
Rate for Payer: Cash Price	$460.80
Rate for Payer: Devoted Health Medicare	$261.12
Rate for Payer: Hawaii Medical Service Association Medicare	$238.08
Rate for Payer: Hawaii Western Management Group Commercial	$729.60
Rate for Payer: Health Management Network Commercial	$652.80
Rate for Payer: Humana Medicare	$238.08
Rate for Payer: Kaiser Permanente Commercial	$691.20
Rate for Payer: Kaiser Permanente Medicaid	$391.68
Rate for Payer: Kaiser Permanente Medicare	$238.08
Rate for Payer: MDX Hawaii PPO	$744.96
Rate for Payer: Ohana Health Plan Medicaid	$238.08
Rate for Payer: Ohana Health Plan Medicare	$238.08
Rate for Payer: UnitedHealthcare Medicare	$238.08
Rate for Payer: University Health Alliance Commercial	$559.80

REAMER LOW PROFILE AR-1408LP

Facility

$768.00

Hospital Revenue Code	272
Min. Negotiated Rate	$652.80
Max. Negotiated Rate	$744.96
Rate for Payer: Cash Price	$460.80
Rate for Payer: Health Management Network Commercial	$652.80
Rate for Payer: Kaiser Permanente Commercial	$691.20
Rate for Payer: MDX Hawaii PPO	$744.96

Know your out-of-pocket cost for care.

All Charges