Kau Hospital

All Charges

Charge

Type

Setting

Price

STAPLER LINEAR 40MM GCS40B

Facility

$2,964.00

Hospital Revenue Code	272
Min. Negotiated Rate	$2,519.40
Max. Negotiated Rate	$2,875.08
Rate for Payer: Cash Price	$1,778.40
Rate for Payer: Health Management Network Commercial	$2,519.40
Rate for Payer: Kaiser Permanente Commercial	$2,667.60
Rate for Payer: MDX Hawaii PPO	$2,875.08

STAPLER PURSTRING 65MM

Facility

$279.00

Hospital Revenue Code	272
Min. Negotiated Rate	$237.15
Max. Negotiated Rate	$270.63
Rate for Payer: Cash Price	$167.40
Rate for Payer: Health Management Network Commercial	$237.15
Rate for Payer: Kaiser Permanente Commercial	$251.10
Rate for Payer: MDX Hawaii PPO	$270.63

STAPLER PURSTRING 65MM

Facility

$279.00

Hospital Revenue Code	272
Min. Negotiated Rate	$86.49
Max. Negotiated Rate	$270.63
Rate for Payer: AlohaCare Medicaid	$139.50
Rate for Payer: AlohaCare Medicare	$86.49
Rate for Payer: Cash Price	$167.40
Rate for Payer: Devoted Health Medicare	$94.86
Rate for Payer: Hawaii Medical Service Association Medicare	$86.49
Rate for Payer: Hawaii Western Management Group Commercial	$265.05
Rate for Payer: Health Management Network Commercial	$237.15
Rate for Payer: Humana Medicare	$86.49
Rate for Payer: Kaiser Permanente Commercial	$251.10
Rate for Payer: Kaiser Permanente Medicaid	$142.29
Rate for Payer: Kaiser Permanente Medicare	$86.49
Rate for Payer: MDX Hawaii PPO	$270.63
Rate for Payer: Ohana Health Plan Medicaid	$86.49
Rate for Payer: Ohana Health Plan Medicare	$86.49
Rate for Payer: UnitedHealthcare Medicare	$86.49
Rate for Payer: University Health Alliance Commercial	$203.36

STAPLER RELOAD 400MM GCR40G

Facility

$1,617.00

Hospital Revenue Code	270
Min. Negotiated Rate	$1,374.45
Max. Negotiated Rate	$1,568.49
Rate for Payer: Cash Price	$970.20
Rate for Payer: Health Management Network Commercial	$1,374.45
Rate for Payer: Kaiser Permanente Commercial	$1,455.30
Rate for Payer: MDX Hawaii PPO	$1,568.49

STAPLER RELOAD 400MM GCR40G

Facility

$1,617.00

Hospital Revenue Code	270
Min. Negotiated Rate	$501.27
Max. Negotiated Rate	$1,568.49
Rate for Payer: AlohaCare Medicaid	$808.50
Rate for Payer: AlohaCare Medicare	$501.27
Rate for Payer: Cash Price	$970.20
Rate for Payer: Devoted Health Medicare	$549.78
Rate for Payer: Hawaii Medical Service Association Medicare	$501.27
Rate for Payer: Hawaii Western Management Group Commercial	$1,536.15
Rate for Payer: Health Management Network Commercial	$1,374.45
Rate for Payer: Humana Medicare	$501.27
Rate for Payer: Kaiser Permanente Commercial	$1,455.30
Rate for Payer: Kaiser Permanente Medicaid	$824.67
Rate for Payer: Kaiser Permanente Medicare	$501.27
Rate for Payer: MDX Hawaii PPO	$1,568.49
Rate for Payer: Ohana Health Plan Medicaid	$501.27
Rate for Payer: Ohana Health Plan Medicare	$501.27
Rate for Payer: UnitedHealthcare Medicare	$501.27
Rate for Payer: University Health Alliance Commercial	$1,178.63

STAPLER RELOADS 40MM CR40B

Facility

$1,408.00

Hospital Revenue Code	270
Min. Negotiated Rate	$1,196.80
Max. Negotiated Rate	$1,365.76
Rate for Payer: Cash Price	$844.80
Rate for Payer: Health Management Network Commercial	$1,196.80
Rate for Payer: Kaiser Permanente Commercial	$1,267.20
Rate for Payer: MDX Hawaii PPO	$1,365.76

STAPLER RELOADS 40MM CR40B

Facility

$1,408.00

Hospital Revenue Code	270
Min. Negotiated Rate	$436.48
Max. Negotiated Rate	$1,365.76
Rate for Payer: AlohaCare Medicaid	$704.00
Rate for Payer: AlohaCare Medicare	$436.48
Rate for Payer: Cash Price	$844.80
Rate for Payer: Devoted Health Medicare	$478.72
Rate for Payer: Hawaii Medical Service Association Medicare	$436.48
Rate for Payer: Hawaii Western Management Group Commercial	$1,337.60
Rate for Payer: Health Management Network Commercial	$1,196.80
Rate for Payer: Humana Medicare	$436.48
Rate for Payer: Kaiser Permanente Commercial	$1,267.20
Rate for Payer: Kaiser Permanente Medicaid	$718.08
Rate for Payer: Kaiser Permanente Medicare	$436.48
Rate for Payer: MDX Hawaii PPO	$1,365.76
Rate for Payer: Ohana Health Plan Medicaid	$436.48
Rate for Payer: Ohana Health Plan Medicare	$436.48
Rate for Payer: UnitedHealthcare Medicare	$436.48
Rate for Payer: University Health Alliance Commercial	$1,026.29

STAPLER, SINGLE LOADING UNIT

Facility

$207.00

Hospital Revenue Code	272
Min. Negotiated Rate	$175.95
Max. Negotiated Rate	$200.79
Rate for Payer: Cash Price	$124.20
Rate for Payer: Health Management Network Commercial	$175.95
Rate for Payer: Kaiser Permanente Commercial	$186.30
Rate for Payer: MDX Hawaii PPO	$200.79

STAPLER, SINGLE LOADING UNIT

Facility

$207.00

Hospital Revenue Code	272
Min. Negotiated Rate	$64.17
Max. Negotiated Rate	$200.79
Rate for Payer: AlohaCare Medicaid	$103.50
Rate for Payer: AlohaCare Medicare	$64.17
Rate for Payer: Cash Price	$124.20
Rate for Payer: Devoted Health Medicare	$70.38
Rate for Payer: Hawaii Medical Service Association Medicare	$64.17
Rate for Payer: Hawaii Western Management Group Commercial	$196.65
Rate for Payer: Health Management Network Commercial	$175.95
Rate for Payer: Humana Medicare	$64.17
Rate for Payer: Kaiser Permanente Commercial	$186.30
Rate for Payer: Kaiser Permanente Medicaid	$105.57
Rate for Payer: Kaiser Permanente Medicare	$64.17
Rate for Payer: MDX Hawaii PPO	$200.79
Rate for Payer: Ohana Health Plan Medicaid	$64.17
Rate for Payer: Ohana Health Plan Medicare	$64.17
Rate for Payer: UnitedHealthcare Medicare	$64.17
Rate for Payer: University Health Alliance Commercial	$150.88

STAPLER SUREFORM 45 480445

Facility

$1,610.00

Hospital Revenue Code	272
Min. Negotiated Rate	$1,368.50
Max. Negotiated Rate	$1,561.70
Rate for Payer: Cash Price	$966.00
Rate for Payer: Health Management Network Commercial	$1,368.50
Rate for Payer: Kaiser Permanente Commercial	$1,449.00
Rate for Payer: MDX Hawaii PPO	$1,561.70

STAPLER SUREFORM 45 480445

Facility

$1,610.00

Hospital Revenue Code	272
Min. Negotiated Rate	$499.10
Max. Negotiated Rate	$1,561.70
Rate for Payer: AlohaCare Medicaid	$805.00
Rate for Payer: AlohaCare Medicare	$499.10
Rate for Payer: Cash Price	$966.00
Rate for Payer: Devoted Health Medicare	$547.40
Rate for Payer: Hawaii Medical Service Association Medicare	$499.10
Rate for Payer: Hawaii Western Management Group Commercial	$1,529.50
Rate for Payer: Health Management Network Commercial	$1,368.50
Rate for Payer: Humana Medicare	$499.10
Rate for Payer: Kaiser Permanente Commercial	$1,449.00
Rate for Payer: Kaiser Permanente Medicaid	$821.10
Rate for Payer: Kaiser Permanente Medicare	$499.10
Rate for Payer: MDX Hawaii PPO	$1,561.70
Rate for Payer: Ohana Health Plan Medicaid	$499.10
Rate for Payer: Ohana Health Plan Medicare	$499.10
Rate for Payer: UnitedHealthcare Medicare	$499.10
Rate for Payer: University Health Alliance Commercial	$1,173.53

STAPLER SUREFORM 60 480460

Facility

$1,670.00

Hospital Revenue Code	272
Min. Negotiated Rate	$517.70
Max. Negotiated Rate	$1,619.90
Rate for Payer: AlohaCare Medicaid	$835.00
Rate for Payer: AlohaCare Medicare	$517.70
Rate for Payer: Cash Price	$1,002.00
Rate for Payer: Devoted Health Medicare	$567.80
Rate for Payer: Hawaii Medical Service Association Medicare	$517.70
Rate for Payer: Hawaii Western Management Group Commercial	$1,586.50
Rate for Payer: Health Management Network Commercial	$1,419.50
Rate for Payer: Humana Medicare	$517.70
Rate for Payer: Kaiser Permanente Commercial	$1,503.00
Rate for Payer: Kaiser Permanente Medicaid	$851.70
Rate for Payer: Kaiser Permanente Medicare	$517.70
Rate for Payer: MDX Hawaii PPO	$1,619.90
Rate for Payer: Ohana Health Plan Medicaid	$517.70
Rate for Payer: Ohana Health Plan Medicare	$517.70
Rate for Payer: UnitedHealthcare Medicare	$517.70
Rate for Payer: University Health Alliance Commercial	$1,217.26

STAPLER SUREFORM 60 480460

Facility

$1,670.00

Hospital Revenue Code	272
Min. Negotiated Rate	$1,419.50
Max. Negotiated Rate	$1,619.90
Rate for Payer: Cash Price	$1,002.00
Rate for Payer: Health Management Network Commercial	$1,419.50
Rate for Payer: Kaiser Permanente Commercial	$1,503.00
Rate for Payer: MDX Hawaii PPO	$1,619.90

STAPLER SUREFORM 8MM 488530

Facility

$1,638.00

Hospital Revenue Code	272
Min. Negotiated Rate	$1,392.30
Max. Negotiated Rate	$1,588.86
Rate for Payer: Cash Price	$982.80
Rate for Payer: Health Management Network Commercial	$1,392.30
Rate for Payer: Kaiser Permanente Commercial	$1,474.20
Rate for Payer: MDX Hawaii PPO	$1,588.86

STAPLER SUREFORM 8MM 488530

Facility

$1,638.00

Hospital Revenue Code	272
Min. Negotiated Rate	$507.78
Max. Negotiated Rate	$1,588.86
Rate for Payer: AlohaCare Medicaid	$819.00
Rate for Payer: AlohaCare Medicare	$507.78
Rate for Payer: Cash Price	$982.80
Rate for Payer: Devoted Health Medicare	$556.92
Rate for Payer: Hawaii Medical Service Association Medicare	$507.78
Rate for Payer: Hawaii Western Management Group Commercial	$1,556.10
Rate for Payer: Health Management Network Commercial	$1,392.30
Rate for Payer: Humana Medicare	$507.78
Rate for Payer: Kaiser Permanente Commercial	$1,474.20
Rate for Payer: Kaiser Permanente Medicaid	$835.38
Rate for Payer: Kaiser Permanente Medicare	$507.78
Rate for Payer: MDX Hawaii PPO	$1,588.86
Rate for Payer: Ohana Health Plan Medicaid	$507.78
Rate for Payer: Ohana Health Plan Medicare	$507.78
Rate for Payer: UnitedHealthcare Medicare	$507.78
Rate for Payer: University Health Alliance Commercial	$1,193.94

STAPLER TA90-4.8 TA9048S

Facility

$375.00

Hospital Revenue Code	272
Min. Negotiated Rate	$318.75
Max. Negotiated Rate	$363.75
Rate for Payer: Cash Price	$225.00
Rate for Payer: Health Management Network Commercial	$318.75
Rate for Payer: Kaiser Permanente Commercial	$337.50
Rate for Payer: MDX Hawaii PPO	$363.75

STAPLER TA90-4.8 TA9048S

Facility

$375.00

Hospital Revenue Code	272
Min. Negotiated Rate	$116.25
Max. Negotiated Rate	$363.75
Rate for Payer: AlohaCare Medicaid	$187.50
Rate for Payer: AlohaCare Medicare	$116.25
Rate for Payer: Cash Price	$225.00
Rate for Payer: Devoted Health Medicare	$127.50
Rate for Payer: Hawaii Medical Service Association Medicare	$116.25
Rate for Payer: Hawaii Western Management Group Commercial	$356.25
Rate for Payer: Health Management Network Commercial	$318.75
Rate for Payer: Humana Medicare	$116.25
Rate for Payer: Kaiser Permanente Commercial	$337.50
Rate for Payer: Kaiser Permanente Medicaid	$191.25
Rate for Payer: Kaiser Permanente Medicare	$116.25
Rate for Payer: MDX Hawaii PPO	$363.75
Rate for Payer: Ohana Health Plan Medicaid	$116.25
Rate for Payer: Ohana Health Plan Medicare	$116.25
Rate for Payer: UnitedHealthcare Medicare	$116.25
Rate for Payer: University Health Alliance Commercial	$273.34

STAPLE TA 60-3.5MM TA6035S

Facility

$341.00

Hospital Revenue Code	272
Min. Negotiated Rate	$289.85
Max. Negotiated Rate	$330.77
Rate for Payer: Cash Price	$204.60
Rate for Payer: Health Management Network Commercial	$289.85
Rate for Payer: Kaiser Permanente Commercial	$306.90
Rate for Payer: MDX Hawaii PPO	$330.77

STAPLE TA 60-3.5MM TA6035S

Facility

$341.00

Hospital Revenue Code	272
Min. Negotiated Rate	$105.71
Max. Negotiated Rate	$330.77
Rate for Payer: AlohaCare Medicaid	$170.50
Rate for Payer: AlohaCare Medicare	$105.71
Rate for Payer: Cash Price	$204.60
Rate for Payer: Devoted Health Medicare	$115.94
Rate for Payer: Hawaii Medical Service Association Medicare	$105.71
Rate for Payer: Hawaii Western Management Group Commercial	$323.95
Rate for Payer: Health Management Network Commercial	$289.85
Rate for Payer: Humana Medicare	$105.71
Rate for Payer: Kaiser Permanente Commercial	$306.90
Rate for Payer: Kaiser Permanente Medicaid	$173.91
Rate for Payer: Kaiser Permanente Medicare	$105.71
Rate for Payer: MDX Hawaii PPO	$330.77
Rate for Payer: Ohana Health Plan Medicaid	$105.71
Rate for Payer: Ohana Health Plan Medicare	$105.71
Rate for Payer: UnitedHealthcare Medicare	$105.71
Rate for Payer: University Health Alliance Commercial	$248.55

STAPLE TA 60-4.8 LOAD TA6048L

Facility

$211.00

Hospital Revenue Code	272
Min. Negotiated Rate	$179.35
Max. Negotiated Rate	$204.67
Rate for Payer: Cash Price	$126.60
Rate for Payer: Health Management Network Commercial	$179.35
Rate for Payer: Kaiser Permanente Commercial	$189.90
Rate for Payer: MDX Hawaii PPO	$204.67

STAPLE TA 60-4.8 LOAD TA6048L

Facility

$211.00

Hospital Revenue Code	272
Min. Negotiated Rate	$65.41
Max. Negotiated Rate	$204.67
Rate for Payer: AlohaCare Medicaid	$105.50
Rate for Payer: AlohaCare Medicare	$65.41
Rate for Payer: Cash Price	$126.60
Rate for Payer: Devoted Health Medicare	$71.74
Rate for Payer: Hawaii Medical Service Association Medicare	$65.41
Rate for Payer: Hawaii Western Management Group Commercial	$200.45
Rate for Payer: Health Management Network Commercial	$179.35
Rate for Payer: Humana Medicare	$65.41
Rate for Payer: Kaiser Permanente Commercial	$189.90
Rate for Payer: Kaiser Permanente Medicaid	$107.61
Rate for Payer: Kaiser Permanente Medicare	$65.41
Rate for Payer: MDX Hawaii PPO	$204.67
Rate for Payer: Ohana Health Plan Medicaid	$65.41
Rate for Payer: Ohana Health Plan Medicare	$65.41
Rate for Payer: UnitedHealthcare Medicare	$65.41
Rate for Payer: University Health Alliance Commercial	$153.80

STAPLE TA 90-3.5 LOAD TA9035L

Facility

$218.00

Hospital Revenue Code	272
Min. Negotiated Rate	$67.58
Max. Negotiated Rate	$211.46
Rate for Payer: AlohaCare Medicaid	$109.00
Rate for Payer: AlohaCare Medicare	$67.58
Rate for Payer: Cash Price	$130.80
Rate for Payer: Devoted Health Medicare	$74.12
Rate for Payer: Hawaii Medical Service Association Medicare	$67.58
Rate for Payer: Hawaii Western Management Group Commercial	$207.10
Rate for Payer: Health Management Network Commercial	$185.30
Rate for Payer: Humana Medicare	$67.58
Rate for Payer: Kaiser Permanente Commercial	$196.20
Rate for Payer: Kaiser Permanente Medicaid	$111.18
Rate for Payer: Kaiser Permanente Medicare	$67.58
Rate for Payer: MDX Hawaii PPO	$211.46
Rate for Payer: Ohana Health Plan Medicaid	$67.58
Rate for Payer: Ohana Health Plan Medicare	$67.58
Rate for Payer: UnitedHealthcare Medicare	$67.58
Rate for Payer: University Health Alliance Commercial	$158.90

STAPLE TA 90-3.5 LOAD TA9035L

Facility

$218.00

Hospital Revenue Code	272
Min. Negotiated Rate	$185.30
Max. Negotiated Rate	$211.46
Rate for Payer: Cash Price	$130.80
Rate for Payer: Health Management Network Commercial	$185.30
Rate for Payer: Kaiser Permanente Commercial	$196.20
Rate for Payer: MDX Hawaii PPO	$211.46

STAPLE TA 90-3.5MM TA9035S

Facility

$315.00

Hospital Revenue Code	272
Min. Negotiated Rate	$97.65
Max. Negotiated Rate	$305.55
Rate for Payer: AlohaCare Medicaid	$157.50
Rate for Payer: AlohaCare Medicare	$97.65
Rate for Payer: Cash Price	$189.00
Rate for Payer: Devoted Health Medicare	$107.10
Rate for Payer: Hawaii Medical Service Association Medicare	$97.65
Rate for Payer: Hawaii Western Management Group Commercial	$299.25
Rate for Payer: Health Management Network Commercial	$267.75
Rate for Payer: Humana Medicare	$97.65
Rate for Payer: Kaiser Permanente Commercial	$283.50
Rate for Payer: Kaiser Permanente Medicaid	$160.65
Rate for Payer: Kaiser Permanente Medicare	$97.65
Rate for Payer: MDX Hawaii PPO	$305.55
Rate for Payer: Ohana Health Plan Medicaid	$97.65
Rate for Payer: Ohana Health Plan Medicare	$97.65
Rate for Payer: UnitedHealthcare Medicare	$97.65
Rate for Payer: University Health Alliance Commercial	$229.60

STAPLE TA 90-3.5MM TA9035S

Facility

$315.00

Hospital Revenue Code	272
Min. Negotiated Rate	$267.75
Max. Negotiated Rate	$305.55
Rate for Payer: Cash Price	$189.00
Rate for Payer: Health Management Network Commercial	$267.75
Rate for Payer: Kaiser Permanente Commercial	$283.50
Rate for Payer: MDX Hawaii PPO	$305.55

Know your out-of-pocket cost for care.

All Charges