Kona Community Hospital

All Charges

Charge

Type

Setting

Price

Drill 2.0 x 110mm Solid Measuring AO P99-100-2011 [3644543]

Facility

$1,455.04

Hospital Charge Code	3644543
Hospital Revenue Code	272
Min. Negotiated Rate	$742.07
Max. Negotiated Rate	$1,411.39
Rate for Payer: Cash Price	$945.78
Rate for Payer: Hawaii Western Management Group Commercial	$1,382.29
Rate for Payer: Health Management Network Commercial	$1,236.78
Rate for Payer: Kaiser Permanente Commercial	$916.68
Rate for Payer: Kaiser Permanente Medicaid	$742.07
Rate for Payer: MDX Hawaii PPO	$1,411.39
Rate for Payer: University Health Alliance Commercial	$1,060.58

Drill 2.0 x 120mm Cann AO P99-110-2112 [3644911]

Facility

$1,455.04

Hospital Charge Code	3644911
Hospital Revenue Code	272
Min. Negotiated Rate	$1,236.78
Max. Negotiated Rate	$1,411.39
Rate for Payer: Cash Price	$945.78
Rate for Payer: Health Management Network Commercial	$1,236.78
Rate for Payer: MDX Hawaii PPO	$1,411.39

Drill 2.0 x 120mm Cann AO P99-110-2112 [3644911]

Facility

$1,455.04

Hospital Charge Code	3644911
Hospital Revenue Code	272
Min. Negotiated Rate	$742.07
Max. Negotiated Rate	$1,411.39
Rate for Payer: Cash Price	$945.78
Rate for Payer: Hawaii Western Management Group Commercial	$1,382.29
Rate for Payer: Health Management Network Commercial	$1,236.78
Rate for Payer: Kaiser Permanente Commercial	$916.68
Rate for Payer: Kaiser Permanente Medicaid	$742.07
Rate for Payer: MDX Hawaii PPO	$1,411.39
Rate for Payer: University Health Alliance Commercial	$1,060.58

Drill 2.0 x 130mm Solid Ao P99-100-2013 [3644909]

Facility

$1,289.04

Hospital Charge Code	3644909
Hospital Revenue Code	272
Min. Negotiated Rate	$657.41
Max. Negotiated Rate	$1,250.37
Rate for Payer: Cash Price	$837.88
Rate for Payer: Hawaii Western Management Group Commercial	$1,224.59
Rate for Payer: Health Management Network Commercial	$1,095.68
Rate for Payer: Kaiser Permanente Commercial	$812.10
Rate for Payer: Kaiser Permanente Medicaid	$657.41
Rate for Payer: MDX Hawaii PPO	$1,250.37
Rate for Payer: University Health Alliance Commercial	$939.58

Drill 2.0 x 130mm Solid Ao P99-100-2013 [3644909]

Facility

$1,289.04

Hospital Charge Code	3644909
Hospital Revenue Code	272
Min. Negotiated Rate	$1,095.68
Max. Negotiated Rate	$1,250.37
Rate for Payer: Cash Price	$837.88
Rate for Payer: Health Management Network Commercial	$1,095.68
Rate for Payer: MDX Hawaii PPO	$1,250.37

Drill 2.0 x 140mm Solid Measuring Long AO P99-100-2014 [3644910]

Facility

$1,455.04

Hospital Charge Code	3644910
Hospital Revenue Code	272
Min. Negotiated Rate	$742.07
Max. Negotiated Rate	$1,411.39
Rate for Payer: Cash Price	$945.78
Rate for Payer: Hawaii Western Management Group Commercial	$1,382.29
Rate for Payer: Health Management Network Commercial	$1,236.78
Rate for Payer: Kaiser Permanente Commercial	$916.68
Rate for Payer: Kaiser Permanente Medicaid	$742.07
Rate for Payer: MDX Hawaii PPO	$1,411.39
Rate for Payer: University Health Alliance Commercial	$1,060.58

Drill 2.0 x 140mm Solid Measuring Long AO P99-100-2014 [3644910]

Facility

$1,455.04

Hospital Charge Code	3644910
Hospital Revenue Code	272
Min. Negotiated Rate	$1,236.78
Max. Negotiated Rate	$1,411.39
Rate for Payer: Cash Price	$945.78
Rate for Payer: Health Management Network Commercial	$1,236.78
Rate for Payer: MDX Hawaii PPO	$1,411.39

Drill 2.3 x 120mm Cann AO P99-110-2312 [3644751]

Facility

$1,455.04

Hospital Charge Code	3644751
Hospital Revenue Code	272
Min. Negotiated Rate	$742.07
Max. Negotiated Rate	$1,411.39
Rate for Payer: Cash Price	$945.78
Rate for Payer: Hawaii Western Management Group Commercial	$1,382.29
Rate for Payer: Health Management Network Commercial	$1,236.78
Rate for Payer: Kaiser Permanente Commercial	$916.68
Rate for Payer: Kaiser Permanente Medicaid	$742.07
Rate for Payer: MDX Hawaii PPO	$1,411.39
Rate for Payer: University Health Alliance Commercial	$1,060.58

Drill 2.3 x 120mm Cann AO P99-110-2312 [3644751]

Facility

$1,455.04

Hospital Charge Code	3644751
Hospital Revenue Code	272
Min. Negotiated Rate	$1,236.78
Max. Negotiated Rate	$1,411.39
Rate for Payer: Cash Price	$945.78
Rate for Payer: Health Management Network Commercial	$1,236.78
Rate for Payer: MDX Hawaii PPO	$1,411.39

Drill 2.4 x 140mm Solid Measuring Long AO P99-100-2414 [3644337]

Facility

$1,455.04

Hospital Charge Code	3644337
Hospital Revenue Code	272
Min. Negotiated Rate	$1,236.78
Max. Negotiated Rate	$1,411.39
Rate for Payer: Cash Price	$945.78
Rate for Payer: Health Management Network Commercial	$1,236.78
Rate for Payer: MDX Hawaii PPO	$1,411.39

Drill 2.4 x 140mm Solid Measuring Long AO P99-100-2414 [3644337]

Facility

$1,455.04

Hospital Charge Code	3644337
Hospital Revenue Code	272
Min. Negotiated Rate	$742.07
Max. Negotiated Rate	$1,411.39
Rate for Payer: Cash Price	$945.78
Rate for Payer: Hawaii Western Management Group Commercial	$1,382.29
Rate for Payer: Health Management Network Commercial	$1,236.78
Rate for Payer: Kaiser Permanente Commercial	$916.68
Rate for Payer: Kaiser Permanente Medicaid	$742.07
Rate for Payer: MDX Hawaii PPO	$1,411.39
Rate for Payer: University Health Alliance Commercial	$1,060.58

Drill 2.4 x 160mm Solid Measuring Long AO P99-100-2416 [3644940]

Facility

$1,455.04

Hospital Charge Code	3644940
Hospital Revenue Code	272
Min. Negotiated Rate	$1,236.78
Max. Negotiated Rate	$1,411.39
Rate for Payer: Cash Price	$945.78
Rate for Payer: Health Management Network Commercial	$1,236.78
Rate for Payer: MDX Hawaii PPO	$1,411.39

Drill 2.4 x 160mm Solid Measuring Long AO P99-100-2416 [3644940]

Facility

$1,455.04

Hospital Charge Code	3644940
Hospital Revenue Code	272
Min. Negotiated Rate	$742.07
Max. Negotiated Rate	$1,411.39
Rate for Payer: Cash Price	$945.78
Rate for Payer: Hawaii Western Management Group Commercial	$1,382.29
Rate for Payer: Health Management Network Commercial	$1,236.78
Rate for Payer: Kaiser Permanente Commercial	$916.68
Rate for Payer: Kaiser Permanente Medicaid	$742.07
Rate for Payer: MDX Hawaii PPO	$1,411.39
Rate for Payer: University Health Alliance Commercial	$1,060.58

Drill 2.6 x 130mm Cannulated AO P99-110-2613 [3644338]

Facility

$1,455.04

Hospital Charge Code	3644338
Hospital Revenue Code	272
Min. Negotiated Rate	$742.07
Max. Negotiated Rate	$1,411.39
Rate for Payer: Cash Price	$945.78
Rate for Payer: Hawaii Western Management Group Commercial	$1,382.29
Rate for Payer: Health Management Network Commercial	$1,236.78
Rate for Payer: Kaiser Permanente Commercial	$916.68
Rate for Payer: Kaiser Permanente Medicaid	$742.07
Rate for Payer: MDX Hawaii PPO	$1,411.39
Rate for Payer: University Health Alliance Commercial	$1,060.58

Drill 2.6 x 130mm Cannulated AO P99-110-2613 [3644338]

Facility

$1,455.04

Hospital Charge Code	3644338
Hospital Revenue Code	272
Min. Negotiated Rate	$1,236.78
Max. Negotiated Rate	$1,411.39
Rate for Payer: Cash Price	$945.78
Rate for Payer: Health Management Network Commercial	$1,236.78
Rate for Payer: MDX Hawaii PPO	$1,411.39

Drill 2.8 x 140mm Solid Measuring Long AO P99-100-2814 [3644353]

Facility

$1,455.04

Hospital Charge Code	3644353
Hospital Revenue Code	272
Min. Negotiated Rate	$742.07
Max. Negotiated Rate	$1,411.39
Rate for Payer: Cash Price	$945.78
Rate for Payer: Hawaii Western Management Group Commercial	$1,382.29
Rate for Payer: Health Management Network Commercial	$1,236.78
Rate for Payer: Kaiser Permanente Commercial	$916.68
Rate for Payer: Kaiser Permanente Medicaid	$742.07
Rate for Payer: MDX Hawaii PPO	$1,411.39
Rate for Payer: University Health Alliance Commercial	$1,060.58

Drill 2.8 x 140mm Solid Measuring Long AO P99-100-2814 [3644353]

Facility

$1,455.04

Hospital Charge Code	3644353
Hospital Revenue Code	272
Min. Negotiated Rate	$1,236.78
Max. Negotiated Rate	$1,411.39
Rate for Payer: Cash Price	$945.78
Rate for Payer: Health Management Network Commercial	$1,236.78
Rate for Payer: MDX Hawaii PPO	$1,411.39

Drill 2.8 x 180mm Solid AO P99-100-2418 [3644941]

Facility

$1,455.04

Hospital Charge Code	3644941
Hospital Revenue Code	272
Min. Negotiated Rate	$742.07
Max. Negotiated Rate	$1,411.39
Rate for Payer: Cash Price	$945.78
Rate for Payer: Hawaii Western Management Group Commercial	$1,382.29
Rate for Payer: Health Management Network Commercial	$1,236.78
Rate for Payer: Kaiser Permanente Commercial	$916.68
Rate for Payer: Kaiser Permanente Medicaid	$742.07
Rate for Payer: MDX Hawaii PPO	$1,411.39
Rate for Payer: University Health Alliance Commercial	$1,060.58

Drill 2.8 x 180mm Solid AO P99-100-2418 [3644941]

Facility

$1,455.04

Hospital Charge Code	3644941
Hospital Revenue Code	272
Min. Negotiated Rate	$1,236.78
Max. Negotiated Rate	$1,411.39
Rate for Payer: Cash Price	$945.78
Rate for Payer: Health Management Network Commercial	$1,236.78
Rate for Payer: MDX Hawaii PPO	$1,411.39

Drill 3.5 x 160mm Cann 3/16 Sq Connection P99-110-3516 [3644912]

Facility

$1,455.04

Hospital Charge Code	3644912
Hospital Revenue Code	272
Min. Negotiated Rate	$742.07
Max. Negotiated Rate	$1,411.39
Rate for Payer: Cash Price	$945.78
Rate for Payer: Hawaii Western Management Group Commercial	$1,382.29
Rate for Payer: Health Management Network Commercial	$1,236.78
Rate for Payer: Kaiser Permanente Commercial	$916.68
Rate for Payer: Kaiser Permanente Medicaid	$742.07
Rate for Payer: MDX Hawaii PPO	$1,411.39
Rate for Payer: University Health Alliance Commercial	$1,060.58

Drill 3.5 x 160mm Cann 3/16 Sq Connection P99-110-3516 [3644912]

Facility

$1,455.04

Hospital Charge Code	3644912
Hospital Revenue Code	272
Min. Negotiated Rate	$1,236.78
Max. Negotiated Rate	$1,411.39
Rate for Payer: Cash Price	$945.78
Rate for Payer: Health Management Network Commercial	$1,236.78
Rate for Payer: MDX Hawaii PPO	$1,411.39

Drillable Bone Void Filler 5cc 07.705.005S [3644296]

Facility

$8,998.04

Service Code	HCPCS C1713
Hospital Charge Code	3644296
Hospital Revenue Code	278
Min. Negotiated Rate	$5,038.90
Max. Negotiated Rate	$8,728.10
Rate for Payer: Cash Price	$5,848.73
Rate for Payer: Hawaii Western Management Group Commercial	$6,298.63
Rate for Payer: Health Management Network Commercial	$7,648.33
Rate for Payer: MDX Hawaii PPO	$8,728.10
Rate for Payer: University Health Alliance Commercial	$5,038.90

Drillable Bone Void Filler 5cc 07.705.005S [3644296]

Facility

$8,998.04

Service Code	HCPCS C1713
Hospital Charge Code	3644296
Hospital Revenue Code	278
Min. Negotiated Rate	$4,589.00
Max. Negotiated Rate	$8,728.10
Rate for Payer: Cash Price	$5,848.73
Rate for Payer: Hawaii Western Management Group Commercial	$6,298.63
Rate for Payer: Health Management Network Commercial	$7,648.33
Rate for Payer: Kaiser Permanente Commercial	$5,668.77
Rate for Payer: Kaiser Permanente Medicaid	$4,589.00
Rate for Payer: MDX Hawaii PPO	$8,728.10
Rate for Payer: University Health Alliance Commercial	$5,038.90

Drill Affixus Hum Calib 3.3mm 110035650 [3641941]

Facility

$3,159.80

Hospital Charge Code	3641941
Hospital Revenue Code	272
Min. Negotiated Rate	$1,611.50
Max. Negotiated Rate	$3,065.01
Rate for Payer: Cash Price	$2,053.87
Rate for Payer: Hawaii Western Management Group Commercial	$3,001.81
Rate for Payer: Health Management Network Commercial	$2,685.83
Rate for Payer: Kaiser Permanente Commercial	$1,990.67
Rate for Payer: Kaiser Permanente Medicaid	$1,611.50
Rate for Payer: MDX Hawaii PPO	$3,065.01
Rate for Payer: University Health Alliance Commercial	$2,303.18

Drill Affixus Hum Calib 3.3mm 110035650 [3641941]

Facility

$3,159.80

Hospital Charge Code	3641941
Hospital Revenue Code	272
Min. Negotiated Rate	$2,685.83
Max. Negotiated Rate	$3,065.01
Rate for Payer: Cash Price	$2,053.87
Rate for Payer: Health Management Network Commercial	$2,685.83
Rate for Payer: MDX Hawaii PPO	$3,065.01

Know your out-of-pocket cost for care.

All Charges