Kona Community Hospital

All Charges

Charge

Type

Setting

Price

Drill Affixus Hum Calib ST 3.3mm 110035651 [3643251]

Facility

$2,333.28

Hospital Charge Code	3643251
Hospital Revenue Code	272
Min. Negotiated Rate	$1,189.97
Max. Negotiated Rate	$2,263.28
Rate for Payer: Cash Price	$1,516.63
Rate for Payer: Hawaii Western Management Group Commercial	$2,216.62
Rate for Payer: Health Management Network Commercial	$1,983.29
Rate for Payer: Kaiser Permanente Commercial	$1,469.97
Rate for Payer: Kaiser Permanente Medicaid	$1,189.97
Rate for Payer: MDX Hawaii PPO	$2,263.28
Rate for Payer: University Health Alliance Commercial	$1,700.73

Drill Affixus Hum Calib ST 3.3mm 110035651 [3643251]

Facility

$2,333.28

Hospital Charge Code	3643251
Hospital Revenue Code	272
Min. Negotiated Rate	$1,983.29
Max. Negotiated Rate	$2,263.28
Rate for Payer: Cash Price	$1,516.63
Rate for Payer: Health Management Network Commercial	$1,983.29
Rate for Payer: MDX Hawaii PPO	$2,263.28

Drill Bit 10mm Cann Taper 03.037.021 [3640792]

Facility

$3,474.71

Hospital Charge Code	3640792
Hospital Revenue Code	272
Min. Negotiated Rate	$1,772.10
Max. Negotiated Rate	$3,370.47
Rate for Payer: Cash Price	$2,258.56
Rate for Payer: Hawaii Western Management Group Commercial	$3,300.97
Rate for Payer: Health Management Network Commercial	$2,953.50
Rate for Payer: Kaiser Permanente Commercial	$2,189.07
Rate for Payer: Kaiser Permanente Medicaid	$1,772.10
Rate for Payer: MDX Hawaii PPO	$3,370.47
Rate for Payer: University Health Alliance Commercial	$2,532.72

Drill Bit 10mm Cann Taper 03.037.021 [3640792]

Facility

$3,474.71

Hospital Charge Code	3640792
Hospital Revenue Code	272
Min. Negotiated Rate	$2,953.50
Max. Negotiated Rate	$3,370.47
Rate for Payer: Cash Price	$2,258.56
Rate for Payer: Health Management Network Commercial	$2,953.50
Rate for Payer: MDX Hawaii PPO	$3,370.47

Drill Bit 1.0mm Mini-QC 231220200 [3642826]

Facility

$769.60

Hospital Charge Code	3642826
Hospital Revenue Code	272
Min. Negotiated Rate	$654.16
Max. Negotiated Rate	$746.51
Rate for Payer: Cash Price	$500.24
Rate for Payer: Health Management Network Commercial	$654.16
Rate for Payer: MDX Hawaii PPO	$746.51

Drill Bit 1.0mm Mini-QC 231220200 [3642826]

Facility

$769.60

Hospital Charge Code	3642826
Hospital Revenue Code	272
Min. Negotiated Rate	$392.50
Max. Negotiated Rate	$746.51
Rate for Payer: Cash Price	$500.24
Rate for Payer: Hawaii Western Management Group Commercial	$731.12
Rate for Payer: Health Management Network Commercial	$654.16
Rate for Payer: Kaiser Permanente Commercial	$484.85
Rate for Payer: Kaiser Permanente Medicaid	$392.50
Rate for Payer: MDX Hawaii PPO	$746.51
Rate for Payer: University Health Alliance Commercial	$560.96

Drill Bit 11.5mm for Multiloc Prox Hum Nail 03.019.004 [3640527]

Facility

$1,948.90

Hospital Charge Code	3640527
Hospital Revenue Code	272
Min. Negotiated Rate	$1,656.57
Max. Negotiated Rate	$1,890.43
Rate for Payer: Cash Price	$1,266.79
Rate for Payer: Health Management Network Commercial	$1,656.57
Rate for Payer: MDX Hawaii PPO	$1,890.43

Drill Bit 11.5mm for Multiloc Prox Hum Nail 03.019.004 [3640527]

Facility

$1,948.90

Hospital Charge Code	3640527
Hospital Revenue Code	272
Min. Negotiated Rate	$993.94
Max. Negotiated Rate	$1,890.43
Rate for Payer: Cash Price	$1,266.79
Rate for Payer: Hawaii Western Management Group Commercial	$1,851.45
Rate for Payer: Health Management Network Commercial	$1,656.57
Rate for Payer: Kaiser Permanente Commercial	$1,227.81
Rate for Payer: Kaiser Permanente Medicaid	$993.94
Rate for Payer: MDX Hawaii PPO	$1,890.43
Rate for Payer: University Health Alliance Commercial	$1,420.55

Drill Bit 12.8mm Cann Large QC 03.233.001 [3645419]

Facility

$5,003.70

Hospital Charge Code	3645419
Hospital Revenue Code	272
Min. Negotiated Rate	$2,551.89
Max. Negotiated Rate	$4,853.59
Rate for Payer: Cash Price	$3,252.40
Rate for Payer: Hawaii Western Management Group Commercial	$4,753.52
Rate for Payer: Health Management Network Commercial	$4,253.15
Rate for Payer: Kaiser Permanente Commercial	$3,152.33
Rate for Payer: Kaiser Permanente Medicaid	$2,551.89
Rate for Payer: MDX Hawaii PPO	$4,853.59
Rate for Payer: University Health Alliance Commercial	$3,647.20

Drill Bit 12.8mm Cann Large QC 03.233.001 [3645419]

Facility

$5,003.70

Hospital Charge Code	3645419
Hospital Revenue Code	272
Min. Negotiated Rate	$4,253.15
Max. Negotiated Rate	$4,853.59
Rate for Payer: Cash Price	$3,252.40
Rate for Payer: Health Management Network Commercial	$4,253.15
Rate for Payer: MDX Hawaii PPO	$4,853.59

Drill Bit 14mm Cann Flex 03.033.004 [3642236]

Facility

$5,637.90

Hospital Charge Code	3642236
Hospital Revenue Code	272
Min. Negotiated Rate	$2,875.33
Max. Negotiated Rate	$5,468.76
Rate for Payer: Cash Price	$3,664.64
Rate for Payer: Hawaii Western Management Group Commercial	$5,356.01
Rate for Payer: Health Management Network Commercial	$4,792.22
Rate for Payer: Kaiser Permanente Commercial	$3,551.88
Rate for Payer: Kaiser Permanente Medicaid	$2,875.33
Rate for Payer: MDX Hawaii PPO	$5,468.76
Rate for Payer: University Health Alliance Commercial	$4,109.47

Drill Bit 14mm Cann Flex 03.033.004 [3642236]

Facility

$5,637.90

Hospital Charge Code	3642236
Hospital Revenue Code	272
Min. Negotiated Rate	$4,792.22
Max. Negotiated Rate	$5,468.76
Rate for Payer: Cash Price	$3,664.64
Rate for Payer: Health Management Network Commercial	$4,792.22
Rate for Payer: MDX Hawaii PPO	$5,468.76

Drill Bit 1.5mm AO AR-18800-01 [3644793]

Facility

$1,686.50

Hospital Charge Code	3644793
Hospital Revenue Code	272
Min. Negotiated Rate	$860.12
Max. Negotiated Rate	$1,635.90
Rate for Payer: Cash Price	$1,096.23
Rate for Payer: Hawaii Western Management Group Commercial	$1,602.17
Rate for Payer: Health Management Network Commercial	$1,433.53
Rate for Payer: Kaiser Permanente Commercial	$1,062.49
Rate for Payer: Kaiser Permanente Medicaid	$860.12
Rate for Payer: MDX Hawaii PPO	$1,635.90
Rate for Payer: University Health Alliance Commercial	$1,229.29

Drill Bit 1.5mm AO AR-18800-01 [3644793]

Facility

$1,686.50

Hospital Charge Code	3644793
Hospital Revenue Code	272
Min. Negotiated Rate	$1,433.53
Max. Negotiated Rate	$1,635.90
Rate for Payer: Cash Price	$1,096.23
Rate for Payer: Health Management Network Commercial	$1,433.53
Rate for Payer: MDX Hawaii PPO	$1,635.90

Drill Bit 1.5mm AR-18700-20 [3644466]

Facility

$1,558.38

Hospital Charge Code	3644466
Hospital Revenue Code	272
Min. Negotiated Rate	$794.77
Max. Negotiated Rate	$1,511.63
Rate for Payer: Cash Price	$1,012.95
Rate for Payer: Hawaii Western Management Group Commercial	$1,480.46
Rate for Payer: Health Management Network Commercial	$1,324.62
Rate for Payer: Kaiser Permanente Commercial	$981.78
Rate for Payer: Kaiser Permanente Medicaid	$794.77
Rate for Payer: MDX Hawaii PPO	$1,511.63
Rate for Payer: University Health Alliance Commercial	$1,135.90

Drill Bit 1.5mm AR-18700-20 [3644466]

Facility

$1,558.38

Hospital Charge Code	3644466
Hospital Revenue Code	272
Min. Negotiated Rate	$1,324.62
Max. Negotiated Rate	$1,511.63
Rate for Payer: Cash Price	$1,012.95
Rate for Payer: Health Management Network Commercial	$1,324.62
Rate for Payer: MDX Hawaii PPO	$1,511.63

Drill Bit 1.5mm Mini-Qc 2312-20-203 [3644311]

Facility

$769.60

Hospital Charge Code	3644311
Hospital Revenue Code	272
Min. Negotiated Rate	$392.50
Max. Negotiated Rate	$746.51
Rate for Payer: Cash Price	$500.24
Rate for Payer: Hawaii Western Management Group Commercial	$731.12
Rate for Payer: Health Management Network Commercial	$654.16
Rate for Payer: Kaiser Permanente Commercial	$484.85
Rate for Payer: Kaiser Permanente Medicaid	$392.50
Rate for Payer: MDX Hawaii PPO	$746.51
Rate for Payer: University Health Alliance Commercial	$560.96

Drill Bit 1.5mm Mini-Qc 2312-20-203 [3644311]

Facility

$769.60

Hospital Charge Code	3644311
Hospital Revenue Code	272
Min. Negotiated Rate	$654.16
Max. Negotiated Rate	$746.51
Rate for Payer: Cash Price	$500.24
Rate for Payer: Health Management Network Commercial	$654.16
Rate for Payer: MDX Hawaii PPO	$746.51

Drill Bit 16mm Cann Flex 03.037.002 [3640791]

Facility

$5,413.34

Hospital Charge Code	3640791
Hospital Revenue Code	272
Min. Negotiated Rate	$2,760.80
Max. Negotiated Rate	$5,250.94
Rate for Payer: Cash Price	$3,518.67
Rate for Payer: Hawaii Western Management Group Commercial	$5,142.67
Rate for Payer: Health Management Network Commercial	$4,601.34
Rate for Payer: Kaiser Permanente Commercial	$3,410.40
Rate for Payer: Kaiser Permanente Medicaid	$2,760.80
Rate for Payer: MDX Hawaii PPO	$5,250.94
Rate for Payer: University Health Alliance Commercial	$3,945.78

Drill Bit 16mm Cann Flex 03.037.002 [3640791]

Facility

$5,413.34

Hospital Charge Code	3640791
Hospital Revenue Code	272
Min. Negotiated Rate	$4,601.34
Max. Negotiated Rate	$5,250.94
Rate for Payer: Cash Price	$3,518.67
Rate for Payer: Health Management Network Commercial	$4,601.34
Rate for Payer: MDX Hawaii PPO	$5,250.94

Drill Bit 16mm Cann Perc Hollow 03.037.104 [3641046]

Facility

$6,156.60

Hospital Charge Code	3641046
Hospital Revenue Code	272
Min. Negotiated Rate	$5,233.11
Max. Negotiated Rate	$5,971.90
Rate for Payer: Cash Price	$4,001.79
Rate for Payer: Health Management Network Commercial	$5,233.11
Rate for Payer: MDX Hawaii PPO	$5,971.90

Drill Bit 16mm Cann Perc Hollow 03.037.104 [3641046]

Facility

$6,156.60

Hospital Charge Code	3641046
Hospital Revenue Code	272
Min. Negotiated Rate	$3,139.87
Max. Negotiated Rate	$5,971.90
Rate for Payer: Cash Price	$4,001.79
Rate for Payer: Hawaii Western Management Group Commercial	$5,848.77
Rate for Payer: Health Management Network Commercial	$5,233.11
Rate for Payer: Kaiser Permanente Commercial	$3,878.66
Rate for Payer: Kaiser Permanente Medicaid	$3,139.87
Rate for Payer: MDX Hawaii PPO	$5,971.90
Rate for Payer: University Health Alliance Commercial	$4,487.55

Drill Bit 1.6mm x 95mm Cann Qc 03.333.100 [3644871]

Facility

$3,027.50

Hospital Charge Code	3644871
Hospital Revenue Code	272
Min. Negotiated Rate	$1,544.03
Max. Negotiated Rate	$2,936.68
Rate for Payer: Cash Price	$1,967.88
Rate for Payer: Hawaii Western Management Group Commercial	$2,876.12
Rate for Payer: Health Management Network Commercial	$2,573.38
Rate for Payer: Kaiser Permanente Commercial	$1,907.33
Rate for Payer: Kaiser Permanente Medicaid	$1,544.03
Rate for Payer: MDX Hawaii PPO	$2,936.68
Rate for Payer: University Health Alliance Commercial	$2,206.74

Drill Bit 1.6mm x 95mm Cann Qc 03.333.100 [3644871]

Facility

$3,027.50

Hospital Charge Code	3644871
Hospital Revenue Code	272
Min. Negotiated Rate	$2,573.38
Max. Negotiated Rate	$2,936.68
Rate for Payer: Cash Price	$1,967.88
Rate for Payer: Health Management Network Commercial	$2,573.38
Rate for Payer: MDX Hawaii PPO	$2,936.68

Drill Bit 1.7mm AR-18800-49 [3644885]

Facility

$1,901.75

Hospital Charge Code	3644885
Hospital Revenue Code	272
Min. Negotiated Rate	$1,616.49
Max. Negotiated Rate	$1,844.70
Rate for Payer: Cash Price	$1,236.14
Rate for Payer: Health Management Network Commercial	$1,616.49
Rate for Payer: MDX Hawaii PPO	$1,844.70

Know your out-of-pocket cost for care.

All Charges