Kona Community Hospital

All Charges

Charge

Type

Setting

Price

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

Drill Bit 1.7mm Short AR-8916-28 [3644601]

Facility

$565.96

Hospital Charge Code	3644601
Hospital Revenue Code	272
Min. Negotiated Rate	$288.64
Max. Negotiated Rate	$548.98
Rate for Payer: Cash Price	$367.87
Rate for Payer: Hawaii Western Management Group Commercial	$537.66
Rate for Payer: Health Management Network Commercial	$481.07
Rate for Payer: Kaiser Permanente Commercial	$356.55
Rate for Payer: Kaiser Permanente Medicaid	$288.64
Rate for Payer: MDX Hawaii PPO	$548.98
Rate for Payer: University Health Alliance Commercial	$412.53

Drill Bit 1.7mm Short AR-8916-28 [3644601]

Facility

$565.96

Hospital Charge Code	3644601
Hospital Revenue Code	272
Min. Negotiated Rate	$481.07
Max. Negotiated Rate	$548.98
Rate for Payer: Cash Price	$367.87
Rate for Payer: Health Management Network Commercial	$481.07
Rate for Payer: MDX Hawaii PPO	$548.98

Drill Bit 1/8" 801-01-020 [3644087]

Facility

$462.75

Hospital Charge Code	3644087
Hospital Revenue Code	272
Min. Negotiated Rate	$236.00
Max. Negotiated Rate	$448.87
Rate for Payer: Cash Price	$300.79
Rate for Payer: Hawaii Western Management Group Commercial	$439.61
Rate for Payer: Health Management Network Commercial	$393.34
Rate for Payer: Kaiser Permanente Commercial	$291.53
Rate for Payer: Kaiser Permanente Medicaid	$236.00
Rate for Payer: MDX Hawaii PPO	$448.87
Rate for Payer: University Health Alliance Commercial	$337.30

Drill Bit 1/8" 801-01-020 [3644087]

Facility

$462.75

Hospital Charge Code	3644087
Hospital Revenue Code	272
Min. Negotiated Rate	$393.34
Max. Negotiated Rate	$448.87
Rate for Payer: Cash Price	$300.79
Rate for Payer: Health Management Network Commercial	$393.34
Rate for Payer: MDX Hawaii PPO	$448.87

Drill Bit 2.0mm AO AR-18800-02 [3644794]

Facility

$1,686.50

Hospital Charge Code	3644794
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 2.0mm AO AR-18800-02 [3644794]

Facility

$1,686.50

Hospital Charge Code	3644794
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 2.0mm AO AR-8944-22 [3644046]

Facility

$887.41

Hospital Charge Code	3644046
Hospital Revenue Code	272
Min. Negotiated Rate	$754.30
Max. Negotiated Rate	$860.79
Rate for Payer: Cash Price	$576.82
Rate for Payer: Health Management Network Commercial	$754.30
Rate for Payer: MDX Hawaii PPO	$860.79

Drill Bit 2.0mm AO AR-8944-22 [3644046]

Facility

$887.41

Hospital Charge Code	3644046
Hospital Revenue Code	272
Min. Negotiated Rate	$452.58
Max. Negotiated Rate	$860.79
Rate for Payer: Cash Price	$576.82
Rate for Payer: Hawaii Western Management Group Commercial	$843.04
Rate for Payer: Health Management Network Commercial	$754.30
Rate for Payer: Kaiser Permanente Commercial	$559.07
Rate for Payer: Kaiser Permanente Medicaid	$452.58
Rate for Payer: MDX Hawaii PPO	$860.79
Rate for Payer: University Health Alliance Commercial	$646.83

Drill Bit 2.0mm Calib AR-8943-16 [3640783]

Facility

$978.45

Hospital Charge Code	3640783
Hospital Revenue Code	272
Min. Negotiated Rate	$831.68
Max. Negotiated Rate	$949.10
Rate for Payer: Cash Price	$635.99
Rate for Payer: Health Management Network Commercial	$831.68
Rate for Payer: MDX Hawaii PPO	$949.10

Drill Bit 2.0mm Calib AR-8943-16 [3640783]

Facility

$978.45

Hospital Charge Code	3640783
Hospital Revenue Code	272
Min. Negotiated Rate	$499.01
Max. Negotiated Rate	$949.10
Rate for Payer: Cash Price	$635.99
Rate for Payer: Hawaii Western Management Group Commercial	$929.53
Rate for Payer: Health Management Network Commercial	$831.68
Rate for Payer: Kaiser Permanente Commercial	$616.42
Rate for Payer: Kaiser Permanente Medicaid	$499.01
Rate for Payer: MDX Hawaii PPO	$949.10
Rate for Payer: University Health Alliance Commercial	$713.19

Drill Bit 2.0mm Long AO AR-18800-19 [3644809]

Facility

$1,901.75

Hospital Charge Code	3644809
Hospital Revenue Code	272
Min. Negotiated Rate	$969.89
Max. Negotiated Rate	$1,844.70
Rate for Payer: Cash Price	$1,236.14
Rate for Payer: Hawaii Western Management Group Commercial	$1,806.66
Rate for Payer: Health Management Network Commercial	$1,616.49
Rate for Payer: Kaiser Permanente Commercial	$1,198.10
Rate for Payer: Kaiser Permanente Medicaid	$969.89
Rate for Payer: MDX Hawaii PPO	$1,844.70
Rate for Payer: University Health Alliance Commercial	$1,386.19

Drill Bit 2.0mm Long AO AR-18800-19 [3644809]

Facility

$1,901.75

Hospital Charge Code	3644809
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

Drill Bit 2.0mm Short AO AR-18800-18 [3644797]

Facility

$1,558.38

Hospital Charge Code	3644797
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 2.0mm Short AO AR-18800-18 [3644797]

Facility

$1,558.38

Hospital Charge Code	3644797
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 2.0mm Standard Drill 00-2360-175-20 [3641425]

Facility

$1,702.90

Hospital Charge Code	3641425
Hospital Revenue Code	272
Min. Negotiated Rate	$868.48
Max. Negotiated Rate	$1,651.81
Rate for Payer: Cash Price	$1,106.88
Rate for Payer: Hawaii Western Management Group Commercial	$1,617.76
Rate for Payer: Health Management Network Commercial	$1,447.46
Rate for Payer: Kaiser Permanente Commercial	$1,072.83
Rate for Payer: Kaiser Permanente Medicaid	$868.48
Rate for Payer: MDX Hawaii PPO	$1,651.81
Rate for Payer: University Health Alliance Commercial	$1,241.24

Drill Bit 2.0mm Standard Drill 00-2360-175-20 [3641425]

Facility

$1,702.90

Hospital Charge Code	3641425
Hospital Revenue Code	272
Min. Negotiated Rate	$1,447.46
Max. Negotiated Rate	$1,651.81
Rate for Payer: Cash Price	$1,106.88
Rate for Payer: Health Management Network Commercial	$1,447.46
Rate for Payer: MDX Hawaii PPO	$1,651.81

Drill Bit 2.0mm x 145mm Cann Qc 03.333.101 [3644874]

Facility

$3,032.45

Hospital Charge Code	3644874
Hospital Revenue Code	272
Min. Negotiated Rate	$2,577.58
Max. Negotiated Rate	$2,941.48
Rate for Payer: Cash Price	$1,971.09
Rate for Payer: Health Management Network Commercial	$2,577.58
Rate for Payer: MDX Hawaii PPO	$2,941.48

Drill Bit 2.0mm x 145mm Cann Qc 03.333.101 [3644874]

Facility

$3,032.45

Hospital Charge Code	3644874
Hospital Revenue Code	272
Min. Negotiated Rate	$1,546.55
Max. Negotiated Rate	$2,941.48
Rate for Payer: Cash Price	$1,971.09
Rate for Payer: Hawaii Western Management Group Commercial	$2,880.83
Rate for Payer: Health Management Network Commercial	$2,577.58
Rate for Payer: Kaiser Permanente Commercial	$1,910.44
Rate for Payer: Kaiser Permanente Medicaid	$1,546.55
Rate for Payer: MDX Hawaii PPO	$2,941.48
Rate for Payer: University Health Alliance Commercial	$2,210.35

Drill Bit 2.0mmx80mm [3643290]

Facility

$975.63

Hospital Charge Code	3643290
Hospital Revenue Code	272
Min. Negotiated Rate	$829.29
Max. Negotiated Rate	$946.36
Rate for Payer: Cash Price	$634.16
Rate for Payer: Health Management Network Commercial	$829.29
Rate for Payer: MDX Hawaii PPO	$946.36

Drill Bit 2.0mmx80mm [3643290]

Facility

$975.63

Hospital Charge Code	3643290
Hospital Revenue Code	272
Min. Negotiated Rate	$497.57
Max. Negotiated Rate	$946.36
Rate for Payer: Cash Price	$634.16
Rate for Payer: Hawaii Western Management Group Commercial	$926.85
Rate for Payer: Health Management Network Commercial	$829.29
Rate for Payer: Kaiser Permanente Commercial	$614.65
Rate for Payer: Kaiser Permanente Medicaid	$497.57
Rate for Payer: MDX Hawaii PPO	$946.36
Rate for Payer: University Health Alliance Commercial	$711.14

Drill Bit 210443 9/64 [3600955]

Facility

$616.88

Hospital Charge Code	3600955
Hospital Revenue Code	272
Min. Negotiated Rate	$524.35
Max. Negotiated Rate	$598.37
Rate for Payer: Cash Price	$400.97
Rate for Payer: Health Management Network Commercial	$524.35
Rate for Payer: MDX Hawaii PPO	$598.37

Drill Bit 210443 9/64 [3600955]

Facility

$616.88

Hospital Charge Code	3600955
Hospital Revenue Code	272
Min. Negotiated Rate	$314.61
Max. Negotiated Rate	$598.37
Rate for Payer: Cash Price	$400.97
Rate for Payer: Hawaii Western Management Group Commercial	$586.04
Rate for Payer: Health Management Network Commercial	$524.35
Rate for Payer: Kaiser Permanente Commercial	$388.63
Rate for Payer: Kaiser Permanente Medicaid	$314.61
Rate for Payer: MDX Hawaii PPO	$598.37
Rate for Payer: University Health Alliance Commercial	$449.64

Drill Bit 210446 3/16 4.7 x 127mm [3600958]

Facility

$896.88

Hospital Charge Code	3600958
Hospital Revenue Code	272
Min. Negotiated Rate	$457.41
Max. Negotiated Rate	$869.97
Rate for Payer: Cash Price	$582.97
Rate for Payer: Hawaii Western Management Group Commercial	$852.04
Rate for Payer: Health Management Network Commercial	$762.35
Rate for Payer: Kaiser Permanente Commercial	$565.03
Rate for Payer: Kaiser Permanente Medicaid	$457.41
Rate for Payer: MDX Hawaii PPO	$869.97
Rate for Payer: University Health Alliance Commercial	$653.74

Drill Bit 210446 3/16 4.7 x 127mm [3600958]

Facility

$896.88

Hospital Charge Code	3600958
Hospital Revenue Code	272
Min. Negotiated Rate	$762.35
Max. Negotiated Rate	$869.97
Rate for Payer: Cash Price	$582.97
Rate for Payer: Health Management Network Commercial	$762.35
Rate for Payer: MDX Hawaii PPO	$869.97

Know your out-of-pocket cost for care.

All Charges