Kona Community Hospital

All Charges

Charge

Type

Setting

Price

Drill Bit 2.2mm NS 231200200 [3641434]

Facility

$917.40

Hospital Charge Code	3641434
Hospital Revenue Code	272
Min. Negotiated Rate	$467.87
Max. Negotiated Rate	$889.88
Rate for Payer: Cash Price	$596.31
Rate for Payer: Hawaii Western Management Group Commercial	$871.53
Rate for Payer: Health Management Network Commercial	$779.79
Rate for Payer: Kaiser Permanente Commercial	$577.96
Rate for Payer: Kaiser Permanente Medicaid	$467.87
Rate for Payer: MDX Hawaii PPO	$889.88
Rate for Payer: University Health Alliance Commercial	$668.69

Drill Bit 2.2mm NS 231200200 [3641434]

Facility

$917.40

Hospital Charge Code	3641434
Hospital Revenue Code	272
Min. Negotiated Rate	$779.79
Max. Negotiated Rate	$889.88
Rate for Payer: Cash Price	$596.31
Rate for Payer: Health Management Network Commercial	$779.79
Rate for Payer: MDX Hawaii PPO	$889.88

Drill Bit 2.2mmx135mm 233500022 [3643939]

Facility

$741.75

Hospital Charge Code	3643939
Hospital Revenue Code	272
Min. Negotiated Rate	$378.29
Max. Negotiated Rate	$719.50
Rate for Payer: Cash Price	$482.14
Rate for Payer: Hawaii Western Management Group Commercial	$704.66
Rate for Payer: Health Management Network Commercial	$630.49
Rate for Payer: Kaiser Permanente Commercial	$467.30
Rate for Payer: Kaiser Permanente Medicaid	$378.29
Rate for Payer: MDX Hawaii PPO	$719.50
Rate for Payer: University Health Alliance Commercial	$540.66

Drill Bit 2.2mmx135mm 233500022 [3643939]

Facility

$741.75

Hospital Charge Code	3643939
Hospital Revenue Code	272
Min. Negotiated Rate	$630.49
Max. Negotiated Rate	$719.50
Rate for Payer: Cash Price	$482.14
Rate for Payer: Health Management Network Commercial	$630.49
Rate for Payer: MDX Hawaii PPO	$719.50

Drill Bit 2.3mm x 40mm DRLL-SSC-23040 [3642731]

Facility

$930.25

Hospital Charge Code	3642731
Hospital Revenue Code	272
Min. Negotiated Rate	$474.43
Max. Negotiated Rate	$902.34
Rate for Payer: Cash Price	$604.66
Rate for Payer: Hawaii Western Management Group Commercial	$883.74
Rate for Payer: Health Management Network Commercial	$790.71
Rate for Payer: Kaiser Permanente Commercial	$586.06
Rate for Payer: Kaiser Permanente Medicaid	$474.43
Rate for Payer: MDX Hawaii PPO	$902.34
Rate for Payer: University Health Alliance Commercial	$678.06

Drill Bit 2.3mm x 40mm DRLL-SSC-23040 [3642731]

Facility

$930.25

Hospital Charge Code	3642731
Hospital Revenue Code	272
Min. Negotiated Rate	$790.71
Max. Negotiated Rate	$902.34
Rate for Payer: Cash Price	$604.66
Rate for Payer: Health Management Network Commercial	$790.71
Rate for Payer: MDX Hawaii PPO	$902.34

Drill Bit 2.4mm AR-4160-24 [3644593]

Facility

$1,223.44

Hospital Charge Code	3644593
Hospital Revenue Code	272
Min. Negotiated Rate	$623.95
Max. Negotiated Rate	$1,186.74
Rate for Payer: Cash Price	$795.24
Rate for Payer: Hawaii Western Management Group Commercial	$1,162.27
Rate for Payer: Health Management Network Commercial	$1,039.92
Rate for Payer: Kaiser Permanente Commercial	$770.77
Rate for Payer: Kaiser Permanente Medicaid	$623.95
Rate for Payer: MDX Hawaii PPO	$1,186.74
Rate for Payer: University Health Alliance Commercial	$891.77

Drill Bit 2.4mm AR-4160-24 [3644593]

Facility

$1,223.44

Hospital Charge Code	3644593
Hospital Revenue Code	272
Min. Negotiated Rate	$1,039.92
Max. Negotiated Rate	$1,186.74
Rate for Payer: Cash Price	$795.24
Rate for Payer: Health Management Network Commercial	$1,039.92
Rate for Payer: MDX Hawaii PPO	$1,186.74

Drill Bit 2.5mm 100mm 214235007 [3641103]

Facility

$681.63

Hospital Charge Code	3641103
Hospital Revenue Code	272
Min. Negotiated Rate	$347.63
Max. Negotiated Rate	$661.18
Rate for Payer: Cash Price	$443.06
Rate for Payer: Hawaii Western Management Group Commercial	$647.55
Rate for Payer: Health Management Network Commercial	$579.39
Rate for Payer: Kaiser Permanente Commercial	$429.43
Rate for Payer: Kaiser Permanente Medicaid	$347.63
Rate for Payer: MDX Hawaii PPO	$661.18
Rate for Payer: University Health Alliance Commercial	$496.84

Drill Bit 2.5mm 100mm 214235007 [3641103]

Facility

$681.63

Hospital Charge Code	3641103
Hospital Revenue Code	272
Min. Negotiated Rate	$579.39
Max. Negotiated Rate	$661.18
Rate for Payer: Cash Price	$443.06
Rate for Payer: Health Management Network Commercial	$579.39
Rate for Payer: MDX Hawaii PPO	$661.18

Drill Bit 2.5mm 829029070 [3640875]

Facility

$961.31

Hospital Charge Code	3640875
Hospital Revenue Code	272
Min. Negotiated Rate	$490.27
Max. Negotiated Rate	$932.47
Rate for Payer: Cash Price	$624.85
Rate for Payer: Hawaii Western Management Group Commercial	$913.24
Rate for Payer: Health Management Network Commercial	$817.11
Rate for Payer: Kaiser Permanente Commercial	$605.63
Rate for Payer: Kaiser Permanente Medicaid	$490.27
Rate for Payer: MDX Hawaii PPO	$932.47
Rate for Payer: University Health Alliance Commercial	$700.70

Drill Bit 2.5mm 829029070 [3640875]

Facility

$961.31

Hospital Charge Code	3640875
Hospital Revenue Code	272
Min. Negotiated Rate	$817.11
Max. Negotiated Rate	$932.47
Rate for Payer: Cash Price	$624.85
Rate for Payer: Health Management Network Commercial	$817.11
Rate for Payer: MDX Hawaii PPO	$932.47

Drill Bit 2.5mm AR-8943-30 [3641596]

Facility

$887.41

Hospital Charge Code	3641596
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 2.5mm AR-8943-30 [3641596]

Facility

$887.41

Hospital Charge Code	3641596
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 2.5mm AR-8973-25 [3644347]

Facility

$662.56

Hospital Charge Code	3644347
Hospital Revenue Code	272
Min. Negotiated Rate	$563.18
Max. Negotiated Rate	$642.68
Rate for Payer: Cash Price	$430.66
Rate for Payer: Health Management Network Commercial	$563.18
Rate for Payer: MDX Hawaii PPO	$642.68

Drill Bit 2.5mm AR-8973-25 [3644347]

Facility

$662.56

Hospital Charge Code	3644347
Hospital Revenue Code	272
Min. Negotiated Rate	$337.91
Max. Negotiated Rate	$642.68
Rate for Payer: Cash Price	$430.66
Rate for Payer: Hawaii Western Management Group Commercial	$629.43
Rate for Payer: Health Management Network Commercial	$563.18
Rate for Payer: Kaiser Permanente Commercial	$417.41
Rate for Payer: Kaiser Permanente Medicaid	$337.91
Rate for Payer: MDX Hawaii PPO	$642.68
Rate for Payer: University Health Alliance Commercial	$482.94

Drill Bit 2.5mm Calib AR-8943-13 [3640782]

Facility

$602.19

Hospital Charge Code	3640782
Hospital Revenue Code	272
Min. Negotiated Rate	$307.12
Max. Negotiated Rate	$584.12
Rate for Payer: Cash Price	$391.42
Rate for Payer: Hawaii Western Management Group Commercial	$572.08
Rate for Payer: Health Management Network Commercial	$511.86
Rate for Payer: Kaiser Permanente Commercial	$379.38
Rate for Payer: Kaiser Permanente Medicaid	$307.12
Rate for Payer: MDX Hawaii PPO	$584.12
Rate for Payer: University Health Alliance Commercial	$438.94

Drill Bit 2.5mm Calib AR-8943-13 [3640782]

Facility

$602.19

Hospital Charge Code	3640782
Hospital Revenue Code	272
Min. Negotiated Rate	$511.86
Max. Negotiated Rate	$584.12
Rate for Payer: Cash Price	$391.42
Rate for Payer: Health Management Network Commercial	$511.86
Rate for Payer: MDX Hawaii PPO	$584.12

Drill Bit 2.5mm Calib AR-8943-42 [3642684]

Facility

$887.41

Hospital Charge Code	3642684
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 2.5mm Calib AR-8943-42 [3642684]

Facility

$887.41

Hospital Charge Code	3642684
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 2.5mm QC 180mm 103.25.180 [3641304]

Facility

$873.49

Hospital Charge Code	3641304
Hospital Revenue Code	272
Min. Negotiated Rate	$742.47
Max. Negotiated Rate	$847.29
Rate for Payer: Cash Price	$567.77
Rate for Payer: Health Management Network Commercial	$742.47
Rate for Payer: MDX Hawaii PPO	$847.29

Drill Bit 2.5mm QC 180mm 103.25.180 [3641304]

Facility

$873.49

Hospital Charge Code	3641304
Hospital Revenue Code	272
Min. Negotiated Rate	$445.48
Max. Negotiated Rate	$847.29
Rate for Payer: Cash Price	$567.77
Rate for Payer: Hawaii Western Management Group Commercial	$829.82
Rate for Payer: Health Management Network Commercial	$742.47
Rate for Payer: Kaiser Permanente Commercial	$550.30
Rate for Payer: Kaiser Permanente Medicaid	$445.48
Rate for Payer: MDX Hawaii PPO	$847.29
Rate for Payer: University Health Alliance Commercial	$636.69

Drill Bit 2.5mm QC Calib 03.113.023 [3640434]

Facility

$906.63

Hospital Charge Code	3640434
Hospital Revenue Code	272
Min. Negotiated Rate	$462.38
Max. Negotiated Rate	$879.43
Rate for Payer: Cash Price	$589.31
Rate for Payer: Hawaii Western Management Group Commercial	$861.30
Rate for Payer: Health Management Network Commercial	$770.64
Rate for Payer: Kaiser Permanente Commercial	$571.18
Rate for Payer: Kaiser Permanente Medicaid	$462.38
Rate for Payer: MDX Hawaii PPO	$879.43
Rate for Payer: University Health Alliance Commercial	$660.84

Drill Bit 2.5mm QC Calib 03.113.023 [3640434]

Facility

$906.63

Hospital Charge Code	3640434
Hospital Revenue Code	272
Min. Negotiated Rate	$770.64
Max. Negotiated Rate	$879.43
Rate for Payer: Cash Price	$589.31
Rate for Payer: Health Management Network Commercial	$770.64
Rate for Payer: MDX Hawaii PPO	$879.43

Drill Bit 2.5mm So-112-25-701 [3643623]

Facility

$962.50

Hospital Charge Code	3643623
Hospital Revenue Code	272
Min. Negotiated Rate	$490.88
Max. Negotiated Rate	$933.62
Rate for Payer: Cash Price	$625.62
Rate for Payer: Hawaii Western Management Group Commercial	$914.38
Rate for Payer: Health Management Network Commercial	$818.12
Rate for Payer: Kaiser Permanente Commercial	$606.38
Rate for Payer: Kaiser Permanente Medicaid	$490.88
Rate for Payer: MDX Hawaii PPO	$933.62
Rate for Payer: University Health Alliance Commercial	$701.57

Know your out-of-pocket cost for care.

All Charges