Kona Community Hospital

All Charges

Charge

Type

Setting

Price

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

Facility

$962.50

Hospital Charge Code	3643623
Hospital Revenue Code	272
Min. Negotiated Rate	$818.12
Max. Negotiated Rate	$933.62
Rate for Payer: Cash Price	$625.62
Rate for Payer: Health Management Network Commercial	$818.12
Rate for Payer: MDX Hawaii PPO	$933.62

Drill Bit 2.5mm Sterile 804-00-300 [3644118]

Facility

$1,947.88

Hospital Charge Code	3644118
Hospital Revenue Code	272
Min. Negotiated Rate	$1,655.70
Max. Negotiated Rate	$1,889.44
Rate for Payer: Cash Price	$1,266.12
Rate for Payer: Health Management Network Commercial	$1,655.70
Rate for Payer: MDX Hawaii PPO	$1,889.44

Drill Bit 2.5mm Sterile 804-00-300 [3644118]

Facility

$1,947.88

Hospital Charge Code	3644118
Hospital Revenue Code	272
Min. Negotiated Rate	$993.42
Max. Negotiated Rate	$1,889.44
Rate for Payer: Cash Price	$1,266.12
Rate for Payer: Hawaii Western Management Group Commercial	$1,850.49
Rate for Payer: Health Management Network Commercial	$1,655.70
Rate for Payer: Kaiser Permanente Commercial	$1,227.16
Rate for Payer: Kaiser Permanente Medicaid	$993.42
Rate for Payer: MDX Hawaii PPO	$1,889.44
Rate for Payer: University Health Alliance Commercial	$1,419.81

Drill Bit 2.5mmx127mm 1395-1025 [3644115]

Facility

$282.00

Hospital Charge Code	3644115
Hospital Revenue Code	272
Min. Negotiated Rate	$239.70
Max. Negotiated Rate	$273.54
Rate for Payer: Cash Price	$183.30
Rate for Payer: Health Management Network Commercial	$239.70
Rate for Payer: MDX Hawaii PPO	$273.54

Drill Bit 2.5mmx127mm 1395-1025 [3644115]

Facility

$282.00

Hospital Charge Code	3644115
Hospital Revenue Code	272
Min. Negotiated Rate	$143.82
Max. Negotiated Rate	$273.54
Rate for Payer: Cash Price	$183.30
Rate for Payer: Hawaii Western Management Group Commercial	$267.90
Rate for Payer: Health Management Network Commercial	$239.70
Rate for Payer: Kaiser Permanente Commercial	$177.66
Rate for Payer: Kaiser Permanente Medicaid	$143.82
Rate for Payer: MDX Hawaii PPO	$273.54
Rate for Payer: University Health Alliance Commercial	$205.55

Drill Bit 2.6mm Cann AR-8943-02 [3641194]

Facility

$1,686.50

Hospital Charge Code	3641194
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 2.6mm Cann AR-8943-02 [3641194]

Facility

$1,686.50

Hospital Charge Code	3641194
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 2.75mm .066 Cann AR-7000-14 [3641318]

Facility

$2,753.00

Hospital Charge Code	3641318
Hospital Revenue Code	272
Min. Negotiated Rate	$2,340.05
Max. Negotiated Rate	$2,670.41
Rate for Payer: Cash Price	$1,789.45
Rate for Payer: Health Management Network Commercial	$2,340.05
Rate for Payer: MDX Hawaii PPO	$2,670.41

Drill Bit 2.75mm .066 Cann AR-7000-14 [3641318]

Facility

$2,753.00

Hospital Charge Code	3641318
Hospital Revenue Code	272
Min. Negotiated Rate	$1,404.03
Max. Negotiated Rate	$2,670.41
Rate for Payer: Cash Price	$1,789.45
Rate for Payer: Hawaii Western Management Group Commercial	$2,615.35
Rate for Payer: Health Management Network Commercial	$2,340.05
Rate for Payer: Kaiser Permanente Commercial	$1,734.39
Rate for Payer: Kaiser Permanente Medicaid	$1,404.03
Rate for Payer: MDX Hawaii PPO	$2,670.41
Rate for Payer: University Health Alliance Commercial	$2,006.66

Drill Bit 2.7mm 100mm 214235006 [3641102]

Facility

$681.63

Hospital Charge Code	3641102
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 2.7mm 100mm 214235006 [3641102]

Facility

$681.63

Hospital Charge Code	3641102
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 2.7mm AR-8827D-01 [3644740]

Facility

$887.41

Hospital Charge Code	3644740
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 2.7mm AR-8827D-01 [3644740]

Facility

$887.41

Hospital Charge Code	3644740
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 2.7mm Calib 214227070 [3640876]

Facility

$1,005.22

Hospital Charge Code	3640876
Hospital Revenue Code	272
Min. Negotiated Rate	$512.66
Max. Negotiated Rate	$975.06
Rate for Payer: Cash Price	$653.39
Rate for Payer: Hawaii Western Management Group Commercial	$954.96
Rate for Payer: Health Management Network Commercial	$854.44
Rate for Payer: Kaiser Permanente Commercial	$633.29
Rate for Payer: Kaiser Permanente Medicaid	$512.66
Rate for Payer: MDX Hawaii PPO	$975.06
Rate for Payer: University Health Alliance Commercial	$732.70

Drill Bit 2.7mm Calib 214227070 [3640876]

Facility

$1,005.22

Hospital Charge Code	3640876
Hospital Revenue Code	272
Min. Negotiated Rate	$854.44
Max. Negotiated Rate	$975.06
Rate for Payer: Cash Price	$653.39
Rate for Payer: Health Management Network Commercial	$854.44
Rate for Payer: MDX Hawaii PPO	$975.06

Drill Bit 2.7mm Cmp FT Calib AR-8737-35 [3644978]

Facility

$1,223.44

Hospital Charge Code	3644978
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 2.7mm Cmp FT Calib AR-8737-35 [3644978]

Facility

$1,223.44

Hospital Charge Code	3644978
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 2.7mm Short 233500227 [3644222]

Facility

$606.50

Hospital Charge Code	3644222
Hospital Revenue Code	272
Min. Negotiated Rate	$515.52
Max. Negotiated Rate	$588.30
Rate for Payer: Cash Price	$394.22
Rate for Payer: Health Management Network Commercial	$515.52
Rate for Payer: MDX Hawaii PPO	$588.30

Drill Bit 2.7mm Short 233500227 [3644222]

Facility

$606.50

Hospital Charge Code	3644222
Hospital Revenue Code	272
Min. Negotiated Rate	$309.31
Max. Negotiated Rate	$588.30
Rate for Payer: Cash Price	$394.22
Rate for Payer: Hawaii Western Management Group Commercial	$576.17
Rate for Payer: Health Management Network Commercial	$515.52
Rate for Payer: Kaiser Permanente Commercial	$382.10
Rate for Payer: Kaiser Permanente Medicaid	$309.31
Rate for Payer: MDX Hawaii PPO	$588.30
Rate for Payer: University Health Alliance Commercial	$442.08

Drill Bit 2.7mm x 135mm 233500027 [3642970]

Facility

$741.75

Hospital Charge Code	3642970
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 2.7mm x 135mm 233500027 [3642970]

Facility

$741.75

Hospital Charge Code	3642970
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 2.7mm x 40mm DRLL-SSC-27040 [3642743]

Facility

$930.25

Hospital Charge Code	3642743
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 2.7mm x 40mm DRLL-SSC-27040 [3642743]

Facility

$930.25

Hospital Charge Code	3642743
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 2.7mmx50mm [3643291]

Facility

$630.00

Hospital Charge Code	3643291
Hospital Revenue Code	272
Min. Negotiated Rate	$321.30
Max. Negotiated Rate	$611.10
Rate for Payer: Cash Price	$409.50
Rate for Payer: Hawaii Western Management Group Commercial	$598.50
Rate for Payer: Health Management Network Commercial	$535.50
Rate for Payer: Kaiser Permanente Commercial	$396.90
Rate for Payer: Kaiser Permanente Medicaid	$321.30
Rate for Payer: MDX Hawaii PPO	$611.10
Rate for Payer: University Health Alliance Commercial	$459.21

Drill Bit 2.7mmx50mm [3643291]

Facility

$630.00

Hospital Charge Code	3643291
Hospital Revenue Code	272
Min. Negotiated Rate	$535.50
Max. Negotiated Rate	$611.10
Rate for Payer: Cash Price	$409.50
Rate for Payer: Health Management Network Commercial	$535.50
Rate for Payer: MDX Hawaii PPO	$611.10

Know your out-of-pocket cost for care.

All Charges