Kona Community Hospital

All Charges

Charge

Type

Setting

Price

Drill Bit 2.7mmX80mm DRLLSSC27080 [3642742]

Facility

$892.77

Hospital Charge Code	3642742
Hospital Revenue Code	272
Min. Negotiated Rate	$455.31
Max. Negotiated Rate	$865.99
Rate for Payer: Cash Price	$580.30
Rate for Payer: Hawaii Western Management Group Commercial	$848.13
Rate for Payer: Health Management Network Commercial	$758.85
Rate for Payer: Kaiser Permanente Commercial	$562.45
Rate for Payer: Kaiser Permanente Medicaid	$455.31
Rate for Payer: MDX Hawaii PPO	$865.99
Rate for Payer: University Health Alliance Commercial	$650.74

Drill Bit 2.7mmX80mm DRLLSSC27080 [3642742]

Facility

$892.77

Hospital Charge Code	3642742
Hospital Revenue Code	272
Min. Negotiated Rate	$758.85
Max. Negotiated Rate	$865.99
Rate for Payer: Cash Price	$580.30
Rate for Payer: Health Management Network Commercial	$758.85
Rate for Payer: MDX Hawaii PPO	$865.99

Drill Bit 2.8mm QC Calib 03.113.024 [3640407]

Facility

$1,003.51

Hospital Charge Code	3640407
Hospital Revenue Code	272
Min. Negotiated Rate	$511.79
Max. Negotiated Rate	$973.40
Rate for Payer: Cash Price	$652.28
Rate for Payer: Hawaii Western Management Group Commercial	$953.33
Rate for Payer: Health Management Network Commercial	$852.98
Rate for Payer: Kaiser Permanente Commercial	$632.21
Rate for Payer: Kaiser Permanente Medicaid	$511.79
Rate for Payer: MDX Hawaii PPO	$973.40
Rate for Payer: University Health Alliance Commercial	$731.46

Drill Bit 2.8mm QC Calib 03.113.024 [3640407]

Facility

$1,003.51

Hospital Charge Code	3640407
Hospital Revenue Code	272
Min. Negotiated Rate	$852.98
Max. Negotiated Rate	$973.40
Rate for Payer: Cash Price	$652.28
Rate for Payer: Health Management Network Commercial	$852.98
Rate for Payer: MDX Hawaii PPO	$973.40

Drill Bit 2.9mm 231200201 [3626563]

Facility

$656.25

Hospital Charge Code	3626563
Hospital Revenue Code	272
Min. Negotiated Rate	$334.69
Max. Negotiated Rate	$636.56
Rate for Payer: Cash Price	$426.56
Rate for Payer: Hawaii Western Management Group Commercial	$623.44
Rate for Payer: Health Management Network Commercial	$557.81
Rate for Payer: Kaiser Permanente Commercial	$413.44
Rate for Payer: Kaiser Permanente Medicaid	$334.69
Rate for Payer: MDX Hawaii PPO	$636.56
Rate for Payer: University Health Alliance Commercial	$478.34

Drill Bit 2.9mm 231200201 [3626563]

Facility

$656.25

Hospital Charge Code	3626563
Hospital Revenue Code	272
Min. Negotiated Rate	$557.81
Max. Negotiated Rate	$636.56
Rate for Payer: Cash Price	$426.56
Rate for Payer: Health Management Network Commercial	$557.81
Rate for Payer: MDX Hawaii PPO	$636.56

Drill Bit 310.28 2.7 X 125 mm QC [3606313]

Facility

$465.41

Hospital Charge Code	3606313
Hospital Revenue Code	272
Min. Negotiated Rate	$237.36
Max. Negotiated Rate	$451.45
Rate for Payer: Cash Price	$302.52
Rate for Payer: Hawaii Western Management Group Commercial	$442.14
Rate for Payer: Health Management Network Commercial	$395.60
Rate for Payer: Kaiser Permanente Commercial	$293.21
Rate for Payer: Kaiser Permanente Medicaid	$237.36
Rate for Payer: MDX Hawaii PPO	$451.45
Rate for Payer: University Health Alliance Commercial	$339.24

Drill Bit 310.28 2.7 X 125 mm QC [3606313]

Facility

$465.41

Hospital Charge Code	3606313
Hospital Revenue Code	272
Min. Negotiated Rate	$395.60
Max. Negotiated Rate	$451.45
Rate for Payer: Cash Price	$302.52
Rate for Payer: Health Management Network Commercial	$395.60
Rate for Payer: MDX Hawaii PPO	$451.45

Drill Bit 324.213 4.3mm QC Perc Calib [3640367]

Facility

$981.09

Hospital Charge Code	3640367
Hospital Revenue Code	272
Min. Negotiated Rate	$500.36
Max. Negotiated Rate	$951.66
Rate for Payer: Cash Price	$637.71
Rate for Payer: Hawaii Western Management Group Commercial	$932.04
Rate for Payer: Health Management Network Commercial	$833.93
Rate for Payer: Kaiser Permanente Commercial	$618.09
Rate for Payer: Kaiser Permanente Medicaid	$500.36
Rate for Payer: MDX Hawaii PPO	$951.66
Rate for Payer: University Health Alliance Commercial	$715.12

Drill Bit 324.213 4.3mm QC Perc Calib [3640367]

Facility

$981.09

Hospital Charge Code	3640367
Hospital Revenue Code	272
Min. Negotiated Rate	$833.93
Max. Negotiated Rate	$951.66
Rate for Payer: Cash Price	$637.71
Rate for Payer: Health Management Network Commercial	$833.93
Rate for Payer: MDX Hawaii PPO	$951.66

Drill Bit 324.214 2.8mm QC Perc Calib 324.214 [3620380]

Facility

$1,291.39

Hospital Charge Code	3620380
Hospital Revenue Code	272
Min. Negotiated Rate	$1,097.68
Max. Negotiated Rate	$1,252.65
Rate for Payer: Cash Price	$839.40
Rate for Payer: Health Management Network Commercial	$1,097.68
Rate for Payer: MDX Hawaii PPO	$1,252.65

Drill Bit 324.214 2.8mm QC Perc Calib 324.214 [3620380]

Facility

$1,291.39

Hospital Charge Code	3620380
Hospital Revenue Code	272
Min. Negotiated Rate	$658.61
Max. Negotiated Rate	$1,252.65
Rate for Payer: Cash Price	$839.40
Rate for Payer: Hawaii Western Management Group Commercial	$1,226.82
Rate for Payer: Health Management Network Commercial	$1,097.68
Rate for Payer: Kaiser Permanente Commercial	$813.58
Rate for Payer: Kaiser Permanente Medicaid	$658.61
Rate for Payer: MDX Hawaii PPO	$1,252.65
Rate for Payer: University Health Alliance Commercial	$941.29

Drill Bit 3.2mm Cann Long AR-8750-09 [3644663]

Facility

$1,686.50

Hospital Charge Code	3644663
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 3.2mm Cann Long AR-8750-09 [3644663]

Facility

$1,686.50

Hospital Charge Code	3644663
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 3.2mm Cmp FT Calib AR-8737-50 [3644980]

Facility

$1,223.44

Hospital Charge Code	3644980
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 3.2mm Cmp FT Calib AR-8737-50 [3644980]

Facility

$1,223.44

Hospital Charge Code	3644980
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 3.2mm Sterile 804-00-301 [3644769]

Facility

$1,947.88

Hospital Charge Code	3644769
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 3.2mm Sterile 804-00-301 [3644769]

Facility

$1,947.88

Hospital Charge Code	3644769
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 3.2mm Three Fluted QC 145mm 03.010.103 [3640091]

Facility

$1,384.30

Hospital Charge Code	3640091
Hospital Revenue Code	272
Min. Negotiated Rate	$705.99
Max. Negotiated Rate	$1,342.77
Rate for Payer: Cash Price	$899.80
Rate for Payer: Hawaii Western Management Group Commercial	$1,315.09
Rate for Payer: Health Management Network Commercial	$1,176.65
Rate for Payer: Kaiser Permanente Commercial	$872.11
Rate for Payer: Kaiser Permanente Medicaid	$705.99
Rate for Payer: MDX Hawaii PPO	$1,342.77
Rate for Payer: University Health Alliance Commercial	$1,009.02

Drill Bit 3.2mm Three Fluted QC 145mm 03.010.103 [3640091]

Facility

$1,384.30

Hospital Charge Code	3640091
Hospital Revenue Code	272
Min. Negotiated Rate	$1,176.65
Max. Negotiated Rate	$1,342.77
Rate for Payer: Cash Price	$899.80
Rate for Payer: Health Management Network Commercial	$1,176.65
Rate for Payer: MDX Hawaii PPO	$1,342.77

Drill Bit 3.2mm Three Fluted QC Calib 03.010.060 [3640063A]

Facility

$1,871.36

Hospital Charge Code	3640063A
Hospital Revenue Code	272
Min. Negotiated Rate	$954.39
Max. Negotiated Rate	$1,815.22
Rate for Payer: Cash Price	$1,216.38
Rate for Payer: Hawaii Western Management Group Commercial	$1,777.79
Rate for Payer: Health Management Network Commercial	$1,590.66
Rate for Payer: Kaiser Permanente Commercial	$1,178.96
Rate for Payer: Kaiser Permanente Medicaid	$954.39
Rate for Payer: MDX Hawaii PPO	$1,815.22
Rate for Payer: University Health Alliance Commercial	$1,364.03

Drill Bit 3.2mm Three Fluted QC Calib 03.010.060 [3640063A]

Facility

$1,871.36

Hospital Charge Code	3640063A
Hospital Revenue Code	272
Min. Negotiated Rate	$1,590.66
Max. Negotiated Rate	$1,815.22
Rate for Payer: Cash Price	$1,216.38
Rate for Payer: Health Management Network Commercial	$1,590.66
Rate for Payer: MDX Hawaii PPO	$1,815.22

Drill Bit 3.3mm NCB 195mm 02.00024.118 [3644825]

Facility

$1,093.04

Hospital Charge Code	3644825
Hospital Revenue Code	272
Min. Negotiated Rate	$929.08
Max. Negotiated Rate	$1,060.25
Rate for Payer: Cash Price	$710.48
Rate for Payer: Health Management Network Commercial	$929.08
Rate for Payer: MDX Hawaii PPO	$1,060.25

Drill Bit 3.3mm NCB 195mm 02.00024.118 [3644825]

Facility

$1,093.04

Hospital Charge Code	3644825
Hospital Revenue Code	272
Min. Negotiated Rate	$557.45
Max. Negotiated Rate	$1,060.25
Rate for Payer: Cash Price	$710.48
Rate for Payer: Hawaii Western Management Group Commercial	$1,038.39
Rate for Payer: Health Management Network Commercial	$929.08
Rate for Payer: Kaiser Permanente Commercial	$688.62
Rate for Payer: Kaiser Permanente Medicaid	$557.45
Rate for Payer: MDX Hawaii PPO	$1,060.25
Rate for Payer: University Health Alliance Commercial	$796.72

Drill Bit 3.3mm NCB-L 245mm 02.00024.344 [3644826]

Facility

$1,005.22

Hospital Charge Code	3644826
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

Know your out-of-pocket cost for care.

All Charges