Kona Community Hospital

All Charges

Charge

Type

Setting

Price

Drill Bit 4.3mm NCB-DF 300mm 02.00024.003 [3641302]

Facility

$1,049.13

Hospital Charge Code	3641302
Hospital Revenue Code	272
Min. Negotiated Rate	$891.76
Max. Negotiated Rate	$1,017.66
Rate for Payer: Cash Price	$681.93
Rate for Payer: Health Management Network Commercial	$891.76
Rate for Payer: MDX Hawaii PPO	$1,017.66

Drill Bit 4.3mm NCB-DF 300mm 02.00024.003 [3641302]

Facility

$1,049.13

Hospital Charge Code	3641302
Hospital Revenue Code	272
Min. Negotiated Rate	$535.06
Max. Negotiated Rate	$1,017.66
Rate for Payer: Cash Price	$681.93
Rate for Payer: Hawaii Western Management Group Commercial	$996.67
Rate for Payer: Health Management Network Commercial	$891.76
Rate for Payer: Kaiser Permanente Commercial	$660.95
Rate for Payer: Kaiser Permanente Medicaid	$535.06
Rate for Payer: MDX Hawaii PPO	$1,017.66
Rate for Payer: University Health Alliance Commercial	$764.71

Drill Bit 4.3mm NCB-L 245mm 02.00024.346 [3644823]

Facility

$1,005.22

Hospital Charge Code	3644823
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 4.3mm NCB-L 245mm 02.00024.346 [3644823]

Facility

$1,005.22

Hospital Charge Code	3644823
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 4.3mm Short Distal Gradutated 2112-01-406 [3627484]

Facility

$2,081.13

Hospital Charge Code	3627484
Hospital Revenue Code	272
Min. Negotiated Rate	$1,061.38
Max. Negotiated Rate	$2,018.70
Rate for Payer: Cash Price	$1,352.73
Rate for Payer: Hawaii Western Management Group Commercial	$1,977.07
Rate for Payer: Health Management Network Commercial	$1,768.96
Rate for Payer: Kaiser Permanente Commercial	$1,311.11
Rate for Payer: Kaiser Permanente Medicaid	$1,061.38
Rate for Payer: MDX Hawaii PPO	$2,018.70
Rate for Payer: University Health Alliance Commercial	$1,516.94

Drill Bit 4.3mm Short Distal Gradutated 2112-01-406 [3627484]

Facility

$2,081.13

Hospital Charge Code	3627484
Hospital Revenue Code	272
Min. Negotiated Rate	$1,768.96
Max. Negotiated Rate	$2,018.70
Rate for Payer: Cash Price	$1,352.73
Rate for Payer: Health Management Network Commercial	$1,768.96
Rate for Payer: MDX Hawaii PPO	$2,018.70

Drill Bit 4.3mm x 413mm 03.168.011 [3641640]

Facility

$2,754.13

Hospital Charge Code	3641640
Hospital Revenue Code	272
Min. Negotiated Rate	$1,404.61
Max. Negotiated Rate	$2,671.51
Rate for Payer: Cash Price	$1,790.18
Rate for Payer: Hawaii Western Management Group Commercial	$2,616.42
Rate for Payer: Health Management Network Commercial	$2,341.01
Rate for Payer: Kaiser Permanente Commercial	$1,735.10
Rate for Payer: Kaiser Permanente Medicaid	$1,404.61
Rate for Payer: MDX Hawaii PPO	$2,671.51
Rate for Payer: University Health Alliance Commercial	$2,007.49

Drill Bit 4.3mm x 413mm 03.168.011 [3641640]

Facility

$2,754.13

Hospital Charge Code	3641640
Hospital Revenue Code	272
Min. Negotiated Rate	$2,341.01
Max. Negotiated Rate	$2,671.51
Rate for Payer: Cash Price	$1,790.18
Rate for Payer: Health Management Network Commercial	$2,341.01
Rate for Payer: MDX Hawaii PPO	$2,671.51

Drill Bit 4.5/6.5mm Stepped QC 485mm 03.010.078 [3641055]

Facility

$3,863.47

Hospital Charge Code	3641055
Hospital Revenue Code	272
Min. Negotiated Rate	$1,970.37
Max. Negotiated Rate	$3,747.57
Rate for Payer: Cash Price	$2,511.26
Rate for Payer: Hawaii Western Management Group Commercial	$3,670.30
Rate for Payer: Health Management Network Commercial	$3,283.95
Rate for Payer: Kaiser Permanente Commercial	$2,433.99
Rate for Payer: Kaiser Permanente Medicaid	$1,970.37
Rate for Payer: MDX Hawaii PPO	$3,747.57
Rate for Payer: University Health Alliance Commercial	$2,816.08

Drill Bit 4.5/6.5mm Stepped QC 485mm 03.010.078 [3641055]

Facility

$3,863.47

Hospital Charge Code	3641055
Hospital Revenue Code	272
Min. Negotiated Rate	$3,283.95
Max. Negotiated Rate	$3,747.57
Rate for Payer: Cash Price	$2,511.26
Rate for Payer: Health Management Network Commercial	$3,283.95
Rate for Payer: MDX Hawaii PPO	$3,747.57

Drill Bit 4mm Non Cann AR-1204D [3641316]

Facility

$1,010.58

Hospital Charge Code	3641316
Hospital Revenue Code	272
Min. Negotiated Rate	$515.40
Max. Negotiated Rate	$980.26
Rate for Payer: Cash Price	$656.88
Rate for Payer: Hawaii Western Management Group Commercial	$960.05
Rate for Payer: Health Management Network Commercial	$858.99
Rate for Payer: Kaiser Permanente Commercial	$636.67
Rate for Payer: Kaiser Permanente Medicaid	$515.40
Rate for Payer: MDX Hawaii PPO	$980.26
Rate for Payer: University Health Alliance Commercial	$736.61

Drill Bit 4mm Non Cann AR-1204D [3641316]

Facility

$1,010.58

Hospital Charge Code	3641316
Hospital Revenue Code	272
Min. Negotiated Rate	$858.99
Max. Negotiated Rate	$980.26
Rate for Payer: Cash Price	$656.88
Rate for Payer: Health Management Network Commercial	$858.99
Rate for Payer: MDX Hawaii PPO	$980.26

Drill Bit 6mm/9mm Cann Stepped 03.037.022 [3640793]

Facility

$3,875.39

Hospital Charge Code	3640793
Hospital Revenue Code	272
Min. Negotiated Rate	$1,976.45
Max. Negotiated Rate	$3,759.13
Rate for Payer: Cash Price	$2,519.00
Rate for Payer: Hawaii Western Management Group Commercial	$3,681.62
Rate for Payer: Health Management Network Commercial	$3,294.08
Rate for Payer: Kaiser Permanente Commercial	$2,441.50
Rate for Payer: Kaiser Permanente Medicaid	$1,976.45
Rate for Payer: MDX Hawaii PPO	$3,759.13
Rate for Payer: University Health Alliance Commercial	$2,824.77

Drill Bit 6mm/9mm Cann Stepped 03.037.022 [3640793]

Facility

$3,875.39

Hospital Charge Code	3640793
Hospital Revenue Code	272
Min. Negotiated Rate	$3,294.08
Max. Negotiated Rate	$3,759.13
Rate for Payer: Cash Price	$2,519.00
Rate for Payer: Health Management Network Commercial	$3,294.08
Rate for Payer: MDX Hawaii PPO	$3,759.13

Drill Bit Agc V/2 Quick Release 32-467619 [3643924]

Facility

$892.77

Hospital Charge Code	3643924
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 Agc V/2 Quick Release 32-467619 [3643924]

Facility

$892.77

Hospital Charge Code	3643924
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 AO 1.7mm Ar-18700-58 [3644581]

Facility

$1,558.38

Hospital Charge Code	3644581
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 AO 1.7mm Ar-18700-58 [3644581]

Facility

$1,558.38

Hospital Charge Code	3644581
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 Calibrated 2.5mm AR-8916-06 [3644599]

Facility

$737.47

Hospital Charge Code	3644599
Hospital Revenue Code	272
Min. Negotiated Rate	$376.11
Max. Negotiated Rate	$715.35
Rate for Payer: Cash Price	$479.36
Rate for Payer: Hawaii Western Management Group Commercial	$700.60
Rate for Payer: Health Management Network Commercial	$626.85
Rate for Payer: Kaiser Permanente Commercial	$464.61
Rate for Payer: Kaiser Permanente Medicaid	$376.11
Rate for Payer: MDX Hawaii PPO	$715.35
Rate for Payer: University Health Alliance Commercial	$537.54

Drill Bit Calibrated 2.5mm AR-8916-06 [3644599]

Facility

$737.47

Hospital Charge Code	3644599
Hospital Revenue Code	272
Min. Negotiated Rate	$626.85
Max. Negotiated Rate	$715.35
Rate for Payer: Cash Price	$479.36
Rate for Payer: Health Management Network Commercial	$626.85
Rate for Payer: MDX Hawaii PPO	$715.35

Drill Bit Calibrated 4.2mm X-Long 03.045.022 [3643792]

Facility

$2,086.25

Hospital Charge Code	3643792
Hospital Revenue Code	272
Min. Negotiated Rate	$1,063.99
Max. Negotiated Rate	$2,023.66
Rate for Payer: Cash Price	$1,356.06
Rate for Payer: Hawaii Western Management Group Commercial	$1,981.94
Rate for Payer: Health Management Network Commercial	$1,773.31
Rate for Payer: Kaiser Permanente Commercial	$1,314.34
Rate for Payer: Kaiser Permanente Medicaid	$1,063.99
Rate for Payer: MDX Hawaii PPO	$2,023.66
Rate for Payer: University Health Alliance Commercial	$1,520.67

Drill Bit Calibrated 4.2mm X-Long 03.045.022 [3643792]

Facility

$2,086.25

Hospital Charge Code	3643792
Hospital Revenue Code	272
Min. Negotiated Rate	$1,773.31
Max. Negotiated Rate	$2,023.66
Rate for Payer: Cash Price	$1,356.06
Rate for Payer: Health Management Network Commercial	$1,773.31
Rate for Payer: MDX Hawaii PPO	$2,023.66

Drill Bit Cann 2.0mm AR-8737-34 [3644733]

Facility

$1,223.44

Hospital Charge Code	3644733
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 Cann 2.0mm AR-8737-34 [3644733]

Facility

$1,223.44

Hospital Charge Code	3644733
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 Cann 5.0mm AR-8770-02 [3644920]

Facility

$1,686.50

Hospital Charge Code	3644920
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

Know your out-of-pocket cost for care.

All Charges