Kona Community Hospital

All Charges

Charge

Type

Setting

Price

Drill Bit Cannulated Qc 3.7mmx80mm [3643287]

Facility

$1,394.25

Hospital Charge Code	3643287
Hospital Revenue Code	272
Min. Negotiated Rate	$1,185.11
Max. Negotiated Rate	$1,352.42
Rate for Payer: Cash Price	$906.26
Rate for Payer: Health Management Network Commercial	$1,185.11
Rate for Payer: MDX Hawaii PPO	$1,352.42

Drill Bit Cannulated Qc 3.7mmx80mm [3643287]

Facility

$1,394.25

Hospital Charge Code	3643287
Hospital Revenue Code	272
Min. Negotiated Rate	$711.07
Max. Negotiated Rate	$1,352.42
Rate for Payer: Cash Price	$906.26
Rate for Payer: Hawaii Western Management Group Commercial	$1,324.54
Rate for Payer: Health Management Network Commercial	$1,185.11
Rate for Payer: Kaiser Permanente Commercial	$878.38
Rate for Payer: Kaiser Permanente Medicaid	$711.07
Rate for Payer: MDX Hawaii PPO	$1,352.42
Rate for Payer: University Health Alliance Commercial	$1,016.27

Drill Bit Cannulated Qc 4.0mmx20mm [3643288]

Facility

$1,542.75

Hospital Charge Code	3643288
Hospital Revenue Code	272
Min. Negotiated Rate	$786.80
Max. Negotiated Rate	$1,496.47
Rate for Payer: Cash Price	$1,002.79
Rate for Payer: Hawaii Western Management Group Commercial	$1,465.61
Rate for Payer: Health Management Network Commercial	$1,311.34
Rate for Payer: Kaiser Permanente Commercial	$971.93
Rate for Payer: Kaiser Permanente Medicaid	$786.80
Rate for Payer: MDX Hawaii PPO	$1,496.47
Rate for Payer: University Health Alliance Commercial	$1,124.51

Drill Bit Cannulated Qc 4.0mmx20mm [3643288]

Facility

$1,542.75

Hospital Charge Code	3643288
Hospital Revenue Code	272
Min. Negotiated Rate	$1,311.34
Max. Negotiated Rate	$1,496.47
Rate for Payer: Cash Price	$1,002.79
Rate for Payer: Health Management Network Commercial	$1,311.34
Rate for Payer: MDX Hawaii PPO	$1,496.47

Drill Bit Hollow 10.0mm for Multiloc Hum Nail Sys 03.019.003 [3642186]

Facility

$2,792.60

Hospital Charge Code	3642186
Hospital Revenue Code	272
Min. Negotiated Rate	$1,424.23
Max. Negotiated Rate	$2,708.82
Rate for Payer: Cash Price	$1,815.19
Rate for Payer: Hawaii Western Management Group Commercial	$2,652.97
Rate for Payer: Health Management Network Commercial	$2,373.71
Rate for Payer: Kaiser Permanente Commercial	$1,759.34
Rate for Payer: Kaiser Permanente Medicaid	$1,424.23
Rate for Payer: MDX Hawaii PPO	$2,708.82
Rate for Payer: University Health Alliance Commercial	$2,035.53

Drill Bit Hollow 10.0mm for Multiloc Hum Nail Sys 03.019.003 [3642186]

Facility

$2,792.60

Hospital Charge Code	3642186
Hospital Revenue Code	272
Min. Negotiated Rate	$2,373.71
Max. Negotiated Rate	$2,708.82
Rate for Payer: Cash Price	$1,815.19
Rate for Payer: Health Management Network Commercial	$2,373.71
Rate for Payer: MDX Hawaii PPO	$2,708.82

Drill Bit J-Latch 1.3mm 320-1413 [3644894]

Facility

$1,171.23

Hospital Charge Code	3644894
Hospital Revenue Code	272
Min. Negotiated Rate	$995.55
Max. Negotiated Rate	$1,136.09
Rate for Payer: Cash Price	$761.30
Rate for Payer: Health Management Network Commercial	$995.55
Rate for Payer: MDX Hawaii PPO	$1,136.09

Drill Bit J-Latch 1.3mm 320-1413 [3644894]

Facility

$1,171.23

Hospital Charge Code	3644894
Hospital Revenue Code	272
Min. Negotiated Rate	$597.33
Max. Negotiated Rate	$1,136.09
Rate for Payer: Cash Price	$761.30
Rate for Payer: Hawaii Western Management Group Commercial	$1,112.67
Rate for Payer: Health Management Network Commercial	$995.55
Rate for Payer: Kaiser Permanente Commercial	$737.87
Rate for Payer: Kaiser Permanente Medicaid	$597.33
Rate for Payer: MDX Hawaii PPO	$1,136.09
Rate for Payer: University Health Alliance Commercial	$853.71

Drill Bit Juggerknot 2.9mm Short 110005306 [3644302]

Facility

$839.22

Hospital Charge Code	3644302
Hospital Revenue Code	272
Min. Negotiated Rate	$713.34
Max. Negotiated Rate	$814.04
Rate for Payer: Cash Price	$545.49
Rate for Payer: Health Management Network Commercial	$713.34
Rate for Payer: MDX Hawaii PPO	$814.04

Drill Bit Juggerknot 2.9mm Short 110005306 [3644302]

Facility

$839.22

Hospital Charge Code	3644302
Hospital Revenue Code	272
Min. Negotiated Rate	$428.00
Max. Negotiated Rate	$814.04
Rate for Payer: Cash Price	$545.49
Rate for Payer: Hawaii Western Management Group Commercial	$797.26
Rate for Payer: Health Management Network Commercial	$713.34
Rate for Payer: Kaiser Permanente Commercial	$528.71
Rate for Payer: Kaiser Permanente Medicaid	$428.00
Rate for Payer: MDX Hawaii PPO	$814.04
Rate for Payer: University Health Alliance Commercial	$611.71

Drill Bit Max VPC Cann 1.8mm 231201025 [3642280]

Facility

$3,068.00

Hospital Charge Code	3642280
Hospital Revenue Code	272
Min. Negotiated Rate	$1,564.68
Max. Negotiated Rate	$2,975.96
Rate for Payer: Cash Price	$1,994.20
Rate for Payer: Hawaii Western Management Group Commercial	$2,914.60
Rate for Payer: Health Management Network Commercial	$2,607.80
Rate for Payer: Kaiser Permanente Commercial	$1,932.84
Rate for Payer: Kaiser Permanente Medicaid	$1,564.68
Rate for Payer: MDX Hawaii PPO	$2,975.96
Rate for Payer: University Health Alliance Commercial	$2,236.27

Drill Bit Max VPC Cann 1.8mm 231201025 [3642280]

Facility

$3,068.00

Hospital Charge Code	3642280
Hospital Revenue Code	272
Min. Negotiated Rate	$2,607.80
Max. Negotiated Rate	$2,975.96
Rate for Payer: Cash Price	$1,994.20
Rate for Payer: Health Management Network Commercial	$2,607.80
Rate for Payer: MDX Hawaii PPO	$2,975.96

Drill Bit Max VPC Cann 2.4mm 231201030 [3641863]

Facility

$1,983.75

Hospital Charge Code	3641863
Hospital Revenue Code	272
Min. Negotiated Rate	$1,686.19
Max. Negotiated Rate	$1,924.24
Rate for Payer: Cash Price	$1,289.44
Rate for Payer: Health Management Network Commercial	$1,686.19
Rate for Payer: MDX Hawaii PPO	$1,924.24

Drill Bit Max VPC Cann 2.4mm 231201030 [3641863]

Facility

$1,983.75

Hospital Charge Code	3641863
Hospital Revenue Code	272
Min. Negotiated Rate	$1,011.71
Max. Negotiated Rate	$1,924.24
Rate for Payer: Cash Price	$1,289.44
Rate for Payer: Hawaii Western Management Group Commercial	$1,884.56
Rate for Payer: Health Management Network Commercial	$1,686.19
Rate for Payer: Kaiser Permanente Commercial	$1,249.76
Rate for Payer: Kaiser Permanente Medicaid	$1,011.71
Rate for Payer: MDX Hawaii PPO	$1,924.24
Rate for Payer: University Health Alliance Commercial	$1,445.96

Drill Bit Max VPC Cann 2.5mm 231201125 [3642281]

Facility

$1,963.25

Hospital Charge Code	3642281
Hospital Revenue Code	272
Min. Negotiated Rate	$1,001.26
Max. Negotiated Rate	$1,904.35
Rate for Payer: Cash Price	$1,276.11
Rate for Payer: Hawaii Western Management Group Commercial	$1,865.09
Rate for Payer: Health Management Network Commercial	$1,668.76
Rate for Payer: Kaiser Permanente Commercial	$1,236.85
Rate for Payer: Kaiser Permanente Medicaid	$1,001.26
Rate for Payer: MDX Hawaii PPO	$1,904.35
Rate for Payer: University Health Alliance Commercial	$1,431.01

Drill Bit Max VPC Cann 2.5mm 231201125 [3642281]

Facility

$1,963.25

Hospital Charge Code	3642281
Hospital Revenue Code	272
Min. Negotiated Rate	$1,668.76
Max. Negotiated Rate	$1,904.35
Rate for Payer: Cash Price	$1,276.11
Rate for Payer: Health Management Network Commercial	$1,668.76
Rate for Payer: MDX Hawaii PPO	$1,904.35

Drill Bit Mini AO 1.2mm Calib Ar-18700-12 [3644464]

Facility

$1,558.38

Hospital Charge Code	3644464
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 Mini AO 1.2mm Calib Ar-18700-12 [3644464]

Facility

$1,558.38

Hospital Charge Code	3644464
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 Mini AO 1.6mm AR-18700-13 [3644465]

Facility

$1,558.38

Hospital Charge Code	3644465
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 Mini AO 1.6mm AR-18700-13 [3644465]

Facility

$1,558.38

Hospital Charge Code	3644465
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 Mini QC 2.0mm x 65mm 310.201 [3600814]

Facility

$600.81

Hospital Charge Code	3600814
Hospital Revenue Code	272
Min. Negotiated Rate	$306.41
Max. Negotiated Rate	$582.79
Rate for Payer: Cash Price	$390.53
Rate for Payer: Hawaii Western Management Group Commercial	$570.77
Rate for Payer: Health Management Network Commercial	$510.69
Rate for Payer: Kaiser Permanente Commercial	$378.51
Rate for Payer: Kaiser Permanente Medicaid	$306.41
Rate for Payer: MDX Hawaii PPO	$582.79
Rate for Payer: University Health Alliance Commercial	$437.93

Drill Bit Mini QC 2.0mm x 65mm 310.201 [3600814]

Facility

$600.81

Hospital Charge Code	3600814
Hospital Revenue Code	272
Min. Negotiated Rate	$510.69
Max. Negotiated Rate	$582.79
Rate for Payer: Cash Price	$390.53
Rate for Payer: Health Management Network Commercial	$510.69
Rate for Payer: MDX Hawaii PPO	$582.79

Drill Bit/MQC 1.5mm for Gliding Hole 48mm 03.130.212 [3640719]

Facility

$709.62

Hospital Charge Code	3640719
Hospital Revenue Code	272
Min. Negotiated Rate	$361.91
Max. Negotiated Rate	$688.33
Rate for Payer: Cash Price	$461.25
Rate for Payer: Hawaii Western Management Group Commercial	$674.14
Rate for Payer: Health Management Network Commercial	$603.18
Rate for Payer: Kaiser Permanente Commercial	$447.06
Rate for Payer: Kaiser Permanente Medicaid	$361.91
Rate for Payer: MDX Hawaii PPO	$688.33
Rate for Payer: University Health Alliance Commercial	$517.24

Drill Bit/MQC 1.5mm for Gliding Hole 48mm 03.130.212 [3640719]

Facility

$709.62

Hospital Charge Code	3640719
Hospital Revenue Code	272
Min. Negotiated Rate	$603.18
Max. Negotiated Rate	$688.33
Rate for Payer: Cash Price	$461.25
Rate for Payer: Health Management Network Commercial	$603.18
Rate for Payer: MDX Hawaii PPO	$688.33

Drill Bit/MQC 1.5mm for Threaded Hole 56mm 03.130.202 [3642011]

Facility

$666.46

Hospital Charge Code	3642011
Hospital Revenue Code	272
Min. Negotiated Rate	$339.89
Max. Negotiated Rate	$646.47
Rate for Payer: Cash Price	$433.20
Rate for Payer: Hawaii Western Management Group Commercial	$633.14
Rate for Payer: Health Management Network Commercial	$566.49
Rate for Payer: Kaiser Permanente Commercial	$419.87
Rate for Payer: Kaiser Permanente Medicaid	$339.89
Rate for Payer: MDX Hawaii PPO	$646.47
Rate for Payer: University Health Alliance Commercial	$485.78

Know your out-of-pocket cost for care.

All Charges