Kona Community Hospital

All Charges

Charge

Type

Setting

Price

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	$566.49
Max. Negotiated Rate	$646.47
Rate for Payer: Cash Price	$433.20
Rate for Payer: Health Management Network Commercial	$566.49
Rate for Payer: MDX Hawaii PPO	$646.47

Drill Bit QC 1.5mmX96mm 310.507 [3625985]

Facility

$781.86

Hospital Charge Code	3625985
Hospital Revenue Code	272
Min. Negotiated Rate	$664.58
Max. Negotiated Rate	$758.40
Rate for Payer: Cash Price	$508.21
Rate for Payer: Health Management Network Commercial	$664.58
Rate for Payer: MDX Hawaii PPO	$758.40

Drill Bit QC 1.5mmX96mm 310.507 [3625985]

Facility

$781.86

Hospital Charge Code	3625985
Hospital Revenue Code	272
Min. Negotiated Rate	$398.75
Max. Negotiated Rate	$758.40
Rate for Payer: Cash Price	$508.21
Rate for Payer: Hawaii Western Management Group Commercial	$742.77
Rate for Payer: Health Management Network Commercial	$664.58
Rate for Payer: Kaiser Permanente Commercial	$492.57
Rate for Payer: Kaiser Permanente Medicaid	$398.75
Rate for Payer: MDX Hawaii PPO	$758.40
Rate for Payer: University Health Alliance Commercial	$569.90

Drill Bit QC 1.8mm x 100mm 310.510 [3640443]

Facility

$1,589.13

Hospital Charge Code	3640443
Hospital Revenue Code	272
Min. Negotiated Rate	$810.46
Max. Negotiated Rate	$1,541.46
Rate for Payer: Cash Price	$1,032.93
Rate for Payer: Hawaii Western Management Group Commercial	$1,509.67
Rate for Payer: Health Management Network Commercial	$1,350.76
Rate for Payer: Kaiser Permanente Commercial	$1,001.15
Rate for Payer: Kaiser Permanente Medicaid	$810.46
Rate for Payer: MDX Hawaii PPO	$1,541.46
Rate for Payer: University Health Alliance Commercial	$1,158.32

Drill Bit QC 1.8mm x 100mm 310.510 [3640443]

Facility

$1,589.13

Hospital Charge Code	3640443
Hospital Revenue Code	272
Min. Negotiated Rate	$1,350.76
Max. Negotiated Rate	$1,541.46
Rate for Payer: Cash Price	$1,032.93
Rate for Payer: Health Management Network Commercial	$1,350.76
Rate for Payer: MDX Hawaii PPO	$1,541.46

Drill Bit QC 1.8mm x 110mm 310.509 [3601801]

Facility

$1,083.99

Hospital Charge Code	3601801
Hospital Revenue Code	272
Min. Negotiated Rate	$921.39
Max. Negotiated Rate	$1,051.47
Rate for Payer: Cash Price	$704.59
Rate for Payer: Health Management Network Commercial	$921.39
Rate for Payer: MDX Hawaii PPO	$1,051.47

Drill Bit QC 1.8mm x 110mm 310.509 [3601801]

Facility

$1,083.99

Hospital Charge Code	3601801
Hospital Revenue Code	272
Min. Negotiated Rate	$552.83
Max. Negotiated Rate	$1,051.47
Rate for Payer: Cash Price	$704.59
Rate for Payer: Hawaii Western Management Group Commercial	$1,029.79
Rate for Payer: Health Management Network Commercial	$921.39
Rate for Payer: Kaiser Permanente Commercial	$682.91
Rate for Payer: Kaiser Permanente Medicaid	$552.83
Rate for Payer: MDX Hawaii PPO	$1,051.47
Rate for Payer: University Health Alliance Commercial	$790.12

Drill Bit QC 2.0mm x 125 mm 310.21 [3600853]

Facility

$652.39

Hospital Charge Code	3600853
Hospital Revenue Code	272
Min. Negotiated Rate	$332.72
Max. Negotiated Rate	$632.82
Rate for Payer: Cash Price	$424.05
Rate for Payer: Hawaii Western Management Group Commercial	$619.77
Rate for Payer: Health Management Network Commercial	$554.53
Rate for Payer: Kaiser Permanente Commercial	$411.01
Rate for Payer: Kaiser Permanente Medicaid	$332.72
Rate for Payer: MDX Hawaii PPO	$632.82
Rate for Payer: University Health Alliance Commercial	$475.53

Drill Bit QC 2.0mm x 125 mm 310.21 [3600853]

Facility

$652.39

Hospital Charge Code	3600853
Hospital Revenue Code	272
Min. Negotiated Rate	$554.53
Max. Negotiated Rate	$632.82
Rate for Payer: Cash Price	$424.05
Rate for Payer: Health Management Network Commercial	$554.53
Rate for Payer: MDX Hawaii PPO	$632.82

Drill Bit QC 2.0mm x 140mm 323.062 [3640040]

Facility

$1,126.89

Hospital Charge Code	3640040
Hospital Revenue Code	272
Min. Negotiated Rate	$574.71
Max. Negotiated Rate	$1,093.08
Rate for Payer: Cash Price	$732.48
Rate for Payer: Hawaii Western Management Group Commercial	$1,070.55
Rate for Payer: Health Management Network Commercial	$957.86
Rate for Payer: Kaiser Permanente Commercial	$709.94
Rate for Payer: Kaiser Permanente Medicaid	$574.71
Rate for Payer: MDX Hawaii PPO	$1,093.08
Rate for Payer: University Health Alliance Commercial	$821.39

Drill Bit QC 2.0mm x 140mm 323.062 [3640040]

Facility

$1,126.89

Hospital Charge Code	3640040
Hospital Revenue Code	272
Min. Negotiated Rate	$957.86
Max. Negotiated Rate	$1,093.08
Rate for Payer: Cash Price	$732.48
Rate for Payer: Health Management Network Commercial	$957.86
Rate for Payer: MDX Hawaii PPO	$1,093.08

Drill Bit Qc 2.0mmx60mm 03.133.101 [3644027]

Facility

$1,257.65

Hospital Charge Code	3644027
Hospital Revenue Code	272
Min. Negotiated Rate	$641.40
Max. Negotiated Rate	$1,219.92
Rate for Payer: Cash Price	$817.47
Rate for Payer: Hawaii Western Management Group Commercial	$1,194.77
Rate for Payer: Health Management Network Commercial	$1,069.00
Rate for Payer: Kaiser Permanente Commercial	$792.32
Rate for Payer: Kaiser Permanente Medicaid	$641.40
Rate for Payer: MDX Hawaii PPO	$1,219.92
Rate for Payer: University Health Alliance Commercial	$916.70

Drill Bit Qc 2.0mmx60mm 03.133.101 [3644027]

Facility

$1,257.65

Hospital Charge Code	3644027
Hospital Revenue Code	272
Min. Negotiated Rate	$1,069.00
Max. Negotiated Rate	$1,219.92
Rate for Payer: Cash Price	$817.47
Rate for Payer: Health Management Network Commercial	$1,069.00
Rate for Payer: MDX Hawaii PPO	$1,219.92

Drill Bit QC 2.5mm x 110mm 310.25 [3600945]

Facility

$588.91

Hospital Charge Code	3600945
Hospital Revenue Code	272
Min. Negotiated Rate	$300.34
Max. Negotiated Rate	$571.24
Rate for Payer: Cash Price	$382.79
Rate for Payer: Hawaii Western Management Group Commercial	$559.46
Rate for Payer: Health Management Network Commercial	$500.57
Rate for Payer: Kaiser Permanente Commercial	$371.01
Rate for Payer: Kaiser Permanente Medicaid	$300.34
Rate for Payer: MDX Hawaii PPO	$571.24
Rate for Payer: University Health Alliance Commercial	$429.26

Drill Bit QC 2.5mm x 110mm 310.25 [3600945]

Facility

$588.91

Hospital Charge Code	3600945
Hospital Revenue Code	272
Min. Negotiated Rate	$500.57
Max. Negotiated Rate	$571.24
Rate for Payer: Cash Price	$382.79
Rate for Payer: Health Management Network Commercial	$500.57
Rate for Payer: MDX Hawaii PPO	$571.24

Drill Bit QC 2.5mm x 135mm 03.133.102 [3642040]

Facility

$1,039.65

Hospital Charge Code	3642040
Hospital Revenue Code	272
Min. Negotiated Rate	$530.22
Max. Negotiated Rate	$1,008.46
Rate for Payer: Cash Price	$675.77
Rate for Payer: Hawaii Western Management Group Commercial	$987.67
Rate for Payer: Health Management Network Commercial	$883.70
Rate for Payer: Kaiser Permanente Commercial	$654.98
Rate for Payer: Kaiser Permanente Medicaid	$530.22
Rate for Payer: MDX Hawaii PPO	$1,008.46
Rate for Payer: University Health Alliance Commercial	$757.80

Drill Bit QC 2.5mm x 135mm 03.133.102 [3642040]

Facility

$1,039.65

Hospital Charge Code	3642040
Hospital Revenue Code	272
Min. Negotiated Rate	$883.70
Max. Negotiated Rate	$1,008.46
Rate for Payer: Cash Price	$675.77
Rate for Payer: Health Management Network Commercial	$883.70
Rate for Payer: MDX Hawaii PPO	$1,008.46

Drill Bit QC 2.5mm x 180mm 310.23 [3600619]

Facility

$652.39

Hospital Charge Code	3600619
Hospital Revenue Code	272
Min. Negotiated Rate	$332.72
Max. Negotiated Rate	$632.82
Rate for Payer: Cash Price	$424.05
Rate for Payer: Hawaii Western Management Group Commercial	$619.77
Rate for Payer: Health Management Network Commercial	$554.53
Rate for Payer: Kaiser Permanente Commercial	$411.01
Rate for Payer: Kaiser Permanente Medicaid	$332.72
Rate for Payer: MDX Hawaii PPO	$632.82
Rate for Payer: University Health Alliance Commercial	$475.53

Drill Bit QC 2.5mm x 180mm 310.23 [3600619]

Facility

$652.39

Hospital Charge Code	3600619
Hospital Revenue Code	272
Min. Negotiated Rate	$554.53
Max. Negotiated Rate	$632.82
Rate for Payer: Cash Price	$424.05
Rate for Payer: Health Management Network Commercial	$554.53
Rate for Payer: MDX Hawaii PPO	$632.82

Drill Bit Qc 2.5mmx80mm 03.133.103 [3643834]

Facility

$1,205.93

Hospital Charge Code	3643834
Hospital Revenue Code	272
Min. Negotiated Rate	$615.02
Max. Negotiated Rate	$1,169.75
Rate for Payer: Cash Price	$783.85
Rate for Payer: Hawaii Western Management Group Commercial	$1,145.63
Rate for Payer: Health Management Network Commercial	$1,025.04
Rate for Payer: Kaiser Permanente Commercial	$759.74
Rate for Payer: Kaiser Permanente Medicaid	$615.02
Rate for Payer: MDX Hawaii PPO	$1,169.75
Rate for Payer: University Health Alliance Commercial	$879.00

Drill Bit Qc 2.5mmx80mm 03.133.103 [3643834]

Facility

$1,205.93

Hospital Charge Code	3643834
Hospital Revenue Code	272
Min. Negotiated Rate	$1,025.04
Max. Negotiated Rate	$1,169.75
Rate for Payer: Cash Price	$783.85
Rate for Payer: Health Management Network Commercial	$1,025.04
Rate for Payer: MDX Hawaii PPO	$1,169.75

Drill Bit Qc 2.7mmx125mm 03.133.105 [3644114]

Facility

$921.41

Hospital Charge Code	3644114
Hospital Revenue Code	272
Min. Negotiated Rate	$469.92
Max. Negotiated Rate	$893.77
Rate for Payer: Cash Price	$598.92
Rate for Payer: Hawaii Western Management Group Commercial	$875.34
Rate for Payer: Health Management Network Commercial	$783.20
Rate for Payer: Kaiser Permanente Commercial	$580.49
Rate for Payer: Kaiser Permanente Medicaid	$469.92
Rate for Payer: MDX Hawaii PPO	$893.77
Rate for Payer: University Health Alliance Commercial	$671.62

Drill Bit Qc 2.7mmx125mm 03.133.105 [3644114]

Facility

$921.41

Hospital Charge Code	3644114
Hospital Revenue Code	272
Min. Negotiated Rate	$783.20
Max. Negotiated Rate	$893.77
Rate for Payer: Cash Price	$598.92
Rate for Payer: Health Management Network Commercial	$783.20
Rate for Payer: MDX Hawaii PPO	$893.77

Drill Bit QC 2.7mm x 125mm 315.28 [3600836]

Facility

$869.68

Hospital Charge Code	3600836
Hospital Revenue Code	272
Min. Negotiated Rate	$443.54
Max. Negotiated Rate	$843.59
Rate for Payer: Cash Price	$565.29
Rate for Payer: Hawaii Western Management Group Commercial	$826.20
Rate for Payer: Health Management Network Commercial	$739.23
Rate for Payer: Kaiser Permanente Commercial	$547.90
Rate for Payer: Kaiser Permanente Medicaid	$443.54
Rate for Payer: MDX Hawaii PPO	$843.59
Rate for Payer: University Health Alliance Commercial	$633.91

Drill Bit QC 2.7mm x 125mm 315.28 [3600836]

Facility

$869.68

Hospital Charge Code	3600836
Hospital Revenue Code	272
Min. Negotiated Rate	$739.23
Max. Negotiated Rate	$843.59
Rate for Payer: Cash Price	$565.29
Rate for Payer: Health Management Network Commercial	$739.23
Rate for Payer: MDX Hawaii PPO	$843.59

Know your out-of-pocket cost for care.

All Charges