Kona Community Hospital

All Charges

Charge

Type

Setting

Price

Drill Bit Qc 2.8mm x 135mm 03.133.106 [3643415]

Facility

$1,024.87

Hospital Charge Code	3643415
Hospital Revenue Code	272
Min. Negotiated Rate	$522.68
Max. Negotiated Rate	$994.12
Rate for Payer: Cash Price	$666.17
Rate for Payer: Hawaii Western Management Group Commercial	$973.63
Rate for Payer: Health Management Network Commercial	$871.14
Rate for Payer: Kaiser Permanente Commercial	$645.67
Rate for Payer: Kaiser Permanente Medicaid	$522.68
Rate for Payer: MDX Hawaii PPO	$994.12
Rate for Payer: University Health Alliance Commercial	$747.03

Drill Bit Qc 2.8mm x 135mm 03.133.106 [3643415]

Facility

$1,024.87

Hospital Charge Code	3643415
Hospital Revenue Code	272
Min. Negotiated Rate	$871.14
Max. Negotiated Rate	$994.12
Rate for Payer: Cash Price	$666.17
Rate for Payer: Health Management Network Commercial	$871.14
Rate for Payer: MDX Hawaii PPO	$994.12

Drill Bit QC 2.8mm x 165mm 310.288 [3606310]

Facility

$707.11

Hospital Charge Code	3606310
Hospital Revenue Code	272
Min. Negotiated Rate	$601.04
Max. Negotiated Rate	$685.90
Rate for Payer: Cash Price	$459.62
Rate for Payer: Health Management Network Commercial	$601.04
Rate for Payer: MDX Hawaii PPO	$685.90

Drill Bit QC 2.8mm x 165mm 310.288 [3606310]

Facility

$707.11

Hospital Charge Code	3606310
Hospital Revenue Code	272
Min. Negotiated Rate	$360.63
Max. Negotiated Rate	$685.90
Rate for Payer: Cash Price	$459.62
Rate for Payer: Hawaii Western Management Group Commercial	$671.75
Rate for Payer: Health Management Network Commercial	$601.04
Rate for Payer: Kaiser Permanente Commercial	$445.48
Rate for Payer: Kaiser Permanente Medicaid	$360.63
Rate for Payer: MDX Hawaii PPO	$685.90
Rate for Payer: University Health Alliance Commercial	$515.41

Drill Bit QC 2.8mm x 200mm 03.133.108 [3644372]

Facility

$1,168.01

Hospital Charge Code	3644372
Hospital Revenue Code	272
Min. Negotiated Rate	$595.69
Max. Negotiated Rate	$1,132.97
Rate for Payer: Cash Price	$759.21
Rate for Payer: Hawaii Western Management Group Commercial	$1,109.61
Rate for Payer: Health Management Network Commercial	$992.81
Rate for Payer: Kaiser Permanente Commercial	$735.85
Rate for Payer: Kaiser Permanente Medicaid	$595.69
Rate for Payer: MDX Hawaii PPO	$1,132.97
Rate for Payer: University Health Alliance Commercial	$851.36

Drill Bit QC 2.8mm x 200mm 03.133.108 [3644372]

Facility

$1,168.01

Hospital Charge Code	3644372
Hospital Revenue Code	272
Min. Negotiated Rate	$992.81
Max. Negotiated Rate	$1,132.97
Rate for Payer: Cash Price	$759.21
Rate for Payer: Health Management Network Commercial	$992.81
Rate for Payer: MDX Hawaii PPO	$1,132.97

Drill Bit QC 3.2 3-Fltd 230/200 Calib 315.93 [3644373]

Facility

$1,776.70

Hospital Charge Code	3644373
Hospital Revenue Code	272
Min. Negotiated Rate	$906.12
Max. Negotiated Rate	$1,723.40
Rate for Payer: Cash Price	$1,154.86
Rate for Payer: Hawaii Western Management Group Commercial	$1,687.87
Rate for Payer: Health Management Network Commercial	$1,510.19
Rate for Payer: Kaiser Permanente Commercial	$1,119.32
Rate for Payer: Kaiser Permanente Medicaid	$906.12
Rate for Payer: MDX Hawaii PPO	$1,723.40
Rate for Payer: University Health Alliance Commercial	$1,295.04

Drill Bit QC 3.2 3-Fltd 230/200 Calib 315.93 [3644373]

Facility

$1,776.70

Hospital Charge Code	3644373
Hospital Revenue Code	272
Min. Negotiated Rate	$1,510.19
Max. Negotiated Rate	$1,723.40
Rate for Payer: Cash Price	$1,154.86
Rate for Payer: Health Management Network Commercial	$1,510.19
Rate for Payer: MDX Hawaii PPO	$1,723.40

Drill Bit QC 3.2mm x 145mm 310.31 [3600946]

Facility

$602.36

Hospital Charge Code	3600946
Hospital Revenue Code	272
Min. Negotiated Rate	$512.01
Max. Negotiated Rate	$584.29
Rate for Payer: Cash Price	$391.53
Rate for Payer: Health Management Network Commercial	$512.01
Rate for Payer: MDX Hawaii PPO	$584.29

Drill Bit QC 3.2mm x 145mm 310.31 [3600946]

Facility

$602.36

Hospital Charge Code	3600946
Hospital Revenue Code	272
Min. Negotiated Rate	$307.20
Max. Negotiated Rate	$584.29
Rate for Payer: Cash Price	$391.53
Rate for Payer: Hawaii Western Management Group Commercial	$572.24
Rate for Payer: Health Management Network Commercial	$512.01
Rate for Payer: Kaiser Permanente Commercial	$379.49
Rate for Payer: Kaiser Permanente Medicaid	$307.20
Rate for Payer: MDX Hawaii PPO	$584.29
Rate for Payer: University Health Alliance Commercial	$439.06

Drill Bit QC 3.5mm x 110mm 310.35 [3600947]

Facility

$624.61

Hospital Charge Code	3600947
Hospital Revenue Code	272
Min. Negotiated Rate	$530.92
Max. Negotiated Rate	$605.87
Rate for Payer: Cash Price	$406.00
Rate for Payer: Health Management Network Commercial	$530.92
Rate for Payer: MDX Hawaii PPO	$605.87

Drill Bit QC 3.5mm x 110mm 310.35 [3600947]

Facility

$624.61

Hospital Charge Code	3600947
Hospital Revenue Code	272
Min. Negotiated Rate	$318.55
Max. Negotiated Rate	$605.87
Rate for Payer: Cash Price	$406.00
Rate for Payer: Hawaii Western Management Group Commercial	$593.38
Rate for Payer: Health Management Network Commercial	$530.92
Rate for Payer: Kaiser Permanente Commercial	$393.50
Rate for Payer: Kaiser Permanente Medicaid	$318.55
Rate for Payer: MDX Hawaii PPO	$605.87
Rate for Payer: University Health Alliance Commercial	$455.28

Drill Bit Qc 3.5mm x 60mm 03.133.109 [3643617]

Facility

$660.32

Hospital Charge Code	3643617
Hospital Revenue Code	272
Min. Negotiated Rate	$561.27
Max. Negotiated Rate	$640.51
Rate for Payer: Cash Price	$429.21
Rate for Payer: Health Management Network Commercial	$561.27
Rate for Payer: MDX Hawaii PPO	$640.51

Drill Bit Qc 3.5mm x 60mm 03.133.109 [3643617]

Facility

$660.32

Hospital Charge Code	3643617
Hospital Revenue Code	272
Min. Negotiated Rate	$336.76
Max. Negotiated Rate	$640.51
Rate for Payer: Cash Price	$429.21
Rate for Payer: Hawaii Western Management Group Commercial	$627.30
Rate for Payer: Health Management Network Commercial	$561.27
Rate for Payer: Kaiser Permanente Commercial	$416.00
Rate for Payer: Kaiser Permanente Medicaid	$336.76
Rate for Payer: MDX Hawaii PPO	$640.51
Rate for Payer: University Health Alliance Commercial	$481.31

Drill Bit QC 4.3mm x 180mm 310.431 [3600839]

Facility

$1,043.78

Hospital Charge Code	3600839
Hospital Revenue Code	272
Min. Negotiated Rate	$532.33
Max. Negotiated Rate	$1,012.47
Rate for Payer: Cash Price	$678.46
Rate for Payer: Hawaii Western Management Group Commercial	$991.59
Rate for Payer: Health Management Network Commercial	$887.21
Rate for Payer: Kaiser Permanente Commercial	$657.58
Rate for Payer: Kaiser Permanente Medicaid	$532.33
Rate for Payer: MDX Hawaii PPO	$1,012.47
Rate for Payer: University Health Alliance Commercial	$760.81

Drill Bit QC 4.3mm x 180mm 310.431 [3600839]

Facility

$1,043.78

Hospital Charge Code	3600839
Hospital Revenue Code	272
Min. Negotiated Rate	$887.21
Max. Negotiated Rate	$1,012.47
Rate for Payer: Cash Price	$678.46
Rate for Payer: Health Management Network Commercial	$887.21
Rate for Payer: MDX Hawaii PPO	$1,012.47

Drill Bit QC 4.5mm x 145mm 310.44 [3600824]

Facility

$623.06

Hospital Charge Code	3600824
Hospital Revenue Code	272
Min. Negotiated Rate	$529.60
Max. Negotiated Rate	$604.37
Rate for Payer: Cash Price	$404.99
Rate for Payer: Health Management Network Commercial	$529.60
Rate for Payer: MDX Hawaii PPO	$604.37

Drill Bit QC 4.5mm x 145mm 310.44 [3600824]

Facility

$623.06

Hospital Charge Code	3600824
Hospital Revenue Code	272
Min. Negotiated Rate	$317.76
Max. Negotiated Rate	$604.37
Rate for Payer: Cash Price	$404.99
Rate for Payer: Hawaii Western Management Group Commercial	$591.91
Rate for Payer: Health Management Network Commercial	$529.60
Rate for Payer: Kaiser Permanente Commercial	$392.53
Rate for Payer: Kaiser Permanente Medicaid	$317.76
Rate for Payer: MDX Hawaii PPO	$604.37
Rate for Payer: University Health Alliance Commercial	$454.15

Drill Bit QC 4.5mm x 195 mm 310.48 [3600815]

Facility

$891.85

Hospital Charge Code	3600815
Hospital Revenue Code	272
Min. Negotiated Rate	$454.84
Max. Negotiated Rate	$865.09
Rate for Payer: Cash Price	$579.70
Rate for Payer: Hawaii Western Management Group Commercial	$847.26
Rate for Payer: Health Management Network Commercial	$758.07
Rate for Payer: Kaiser Permanente Commercial	$561.87
Rate for Payer: Kaiser Permanente Medicaid	$454.84
Rate for Payer: MDX Hawaii PPO	$865.09
Rate for Payer: University Health Alliance Commercial	$650.07

Drill Bit QC 4.5mm x 195 mm 310.48 [3600815]

Facility

$891.85

Hospital Charge Code	3600815
Hospital Revenue Code	272
Min. Negotiated Rate	$758.07
Max. Negotiated Rate	$865.09
Rate for Payer: Cash Price	$579.70
Rate for Payer: Health Management Network Commercial	$758.07
Rate for Payer: MDX Hawaii PPO	$865.09

Drill Bit QC 4.5mm x 195mm 315.48 [3610674]

Facility

$1,013.79

Hospital Charge Code	3610674
Hospital Revenue Code	272
Min. Negotiated Rate	$861.72
Max. Negotiated Rate	$983.38
Rate for Payer: Cash Price	$658.96
Rate for Payer: Health Management Network Commercial	$861.72
Rate for Payer: MDX Hawaii PPO	$983.38

Drill Bit QC 4.5mm x 195mm 315.48 [3610674]

Facility

$1,013.79

Hospital Charge Code	3610674
Hospital Revenue Code	272
Min. Negotiated Rate	$517.03
Max. Negotiated Rate	$983.38
Rate for Payer: Cash Price	$658.96
Rate for Payer: Hawaii Western Management Group Commercial	$963.10
Rate for Payer: Health Management Network Commercial	$861.72
Rate for Payer: Kaiser Permanente Commercial	$638.69
Rate for Payer: Kaiser Permanente Medicaid	$517.03
Rate for Payer: MDX Hawaii PPO	$983.38
Rate for Payer: University Health Alliance Commercial	$738.95

Drill Bit Qc Calib 2.0mm x 110mm 03.133.100 [3644112]

Facility

$1,143.11

Hospital Charge Code	3644112
Hospital Revenue Code	272
Min. Negotiated Rate	$582.99
Max. Negotiated Rate	$1,108.82
Rate for Payer: Cash Price	$743.02
Rate for Payer: Hawaii Western Management Group Commercial	$1,085.95
Rate for Payer: Health Management Network Commercial	$971.64
Rate for Payer: Kaiser Permanente Commercial	$720.16
Rate for Payer: Kaiser Permanente Medicaid	$582.99
Rate for Payer: MDX Hawaii PPO	$1,108.82
Rate for Payer: University Health Alliance Commercial	$833.21

Drill Bit Qc Calib 2.0mm x 110mm 03.133.100 [3644112]

Facility

$1,143.11

Hospital Charge Code	3644112
Hospital Revenue Code	272
Min. Negotiated Rate	$971.64
Max. Negotiated Rate	$1,108.82
Rate for Payer: Cash Price	$743.02
Rate for Payer: Health Management Network Commercial	$971.64
Rate for Payer: MDX Hawaii PPO	$1,108.82

Drill Bit QC Cann 5.0mm x 300mm 310.63 [3600851]

Facility

$2,825.27

Hospital Charge Code	3600851
Hospital Revenue Code	272
Min. Negotiated Rate	$1,440.89
Max. Negotiated Rate	$2,740.51
Rate for Payer: Cash Price	$1,836.43
Rate for Payer: Hawaii Western Management Group Commercial	$2,684.01
Rate for Payer: Health Management Network Commercial	$2,401.48
Rate for Payer: Kaiser Permanente Commercial	$1,779.92
Rate for Payer: Kaiser Permanente Medicaid	$1,440.89
Rate for Payer: MDX Hawaii PPO	$2,740.51
Rate for Payer: University Health Alliance Commercial	$2,059.34

Know your out-of-pocket cost for care.

All Charges