Kona Community Hospital

All Charges

Charge

Type

Setting

Price

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	$2,401.48
Max. Negotiated Rate	$2,740.51
Rate for Payer: Cash Price	$1,836.43
Rate for Payer: Health Management Network Commercial	$2,401.48
Rate for Payer: MDX Hawaii PPO	$2,740.51

Drill Bit Volt AO QC Calib 1.8mm x 145mm x 60mm 03.424.181 [3645047]

Facility

$1,599.38

Hospital Charge Code	3645047
Hospital Revenue Code	272
Min. Negotiated Rate	$815.68
Max. Negotiated Rate	$1,551.40
Rate for Payer: Cash Price	$1,039.60
Rate for Payer: Hawaii Western Management Group Commercial	$1,519.41
Rate for Payer: Health Management Network Commercial	$1,359.47
Rate for Payer: Kaiser Permanente Commercial	$1,007.61
Rate for Payer: Kaiser Permanente Medicaid	$815.68
Rate for Payer: MDX Hawaii PPO	$1,551.40
Rate for Payer: University Health Alliance Commercial	$1,165.79

Drill Bit Volt AO QC Calib 1.8mm x 145mm x 60mm 03.424.181 [3645047]

Facility

$1,599.38

Hospital Charge Code	3645047
Hospital Revenue Code	272
Min. Negotiated Rate	$1,359.47
Max. Negotiated Rate	$1,551.40
Rate for Payer: Cash Price	$1,039.60
Rate for Payer: Health Management Network Commercial	$1,359.47
Rate for Payer: MDX Hawaii PPO	$1,551.40

Drill Bit Volt Ao Qc Calib 2.0mmx145mmx60mm 03.527.202 [3645053]

Facility

$1,210.85

Hospital Charge Code	3645053
Hospital Revenue Code	272
Min. Negotiated Rate	$617.53
Max. Negotiated Rate	$1,174.52
Rate for Payer: Cash Price	$787.05
Rate for Payer: Hawaii Western Management Group Commercial	$1,150.31
Rate for Payer: Health Management Network Commercial	$1,029.22
Rate for Payer: Kaiser Permanente Commercial	$762.84
Rate for Payer: Kaiser Permanente Medicaid	$617.53
Rate for Payer: MDX Hawaii PPO	$1,174.52
Rate for Payer: University Health Alliance Commercial	$882.59

Drill Bit Volt Ao Qc Calib 2.0mmx145mmx60mm 03.527.202 [3645053]

Facility

$1,210.85

Hospital Charge Code	3645053
Hospital Revenue Code	272
Min. Negotiated Rate	$1,029.22
Max. Negotiated Rate	$1,174.52
Rate for Payer: Cash Price	$787.05
Rate for Payer: Health Management Network Commercial	$1,029.22
Rate for Payer: MDX Hawaii PPO	$1,174.52

Drill Calib 4.0mm x 280mm S0219-100 [3644627]

Facility

$2,711.50

Hospital Charge Code	3644627
Hospital Revenue Code	272
Min. Negotiated Rate	$1,382.87
Max. Negotiated Rate	$2,630.16
Rate for Payer: Cash Price	$1,762.48
Rate for Payer: Hawaii Western Management Group Commercial	$2,575.93
Rate for Payer: Health Management Network Commercial	$2,304.78
Rate for Payer: Kaiser Permanente Commercial	$1,708.24
Rate for Payer: Kaiser Permanente Medicaid	$1,382.87
Rate for Payer: MDX Hawaii PPO	$2,630.16
Rate for Payer: University Health Alliance Commercial	$1,976.41

Drill Calib 4.0mm x 280mm S0219-100 [3644627]

Facility

$2,711.50

Hospital Charge Code	3644627
Hospital Revenue Code	272
Min. Negotiated Rate	$2,304.78
Max. Negotiated Rate	$2,630.16
Rate for Payer: Cash Price	$1,762.48
Rate for Payer: Health Management Network Commercial	$2,304.78
Rate for Payer: MDX Hawaii PPO	$2,630.16

Drill Calib AO 2.5mm 0217-100 [3644650]

Facility

$1,885.09

Hospital Charge Code	3644650
Hospital Revenue Code	272
Min. Negotiated Rate	$961.40
Max. Negotiated Rate	$1,828.54
Rate for Payer: Cash Price	$1,225.31
Rate for Payer: Hawaii Western Management Group Commercial	$1,790.84
Rate for Payer: Health Management Network Commercial	$1,602.33
Rate for Payer: Kaiser Permanente Commercial	$1,187.61
Rate for Payer: Kaiser Permanente Medicaid	$961.40
Rate for Payer: MDX Hawaii PPO	$1,828.54
Rate for Payer: University Health Alliance Commercial	$1,374.04

Drill Calib AO 2.5mm 0217-100 [3644650]

Facility

$1,885.09

Hospital Charge Code	3644650
Hospital Revenue Code	272
Min. Negotiated Rate	$1,602.33
Max. Negotiated Rate	$1,828.54
Rate for Payer: Cash Price	$1,225.31
Rate for Payer: Health Management Network Commercial	$1,602.33
Rate for Payer: MDX Hawaii PPO	$1,828.54

Drill Calib AO 3.5mm 0220-100 [3644651]

Facility

$1,885.09

Hospital Charge Code	3644651
Hospital Revenue Code	272
Min. Negotiated Rate	$961.40
Max. Negotiated Rate	$1,828.54
Rate for Payer: Cash Price	$1,225.31
Rate for Payer: Hawaii Western Management Group Commercial	$1,790.84
Rate for Payer: Health Management Network Commercial	$1,602.33
Rate for Payer: Kaiser Permanente Commercial	$1,187.61
Rate for Payer: Kaiser Permanente Medicaid	$961.40
Rate for Payer: MDX Hawaii PPO	$1,828.54
Rate for Payer: University Health Alliance Commercial	$1,374.04

Drill Calib AO 3.5mm 0220-100 [3644651]

Facility

$1,885.09

Hospital Charge Code	3644651
Hospital Revenue Code	272
Min. Negotiated Rate	$1,602.33
Max. Negotiated Rate	$1,828.54
Rate for Payer: Cash Price	$1,225.31
Rate for Payer: Health Management Network Commercial	$1,602.33
Rate for Payer: MDX Hawaii PPO	$1,828.54

Drill Calib Step A-O Style 5.0mm S0209-200 [3644626]

Facility

$3,468.50

Hospital Charge Code	3644626
Hospital Revenue Code	272
Min. Negotiated Rate	$1,768.93
Max. Negotiated Rate	$3,364.45
Rate for Payer: Cash Price	$2,254.52
Rate for Payer: Hawaii Western Management Group Commercial	$3,295.07
Rate for Payer: Health Management Network Commercial	$2,948.22
Rate for Payer: Kaiser Permanente Commercial	$2,185.16
Rate for Payer: Kaiser Permanente Medicaid	$1,768.93
Rate for Payer: MDX Hawaii PPO	$3,364.45
Rate for Payer: University Health Alliance Commercial	$2,528.19

Drill Calib Step A-O Style 5.0mm S0209-200 [3644626]

Facility

$3,468.50

Hospital Charge Code	3644626
Hospital Revenue Code	272
Min. Negotiated Rate	$2,948.22
Max. Negotiated Rate	$3,364.45
Rate for Payer: Cash Price	$2,254.52
Rate for Payer: Health Management Network Commercial	$2,948.22
Rate for Payer: MDX Hawaii PPO	$3,364.45

Drill Cannulated 10.2mmX251mm 03.168.005 [3641638]

Facility

$3,918.50

Hospital Charge Code	3641638
Hospital Revenue Code	272
Min. Negotiated Rate	$1,998.43
Max. Negotiated Rate	$3,800.95
Rate for Payer: Cash Price	$2,547.02
Rate for Payer: Hawaii Western Management Group Commercial	$3,722.57
Rate for Payer: Health Management Network Commercial	$3,330.72
Rate for Payer: Kaiser Permanente Commercial	$2,468.66
Rate for Payer: Kaiser Permanente Medicaid	$1,998.43
Rate for Payer: MDX Hawaii PPO	$3,800.95
Rate for Payer: University Health Alliance Commercial	$2,856.19

Drill Cannulated 10.2mmX251mm 03.168.005 [3641638]

Facility

$3,918.50

Hospital Charge Code	3641638
Hospital Revenue Code	272
Min. Negotiated Rate	$3,330.72
Max. Negotiated Rate	$3,800.95
Rate for Payer: Cash Price	$2,547.02
Rate for Payer: Health Management Network Commercial	$3,330.72
Rate for Payer: MDX Hawaii PPO	$3,800.95

Drill Complete Opening Bit/Reamer Assembly 03.168.004 [3641780]

Facility

$8,144.25

Hospital Charge Code	3641780
Hospital Revenue Code	272
Min. Negotiated Rate	$4,153.57
Max. Negotiated Rate	$7,899.92
Rate for Payer: Cash Price	$5,293.76
Rate for Payer: Hawaii Western Management Group Commercial	$7,737.04
Rate for Payer: Health Management Network Commercial	$6,922.61
Rate for Payer: Kaiser Permanente Commercial	$5,130.88
Rate for Payer: Kaiser Permanente Medicaid	$4,153.57
Rate for Payer: MDX Hawaii PPO	$7,899.92
Rate for Payer: University Health Alliance Commercial	$5,936.34

Drill Complete Opening Bit/Reamer Assembly 03.168.004 [3641780]

Facility

$8,144.25

Hospital Charge Code	3641780
Hospital Revenue Code	272
Min. Negotiated Rate	$6,922.61
Max. Negotiated Rate	$7,899.92
Rate for Payer: Cash Price	$5,293.76
Rate for Payer: Health Management Network Commercial	$6,922.61
Rate for Payer: MDX Hawaii PPO	$7,899.92

Drill Complete Opening Bit/Reamer Assembly DHS 338.13 [3642512]

Facility

$8,105.40

Hospital Charge Code	3642512
Hospital Revenue Code	272
Min. Negotiated Rate	$6,889.59
Max. Negotiated Rate	$7,862.24
Rate for Payer: Cash Price	$5,268.51
Rate for Payer: Health Management Network Commercial	$6,889.59
Rate for Payer: MDX Hawaii PPO	$7,862.24

Drill Complete Opening Bit/Reamer Assembly DHS 338.13 [3642512]

Facility

$8,105.40

Hospital Charge Code	3642512
Hospital Revenue Code	272
Min. Negotiated Rate	$4,133.75
Max. Negotiated Rate	$7,862.24
Rate for Payer: Cash Price	$5,268.51
Rate for Payer: Hawaii Western Management Group Commercial	$7,700.13
Rate for Payer: Health Management Network Commercial	$6,889.59
Rate for Payer: Kaiser Permanente Commercial	$5,106.40
Rate for Payer: Kaiser Permanente Medicaid	$4,133.75
Rate for Payer: MDX Hawaii PPO	$7,862.24
Rate for Payer: University Health Alliance Commercial	$5,908.03

Drill General Staple Plate Sharps Kit ST 1500-SPSK [3644924]

Facility

$4,539.50

Hospital Charge Code	3644924
Hospital Revenue Code	272
Min. Negotiated Rate	$2,315.14
Max. Negotiated Rate	$4,403.31
Rate for Payer: Cash Price	$2,950.68
Rate for Payer: Hawaii Western Management Group Commercial	$4,312.52
Rate for Payer: Health Management Network Commercial	$3,858.57
Rate for Payer: Kaiser Permanente Commercial	$2,859.89
Rate for Payer: Kaiser Permanente Medicaid	$2,315.14
Rate for Payer: MDX Hawaii PPO	$4,403.31
Rate for Payer: University Health Alliance Commercial	$3,308.84

Drill General Staple Plate Sharps Kit ST 1500-SPSK [3644924]

Facility

$4,539.50

Hospital Charge Code	3644924
Hospital Revenue Code	272
Min. Negotiated Rate	$3,858.57
Max. Negotiated Rate	$4,403.31
Rate for Payer: Cash Price	$2,950.68
Rate for Payer: Health Management Network Commercial	$3,858.57
Rate for Payer: MDX Hawaii PPO	$4,403.31

Drill Measuring Sleeve 4.3mm 211201410 [3641516]

Facility

$2,135.00

Hospital Charge Code	3641516
Hospital Revenue Code	272
Min. Negotiated Rate	$1,088.85
Max. Negotiated Rate	$2,070.95
Rate for Payer: MDX Hawaii PPO	$2,070.95
Rate for Payer: Cash Price	$1,387.75
Rate for Payer: Hawaii Western Management Group Commercial	$2,028.25
Rate for Payer: Health Management Network Commercial	$1,814.75
Rate for Payer: Kaiser Permanente Commercial	$1,345.05
Rate for Payer: Kaiser Permanente Medicaid	$1,088.85
Rate for Payer: University Health Alliance Commercial	$1,556.20

Drill Measuring Sleeve 4.3mm 211201410 [3641516]

Facility

$2,135.00

Hospital Charge Code	3641516
Hospital Revenue Code	272
Min. Negotiated Rate	$1,814.75
Max. Negotiated Rate	$2,070.95
Rate for Payer: Cash Price	$1,387.75
Rate for Payer: Health Management Network Commercial	$1,814.75
Rate for Payer: MDX Hawaii PPO	$2,070.95

Drill MicroFX OCD Universal 234-200-200 [3640468]

Facility

$2,791.25

Hospital Charge Code	3640468
Hospital Revenue Code	272
Min. Negotiated Rate	$2,372.56
Max. Negotiated Rate	$2,707.51
Rate for Payer: Cash Price	$1,814.31
Rate for Payer: Health Management Network Commercial	$2,372.56
Rate for Payer: MDX Hawaii PPO	$2,707.51

Drill MicroFX OCD Universal 234-200-200 [3640468]

Facility

$2,791.25

Hospital Charge Code	3640468
Hospital Revenue Code	272
Min. Negotiated Rate	$1,423.54
Max. Negotiated Rate	$2,707.51
Rate for Payer: Cash Price	$1,814.31
Rate for Payer: Hawaii Western Management Group Commercial	$2,651.69
Rate for Payer: Health Management Network Commercial	$2,372.56
Rate for Payer: Kaiser Permanente Commercial	$1,758.49
Rate for Payer: Kaiser Permanente Medicaid	$1,423.54
Rate for Payer: MDX Hawaii PPO	$2,707.51
Rate for Payer: University Health Alliance Commercial	$2,034.54

Know your out-of-pocket cost for care.

All Charges