Kona Community Hospital

All Charges

Charge

Type

Setting

Price

Blade Brasseler EZX Sz 52 BRXTB520 [3642900]

Facility

$6,753.00

Hospital Charge Code	3642900
Hospital Revenue Code	272
Min. Negotiated Rate	$3,444.03
Max. Negotiated Rate	$6,550.41
Rate for Payer: Cash Price	$4,389.45
Rate for Payer: Hawaii Western Management Group Commercial	$6,415.35
Rate for Payer: Health Management Network Commercial	$5,740.05
Rate for Payer: Kaiser Permanente Commercial	$4,254.39
Rate for Payer: Kaiser Permanente Medicaid	$3,444.03
Rate for Payer: MDX Hawaii PPO	$6,550.41
Rate for Payer: University Health Alliance Commercial	$4,922.26

Blade Brasseler Ezx Sz 54 Brxtb540 [3643842]

Facility

$3,750.00

Hospital Charge Code	3643842
Hospital Revenue Code	272
Min. Negotiated Rate	$1,912.50
Max. Negotiated Rate	$3,637.50
Rate for Payer: Cash Price	$2,437.50
Rate for Payer: Hawaii Western Management Group Commercial	$3,562.50
Rate for Payer: Health Management Network Commercial	$3,187.50
Rate for Payer: Kaiser Permanente Commercial	$2,362.50
Rate for Payer: Kaiser Permanente Medicaid	$1,912.50
Rate for Payer: MDX Hawaii PPO	$3,637.50
Rate for Payer: University Health Alliance Commercial	$2,733.38

Blade Brasseler Ezx Sz 54 Brxtb540 [3643842]

Facility

$3,750.00

Hospital Charge Code	3643842
Hospital Revenue Code	272
Min. Negotiated Rate	$3,187.50
Max. Negotiated Rate	$3,637.50
Rate for Payer: Cash Price	$2,437.50
Rate for Payer: Health Management Network Commercial	$3,187.50
Rate for Payer: MDX Hawaii PPO	$3,637.50

Blade Brasseler Ezx Sz 55 Brxtb550 [3643843]

Facility

$3,750.00

Hospital Charge Code	3643843
Hospital Revenue Code	272
Min. Negotiated Rate	$1,912.50
Max. Negotiated Rate	$3,637.50
Rate for Payer: Cash Price	$2,437.50
Rate for Payer: Hawaii Western Management Group Commercial	$3,562.50
Rate for Payer: Health Management Network Commercial	$3,187.50
Rate for Payer: Kaiser Permanente Commercial	$2,362.50
Rate for Payer: Kaiser Permanente Medicaid	$1,912.50
Rate for Payer: MDX Hawaii PPO	$3,637.50
Rate for Payer: University Health Alliance Commercial	$2,733.38

Blade Brasseler Ezx Sz 55 Brxtb550 [3643843]

Facility

$3,750.00

Hospital Charge Code	3643843
Hospital Revenue Code	272
Min. Negotiated Rate	$3,187.50
Max. Negotiated Rate	$3,637.50
Rate for Payer: Cash Price	$2,437.50
Rate for Payer: Health Management Network Commercial	$3,187.50
Rate for Payer: MDX Hawaii PPO	$3,637.50

Blade Brasseler Ezx Sz 56 Brxtb560 [3643589]

Facility

$3,750.00

Hospital Charge Code	3643589
Hospital Revenue Code	272
Min. Negotiated Rate	$1,912.50
Max. Negotiated Rate	$3,637.50
Rate for Payer: Cash Price	$2,437.50
Rate for Payer: Hawaii Western Management Group Commercial	$3,562.50
Rate for Payer: Health Management Network Commercial	$3,187.50
Rate for Payer: Kaiser Permanente Commercial	$2,362.50
Rate for Payer: Kaiser Permanente Medicaid	$1,912.50
Rate for Payer: MDX Hawaii PPO	$3,637.50
Rate for Payer: University Health Alliance Commercial	$2,733.38

Blade Brasseler Ezx Sz 56 Brxtb560 [3643589]

Facility

$3,750.00

Hospital Charge Code	3643589
Hospital Revenue Code	272
Min. Negotiated Rate	$3,187.50
Max. Negotiated Rate	$3,637.50
Rate for Payer: Cash Price	$2,437.50
Rate for Payer: Health Management Network Commercial	$3,187.50
Rate for Payer: MDX Hawaii PPO	$3,637.50

Blade Brasseler EZX Sz 57 BRXTB570 [3643588]

Facility

$6,753.00

Hospital Charge Code	3643588
Hospital Revenue Code	272
Min. Negotiated Rate	$3,444.03
Max. Negotiated Rate	$6,550.41
Rate for Payer: Cash Price	$4,389.45
Rate for Payer: Hawaii Western Management Group Commercial	$6,415.35
Rate for Payer: Health Management Network Commercial	$5,740.05
Rate for Payer: Kaiser Permanente Commercial	$4,254.39
Rate for Payer: Kaiser Permanente Medicaid	$3,444.03
Rate for Payer: MDX Hawaii PPO	$6,550.41
Rate for Payer: University Health Alliance Commercial	$4,922.26

Blade Brasseler EZX Sz 57 BRXTB570 [3643588]

Facility

$6,753.00

Hospital Charge Code	3643588
Hospital Revenue Code	272
Min. Negotiated Rate	$5,740.05
Max. Negotiated Rate	$6,550.41
Rate for Payer: Cash Price	$4,389.45
Rate for Payer: Health Management Network Commercial	$5,740.05
Rate for Payer: MDX Hawaii PPO	$6,550.41

Blade Brasseler Ezx Sz 59 [3643423]

Facility

$3,750.00

Hospital Charge Code	3643423
Hospital Revenue Code	272
Min. Negotiated Rate	$3,187.50
Max. Negotiated Rate	$3,637.50
Rate for Payer: Cash Price	$2,437.50
Rate for Payer: Health Management Network Commercial	$3,187.50
Rate for Payer: MDX Hawaii PPO	$3,637.50

Blade Brasseler Ezx Sz 59 [3643423]

Facility

$3,750.00

Hospital Charge Code	3643423
Hospital Revenue Code	272
Min. Negotiated Rate	$1,912.50
Max. Negotiated Rate	$3,637.50
Rate for Payer: Cash Price	$2,437.50
Rate for Payer: Hawaii Western Management Group Commercial	$3,562.50
Rate for Payer: Health Management Network Commercial	$3,187.50
Rate for Payer: Kaiser Permanente Commercial	$2,362.50
Rate for Payer: Kaiser Permanente Medicaid	$1,912.50
Rate for Payer: MDX Hawaii PPO	$3,637.50
Rate for Payer: University Health Alliance Commercial	$2,733.38

Blade Brasseler EZX Sz 60 BRXTB600 [3642944]

Facility

$3,750.00

Hospital Charge Code	3642944
Hospital Revenue Code	272
Min. Negotiated Rate	$3,187.50
Max. Negotiated Rate	$3,637.50
Rate for Payer: Cash Price	$2,437.50
Rate for Payer: Health Management Network Commercial	$3,187.50
Rate for Payer: MDX Hawaii PPO	$3,637.50

Blade Brasseler EZX Sz 60 BRXTB600 [3642944]

Facility

$3,750.00

Hospital Charge Code	3642944
Hospital Revenue Code	272
Min. Negotiated Rate	$1,912.50
Max. Negotiated Rate	$3,637.50
Rate for Payer: Cash Price	$2,437.50
Rate for Payer: Hawaii Western Management Group Commercial	$3,562.50
Rate for Payer: Health Management Network Commercial	$3,187.50
Rate for Payer: Kaiser Permanente Commercial	$2,362.50
Rate for Payer: Kaiser Permanente Medicaid	$1,912.50
Rate for Payer: MDX Hawaii PPO	$3,637.50
Rate for Payer: University Health Alliance Commercial	$2,733.38

Blade Brasseler EZX Sz 61 BRXTB610 [3642945]

Facility

$3,750.00

Hospital Charge Code	3642945
Hospital Revenue Code	272
Min. Negotiated Rate	$3,187.50
Max. Negotiated Rate	$3,637.50
Rate for Payer: Cash Price	$2,437.50
Rate for Payer: Health Management Network Commercial	$3,187.50
Rate for Payer: MDX Hawaii PPO	$3,637.50

Blade Brasseler EZX Sz 61 BRXTB610 [3642945]

Facility

$3,750.00

Hospital Charge Code	3642945
Hospital Revenue Code	272
Min. Negotiated Rate	$1,912.50
Max. Negotiated Rate	$3,637.50
Rate for Payer: Cash Price	$2,437.50
Rate for Payer: Hawaii Western Management Group Commercial	$3,562.50
Rate for Payer: Health Management Network Commercial	$3,187.50
Rate for Payer: Kaiser Permanente Commercial	$2,362.50
Rate for Payer: Kaiser Permanente Medicaid	$1,912.50
Rate for Payer: MDX Hawaii PPO	$3,637.50
Rate for Payer: University Health Alliance Commercial	$2,733.38

Blade Brasseler Ezx Sz 62 BRXTB620 [3644952]

Facility

$6,753.00

Hospital Charge Code	3644952
Hospital Revenue Code	272
Min. Negotiated Rate	$5,740.05
Max. Negotiated Rate	$6,550.41
Rate for Payer: Cash Price	$4,389.45
Rate for Payer: Health Management Network Commercial	$5,740.05
Rate for Payer: MDX Hawaii PPO	$6,550.41

Blade Brasseler Ezx Sz 62 BRXTB620 [3644952]

Facility

$6,753.00

Hospital Charge Code	3644952
Hospital Revenue Code	272
Min. Negotiated Rate	$3,444.03
Max. Negotiated Rate	$6,550.41
Rate for Payer: Cash Price	$4,389.45
Rate for Payer: Hawaii Western Management Group Commercial	$6,415.35
Rate for Payer: Health Management Network Commercial	$5,740.05
Rate for Payer: Kaiser Permanente Commercial	$4,254.39
Rate for Payer: Kaiser Permanente Medicaid	$3,444.03
Rate for Payer: MDX Hawaii PPO	$6,550.41
Rate for Payer: University Health Alliance Commercial	$4,922.26

Blade Brasseler Ezx Sz 67 BRXTB670 [3644953]

Facility

$6,753.00

Hospital Charge Code	3644953
Hospital Revenue Code	272
Min. Negotiated Rate	$5,740.05
Max. Negotiated Rate	$6,550.41
Rate for Payer: Cash Price	$4,389.45
Rate for Payer: Health Management Network Commercial	$5,740.05
Rate for Payer: MDX Hawaii PPO	$6,550.41

Blade Brasseler Ezx Sz 67 BRXTB670 [3644953]

Facility

$6,753.00

Hospital Charge Code	3644953
Hospital Revenue Code	272
Min. Negotiated Rate	$3,444.03
Max. Negotiated Rate	$6,550.41
Rate for Payer: Cash Price	$4,389.45
Rate for Payer: Hawaii Western Management Group Commercial	$6,415.35
Rate for Payer: Health Management Network Commercial	$5,740.05
Rate for Payer: Kaiser Permanente Commercial	$4,254.39
Rate for Payer: Kaiser Permanente Medicaid	$3,444.03
Rate for Payer: MDX Hawaii PPO	$6,550.41
Rate for Payer: University Health Alliance Commercial	$4,922.26

Blade Brasseler Ezx Sz 69 BRXTB690 [3644954]

Facility

$6,753.00

Hospital Charge Code	3644954
Hospital Revenue Code	272
Min. Negotiated Rate	$3,444.03
Max. Negotiated Rate	$6,550.41
Rate for Payer: Cash Price	$4,389.45
Rate for Payer: Hawaii Western Management Group Commercial	$6,415.35
Rate for Payer: Health Management Network Commercial	$5,740.05
Rate for Payer: Kaiser Permanente Commercial	$4,254.39
Rate for Payer: Kaiser Permanente Medicaid	$3,444.03
Rate for Payer: MDX Hawaii PPO	$6,550.41
Rate for Payer: University Health Alliance Commercial	$4,922.26

Blade Brasseler Ezx Sz 69 BRXTB690 [3644954]

Facility

$6,753.00

Hospital Charge Code	3644954
Hospital Revenue Code	272
Min. Negotiated Rate	$5,740.05
Max. Negotiated Rate	$6,550.41
Rate for Payer: Cash Price	$4,389.45
Rate for Payer: Health Management Network Commercial	$5,740.05
Rate for Payer: MDX Hawaii PPO	$6,550.41

Blade Dermatome Zimmer 880000010 [3600311]

Facility

$290.78

Hospital Charge Code	3600311
Hospital Revenue Code	272
Min. Negotiated Rate	$247.16
Max. Negotiated Rate	$282.06
Rate for Payer: Cash Price	$189.01
Rate for Payer: Health Management Network Commercial	$247.16
Rate for Payer: MDX Hawaii PPO	$282.06

Blade Dermatome Zimmer 880000010 [3600311]

Facility

$290.78

Hospital Charge Code	3600311
Hospital Revenue Code	272
Min. Negotiated Rate	$148.30
Max. Negotiated Rate	$282.06
Rate for Payer: Cash Price	$189.01
Rate for Payer: Hawaii Western Management Group Commercial	$276.24
Rate for Payer: Health Management Network Commercial	$247.16
Rate for Payer: Kaiser Permanente Commercial	$183.19
Rate for Payer: Kaiser Permanente Medicaid	$148.30
Rate for Payer: MDX Hawaii PPO	$282.06
Rate for Payer: University Health Alliance Commercial	$211.95

Blade Osteotome 10mm Ar-13302-10 [3644008]

Facility

$652.31

Hospital Charge Code	3644008
Hospital Revenue Code	272
Min. Negotiated Rate	$332.68
Max. Negotiated Rate	$632.74
Rate for Payer: Cash Price	$424.00
Rate for Payer: Hawaii Western Management Group Commercial	$619.69
Rate for Payer: Health Management Network Commercial	$554.46
Rate for Payer: Kaiser Permanente Commercial	$410.96
Rate for Payer: Kaiser Permanente Medicaid	$332.68
Rate for Payer: MDX Hawaii PPO	$632.74
Rate for Payer: University Health Alliance Commercial	$475.47

Blade Osteotome 10mm Ar-13302-10 [3644008]

Facility

$652.31

Hospital Charge Code	3644008
Hospital Revenue Code	272
Min. Negotiated Rate	$554.46
Max. Negotiated Rate	$632.74
Rate for Payer: Cash Price	$424.00
Rate for Payer: Health Management Network Commercial	$554.46
Rate for Payer: MDX Hawaii PPO	$632.74

Know your out-of-pocket cost for care.

All Charges