Kona Community Hospital

All Charges

Charge

Type

Setting

Price

Nail HFN 130 deg 13mm x 360mm LT 814613360 [3641131]

Facility

$15,678.00

Service Code	HCPCS C1713
Hospital Charge Code	3641131
Hospital Revenue Code	278
Min. Negotiated Rate	$8,779.68
Max. Negotiated Rate	$15,207.66
Rate for Payer: Cash Price	$10,190.70
Rate for Payer: Hawaii Western Management Group Commercial	$10,974.60
Rate for Payer: Health Management Network Commercial	$13,326.30
Rate for Payer: MDX Hawaii PPO	$15,207.66
Rate for Payer: University Health Alliance Commercial	$8,779.68

Nail HFN 130 deg 13mm x 360mm LT 814613360 [3641131]

Facility

$15,678.00

Service Code	HCPCS C1713
Hospital Charge Code	3641131
Hospital Revenue Code	278
Min. Negotiated Rate	$7,995.78
Max. Negotiated Rate	$15,207.66
Rate for Payer: Cash Price	$10,190.70
Rate for Payer: Hawaii Western Management Group Commercial	$10,974.60
Rate for Payer: Health Management Network Commercial	$13,326.30
Rate for Payer: Kaiser Permanente Commercial	$9,877.14
Rate for Payer: Kaiser Permanente Medicaid	$7,995.78
Rate for Payer: MDX Hawaii PPO	$15,207.66
Rate for Payer: University Health Alliance Commercial	$8,779.68

Nail HFN 130 deg 13mm x 400mm LT 814613400 [3641514]

Facility

$20,473.00

Service Code	HCPCS C1713
Hospital Charge Code	3641514
Hospital Revenue Code	278
Min. Negotiated Rate	$11,464.88
Max. Negotiated Rate	$19,858.81
Rate for Payer: Cash Price	$13,307.45
Rate for Payer: Hawaii Western Management Group Commercial	$14,331.10
Rate for Payer: Health Management Network Commercial	$17,402.05
Rate for Payer: MDX Hawaii PPO	$19,858.81
Rate for Payer: University Health Alliance Commercial	$11,464.88

Nail HFN 130 deg 13mm x 400mm LT 814613400 [3641514]

Facility

$20,473.00

Service Code	HCPCS C1713
Hospital Charge Code	3641514
Hospital Revenue Code	278
Min. Negotiated Rate	$10,441.23
Max. Negotiated Rate	$19,858.81
Rate for Payer: Cash Price	$13,307.45
Rate for Payer: Hawaii Western Management Group Commercial	$14,331.10
Rate for Payer: Health Management Network Commercial	$17,402.05
Rate for Payer: Kaiser Permanente Commercial	$12,897.99
Rate for Payer: Kaiser Permanente Medicaid	$10,441.23
Rate for Payer: MDX Hawaii PPO	$19,858.81
Rate for Payer: University Health Alliance Commercial	$11,464.88

Nail HFN 130 deg 13mm x 420mm 814513420 [3642322]

Facility

$10,125.00

Service Code	HCPCS C1713
Hospital Charge Code	3642322
Hospital Revenue Code	278
Min. Negotiated Rate	$5,670.00
Max. Negotiated Rate	$9,821.25
Rate for Payer: Cash Price	$6,581.25
Rate for Payer: Hawaii Western Management Group Commercial	$7,087.50
Rate for Payer: Health Management Network Commercial	$8,606.25
Rate for Payer: MDX Hawaii PPO	$9,821.25
Rate for Payer: University Health Alliance Commercial	$5,670.00

Nail HFN 130 deg 13mm x 420mm 814513420 [3642322]

Facility

$10,125.00

Service Code	HCPCS C1713
Hospital Charge Code	3642322
Hospital Revenue Code	278
Min. Negotiated Rate	$5,163.75
Max. Negotiated Rate	$9,821.25
Rate for Payer: Cash Price	$6,581.25
Rate for Payer: Hawaii Western Management Group Commercial	$7,087.50
Rate for Payer: Health Management Network Commercial	$8,606.25
Rate for Payer: Kaiser Permanente Commercial	$6,378.75
Rate for Payer: Kaiser Permanente Medicaid	$5,163.75
Rate for Payer: MDX Hawaii PPO	$9,821.25
Rate for Payer: University Health Alliance Commercial	$5,670.00

Nail HFN 130 deg 13mm x 420mm LT 814613420 [3642718]

Facility

$15,678.00

Service Code	HCPCS C1713
Hospital Charge Code	3642718
Hospital Revenue Code	278
Min. Negotiated Rate	$7,995.78
Max. Negotiated Rate	$15,207.66
Rate for Payer: Cash Price	$10,190.70
Rate for Payer: Hawaii Western Management Group Commercial	$10,974.60
Rate for Payer: Health Management Network Commercial	$13,326.30
Rate for Payer: Kaiser Permanente Commercial	$9,877.14
Rate for Payer: Kaiser Permanente Medicaid	$7,995.78
Rate for Payer: MDX Hawaii PPO	$15,207.66
Rate for Payer: University Health Alliance Commercial	$8,779.68

Nail HFN 130 deg 13mm x 420mm LT 814613420 [3642718]

Facility

$15,678.00

Service Code	HCPCS C1713
Hospital Charge Code	3642718
Hospital Revenue Code	278
Min. Negotiated Rate	$8,779.68
Max. Negotiated Rate	$15,207.66
Rate for Payer: Cash Price	$10,190.70
Rate for Payer: Hawaii Western Management Group Commercial	$10,974.60
Rate for Payer: Health Management Network Commercial	$13,326.30
Rate for Payer: MDX Hawaii PPO	$15,207.66
Rate for Payer: University Health Alliance Commercial	$8,779.68

Nail HFN 130 deg 9mm x 180mm 814509180 [3640843]

Facility

$11,513.00

Service Code	HCPCS C1713
Hospital Charge Code	3640843
Hospital Revenue Code	278
Min. Negotiated Rate	$5,871.63
Max. Negotiated Rate	$11,167.61
Rate for Payer: Cash Price	$7,483.45
Rate for Payer: Hawaii Western Management Group Commercial	$8,059.10
Rate for Payer: Health Management Network Commercial	$9,786.05
Rate for Payer: Kaiser Permanente Commercial	$7,253.19
Rate for Payer: Kaiser Permanente Medicaid	$5,871.63
Rate for Payer: MDX Hawaii PPO	$11,167.61
Rate for Payer: University Health Alliance Commercial	$6,447.28

Nail HFN 130 deg 9mm x 180mm 814509180 [3640843]

Facility

$11,513.00

Service Code	HCPCS C1713
Hospital Charge Code	3640843
Hospital Revenue Code	278
Min. Negotiated Rate	$6,447.28
Max. Negotiated Rate	$11,167.61
Rate for Payer: Cash Price	$7,483.45
Rate for Payer: Hawaii Western Management Group Commercial	$8,059.10
Rate for Payer: Health Management Network Commercial	$9,786.05
Rate for Payer: MDX Hawaii PPO	$11,167.61
Rate for Payer: University Health Alliance Commercial	$6,447.28

Nail Hfn 130 Deg 9mmx360mm Lt 8146-09-360 [3643664]

Facility

$10,125.00

Service Code	HCPCS C1713
Hospital Charge Code	3643664
Hospital Revenue Code	278
Min. Negotiated Rate	$5,163.75
Max. Negotiated Rate	$9,821.25
Rate for Payer: Cash Price	$6,581.25
Rate for Payer: Hawaii Western Management Group Commercial	$7,087.50
Rate for Payer: Health Management Network Commercial	$8,606.25
Rate for Payer: Kaiser Permanente Commercial	$6,378.75
Rate for Payer: Kaiser Permanente Medicaid	$5,163.75
Rate for Payer: MDX Hawaii PPO	$9,821.25
Rate for Payer: University Health Alliance Commercial	$5,670.00

Nail Hfn 130 Deg 9mmx360mm Lt 8146-09-360 [3643664]

Facility

$10,125.00

Service Code	HCPCS C1713
Hospital Charge Code	3643664
Hospital Revenue Code	278
Min. Negotiated Rate	$5,670.00
Max. Negotiated Rate	$9,821.25
Rate for Payer: Cash Price	$6,581.25
Rate for Payer: Hawaii Western Management Group Commercial	$7,087.50
Rate for Payer: Health Management Network Commercial	$8,606.25
Rate for Payer: MDX Hawaii PPO	$9,821.25
Rate for Payer: University Health Alliance Commercial	$5,670.00

Nail HFN 130deg 9mm x 360mm Rt 8145-09-360 [3644768]

Facility

$15,678.00

Service Code	HCPCS C1713
Hospital Charge Code	3644768
Hospital Revenue Code	278
Min. Negotiated Rate	$7,995.78
Max. Negotiated Rate	$15,207.66
Rate for Payer: Cash Price	$10,190.70
Rate for Payer: Hawaii Western Management Group Commercial	$10,974.60
Rate for Payer: Health Management Network Commercial	$13,326.30
Rate for Payer: Kaiser Permanente Commercial	$9,877.14
Rate for Payer: Kaiser Permanente Medicaid	$7,995.78
Rate for Payer: MDX Hawaii PPO	$15,207.66
Rate for Payer: University Health Alliance Commercial	$8,779.68

Nail HFN 130deg 9mm x 360mm Rt 8145-09-360 [3644768]

Facility

$15,678.00

Service Code	HCPCS C1713
Hospital Charge Code	3644768
Hospital Revenue Code	278
Min. Negotiated Rate	$8,779.68
Max. Negotiated Rate	$15,207.66
Rate for Payer: Cash Price	$10,190.70
Rate for Payer: Hawaii Western Management Group Commercial	$10,974.60
Rate for Payer: Health Management Network Commercial	$13,326.30
Rate for Payer: MDX Hawaii PPO	$15,207.66
Rate for Payer: University Health Alliance Commercial	$8,779.68

Nail Hfn 130 Deg 9mmx380mm Lt 814609380 [3640924]

Facility

$10,125.00

Service Code	HCPCS C1713
Hospital Charge Code	3640924
Hospital Revenue Code	278
Min. Negotiated Rate	$5,163.75
Max. Negotiated Rate	$9,821.25
Rate for Payer: Cash Price	$6,581.25
Rate for Payer: Hawaii Western Management Group Commercial	$7,087.50
Rate for Payer: Health Management Network Commercial	$8,606.25
Rate for Payer: Kaiser Permanente Commercial	$6,378.75
Rate for Payer: Kaiser Permanente Medicaid	$5,163.75
Rate for Payer: MDX Hawaii PPO	$9,821.25
Rate for Payer: University Health Alliance Commercial	$5,670.00

Nail Hfn 130 Deg 9mmx380mm Lt 814609380 [3640924]

Facility

$10,125.00

Service Code	HCPCS C1713
Hospital Charge Code	3640924
Hospital Revenue Code	278
Min. Negotiated Rate	$5,670.00
Max. Negotiated Rate	$9,821.25
Rate for Payer: Cash Price	$6,581.25
Rate for Payer: Hawaii Western Management Group Commercial	$7,087.50
Rate for Payer: Health Management Network Commercial	$8,606.25
Rate for Payer: MDX Hawaii PPO	$9,821.25
Rate for Payer: University Health Alliance Commercial	$5,670.00

Nail Hfn 130deg 9mm x 380mm Rt 814509380 [3640901]

Facility

$10,125.00

Service Code	HCPCS C1713
Hospital Charge Code	3640901
Hospital Revenue Code	278
Min. Negotiated Rate	$5,163.75
Max. Negotiated Rate	$9,821.25
Rate for Payer: Cash Price	$6,581.25
Rate for Payer: Hawaii Western Management Group Commercial	$7,087.50
Rate for Payer: Health Management Network Commercial	$8,606.25
Rate for Payer: Kaiser Permanente Commercial	$6,378.75
Rate for Payer: Kaiser Permanente Medicaid	$5,163.75
Rate for Payer: MDX Hawaii PPO	$9,821.25
Rate for Payer: University Health Alliance Commercial	$5,670.00

Nail Hfn 130deg 9mm x 380mm Rt 814509380 [3640901]

Facility

$10,125.00

Service Code	HCPCS C1713
Hospital Charge Code	3640901
Hospital Revenue Code	278
Min. Negotiated Rate	$5,670.00
Max. Negotiated Rate	$9,821.25
Rate for Payer: Cash Price	$6,581.25
Rate for Payer: Hawaii Western Management Group Commercial	$7,087.50
Rate for Payer: Health Management Network Commercial	$8,606.25
Rate for Payer: MDX Hawaii PPO	$9,821.25
Rate for Payer: University Health Alliance Commercial	$5,670.00

Nail Hfn 130 Deg 9mm x 400mm Lt 814609400 [3643998]

Facility

$10,125.00

Service Code	HCPCS C1713
Hospital Charge Code	3643998
Hospital Revenue Code	278
Min. Negotiated Rate	$5,163.75
Max. Negotiated Rate	$9,821.25
Rate for Payer: Cash Price	$6,581.25
Rate for Payer: Hawaii Western Management Group Commercial	$7,087.50
Rate for Payer: Health Management Network Commercial	$8,606.25
Rate for Payer: Kaiser Permanente Commercial	$6,378.75
Rate for Payer: Kaiser Permanente Medicaid	$5,163.75
Rate for Payer: MDX Hawaii PPO	$9,821.25
Rate for Payer: University Health Alliance Commercial	$5,670.00

Nail Hfn 130 Deg 9mm x 400mm Lt 814609400 [3643998]

Facility

$10,125.00

Service Code	HCPCS C1713
Hospital Charge Code	3643998
Hospital Revenue Code	278
Min. Negotiated Rate	$5,670.00
Max. Negotiated Rate	$9,821.25
Rate for Payer: Cash Price	$6,581.25
Rate for Payer: Hawaii Western Management Group Commercial	$7,087.50
Rate for Payer: Health Management Network Commercial	$8,606.25
Rate for Payer: MDX Hawaii PPO	$9,821.25
Rate for Payer: University Health Alliance Commercial	$5,670.00

Nail Hum Affixus Prox Rt Long 11mm x 160mm 47-2496-160-11 [3644356]

Facility

$11,373.00

Service Code	HCPCS C1713
Hospital Charge Code	3644356
Hospital Revenue Code	278
Min. Negotiated Rate	$5,800.23
Max. Negotiated Rate	$11,031.81
Rate for Payer: Cash Price	$7,392.45
Rate for Payer: Hawaii Western Management Group Commercial	$7,961.10
Rate for Payer: Health Management Network Commercial	$9,667.05
Rate for Payer: Kaiser Permanente Commercial	$7,164.99
Rate for Payer: Kaiser Permanente Medicaid	$5,800.23
Rate for Payer: MDX Hawaii PPO	$11,031.81
Rate for Payer: University Health Alliance Commercial	$6,368.88

Nail Hum Affixus Prox Rt Long 11mm x 160mm 47-2496-160-11 [3644356]

Facility

$11,373.00

Service Code	HCPCS C1713
Hospital Charge Code	3644356
Hospital Revenue Code	278
Min. Negotiated Rate	$6,368.88
Max. Negotiated Rate	$11,031.81
Rate for Payer: Cash Price	$7,392.45
Rate for Payer: Hawaii Western Management Group Commercial	$7,961.10
Rate for Payer: Health Management Network Commercial	$9,667.05
Rate for Payer: MDX Hawaii PPO	$11,031.81
Rate for Payer: University Health Alliance Commercial	$6,368.88

Nail Humeral 9.5mm Ti Multiloc Prox Lt Cann 160mm 04.016.039 [3641805]

Facility

$9,742.98

Service Code	HCPCS C1713
Hospital Charge Code	3641805
Hospital Revenue Code	278
Min. Negotiated Rate	$4,968.92
Max. Negotiated Rate	$9,450.69
Rate for Payer: Cash Price	$6,332.94
Rate for Payer: Hawaii Western Management Group Commercial	$6,820.09
Rate for Payer: Health Management Network Commercial	$8,281.53
Rate for Payer: Kaiser Permanente Commercial	$6,138.08
Rate for Payer: Kaiser Permanente Medicaid	$4,968.92
Rate for Payer: MDX Hawaii PPO	$9,450.69
Rate for Payer: University Health Alliance Commercial	$5,456.07

Nail Humeral 9.5mm Ti Multiloc Prox Lt Cann 160mm 04.016.039 [3641805]

Facility

$9,742.98

Service Code	HCPCS C1713
Hospital Charge Code	3641805
Hospital Revenue Code	278
Min. Negotiated Rate	$5,456.07
Max. Negotiated Rate	$9,450.69
Rate for Payer: Cash Price	$6,332.94
Rate for Payer: Hawaii Western Management Group Commercial	$6,820.09
Rate for Payer: Health Management Network Commercial	$8,281.53
Rate for Payer: MDX Hawaii PPO	$9,450.69
Rate for Payer: University Health Alliance Commercial	$5,456.07

Nail Humeral Affixus AR Univ 9.5mm x 240mm 47-2497-240-09 [3644438]

Facility

$10,078.00

Service Code	HCPCS C1713
Hospital Charge Code	3644438
Hospital Revenue Code	278
Min. Negotiated Rate	$5,643.68
Max. Negotiated Rate	$9,775.66
Rate for Payer: Cash Price	$6,550.70
Rate for Payer: Hawaii Western Management Group Commercial	$7,054.60
Rate for Payer: Health Management Network Commercial	$8,566.30
Rate for Payer: MDX Hawaii PPO	$9,775.66
Rate for Payer: University Health Alliance Commercial	$5,643.68

Know your out-of-pocket cost for care.

All Charges