Kona Community Hospital

All Charges

Charge

Type

Setting

Price

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	$5,139.78
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: Kaiser Permanente Commercial	$6,349.14
Rate for Payer: Kaiser Permanente Medicaid	$5,139.78
Rate for Payer: MDX Hawaii PPO	$9,775.66
Rate for Payer: University Health Alliance Commercial	$5,643.68

Nail Humeral Long 9mm x 22.5cm 1173-225 [3644652]

Facility

$16,640.50

Service Code	HCPCS C1713
Hospital Charge Code	3644652
Hospital Revenue Code	278
Min. Negotiated Rate	$8,486.66
Max. Negotiated Rate	$16,141.28
Rate for Payer: Cash Price	$10,816.32
Rate for Payer: Hawaii Western Management Group Commercial	$11,648.35
Rate for Payer: Health Management Network Commercial	$14,144.42
Rate for Payer: Kaiser Permanente Commercial	$10,483.51
Rate for Payer: Kaiser Permanente Medicaid	$8,486.66
Rate for Payer: MDX Hawaii PPO	$16,141.28
Rate for Payer: University Health Alliance Commercial	$9,318.68

Nail Humeral Long 9mm x 22.5cm 1173-225 [3644652]

Facility

$16,640.50

Service Code	HCPCS C1713
Hospital Charge Code	3644652
Hospital Revenue Code	278
Min. Negotiated Rate	$9,318.68
Max. Negotiated Rate	$16,141.28
Rate for Payer: Cash Price	$10,816.32
Rate for Payer: Hawaii Western Management Group Commercial	$11,648.35
Rate for Payer: Health Management Network Commercial	$14,144.42
Rate for Payer: MDX Hawaii PPO	$16,141.28
Rate for Payer: University Health Alliance Commercial	$9,318.68

Nail Hum Ti 8.5mm Multiloc Cann Rt 300mm 04.018.300S [3644524]

Facility

$11,527.42

Service Code	HCPCS C1713
Hospital Charge Code	3644524
Hospital Revenue Code	278
Min. Negotiated Rate	$5,878.98
Max. Negotiated Rate	$11,181.60
Rate for Payer: Cash Price	$7,492.82
Rate for Payer: Hawaii Western Management Group Commercial	$8,069.19
Rate for Payer: Health Management Network Commercial	$9,798.31
Rate for Payer: Kaiser Permanente Commercial	$7,262.27
Rate for Payer: Kaiser Permanente Medicaid	$5,878.98
Rate for Payer: MDX Hawaii PPO	$11,181.60
Rate for Payer: University Health Alliance Commercial	$6,455.36

Nail Hum Ti 8.5mm Multiloc Cann Rt 300mm 04.018.300S [3644524]

Facility

$11,527.42

Service Code	HCPCS C1713
Hospital Charge Code	3644524
Hospital Revenue Code	278
Min. Negotiated Rate	$6,455.36
Max. Negotiated Rate	$11,181.60
Rate for Payer: Cash Price	$7,492.82
Rate for Payer: Hawaii Western Management Group Commercial	$8,069.19
Rate for Payer: Health Management Network Commercial	$9,798.31
Rate for Payer: MDX Hawaii PPO	$11,181.60
Rate for Payer: University Health Alliance Commercial	$6,455.36

Nail RFNA Stnd Bend 10mm 340mm 04.233.034S [3644704]

Facility

$11,534.70

Service Code	HCPCS C1713
Hospital Charge Code	3644704
Hospital Revenue Code	278
Min. Negotiated Rate	$5,882.70
Max. Negotiated Rate	$11,188.66
Rate for Payer: Cash Price	$7,497.56
Rate for Payer: Hawaii Western Management Group Commercial	$8,074.29
Rate for Payer: Health Management Network Commercial	$9,804.50
Rate for Payer: Kaiser Permanente Commercial	$7,266.86
Rate for Payer: Kaiser Permanente Medicaid	$5,882.70
Rate for Payer: MDX Hawaii PPO	$11,188.66
Rate for Payer: University Health Alliance Commercial	$6,459.43

Nail RFNA Stnd Bend 10mm 340mm 04.233.034S [3644704]

Facility

$11,534.70

Service Code	HCPCS C1713
Hospital Charge Code	3644704
Hospital Revenue Code	278
Min. Negotiated Rate	$6,459.43
Max. Negotiated Rate	$11,188.66
Rate for Payer: Cash Price	$7,497.56
Rate for Payer: Hawaii Western Management Group Commercial	$8,074.29
Rate for Payer: Health Management Network Commercial	$9,804.50
Rate for Payer: MDX Hawaii PPO	$11,188.66
Rate for Payer: University Health Alliance Commercial	$6,459.43

Nail RFNA Stnd Bend 11mm 360mm 04.233.136S [3644713]

Facility

$11,534.70

Service Code	HCPCS C1713
Hospital Charge Code	3644713
Hospital Revenue Code	278
Min. Negotiated Rate	$6,459.43
Max. Negotiated Rate	$11,188.66
Rate for Payer: Cash Price	$7,497.56
Rate for Payer: Hawaii Western Management Group Commercial	$8,074.29
Rate for Payer: Health Management Network Commercial	$9,804.50
Rate for Payer: MDX Hawaii PPO	$11,188.66
Rate for Payer: University Health Alliance Commercial	$6,459.43

Nail RFNA Stnd Bend 11mm 360mm 04.233.136S [3644713]

Facility

$11,534.70

Service Code	HCPCS C1713
Hospital Charge Code	3644713
Hospital Revenue Code	278
Min. Negotiated Rate	$5,882.70
Max. Negotiated Rate	$11,188.66
Rate for Payer: Cash Price	$7,497.56
Rate for Payer: Hawaii Western Management Group Commercial	$8,074.29
Rate for Payer: Health Management Network Commercial	$9,804.50
Rate for Payer: Kaiser Permanente Commercial	$7,266.86
Rate for Payer: Kaiser Permanente Medicaid	$5,882.70
Rate for Payer: MDX Hawaii PPO	$11,188.66
Rate for Payer: University Health Alliance Commercial	$6,459.43

Nail RFNA Stnd Bend 11mm 380mm 04.233.138S [3644714]

Facility

$11,534.70

Service Code	HCPCS C1713
Hospital Charge Code	3644714
Hospital Revenue Code	278
Min. Negotiated Rate	$5,882.70
Max. Negotiated Rate	$11,188.66
Rate for Payer: Cash Price	$7,497.56
Rate for Payer: Hawaii Western Management Group Commercial	$8,074.29
Rate for Payer: Health Management Network Commercial	$9,804.50
Rate for Payer: Kaiser Permanente Commercial	$7,266.86
Rate for Payer: Kaiser Permanente Medicaid	$5,882.70
Rate for Payer: MDX Hawaii PPO	$11,188.66
Rate for Payer: University Health Alliance Commercial	$6,459.43

Nail RFNA Stnd Bend 11mm 380mm 04.233.138S [3644714]

Facility

$11,534.70

Service Code	HCPCS C1713
Hospital Charge Code	3644714
Hospital Revenue Code	278
Min. Negotiated Rate	$6,459.43
Max. Negotiated Rate	$11,188.66
Rate for Payer: Cash Price	$7,497.56
Rate for Payer: Hawaii Western Management Group Commercial	$8,074.29
Rate for Payer: Health Management Network Commercial	$9,804.50
Rate for Payer: MDX Hawaii PPO	$11,188.66
Rate for Payer: University Health Alliance Commercial	$6,459.43

Nail TFNA 12mm 130 Deg 380mm Rt 04.037.258S [3644630]

Facility

$12,150.70

Service Code	HCPCS C1713
Hospital Charge Code	3644630
Hospital Revenue Code	278
Min. Negotiated Rate	$6,196.86
Max. Negotiated Rate	$11,786.18
Rate for Payer: Cash Price	$7,897.96
Rate for Payer: Hawaii Western Management Group Commercial	$8,505.49
Rate for Payer: Health Management Network Commercial	$10,328.09
Rate for Payer: Kaiser Permanente Commercial	$7,654.94
Rate for Payer: Kaiser Permanente Medicaid	$6,196.86
Rate for Payer: MDX Hawaii PPO	$11,786.18
Rate for Payer: University Health Alliance Commercial	$6,804.39

Nail TFNA 12mm 130 Deg 380mm Rt 04.037.258S [3644630]

Facility

$12,150.70

Service Code	HCPCS C1713
Hospital Charge Code	3644630
Hospital Revenue Code	278
Min. Negotiated Rate	$6,804.39
Max. Negotiated Rate	$11,786.18
Rate for Payer: Cash Price	$7,897.96
Rate for Payer: Hawaii Western Management Group Commercial	$8,505.49
Rate for Payer: Health Management Network Commercial	$10,328.09
Rate for Payer: MDX Hawaii PPO	$11,786.18
Rate for Payer: University Health Alliance Commercial	$6,804.39

Nail Tfna 12mm 130deg 420mm Rt 04.037.262S [3645475]

Facility

$12,150.70

Service Code	HCPCS C1713
Hospital Charge Code	3645475
Hospital Revenue Code	278
Min. Negotiated Rate	$6,196.86
Max. Negotiated Rate	$11,786.18
Rate for Payer: Cash Price	$7,897.96
Rate for Payer: Hawaii Western Management Group Commercial	$8,505.49
Rate for Payer: Health Management Network Commercial	$10,328.09
Rate for Payer: Kaiser Permanente Commercial	$7,654.94
Rate for Payer: Kaiser Permanente Medicaid	$6,196.86
Rate for Payer: MDX Hawaii PPO	$11,786.18
Rate for Payer: University Health Alliance Commercial	$6,804.39

Nail Tfna 12mm 130deg 420mm Rt 04.037.262S [3645475]

Facility

$12,150.70

Service Code	HCPCS C1713
Hospital Charge Code	3645475
Hospital Revenue Code	278
Min. Negotiated Rate	$6,804.39
Max. Negotiated Rate	$11,786.18
Rate for Payer: Cash Price	$7,897.96
Rate for Payer: Hawaii Western Management Group Commercial	$8,505.49
Rate for Payer: Health Management Network Commercial	$10,328.09
Rate for Payer: MDX Hawaii PPO	$11,786.18
Rate for Payer: University Health Alliance Commercial	$6,804.39

Nail TFNA 12mm 130deg 440mm Lt 04.037.265S [3644960]

Facility

$12,150.70

Service Code	HCPCS C1713
Hospital Charge Code	3644960
Hospital Revenue Code	278
Min. Negotiated Rate	$6,804.39
Max. Negotiated Rate	$11,786.18
Rate for Payer: Cash Price	$7,897.96
Rate for Payer: Hawaii Western Management Group Commercial	$8,505.49
Rate for Payer: Health Management Network Commercial	$10,328.09
Rate for Payer: MDX Hawaii PPO	$11,786.18
Rate for Payer: University Health Alliance Commercial	$6,804.39

Nail TFNA 12mm 130deg 440mm Lt 04.037.265S [3644960]

Facility

$12,150.70

Service Code	HCPCS C1713
Hospital Charge Code	3644960
Hospital Revenue Code	278
Min. Negotiated Rate	$6,196.86
Max. Negotiated Rate	$11,786.18
Rate for Payer: Cash Price	$7,897.96
Rate for Payer: Hawaii Western Management Group Commercial	$8,505.49
Rate for Payer: Health Management Network Commercial	$10,328.09
Rate for Payer: Kaiser Permanente Commercial	$7,654.94
Rate for Payer: Kaiser Permanente Medicaid	$6,196.86
Rate for Payer: MDX Hawaii PPO	$11,786.18
Rate for Payer: University Health Alliance Commercial	$6,804.39

Nail TFN Adv 10mm 125deg 170mm 04.037.012S [3645371]

Facility

$8,616.93

Service Code	HCPCS C1713
Hospital Charge Code	3645371
Hospital Revenue Code	278
Min. Negotiated Rate	$4,825.48
Max. Negotiated Rate	$8,358.42
Rate for Payer: Cash Price	$5,601.00
Rate for Payer: Hawaii Western Management Group Commercial	$6,031.85
Rate for Payer: Health Management Network Commercial	$7,324.39
Rate for Payer: MDX Hawaii PPO	$8,358.42
Rate for Payer: University Health Alliance Commercial	$4,825.48

Nail TFN Adv 10mm 125deg 170mm 04.037.012S [3645371]

Facility

$8,616.93

Service Code	HCPCS C1713
Hospital Charge Code	3645371
Hospital Revenue Code	278
Min. Negotiated Rate	$4,394.63
Max. Negotiated Rate	$8,358.42
Rate for Payer: Cash Price	$5,601.00
Rate for Payer: Hawaii Western Management Group Commercial	$6,031.85
Rate for Payer: Health Management Network Commercial	$7,324.39
Rate for Payer: Kaiser Permanente Commercial	$5,428.67
Rate for Payer: Kaiser Permanente Medicaid	$4,394.63
Rate for Payer: MDX Hawaii PPO	$8,358.42
Rate for Payer: University Health Alliance Commercial	$4,825.48

Nail TFN ADV 10mm 130 deg 170mm 04.037.042S [3640903]

Facility

$8,616.93

Service Code	HCPCS C1713
Hospital Charge Code	3640903
Hospital Revenue Code	278
Min. Negotiated Rate	$4,394.63
Max. Negotiated Rate	$8,358.42
Rate for Payer: Cash Price	$5,601.00
Rate for Payer: Hawaii Western Management Group Commercial	$6,031.85
Rate for Payer: Health Management Network Commercial	$7,324.39
Rate for Payer: Kaiser Permanente Commercial	$5,428.67
Rate for Payer: Kaiser Permanente Medicaid	$4,394.63
Rate for Payer: MDX Hawaii PPO	$8,358.42
Rate for Payer: University Health Alliance Commercial	$4,825.48

Nail TFN ADV 10mm 130 deg 170mm 04.037.042S [3640903]

Facility

$8,616.93

Service Code	HCPCS C1713
Hospital Charge Code	3640903
Hospital Revenue Code	278
Min. Negotiated Rate	$4,825.48
Max. Negotiated Rate	$8,358.42
Rate for Payer: Cash Price	$5,601.00
Rate for Payer: Hawaii Western Management Group Commercial	$6,031.85
Rate for Payer: Health Management Network Commercial	$7,324.39
Rate for Payer: MDX Hawaii PPO	$8,358.42
Rate for Payer: University Health Alliance Commercial	$4,825.48

Nail TFN Adv 10mm 130 Deg 340mm LT 04.037.055S [3643520]

Facility

$11,417.52

Service Code	HCPCS C1713
Hospital Charge Code	3643520
Hospital Revenue Code	278
Min. Negotiated Rate	$5,822.94
Max. Negotiated Rate	$11,074.99
Rate for Payer: Cash Price	$7,421.39
Rate for Payer: Hawaii Western Management Group Commercial	$7,992.26
Rate for Payer: Health Management Network Commercial	$9,704.89
Rate for Payer: Kaiser Permanente Commercial	$7,193.04
Rate for Payer: Kaiser Permanente Medicaid	$5,822.94
Rate for Payer: MDX Hawaii PPO	$11,074.99
Rate for Payer: University Health Alliance Commercial	$6,393.81

Nail TFN Adv 10mm 130 Deg 340mm LT 04.037.055S [3643520]

Facility

$11,417.52

Service Code	HCPCS C1713
Hospital Charge Code	3643520
Hospital Revenue Code	278
Min. Negotiated Rate	$6,393.81
Max. Negotiated Rate	$11,074.99
Rate for Payer: Cash Price	$7,421.39
Rate for Payer: Hawaii Western Management Group Commercial	$7,992.26
Rate for Payer: Health Management Network Commercial	$9,704.89
Rate for Payer: MDX Hawaii PPO	$11,074.99
Rate for Payer: University Health Alliance Commercial	$6,393.81

Nail TFN Adv 10mm 130 Deg 380mm LT 04.037.059S [3643521]

Facility

$11,417.52

Service Code	HCPCS C1713
Hospital Charge Code	3643521
Hospital Revenue Code	278
Min. Negotiated Rate	$5,822.94
Max. Negotiated Rate	$11,074.99
Rate for Payer: Cash Price	$7,421.39
Rate for Payer: Hawaii Western Management Group Commercial	$7,992.26
Rate for Payer: Health Management Network Commercial	$9,704.89
Rate for Payer: Kaiser Permanente Commercial	$7,193.04
Rate for Payer: Kaiser Permanente Medicaid	$5,822.94
Rate for Payer: MDX Hawaii PPO	$11,074.99
Rate for Payer: University Health Alliance Commercial	$6,393.81

Nail TFN Adv 10mm 130 Deg 380mm LT 04.037.059S [3643521]

Facility

$11,417.52

Service Code	HCPCS C1713
Hospital Charge Code	3643521
Hospital Revenue Code	278
Min. Negotiated Rate	$6,393.81
Max. Negotiated Rate	$11,074.99
Rate for Payer: Cash Price	$7,421.39
Rate for Payer: Hawaii Western Management Group Commercial	$7,992.26
Rate for Payer: Health Management Network Commercial	$9,704.89
Rate for Payer: MDX Hawaii PPO	$11,074.99
Rate for Payer: University Health Alliance Commercial	$6,393.81

Know your out-of-pocket cost for care.

All Charges