Kona Community Hospital

All Charges

Charge

Type

Setting

Price

Nail TFN ADV 11mm 130 deg 170mm 04.037.142 [3640788]

Facility

$8,581.47

Service Code	HCPCS C1713
Hospital Charge Code	3640788
Hospital Revenue Code	278
Min. Negotiated Rate	$4,805.62
Max. Negotiated Rate	$8,324.03
Rate for Payer: Cash Price	$5,577.96
Rate for Payer: Hawaii Western Management Group Commercial	$6,007.03
Rate for Payer: Health Management Network Commercial	$7,294.25
Rate for Payer: MDX Hawaii PPO	$8,324.03
Rate for Payer: University Health Alliance Commercial	$4,805.62

Nail TFN ADV 11mm 130 deg 170mm 04.037.142 [3640788]

Facility

$8,581.47

Service Code	HCPCS C1713
Hospital Charge Code	3640788
Hospital Revenue Code	278
Min. Negotiated Rate	$4,376.55
Max. Negotiated Rate	$8,324.03
Rate for Payer: Cash Price	$5,577.96
Rate for Payer: Hawaii Western Management Group Commercial	$6,007.03
Rate for Payer: Health Management Network Commercial	$7,294.25
Rate for Payer: Kaiser Permanente Commercial	$5,406.33
Rate for Payer: Kaiser Permanente Medicaid	$4,376.55
Rate for Payer: MDX Hawaii PPO	$8,324.03
Rate for Payer: University Health Alliance Commercial	$4,805.62

Nail TFN ADV 11mm 130 deg 320mm RT 04.037.152 [3641580]

Facility

$11,417.52

Service Code	HCPCS C1713
Hospital Charge Code	3641580
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 11mm 130 deg 320mm RT 04.037.152 [3641580]

Facility

$11,417.52

Service Code	HCPCS C1713
Hospital Charge Code	3641580
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 11mm 130 deg 340mm LT 04.037.155S [3640811C]

Facility

$12,150.70

Service Code	HCPCS C1713
Hospital Charge Code	3640811C
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 11mm 130 deg 340mm LT 04.037.155S [3640811C]

Facility

$12,150.70

Service Code	HCPCS C1713
Hospital Charge Code	3640811C
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 TFN ADV 11mm 130 deg 340mm RT 04.037.154S [3643086]

Facility

$11,417.52

Service Code	HCPCS C1713
Hospital Charge Code	3643086
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 11mm 130 deg 340mm RT 04.037.154S [3643086]

Facility

$11,417.52

Service Code	HCPCS C1713
Hospital Charge Code	3643086
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 11mm 130 deg 360mm LT 04.037.157S [3640811B]

Facility

$12,150.70

Service Code	HCPCS C1713
Hospital Charge Code	3640811B
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 11mm 130 deg 360mm LT 04.037.157S [3640811B]

Facility

$12,150.70

Service Code	HCPCS C1713
Hospital Charge Code	3640811B
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 TFN ADV 11mm 130 deg 380mm Rt 04.037.158 [3640811]

Facility

$7,081.80

Service Code	HCPCS C1713
Hospital Charge Code	3640811
Hospital Revenue Code	278
Min. Negotiated Rate	$3,965.81
Max. Negotiated Rate	$6,869.35
Rate for Payer: Cash Price	$4,603.17
Rate for Payer: Hawaii Western Management Group Commercial	$4,957.26
Rate for Payer: Health Management Network Commercial	$6,019.53
Rate for Payer: MDX Hawaii PPO	$6,869.35
Rate for Payer: University Health Alliance Commercial	$3,965.81

Nail TFN ADV 11mm 130 deg 380mm Rt 04.037.158 [3640811]

Facility

$7,081.80

Service Code	HCPCS C1713
Hospital Charge Code	3640811
Hospital Revenue Code	278
Min. Negotiated Rate	$3,611.72
Max. Negotiated Rate	$6,869.35
Rate for Payer: Cash Price	$4,603.17
Rate for Payer: Hawaii Western Management Group Commercial	$4,957.26
Rate for Payer: Health Management Network Commercial	$6,019.53
Rate for Payer: Kaiser Permanente Commercial	$4,461.53
Rate for Payer: Kaiser Permanente Medicaid	$3,611.72
Rate for Payer: MDX Hawaii PPO	$6,869.35
Rate for Payer: University Health Alliance Commercial	$3,965.81

Nail Tfn Adv 11mm 130 Deg 400mm Rt 04.037.160S [3643515]

Facility

$11,417.52

Service Code	HCPCS C1713
Hospital Charge Code	3643515
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 11mm 130 Deg 400mm Rt 04.037.160S [3643515]

Facility

$11,417.52

Service Code	HCPCS C1713
Hospital Charge Code	3643515
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 11mm 130 deg 420mm Lt 04.037.163S [3642585]

Facility

$11,417.52

Service Code	HCPCS C1713
Hospital Charge Code	3642585
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 11mm 130 deg 420mm Lt 04.037.163S [3642585]

Facility

$11,417.52

Service Code	HCPCS C1713
Hospital Charge Code	3642585
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 11mm 130 Deg 420mm Rt04.037.162s [3643528]

Facility

$11,417.52

Service Code	HCPCS C1713
Hospital Charge Code	3643528
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 11mm 130 Deg 420mm Rt04.037.162s [3643528]

Facility

$11,417.52

Service Code	HCPCS C1713
Hospital Charge Code	3643528
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 12mm 130 deg 170mm 04.037.242S [3641787]

Facility

$8,581.47

Service Code	HCPCS C1713
Hospital Charge Code	3641787
Hospital Revenue Code	278
Min. Negotiated Rate	$4,805.62
Max. Negotiated Rate	$8,324.03
Rate for Payer: Cash Price	$5,577.96
Rate for Payer: Hawaii Western Management Group Commercial	$6,007.03
Rate for Payer: Health Management Network Commercial	$7,294.25
Rate for Payer: MDX Hawaii PPO	$8,324.03
Rate for Payer: University Health Alliance Commercial	$4,805.62

Nail TFN ADV 12mm 130 deg 170mm 04.037.242S [3641787]

Facility

$8,581.47

Service Code	HCPCS C1713
Hospital Charge Code	3641787
Hospital Revenue Code	278
Min. Negotiated Rate	$4,376.55
Max. Negotiated Rate	$8,324.03
Rate for Payer: Cash Price	$5,577.96
Rate for Payer: Hawaii Western Management Group Commercial	$6,007.03
Rate for Payer: Health Management Network Commercial	$7,294.25
Rate for Payer: Kaiser Permanente Commercial	$5,406.33
Rate for Payer: Kaiser Permanente Medicaid	$4,376.55
Rate for Payer: MDX Hawaii PPO	$8,324.03
Rate for Payer: University Health Alliance Commercial	$4,805.62

Nail TFN ADV 9mm 130 deg 170mm 04.037.942S [3642610]

Facility

$8,581.47

Service Code	HCPCS C1713
Hospital Charge Code	3642610
Hospital Revenue Code	278
Min. Negotiated Rate	$4,805.62
Max. Negotiated Rate	$8,324.03
Rate for Payer: Cash Price	$5,577.96
Rate for Payer: Hawaii Western Management Group Commercial	$6,007.03
Rate for Payer: Health Management Network Commercial	$7,294.25
Rate for Payer: MDX Hawaii PPO	$8,324.03
Rate for Payer: University Health Alliance Commercial	$4,805.62

Nail TFN ADV 9mm 130 deg 170mm 04.037.942S [3642610]

Facility

$8,581.47

Service Code	HCPCS C1713
Hospital Charge Code	3642610
Hospital Revenue Code	278
Min. Negotiated Rate	$4,376.55
Max. Negotiated Rate	$8,324.03
Rate for Payer: Cash Price	$5,577.96
Rate for Payer: Hawaii Western Management Group Commercial	$6,007.03
Rate for Payer: Health Management Network Commercial	$7,294.25
Rate for Payer: Kaiser Permanente Commercial	$5,406.33
Rate for Payer: Kaiser Permanente Medicaid	$4,376.55
Rate for Payer: MDX Hawaii PPO	$8,324.03
Rate for Payer: University Health Alliance Commercial	$4,805.62

Nail TFNS 12mm 130deg 400mm Lt 04.037.261S [3644836]

Facility

$12,150.70

Service Code	HCPCS C1713
Hospital Charge Code	3644836
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 TFNS 12mm 130deg 400mm Lt 04.037.261S [3644836]

Facility

$12,150.70

Service Code	HCPCS C1713
Hospital Charge Code	3644836
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 Tibial Tna Ti 10mm 360mm 04.043.240s [3643751]

Facility

$9,721.07

Service Code	HCPCS C1713
Hospital Charge Code	3643751
Hospital Revenue Code	278
Min. Negotiated Rate	$4,957.75
Max. Negotiated Rate	$9,429.44
Rate for Payer: Cash Price	$6,318.70
Rate for Payer: Hawaii Western Management Group Commercial	$6,804.75
Rate for Payer: Health Management Network Commercial	$8,262.91
Rate for Payer: Kaiser Permanente Commercial	$6,124.27
Rate for Payer: Kaiser Permanente Medicaid	$4,957.75
Rate for Payer: MDX Hawaii PPO	$9,429.44
Rate for Payer: University Health Alliance Commercial	$5,443.80

Know your out-of-pocket cost for care.

All Charges