Kona Community Hospital

All Charges

Charge

Type

Setting

Price

Blade Plasma X 3.0S PS210030SLIGHT [3643036]

Facility

$1,804.38

Hospital Charge Code	3643036
Hospital Revenue Code	272
Min. Negotiated Rate	$1,533.72
Max. Negotiated Rate	$1,750.25
Rate for Payer: Cash Price	$1,172.85
Rate for Payer: Health Management Network Commercial	$1,533.72
Rate for Payer: MDX Hawaii PPO	$1,750.25

Blade Plasma X 3.0S PS210030SLIGHT [3643036]

Facility

$1,804.38

Hospital Charge Code	3643036
Hospital Revenue Code	272
Min. Negotiated Rate	$920.23
Max. Negotiated Rate	$1,750.25
Rate for Payer: Cash Price	$1,172.85
Rate for Payer: Hawaii Western Management Group Commercial	$1,714.16
Rate for Payer: Health Management Network Commercial	$1,533.72
Rate for Payer: Kaiser Permanente Commercial	$1,136.76
Rate for Payer: Kaiser Permanente Medicaid	$920.23
Rate for Payer: MDX Hawaii PPO	$1,750.25
Rate for Payer: University Health Alliance Commercial	$1,315.21

Blade Removal Exodus Hip Stem 00-510-400-00 [3642962]

Facility

$8,310.50

Hospital Charge Code	3642962
Hospital Revenue Code	272
Min. Negotiated Rate	$4,238.35
Max. Negotiated Rate	$8,061.19
Rate for Payer: Cash Price	$5,401.82
Rate for Payer: Hawaii Western Management Group Commercial	$7,894.98
Rate for Payer: Health Management Network Commercial	$7,063.93
Rate for Payer: Kaiser Permanente Commercial	$5,235.61
Rate for Payer: Kaiser Permanente Medicaid	$4,238.35
Rate for Payer: MDX Hawaii PPO	$8,061.19
Rate for Payer: University Health Alliance Commercial	$6,057.52

Blade Removal Exodus Hip Stem 00-510-400-00 [3642962]

Facility

$8,310.50

Hospital Charge Code	3642962
Hospital Revenue Code	272
Min. Negotiated Rate	$7,063.93
Max. Negotiated Rate	$8,061.19
Rate for Payer: Cash Price	$5,401.82
Rate for Payer: Health Management Network Commercial	$7,063.93
Rate for Payer: MDX Hawaii PPO	$8,061.19

Blade Saw 100 x 19 x 1.27mm BR1-19100-50 [3644127]

Facility

$230.97

Hospital Charge Code	3644127
Hospital Revenue Code	272
Min. Negotiated Rate	$196.32
Max. Negotiated Rate	$224.04
Rate for Payer: Cash Price	$150.13
Rate for Payer: Health Management Network Commercial	$196.32
Rate for Payer: MDX Hawaii PPO	$224.04

Blade Saw 100 x 19 x 1.27mm BR1-19100-50 [3644127]

Facility

$230.97

Hospital Charge Code	3644127
Hospital Revenue Code	272
Min. Negotiated Rate	$117.79
Max. Negotiated Rate	$224.04
Rate for Payer: Cash Price	$150.13
Rate for Payer: Hawaii Western Management Group Commercial	$219.42
Rate for Payer: Health Management Network Commercial	$196.32
Rate for Payer: Kaiser Permanente Commercial	$145.51
Rate for Payer: Kaiser Permanente Medicaid	$117.79
Rate for Payer: MDX Hawaii PPO	$224.04
Rate for Payer: University Health Alliance Commercial	$168.35

Blade Saw 100 x 25 x 1.27mm BR1-25100-50 [3644128]

Facility

$230.97

Hospital Charge Code	3644128
Hospital Revenue Code	272
Min. Negotiated Rate	$117.79
Max. Negotiated Rate	$224.04
Rate for Payer: Cash Price	$150.13
Rate for Payer: Hawaii Western Management Group Commercial	$219.42
Rate for Payer: Health Management Network Commercial	$196.32
Rate for Payer: Kaiser Permanente Commercial	$145.51
Rate for Payer: Kaiser Permanente Medicaid	$117.79
Rate for Payer: MDX Hawaii PPO	$224.04
Rate for Payer: University Health Alliance Commercial	$168.35

Blade Saw 100 x 25 x 1.27mm BR1-25100-50 [3644128]

Facility

$230.97

Hospital Charge Code	3644128
Hospital Revenue Code	272
Min. Negotiated Rate	$196.32
Max. Negotiated Rate	$224.04
Rate for Payer: Cash Price	$150.13
Rate for Payer: Health Management Network Commercial	$196.32
Rate for Payer: MDX Hawaii PPO	$224.04

Blade Saw 1.19X18X90mm 4118119090 [3642701]

Facility

$354.50

Hospital Charge Code	3642701
Hospital Revenue Code	272
Min. Negotiated Rate	$301.32
Max. Negotiated Rate	$343.87
Rate for Payer: Cash Price	$230.42
Rate for Payer: Health Management Network Commercial	$301.32
Rate for Payer: MDX Hawaii PPO	$343.87

Blade Saw 1.19X18X90mm 4118119090 [3642701]

Facility

$354.50

Hospital Charge Code	3642701
Hospital Revenue Code	272
Min. Negotiated Rate	$180.79
Max. Negotiated Rate	$343.87
Rate for Payer: Cash Price	$230.42
Rate for Payer: Hawaii Western Management Group Commercial	$336.77
Rate for Payer: Health Management Network Commercial	$301.32
Rate for Payer: Kaiser Permanente Commercial	$223.34
Rate for Payer: Kaiser Permanente Medicaid	$180.79
Rate for Payer: MDX Hawaii PPO	$343.87
Rate for Payer: University Health Alliance Commercial	$258.40

Blade Saw 1.27x13 x 100mm 6113127100 [3641252]

Facility

$285.24

Hospital Charge Code	3641252
Hospital Revenue Code	272
Min. Negotiated Rate	$242.45
Max. Negotiated Rate	$276.68
Rate for Payer: Cash Price	$185.41
Rate for Payer: Health Management Network Commercial	$242.45
Rate for Payer: MDX Hawaii PPO	$276.68

Blade Saw 1.27x13 x 100mm 6113127100 [3641252]

Facility

$285.24

Hospital Charge Code	3641252
Hospital Revenue Code	272
Min. Negotiated Rate	$145.47
Max. Negotiated Rate	$276.68
Rate for Payer: Cash Price	$185.41
Rate for Payer: Hawaii Western Management Group Commercial	$270.98
Rate for Payer: Health Management Network Commercial	$242.45
Rate for Payer: Kaiser Permanente Commercial	$179.70
Rate for Payer: Kaiser Permanente Medicaid	$145.47
Rate for Payer: MDX Hawaii PPO	$276.68
Rate for Payer: University Health Alliance Commercial	$207.91

Blade Saw 1.27X13 X90mm 6113127090 [3640852]

Facility

$434.29

Hospital Charge Code	3640852
Hospital Revenue Code	272
Min. Negotiated Rate	$221.49
Max. Negotiated Rate	$421.26
Rate for Payer: Cash Price	$282.29
Rate for Payer: Hawaii Western Management Group Commercial	$412.58
Rate for Payer: Health Management Network Commercial	$369.15
Rate for Payer: Kaiser Permanente Commercial	$273.60
Rate for Payer: Kaiser Permanente Medicaid	$221.49
Rate for Payer: MDX Hawaii PPO	$421.26
Rate for Payer: University Health Alliance Commercial	$316.55

Blade Saw 1.27X13 X90mm 6113127090 [3640852]

Facility

$434.29

Hospital Charge Code	3640852
Hospital Revenue Code	272
Min. Negotiated Rate	$369.15
Max. Negotiated Rate	$421.26
Rate for Payer: Cash Price	$282.29
Rate for Payer: Health Management Network Commercial	$369.15
Rate for Payer: MDX Hawaii PPO	$421.26

Blade Saw 1.27X18X100mm 6118127100 [3640851]

Facility

$434.29

Hospital Charge Code	3640851
Hospital Revenue Code	272
Min. Negotiated Rate	$221.49
Max. Negotiated Rate	$421.26
Rate for Payer: Cash Price	$282.29
Rate for Payer: Hawaii Western Management Group Commercial	$412.58
Rate for Payer: Health Management Network Commercial	$369.15
Rate for Payer: Kaiser Permanente Commercial	$273.60
Rate for Payer: Kaiser Permanente Medicaid	$221.49
Rate for Payer: MDX Hawaii PPO	$421.26
Rate for Payer: University Health Alliance Commercial	$316.55

Blade Saw 1.27X18X100mm 6118127100 [3640851]

Facility

$434.29

Hospital Charge Code	3640851
Hospital Revenue Code	272
Min. Negotiated Rate	$369.15
Max. Negotiated Rate	$421.26
Rate for Payer: Cash Price	$282.29
Rate for Payer: Health Management Network Commercial	$369.15
Rate for Payer: MDX Hawaii PPO	$421.26

Blade Saw 1.27X18X90Mm 4118127090 [3600217]

Facility

$354.50

Hospital Charge Code	3600217
Hospital Revenue Code	272
Min. Negotiated Rate	$301.32
Max. Negotiated Rate	$343.87
Rate for Payer: Cash Price	$230.42
Rate for Payer: Health Management Network Commercial	$301.32
Rate for Payer: MDX Hawaii PPO	$343.87

Blade Saw 1.27X18X90Mm 4118127090 [3600217]

Facility

$354.50

Hospital Charge Code	3600217
Hospital Revenue Code	272
Min. Negotiated Rate	$180.79
Max. Negotiated Rate	$343.87
Rate for Payer: Cash Price	$230.42
Rate for Payer: Hawaii Western Management Group Commercial	$336.77
Rate for Payer: Health Management Network Commercial	$301.32
Rate for Payer: Kaiser Permanente Commercial	$223.34
Rate for Payer: Kaiser Permanente Medicaid	$180.79
Rate for Payer: MDX Hawaii PPO	$343.87
Rate for Payer: University Health Alliance Commercial	$258.40

Blade Saw 1.27 x 18 x 90mm 6118127090 [3641178]

Facility

$434.29

Hospital Charge Code	3641178
Hospital Revenue Code	272
Min. Negotiated Rate	$221.49
Max. Negotiated Rate	$421.26
Rate for Payer: Cash Price	$282.29
Rate for Payer: Hawaii Western Management Group Commercial	$412.58
Rate for Payer: Health Management Network Commercial	$369.15
Rate for Payer: Kaiser Permanente Commercial	$273.60
Rate for Payer: Kaiser Permanente Medicaid	$221.49
Rate for Payer: MDX Hawaii PPO	$421.26
Rate for Payer: University Health Alliance Commercial	$316.55

Blade Saw 1.27 x 18 x 90mm 6118127090 [3641178]

Facility

$434.29

Hospital Charge Code	3641178
Hospital Revenue Code	272
Min. Negotiated Rate	$369.15
Max. Negotiated Rate	$421.26
Rate for Payer: Cash Price	$282.29
Rate for Payer: Health Management Network Commercial	$369.15
Rate for Payer: MDX Hawaii PPO	$421.26

Blade Saw 1.27X25X100mm 6125127100 [3640841]

Facility

$434.29

Hospital Charge Code	3640841
Hospital Revenue Code	272
Min. Negotiated Rate	$369.15
Max. Negotiated Rate	$421.26
Rate for Payer: Cash Price	$282.29
Rate for Payer: Health Management Network Commercial	$369.15
Rate for Payer: MDX Hawaii PPO	$421.26

Blade Saw 1.27X25X100mm 6125127100 [3640841]

Facility

$434.29

Hospital Charge Code	3640841
Hospital Revenue Code	272
Min. Negotiated Rate	$221.49
Max. Negotiated Rate	$421.26
Rate for Payer: Cash Price	$282.29
Rate for Payer: Hawaii Western Management Group Commercial	$412.58
Rate for Payer: Health Management Network Commercial	$369.15
Rate for Payer: Kaiser Permanente Commercial	$273.60
Rate for Payer: Kaiser Permanente Medicaid	$221.49
Rate for Payer: MDX Hawaii PPO	$421.26
Rate for Payer: University Health Alliance Commercial	$316.55

Blade Saw 1.27 x 25 x 90mm 6125127090 [3627916]

Facility

$423.94

Hospital Charge Code	3627916
Hospital Revenue Code	272
Min. Negotiated Rate	$216.21
Max. Negotiated Rate	$411.22
Rate for Payer: Cash Price	$275.56
Rate for Payer: Hawaii Western Management Group Commercial	$402.74
Rate for Payer: Health Management Network Commercial	$360.35
Rate for Payer: Kaiser Permanente Commercial	$267.08
Rate for Payer: Kaiser Permanente Medicaid	$216.21
Rate for Payer: MDX Hawaii PPO	$411.22
Rate for Payer: University Health Alliance Commercial	$309.01

Blade Saw 1.27 x 25 x 90mm 6125127090 [3627916]

Facility

$423.94

Hospital Charge Code	3627916
Hospital Revenue Code	272
Min. Negotiated Rate	$360.35
Max. Negotiated Rate	$411.22
Rate for Payer: Cash Price	$275.56
Rate for Payer: Health Management Network Commercial	$360.35
Rate for Payer: MDX Hawaii PPO	$411.22

Blade Saw 25 x 9 x 0.38mm KM3-111 [3644126]

Facility

$80.92

Hospital Charge Code	3644126
Hospital Revenue Code	272
Min. Negotiated Rate	$41.27
Max. Negotiated Rate	$78.49
Rate for Payer: Cash Price	$52.60
Rate for Payer: Hawaii Western Management Group Commercial	$76.87
Rate for Payer: Health Management Network Commercial	$68.78
Rate for Payer: Kaiser Permanente Commercial	$50.98
Rate for Payer: Kaiser Permanente Medicaid	$41.27
Rate for Payer: MDX Hawaii PPO	$78.49
Rate for Payer: University Health Alliance Commercial	$58.98

Know your out-of-pocket cost for care.

All Charges