Kona Community Hospital

All Charges

Charge

Type

Setting

Price

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

Blade Saw 70.0X0.64X12.6mm 277096275 [3642947]

Facility

$308.80

Hospital Charge Code	3642947
Hospital Revenue Code	272
Min. Negotiated Rate	$157.49
Max. Negotiated Rate	$299.54
Rate for Payer: Cash Price	$200.72
Rate for Payer: Hawaii Western Management Group Commercial	$293.36
Rate for Payer: Health Management Network Commercial	$262.48
Rate for Payer: Kaiser Permanente Commercial	$194.54
Rate for Payer: Kaiser Permanente Medicaid	$157.49
Rate for Payer: MDX Hawaii PPO	$299.54
Rate for Payer: University Health Alliance Commercial	$225.08

Blade Saw 70.0X0.64X12.6mm 277096275 [3642947]

Facility

$308.80

Hospital Charge Code	3642947
Hospital Revenue Code	272
Min. Negotiated Rate	$262.48
Max. Negotiated Rate	$299.54
Rate for Payer: Cash Price	$200.72
Rate for Payer: Health Management Network Commercial	$262.48
Rate for Payer: MDX Hawaii PPO	$299.54

Blade Saw 70 x 25 x 1.27mm BR2108-110 [3644123]

Facility

$156.00

Hospital Charge Code	3644123
Hospital Revenue Code	272
Min. Negotiated Rate	$132.60
Max. Negotiated Rate	$151.32
Rate for Payer: Cash Price	$101.40
Rate for Payer: Health Management Network Commercial	$132.60
Rate for Payer: MDX Hawaii PPO	$151.32

Blade Saw 70 x 25 x 1.27mm BR2108-110 [3644123]

Facility

$156.00

Hospital Charge Code	3644123
Hospital Revenue Code	272
Min. Negotiated Rate	$79.56
Max. Negotiated Rate	$151.32
Rate for Payer: Cash Price	$101.40
Rate for Payer: Hawaii Western Management Group Commercial	$148.20
Rate for Payer: Health Management Network Commercial	$132.60
Rate for Payer: Kaiser Permanente Commercial	$98.28
Rate for Payer: Kaiser Permanente Medicaid	$79.56
Rate for Payer: MDX Hawaii PPO	$151.32
Rate for Payer: University Health Alliance Commercial	$113.71

Blade Saw 90 x 12.5 x 1.27mm BR1-1290-50 [3644125]

Facility

$230.97

Hospital Charge Code	3644125
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 90 x 12.5 x 1.27mm BR1-1290-50 [3644125]

Facility

$230.97

Hospital Charge Code	3644125
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 90x18x0.99mm BR4118-119-090 [3644124]

Facility

$215.65

Hospital Charge Code	3644124
Hospital Revenue Code	272
Min. Negotiated Rate	$109.98
Max. Negotiated Rate	$209.18
Rate for Payer: Cash Price	$140.17
Rate for Payer: Hawaii Western Management Group Commercial	$204.87
Rate for Payer: Health Management Network Commercial	$183.30
Rate for Payer: Kaiser Permanente Commercial	$135.86
Rate for Payer: Kaiser Permanente Medicaid	$109.98
Rate for Payer: MDX Hawaii PPO	$209.18
Rate for Payer: University Health Alliance Commercial	$157.19

Blade Saw 90x18x0.99mm BR4118-119-090 [3644124]

Facility

$215.65

Hospital Charge Code	3644124
Hospital Revenue Code	272
Min. Negotiated Rate	$183.30
Max. Negotiated Rate	$209.18
Rate for Payer: Cash Price	$140.17
Rate for Payer: Health Management Network Commercial	$183.30
Rate for Payer: MDX Hawaii PPO	$209.18

Blade Saw 90 x 19 x 1.27mm BR1-1990-50 [3644132]

Facility

$230.97

Hospital Charge Code	3644132
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 90 x 19 x 1.27mm BR1-1990-50 [3644132]

Facility

$230.97

Hospital Charge Code	3644132
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 Falcon 1.27mm x 25mm x 105mm 6425-127-105 [3644282]

Facility

$1,830.67

Hospital Charge Code	3644282
Hospital Revenue Code	272
Min. Negotiated Rate	$933.64
Max. Negotiated Rate	$1,775.75
Rate for Payer: Cash Price	$1,189.94
Rate for Payer: Hawaii Western Management Group Commercial	$1,739.14
Rate for Payer: Health Management Network Commercial	$1,556.07
Rate for Payer: Kaiser Permanente Commercial	$1,153.32
Rate for Payer: Kaiser Permanente Medicaid	$933.64
Rate for Payer: MDX Hawaii PPO	$1,775.75
Rate for Payer: University Health Alliance Commercial	$1,334.38

Blade Saw Falcon 1.27mm x 25mm x 105mm 6425-127-105 [3644282]

Facility

$1,830.67

Hospital Charge Code	3644282
Hospital Revenue Code	272
Min. Negotiated Rate	$1,556.07
Max. Negotiated Rate	$1,775.75
Rate for Payer: Cash Price	$1,189.94
Rate for Payer: Health Management Network Commercial	$1,556.07
Rate for Payer: MDX Hawaii PPO	$1,775.75

Blade Saw Prec Thin 5.5X.38X18.0mm 2296-003-412 [3642383]

Facility

$282.27

Hospital Charge Code	3642383
Hospital Revenue Code	272
Min. Negotiated Rate	$143.96
Max. Negotiated Rate	$273.80
Rate for Payer: Cash Price	$183.48
Rate for Payer: Hawaii Western Management Group Commercial	$268.16
Rate for Payer: Health Management Network Commercial	$239.93
Rate for Payer: Kaiser Permanente Commercial	$177.83
Rate for Payer: Kaiser Permanente Medicaid	$143.96
Rate for Payer: MDX Hawaii PPO	$273.80
Rate for Payer: University Health Alliance Commercial	$205.75

Blade Saw Prec Thin 5.5X.38X18.0mm 2296-003-412 [3642383]

Facility

$282.27

Hospital Charge Code	3642383
Hospital Revenue Code	272
Min. Negotiated Rate	$239.93
Max. Negotiated Rate	$273.80
Rate for Payer: Cash Price	$183.48
Rate for Payer: Health Management Network Commercial	$239.93
Rate for Payer: MDX Hawaii PPO	$273.80

Blade Saw Recipr 277096325 [3600196]

Facility

$339.92

Hospital Charge Code	3600196
Hospital Revenue Code	272
Min. Negotiated Rate	$173.36
Max. Negotiated Rate	$329.72
Rate for Payer: Cash Price	$220.95
Rate for Payer: Hawaii Western Management Group Commercial	$322.92
Rate for Payer: Health Management Network Commercial	$288.93
Rate for Payer: Kaiser Permanente Commercial	$214.15
Rate for Payer: Kaiser Permanente Medicaid	$173.36
Rate for Payer: MDX Hawaii PPO	$329.72
Rate for Payer: University Health Alliance Commercial	$247.77

Blade Saw Recipr 277096325 [3600196]

Facility

$339.92

Hospital Charge Code	3600196
Hospital Revenue Code	272
Min. Negotiated Rate	$288.93
Max. Negotiated Rate	$329.72
Rate for Payer: Cash Price	$220.95
Rate for Payer: Health Management Network Commercial	$288.93
Rate for Payer: MDX Hawaii PPO	$329.72

Blade Saw Reciproc 2296033051 [3641033]

Facility

$282.27

Hospital Charge Code	3641033
Hospital Revenue Code	272
Min. Negotiated Rate	$143.96
Max. Negotiated Rate	$273.80
Rate for Payer: Cash Price	$183.48
Rate for Payer: Hawaii Western Management Group Commercial	$268.16
Rate for Payer: Health Management Network Commercial	$239.93
Rate for Payer: Kaiser Permanente Commercial	$177.83
Rate for Payer: Kaiser Permanente Medicaid	$143.96
Rate for Payer: MDX Hawaii PPO	$273.80
Rate for Payer: University Health Alliance Commercial	$205.75

Blade Saw Reciproc 2296033051 [3641033]

Facility

$282.27

Hospital Charge Code	3641033
Hospital Revenue Code	272
Min. Negotiated Rate	$239.93
Max. Negotiated Rate	$273.80
Rate for Payer: Cash Price	$183.48
Rate for Payer: Health Management Network Commercial	$239.93
Rate for Payer: MDX Hawaii PPO	$273.80

Blade Saw Reciproc 2296033104 [3641034]

Facility

$282.27

Hospital Charge Code	3641034
Hospital Revenue Code	272
Min. Negotiated Rate	$143.96
Max. Negotiated Rate	$273.80
Rate for Payer: Cash Price	$183.48
Rate for Payer: Hawaii Western Management Group Commercial	$268.16
Rate for Payer: Health Management Network Commercial	$239.93
Rate for Payer: Kaiser Permanente Commercial	$177.83
Rate for Payer: Kaiser Permanente Medicaid	$143.96
Rate for Payer: MDX Hawaii PPO	$273.80
Rate for Payer: University Health Alliance Commercial	$205.75

Blade Saw Reciproc 2296033104 [3641034]

Facility

$282.27

Hospital Charge Code	3641034
Hospital Revenue Code	272
Min. Negotiated Rate	$239.93
Max. Negotiated Rate	$273.80
Rate for Payer: Cash Price	$183.48
Rate for Payer: Health Management Network Commercial	$239.93
Rate for Payer: MDX Hawaii PPO	$273.80

Blade Saw Sagittal 2108-110-000 [3600277]

Facility

$247.58

Hospital Charge Code	3600277
Hospital Revenue Code	272
Min. Negotiated Rate	$210.44
Max. Negotiated Rate	$240.15
Rate for Payer: Cash Price	$160.93
Rate for Payer: Health Management Network Commercial	$210.44
Rate for Payer: MDX Hawaii PPO	$240.15

Blade Saw Sagittal 2108-110-000 [3600277]

Facility

$247.58

Hospital Charge Code	3600277
Hospital Revenue Code	272
Min. Negotiated Rate	$126.27
Max. Negotiated Rate	$240.15
Rate for Payer: Cash Price	$160.93
Rate for Payer: Hawaii Western Management Group Commercial	$235.20
Rate for Payer: Health Management Network Commercial	$210.44
Rate for Payer: Kaiser Permanente Commercial	$155.98
Rate for Payer: Kaiser Permanente Medicaid	$126.27
Rate for Payer: MDX Hawaii PPO	$240.15
Rate for Payer: University Health Alliance Commercial	$180.46

Blade Z Round Tip 16mmx2cm Single Use SBLDZ-2 [3643976]

Facility

$1,171.23

Hospital Charge Code	3643976
Hospital Revenue Code	272
Min. Negotiated Rate	$995.55
Max. Negotiated Rate	$1,136.09
Rate for Payer: Cash Price	$761.30
Rate for Payer: Health Management Network Commercial	$995.55
Rate for Payer: MDX Hawaii PPO	$1,136.09

Blade Z Round Tip 16mmx2cm Single Use SBLDZ-2 [3643976]

Facility

$1,171.23

Hospital Charge Code	3643976
Hospital Revenue Code	272
Min. Negotiated Rate	$597.33
Max. Negotiated Rate	$1,136.09
Rate for Payer: Cash Price	$761.30
Rate for Payer: Hawaii Western Management Group Commercial	$1,112.67
Rate for Payer: Health Management Network Commercial	$995.55
Rate for Payer: Kaiser Permanente Commercial	$737.87
Rate for Payer: Kaiser Permanente Medicaid	$597.33
Rate for Payer: MDX Hawaii PPO	$1,136.09
Rate for Payer: University Health Alliance Commercial	$853.71

Know your out-of-pocket cost for care.

All Charges