Kona Community Hospital

All Charges

Charge

Type

Setting

Price

OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC

Facility

$98,477.10

Service Code	MSDRG 423
Min. Negotiated Rate	$54,623.44
Max. Negotiated Rate	$98,477.10
Rate for Payer: AlohaCare Medicare	$54,623.44
Rate for Payer: Devoted Health Medicare	$60,085.78
Rate for Payer: Hawaii Medical Service Association Commercial	$98,477.10
Rate for Payer: Hawaii Medical Service Association Medicare	$54,623.44
Rate for Payer: Humana Medicare	$54,623.44
Rate for Payer: Kaiser Permanente Commercial	$71,639.25
Rate for Payer: Kaiser Permanente Medicare	$54,623.44
Rate for Payer: Ohana Health Plan Medicare	$54,623.44
Rate for Payer: UnitedHealthcare Medicare	$54,623.44

OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC

Facility

$98,477.10

Service Code	MSDRG 425
Min. Negotiated Rate	$19,733.11
Max. Negotiated Rate	$98,477.10
Rate for Payer: AlohaCare Medicare	$19,733.11
Rate for Payer: Devoted Health Medicare	$21,706.42
Rate for Payer: Hawaii Medical Service Association Commercial	$98,477.10
Rate for Payer: Hawaii Medical Service Association Medicare	$19,733.11
Rate for Payer: Humana Medicare	$19,733.11
Rate for Payer: Kaiser Permanente Commercial	$25,880.17
Rate for Payer: Kaiser Permanente Medicare	$19,733.11
Rate for Payer: Ohana Health Plan Medicare	$19,733.11
Rate for Payer: UnitedHealthcare Medicare	$19,733.11

OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES

Facility

$11,347.83

Service Code	APR-DRG 2643
Min. Negotiated Rate	$11,347.83
Max. Negotiated Rate	$11,347.83
Rate for Payer: AlohaCare Medicaid	$11,347.83
Rate for Payer: Hawaii Medical Service Association ABD	$11,347.83
Rate for Payer: Hawaii Medical Service Association Non-ABD	$11,347.83
Rate for Payer: Kaiser Permanente Medicaid	$11,347.83
Rate for Payer: Ohana Health Plan Medicaid	$11,347.83
Rate for Payer: UnitedHealthcare Medicaid	$11,347.83

OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES

Facility

$7,037.95

Service Code	APR-DRG 2641
Min. Negotiated Rate	$7,037.95
Max. Negotiated Rate	$7,037.95
Rate for Payer: AlohaCare Medicaid	$7,037.95
Rate for Payer: Hawaii Medical Service Association ABD	$7,037.95
Rate for Payer: Hawaii Medical Service Association Non-ABD	$7,037.95
Rate for Payer: Kaiser Permanente Medicaid	$7,037.95
Rate for Payer: Ohana Health Plan Medicaid	$7,037.95
Rate for Payer: UnitedHealthcare Medicaid	$7,037.95

OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES

Facility

$24,565.31

Service Code	APR-DRG 2644
Min. Negotiated Rate	$24,565.31
Max. Negotiated Rate	$24,565.31
Rate for Payer: AlohaCare Medicaid	$24,565.31
Rate for Payer: Hawaii Medical Service Association ABD	$24,565.31
Rate for Payer: Hawaii Medical Service Association Non-ABD	$24,565.31
Rate for Payer: Kaiser Permanente Medicaid	$24,565.31
Rate for Payer: Ohana Health Plan Medicaid	$24,565.31
Rate for Payer: UnitedHealthcare Medicaid	$24,565.31

OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES

Facility

$7,496.44

Service Code	APR-DRG 2642
Min. Negotiated Rate	$7,496.44
Max. Negotiated Rate	$7,496.44
Rate for Payer: AlohaCare Medicaid	$7,496.44
Rate for Payer: Hawaii Medical Service Association ABD	$7,496.44
Rate for Payer: Hawaii Medical Service Association Non-ABD	$7,496.44
Rate for Payer: Kaiser Permanente Medicaid	$7,496.44
Rate for Payer: Ohana Health Plan Medicaid	$7,496.44
Rate for Payer: UnitedHealthcare Medicaid	$7,496.44

OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC

Facility

$58,170.19

Service Code	MSDRG 868
Min. Negotiated Rate	$13,561.82
Max. Negotiated Rate	$58,170.19
Rate for Payer: AlohaCare Medicare	$13,561.82
Rate for Payer: Devoted Health Medicare	$14,918.00
Rate for Payer: Hawaii Medical Service Association Commercial	$58,170.19
Rate for Payer: Hawaii Medical Service Association Medicare	$13,561.82
Rate for Payer: Humana Medicare	$13,561.82
Rate for Payer: Kaiser Permanente Commercial	$17,786.47
Rate for Payer: Kaiser Permanente Medicare	$13,561.82
Rate for Payer: Ohana Health Plan Medicare	$13,561.82
Rate for Payer: UnitedHealthcare Medicare	$13,561.82

OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC

Facility

$58,170.19

Service Code	MSDRG 867
Min. Negotiated Rate	$27,531.37
Max. Negotiated Rate	$58,170.19
Rate for Payer: AlohaCare Medicare	$27,531.37
Rate for Payer: Devoted Health Medicare	$30,284.51
Rate for Payer: Hawaii Medical Service Association Commercial	$58,170.19
Rate for Payer: Hawaii Medical Service Association Medicare	$27,531.37
Rate for Payer: Humana Medicare	$27,531.37
Rate for Payer: Kaiser Permanente Commercial	$36,107.70
Rate for Payer: Kaiser Permanente Medicare	$27,531.37
Rate for Payer: Ohana Health Plan Medicare	$27,531.37
Rate for Payer: UnitedHealthcare Medicare	$27,531.37

OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC

Facility

$58,170.19

Service Code	MSDRG 869
Min. Negotiated Rate	$9,597.57
Max. Negotiated Rate	$58,170.19
Rate for Payer: AlohaCare Medicare	$9,597.57
Rate for Payer: Devoted Health Medicare	$10,557.33
Rate for Payer: Hawaii Medical Service Association Commercial	$58,170.19
Rate for Payer: Hawaii Medical Service Association Medicare	$9,597.57
Rate for Payer: Humana Medicare	$9,597.57
Rate for Payer: Kaiser Permanente Commercial	$12,587.33
Rate for Payer: Kaiser Permanente Medicare	$9,597.57
Rate for Payer: Ohana Health Plan Medicare	$9,597.57
Rate for Payer: UnitedHealthcare Medicare	$9,597.57

OTHER INFECTIOUS & PARASITIC DISEASES

Facility

$12,676.20

Service Code	APR-DRG 7244
Min. Negotiated Rate	$12,676.20
Max. Negotiated Rate	$12,676.20
Rate for Payer: AlohaCare Medicaid	$12,676.20
Rate for Payer: Hawaii Medical Service Association ABD	$12,676.20
Rate for Payer: Hawaii Medical Service Association Non-ABD	$12,676.20
Rate for Payer: Kaiser Permanente Medicaid	$12,676.20
Rate for Payer: Ohana Health Plan Medicaid	$12,676.20
Rate for Payer: UnitedHealthcare Medicaid	$12,676.20

OTHER INFECTIOUS & PARASITIC DISEASES

Facility

$3,587.11

Service Code	APR-DRG 7242
Min. Negotiated Rate	$3,587.11
Max. Negotiated Rate	$3,587.11
Rate for Payer: AlohaCare Medicaid	$3,587.11
Rate for Payer: Hawaii Medical Service Association ABD	$3,587.11
Rate for Payer: Hawaii Medical Service Association Non-ABD	$3,587.11
Rate for Payer: Kaiser Permanente Medicaid	$3,587.11
Rate for Payer: Ohana Health Plan Medicaid	$3,587.11
Rate for Payer: UnitedHealthcare Medicaid	$3,587.11

OTHER INFECTIOUS & PARASITIC DISEASES

Facility

$6,150.24

Service Code	APR-DRG 7243
Min. Negotiated Rate	$6,150.24
Max. Negotiated Rate	$6,150.24
Rate for Payer: AlohaCare Medicaid	$6,150.24
Rate for Payer: Hawaii Medical Service Association ABD	$6,150.24
Rate for Payer: Hawaii Medical Service Association Non-ABD	$6,150.24
Rate for Payer: Kaiser Permanente Medicaid	$6,150.24
Rate for Payer: Ohana Health Plan Medicaid	$6,150.24
Rate for Payer: UnitedHealthcare Medicaid	$6,150.24

OTHER INFECTIOUS & PARASITIC DISEASES

Facility

$2,940.12

Service Code	APR-DRG 7241
Min. Negotiated Rate	$2,940.12
Max. Negotiated Rate	$2,940.12
Rate for Payer: AlohaCare Medicaid	$2,940.12
Rate for Payer: Hawaii Medical Service Association ABD	$2,940.12
Rate for Payer: Hawaii Medical Service Association Non-ABD	$2,940.12
Rate for Payer: Kaiser Permanente Medicaid	$2,940.12
Rate for Payer: Ohana Health Plan Medicaid	$2,940.12
Rate for Payer: UnitedHealthcare Medicaid	$2,940.12

OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC

Facility

$40,282.80

Service Code	MSDRG 922
Min. Negotiated Rate	$23,009.45
Max. Negotiated Rate	$40,282.80
Rate for Payer: AlohaCare Medicare	$23,009.45
Rate for Payer: Devoted Health Medicare	$25,310.40
Rate for Payer: Hawaii Medical Service Association Commercial	$40,282.80
Rate for Payer: Hawaii Medical Service Association Medicare	$23,009.45
Rate for Payer: Humana Medicare	$23,009.45
Rate for Payer: Kaiser Permanente Commercial	$30,177.15
Rate for Payer: Kaiser Permanente Medicare	$23,009.45
Rate for Payer: Ohana Health Plan Medicare	$23,009.45
Rate for Payer: UnitedHealthcare Medicare	$23,009.45

OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC

Facility

$17,839.18

Service Code	MSDRG 923
Min. Negotiated Rate	$13,385.56
Max. Negotiated Rate	$17,839.18
Rate for Payer: AlohaCare Medicare	$13,385.56
Rate for Payer: Devoted Health Medicare	$14,724.12
Rate for Payer: Hawaii Medical Service Association Commercial	$17,839.18
Rate for Payer: Hawaii Medical Service Association Medicare	$13,385.56
Rate for Payer: Humana Medicare	$13,385.56
Rate for Payer: Kaiser Permanente Commercial	$17,555.33
Rate for Payer: Kaiser Permanente Medicare	$13,385.56
Rate for Payer: Ohana Health Plan Medicare	$13,385.56
Rate for Payer: UnitedHealthcare Medicare	$13,385.56

OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES

Facility

$2,056.87

Service Code	APR-DRG 8151
Min. Negotiated Rate	$2,056.87
Max. Negotiated Rate	$2,056.87
Rate for Payer: AlohaCare Medicaid	$2,056.87
Rate for Payer: Hawaii Medical Service Association ABD	$2,056.87
Rate for Payer: Hawaii Medical Service Association Non-ABD	$2,056.87
Rate for Payer: Kaiser Permanente Medicaid	$2,056.87
Rate for Payer: Ohana Health Plan Medicaid	$2,056.87
Rate for Payer: UnitedHealthcare Medicaid	$2,056.87

OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES

Facility

$3,090.40

Service Code	APR-DRG 8152
Min. Negotiated Rate	$3,090.40
Max. Negotiated Rate	$3,090.40
Rate for Payer: AlohaCare Medicaid	$3,090.40
Rate for Payer: Hawaii Medical Service Association ABD	$3,090.40
Rate for Payer: Hawaii Medical Service Association Non-ABD	$3,090.40
Rate for Payer: Kaiser Permanente Medicaid	$3,090.40
Rate for Payer: Ohana Health Plan Medicaid	$3,090.40
Rate for Payer: UnitedHealthcare Medicaid	$3,090.40

OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES

Facility

$12,929.65

Service Code	APR-DRG 8154
Min. Negotiated Rate	$12,929.65
Max. Negotiated Rate	$12,929.65
Rate for Payer: AlohaCare Medicaid	$12,929.65
Rate for Payer: Hawaii Medical Service Association ABD	$12,929.65
Rate for Payer: Hawaii Medical Service Association Non-ABD	$12,929.65
Rate for Payer: Kaiser Permanente Medicaid	$12,929.65
Rate for Payer: Ohana Health Plan Medicaid	$12,929.65
Rate for Payer: UnitedHealthcare Medicaid	$12,929.65

OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES

Facility

$5,193.13

Service Code	APR-DRG 8153
Min. Negotiated Rate	$5,193.13
Max. Negotiated Rate	$5,193.13
Rate for Payer: AlohaCare Medicaid	$5,193.13
Rate for Payer: Hawaii Medical Service Association ABD	$5,193.13
Rate for Payer: Hawaii Medical Service Association Non-ABD	$5,193.13
Rate for Payer: Kaiser Permanente Medicaid	$5,193.13
Rate for Payer: Ohana Health Plan Medicaid	$5,193.13
Rate for Payer: UnitedHealthcare Medicaid	$5,193.13

OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC

Facility

$22,250.76

Service Code	MSDRG 699
Min. Negotiated Rate	$13,350.06
Max. Negotiated Rate	$22,250.76
Rate for Payer: AlohaCare Medicare	$13,350.06
Rate for Payer: Devoted Health Medicare	$14,685.07
Rate for Payer: Hawaii Medical Service Association Commercial	$22,250.76
Rate for Payer: Hawaii Medical Service Association Medicare	$13,350.06
Rate for Payer: Humana Medicare	$13,350.06
Rate for Payer: Kaiser Permanente Commercial	$17,508.75
Rate for Payer: Kaiser Permanente Medicare	$13,350.06
Rate for Payer: Ohana Health Plan Medicare	$13,350.06
Rate for Payer: UnitedHealthcare Medicare	$13,350.06

OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC

Facility

$28,538.40

Service Code	MSDRG 698
Min. Negotiated Rate	$21,759.95
Max. Negotiated Rate	$28,538.40
Rate for Payer: AlohaCare Medicare	$21,759.95
Rate for Payer: Devoted Health Medicare	$23,935.94
Rate for Payer: Hawaii Medical Service Association Commercial	$22,274.87
Rate for Payer: Hawaii Medical Service Association Medicare	$21,759.95
Rate for Payer: Humana Medicare	$21,759.95
Rate for Payer: Kaiser Permanente Commercial	$28,538.40
Rate for Payer: Kaiser Permanente Medicare	$21,759.95
Rate for Payer: Ohana Health Plan Medicare	$21,759.95
Rate for Payer: UnitedHealthcare Medicare	$21,759.95

OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC

Facility

$17,453.47

Service Code	MSDRG 700
Min. Negotiated Rate	$9,074.08
Max. Negotiated Rate	$17,453.47
Rate for Payer: AlohaCare Medicare	$9,074.08
Rate for Payer: Devoted Health Medicare	$9,981.49
Rate for Payer: Hawaii Medical Service Association Commercial	$17,453.47
Rate for Payer: Hawaii Medical Service Association Medicare	$9,074.08
Rate for Payer: Humana Medicare	$9,074.08
Rate for Payer: Kaiser Permanente Commercial	$11,900.77
Rate for Payer: Kaiser Permanente Medicare	$9,074.08
Rate for Payer: Ohana Health Plan Medicare	$9,074.08
Rate for Payer: UnitedHealthcare Medicare	$9,074.08

OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC

Facility

$55,928.24

Service Code	MSDRG 674
Min. Negotiated Rate	$30,759.06
Max. Negotiated Rate	$55,928.24
Rate for Payer: AlohaCare Medicare	$30,759.06
Rate for Payer: Devoted Health Medicare	$33,834.97
Rate for Payer: Hawaii Medical Service Association Commercial	$55,928.24
Rate for Payer: Hawaii Medical Service Association Medicare	$30,759.06
Rate for Payer: Humana Medicare	$30,759.06
Rate for Payer: Kaiser Permanente Commercial	$40,340.85
Rate for Payer: Kaiser Permanente Medicare	$30,759.06
Rate for Payer: Ohana Health Plan Medicare	$30,759.06
Rate for Payer: UnitedHealthcare Medicare	$30,759.06

OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC

Facility

$72,477.60

Service Code	MSDRG 673
Min. Negotiated Rate	$55,262.66
Max. Negotiated Rate	$72,477.60
Rate for Payer: AlohaCare Medicare	$55,262.66
Rate for Payer: Devoted Health Medicare	$60,788.93
Rate for Payer: Hawaii Medical Service Association Commercial	$55,928.24
Rate for Payer: Hawaii Medical Service Association Medicare	$55,262.66
Rate for Payer: Humana Medicare	$55,262.66
Rate for Payer: Kaiser Permanente Commercial	$72,477.60
Rate for Payer: Kaiser Permanente Medicare	$55,262.66
Rate for Payer: Ohana Health Plan Medicare	$55,262.66
Rate for Payer: UnitedHealthcare Medicare	$55,262.66

OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC

Facility

$55,928.24

Service Code	MSDRG 675
Min. Negotiated Rate	$21,588.94
Max. Negotiated Rate	$55,928.24
Rate for Payer: AlohaCare Medicare	$21,588.94
Rate for Payer: Devoted Health Medicare	$23,747.83
Rate for Payer: Hawaii Medical Service Association Commercial	$55,928.24
Rate for Payer: Hawaii Medical Service Association Medicare	$21,588.94
Rate for Payer: Humana Medicare	$21,588.94
Rate for Payer: Kaiser Permanente Commercial	$28,314.15
Rate for Payer: Kaiser Permanente Medicare	$21,588.94
Rate for Payer: Ohana Health Plan Medicare	$21,588.94
Rate for Payer: UnitedHealthcare Medicare	$21,588.94

Know your out-of-pocket cost for care.

All Charges