Kona Community Hospital

All Charges

Charge

Type

Setting

Price

Stapler Contour CVD Cutter Green GCS40G [3601168]

Facility

$3,247.28

Hospital Charge Code	3601168
Hospital Revenue Code	272
Min. Negotiated Rate	$2,760.19
Max. Negotiated Rate	$3,149.86
Rate for Payer: Cash Price	$2,110.73
Rate for Payer: Health Management Network Commercial	$2,760.19
Rate for Payer: MDX Hawaii PPO	$3,149.86

Stapler Contour CVD Cutter Green GCS40G [3601168]

Facility

$3,247.28

Hospital Charge Code	3601168
Hospital Revenue Code	272
Min. Negotiated Rate	$1,656.11
Max. Negotiated Rate	$3,149.86
Rate for Payer: Cash Price	$2,110.73
Rate for Payer: Hawaii Western Management Group Commercial	$3,084.92
Rate for Payer: Health Management Network Commercial	$2,760.19
Rate for Payer: Kaiser Permanente Commercial	$2,045.79
Rate for Payer: Kaiser Permanente Medicaid	$1,656.11
Rate for Payer: MDX Hawaii PPO	$3,149.86
Rate for Payer: University Health Alliance Commercial	$2,366.94

Stapler EEA 25mm-3.5 EEA2535 [3641812]

Facility

$1,720.79

Hospital Charge Code	3641812
Hospital Revenue Code	272
Min. Negotiated Rate	$1,462.67
Max. Negotiated Rate	$1,669.17
Rate for Payer: Cash Price	$1,118.51
Rate for Payer: Health Management Network Commercial	$1,462.67
Rate for Payer: MDX Hawaii PPO	$1,669.17

Stapler EEA 25mm-3.5 EEA2535 [3641812]

Facility

$1,720.79

Hospital Charge Code	3641812
Hospital Revenue Code	272
Min. Negotiated Rate	$877.60
Max. Negotiated Rate	$1,669.17
Rate for Payer: Cash Price	$1,118.51
Rate for Payer: Hawaii Western Management Group Commercial	$1,634.75
Rate for Payer: Health Management Network Commercial	$1,462.67
Rate for Payer: Kaiser Permanente Commercial	$1,084.10
Rate for Payer: Kaiser Permanente Medicaid	$877.60
Rate for Payer: MDX Hawaii PPO	$1,669.17
Rate for Payer: University Health Alliance Commercial	$1,254.28

Stapler EEA 28 EEA28 [3606669]

Facility

$1,269.10

Hospital Charge Code	3606669
Hospital Revenue Code	272
Min. Negotiated Rate	$647.24
Max. Negotiated Rate	$1,231.03
Rate for Payer: Cash Price	$824.92
Rate for Payer: Hawaii Western Management Group Commercial	$1,205.64
Rate for Payer: Health Management Network Commercial	$1,078.73
Rate for Payer: Kaiser Permanente Commercial	$799.53
Rate for Payer: Kaiser Permanente Medicaid	$647.24
Rate for Payer: MDX Hawaii PPO	$1,231.03
Rate for Payer: University Health Alliance Commercial	$925.05

Stapler EEA 28 EEA28 [3606669]

Facility

$1,269.10

Hospital Charge Code	3606669
Hospital Revenue Code	272
Min. Negotiated Rate	$1,078.73
Max. Negotiated Rate	$1,231.03
Rate for Payer: Cash Price	$824.92
Rate for Payer: Health Management Network Commercial	$1,078.73
Rate for Payer: MDX Hawaii PPO	$1,231.03

Stapler EEA 28mm-3.5 EEA2835 [3641811]

Facility

$1,232.10

Hospital Charge Code	3641811
Hospital Revenue Code	272
Min. Negotiated Rate	$628.37
Max. Negotiated Rate	$1,195.14
Rate for Payer: Cash Price	$800.86
Rate for Payer: Hawaii Western Management Group Commercial	$1,170.49
Rate for Payer: Health Management Network Commercial	$1,047.29
Rate for Payer: Kaiser Permanente Commercial	$776.22
Rate for Payer: Kaiser Permanente Medicaid	$628.37
Rate for Payer: MDX Hawaii PPO	$1,195.14
Rate for Payer: University Health Alliance Commercial	$898.08

Stapler EEA 28mm-3.5 EEA2835 [3641811]

Facility

$1,232.10

Hospital Charge Code	3641811
Hospital Revenue Code	272
Min. Negotiated Rate	$1,047.29
Max. Negotiated Rate	$1,195.14
Rate for Payer: Cash Price	$800.86
Rate for Payer: Health Management Network Commercial	$1,047.29
Rate for Payer: MDX Hawaii PPO	$1,195.14

Stapler Eea 28mm Extra Thick Trieea28xt [3643927]

Facility

$1,836.15

Hospital Charge Code	3643927
Hospital Revenue Code	272
Min. Negotiated Rate	$936.44
Max. Negotiated Rate	$1,781.07
Rate for Payer: Cash Price	$1,193.50
Rate for Payer: Hawaii Western Management Group Commercial	$1,744.34
Rate for Payer: Health Management Network Commercial	$1,560.73
Rate for Payer: Kaiser Permanente Commercial	$1,156.77
Rate for Payer: Kaiser Permanente Medicaid	$936.44
Rate for Payer: MDX Hawaii PPO	$1,781.07
Rate for Payer: University Health Alliance Commercial	$1,338.37

Stapler Eea 28mm Extra Thick Trieea28xt [3643927]

Facility

$1,836.15

Hospital Charge Code	3643927
Hospital Revenue Code	272
Min. Negotiated Rate	$1,560.73
Max. Negotiated Rate	$1,781.07
Rate for Payer: Cash Price	$1,193.50
Rate for Payer: Health Management Network Commercial	$1,560.73
Rate for Payer: MDX Hawaii PPO	$1,781.07

Stapler EEA 31mm Extra Thick TRIEEA31XT [3606673]

Facility

$1,652.73

Hospital Charge Code	3606673
Hospital Revenue Code	272
Min. Negotiated Rate	$842.89
Max. Negotiated Rate	$1,603.15
Rate for Payer: Cash Price	$1,074.27
Rate for Payer: Hawaii Western Management Group Commercial	$1,570.09
Rate for Payer: Health Management Network Commercial	$1,404.82
Rate for Payer: Kaiser Permanente Commercial	$1,041.22
Rate for Payer: Kaiser Permanente Medicaid	$842.89
Rate for Payer: MDX Hawaii PPO	$1,603.15
Rate for Payer: University Health Alliance Commercial	$1,204.67

Stapler EEA 31mm Extra Thick TRIEEA31XT [3606673]

Facility

$1,652.73

Hospital Charge Code	3606673
Hospital Revenue Code	272
Min. Negotiated Rate	$1,404.82
Max. Negotiated Rate	$1,603.15
Rate for Payer: Cash Price	$1,074.27
Rate for Payer: Health Management Network Commercial	$1,404.82
Rate for Payer: MDX Hawaii PPO	$1,603.15

Stapler EEA 33mm X4.8mm EEA33 [3643045]

Facility

$1,683.22

Hospital Charge Code	3643045
Hospital Revenue Code	272
Min. Negotiated Rate	$1,430.74
Max. Negotiated Rate	$1,632.72
Rate for Payer: Cash Price	$1,094.09
Rate for Payer: Health Management Network Commercial	$1,430.74
Rate for Payer: MDX Hawaii PPO	$1,632.72

Stapler EEA 33mm X4.8mm EEA33 [3643045]

Facility

$1,683.22

Hospital Charge Code	3643045
Hospital Revenue Code	272
Min. Negotiated Rate	$858.44
Max. Negotiated Rate	$1,632.72
Rate for Payer: Cash Price	$1,094.09
Rate for Payer: Hawaii Western Management Group Commercial	$1,599.06
Rate for Payer: Health Management Network Commercial	$1,430.74
Rate for Payer: Kaiser Permanente Commercial	$1,060.43
Rate for Payer: Kaiser Permanente Medicaid	$858.44
Rate for Payer: MDX Hawaii PPO	$1,632.72
Rate for Payer: University Health Alliance Commercial	$1,226.90

Stapler Multifire Gia 60 3.8 GIA6038S [3606680]

Facility

$604.03

Hospital Charge Code	3606680
Hospital Revenue Code	272
Min. Negotiated Rate	$308.06
Max. Negotiated Rate	$585.91
Rate for Payer: Cash Price	$392.62
Rate for Payer: Hawaii Western Management Group Commercial	$573.83
Rate for Payer: Health Management Network Commercial	$513.43
Rate for Payer: Kaiser Permanente Commercial	$380.54
Rate for Payer: Kaiser Permanente Medicaid	$308.06
Rate for Payer: MDX Hawaii PPO	$585.91
Rate for Payer: University Health Alliance Commercial	$440.28

Stapler Multifire Gia 60 3.8 GIA6038S [3606680]

Facility

$604.03

Hospital Charge Code	3606680
Hospital Revenue Code	272
Min. Negotiated Rate	$513.43
Max. Negotiated Rate	$585.91
Rate for Payer: Cash Price	$392.62
Rate for Payer: Health Management Network Commercial	$513.43
Rate for Payer: MDX Hawaii PPO	$585.91

Stapler Purse String 45 020730 [3606913]

Facility

$534.05

Hospital Charge Code	3606913
Hospital Revenue Code	272
Min. Negotiated Rate	$272.37
Max. Negotiated Rate	$518.03
Rate for Payer: Cash Price	$347.13
Rate for Payer: Hawaii Western Management Group Commercial	$507.35
Rate for Payer: Health Management Network Commercial	$453.94
Rate for Payer: Kaiser Permanente Commercial	$336.45
Rate for Payer: Kaiser Permanente Medicaid	$272.37
Rate for Payer: MDX Hawaii PPO	$518.03
Rate for Payer: University Health Alliance Commercial	$389.27

Stapler Purse String 45 020730 [3606913]

Facility

$534.05

Hospital Charge Code	3606913
Hospital Revenue Code	272
Min. Negotiated Rate	$453.94
Max. Negotiated Rate	$518.03
Rate for Payer: Cash Price	$347.13
Rate for Payer: Health Management Network Commercial	$453.94
Rate for Payer: MDX Hawaii PPO	$518.03

Stapler Purse String 65 020242 [3606914]

Facility

$522.90

Hospital Charge Code	3606914
Hospital Revenue Code	272
Min. Negotiated Rate	$266.68
Max. Negotiated Rate	$507.21
Rate for Payer: Cash Price	$339.88
Rate for Payer: Hawaii Western Management Group Commercial	$496.75
Rate for Payer: Health Management Network Commercial	$444.46
Rate for Payer: Kaiser Permanente Commercial	$329.43
Rate for Payer: Kaiser Permanente Medicaid	$266.68
Rate for Payer: MDX Hawaii PPO	$507.21
Rate for Payer: University Health Alliance Commercial	$381.14

Stapler Purse String 65 020242 [3606914]

Facility

$522.90

Hospital Charge Code	3606914
Hospital Revenue Code	272
Min. Negotiated Rate	$444.46
Max. Negotiated Rate	$507.21
Rate for Payer: Cash Price	$339.88
Rate for Payer: Health Management Network Commercial	$444.46
Rate for Payer: MDX Hawaii PPO	$507.21

Stapler Skin 35Wide PXW35 [3642629]

Facility

$291.18

Hospital Charge Code	3642629
Hospital Revenue Code	272
Min. Negotiated Rate	$247.50
Max. Negotiated Rate	$282.44
Rate for Payer: Cash Price	$189.27
Rate for Payer: Health Management Network Commercial	$247.50
Rate for Payer: MDX Hawaii PPO	$282.44

Stapler Skin 35Wide PXW35 [3642629]

Facility

$291.18

Hospital Charge Code	3642629
Hospital Revenue Code	272
Min. Negotiated Rate	$148.50
Max. Negotiated Rate	$282.44
Rate for Payer: Cash Price	$189.27
Rate for Payer: Hawaii Western Management Group Commercial	$276.62
Rate for Payer: Health Management Network Commercial	$247.50
Rate for Payer: Kaiser Permanente Commercial	$183.44
Rate for Payer: Kaiser Permanente Medicaid	$148.50
Rate for Payer: MDX Hawaii PPO	$282.44
Rate for Payer: University Health Alliance Commercial	$212.24

Stapler Skin Insorb 2030 [3641544]

Facility

$445.21

Hospital Charge Code	3641544
Hospital Revenue Code	272
Min. Negotiated Rate	$378.43
Max. Negotiated Rate	$431.85
Rate for Payer: Cash Price	$289.39
Rate for Payer: Health Management Network Commercial	$378.43
Rate for Payer: MDX Hawaii PPO	$431.85

Stapler Skin Insorb 2030 [3641544]

Facility

$445.21

Hospital Charge Code	3641544
Hospital Revenue Code	272
Min. Negotiated Rate	$227.06
Max. Negotiated Rate	$431.85
Rate for Payer: Cash Price	$289.39
Rate for Payer: Hawaii Western Management Group Commercial	$422.95
Rate for Payer: Health Management Network Commercial	$378.43
Rate for Payer: Kaiser Permanente Commercial	$280.48
Rate for Payer: Kaiser Permanente Medicaid	$227.06
Rate for Payer: MDX Hawaii PPO	$431.85
Rate for Payer: University Health Alliance Commercial	$324.51

Stapler Skin Rotating Head 35Wide PRW35 [3642675]

Facility

$473.68

Hospital Charge Code	3642675
Hospital Revenue Code	272
Min. Negotiated Rate	$402.63
Max. Negotiated Rate	$459.47
Rate for Payer: Cash Price	$307.89
Rate for Payer: Health Management Network Commercial	$402.63
Rate for Payer: MDX Hawaii PPO	$459.47

Know your out-of-pocket cost for care.

All Charges