Kona Community Hospital

All Charges

Charge

Type

Setting

Price

Trimed Drill 1.8mm DRILL-1.8/090 [3640943]

Facility

$1,026.64

Hospital Charge Code	3640943
Hospital Revenue Code	272
Min. Negotiated Rate	$872.64
Max. Negotiated Rate	$995.84
Rate for Payer: Cash Price	$667.32
Rate for Payer: Health Management Network Commercial	$872.64
Rate for Payer: MDX Hawaii PPO	$995.84

Trimed Drill 2.0mm DRILL-2.0/095 [3640976]

Facility

$796.38

Hospital Charge Code	3640976
Hospital Revenue Code	272
Min. Negotiated Rate	$406.15
Max. Negotiated Rate	$772.49
Rate for Payer: Cash Price	$517.65
Rate for Payer: Hawaii Western Management Group Commercial	$756.56
Rate for Payer: Health Management Network Commercial	$676.92
Rate for Payer: Kaiser Permanente Commercial	$501.72
Rate for Payer: Kaiser Permanente Medicaid	$406.15
Rate for Payer: MDX Hawaii PPO	$772.49
Rate for Payer: University Health Alliance Commercial	$580.48

Trimed Drill 2.0mm DRILL-2.0/095 [3640976]

Facility

$796.38

Hospital Charge Code	3640976
Hospital Revenue Code	272
Min. Negotiated Rate	$676.92
Max. Negotiated Rate	$772.49
Rate for Payer: Cash Price	$517.65
Rate for Payer: Health Management Network Commercial	$676.92
Rate for Payer: MDX Hawaii PPO	$772.49

Trimed Drill 2.3mm Drill-2.3/130m [3643962]

Facility

$634.38

Hospital Charge Code	3643962
Hospital Revenue Code	272
Min. Negotiated Rate	$539.22
Max. Negotiated Rate	$615.35
Rate for Payer: Cash Price	$412.35
Rate for Payer: Health Management Network Commercial	$539.22
Rate for Payer: MDX Hawaii PPO	$615.35

Trimed Drill 2.3mm Drill-2.3/130m [3643962]

Facility

$634.38

Hospital Charge Code	3643962
Hospital Revenue Code	272
Min. Negotiated Rate	$323.53
Max. Negotiated Rate	$615.35
Rate for Payer: Cash Price	$412.35
Rate for Payer: Hawaii Western Management Group Commercial	$602.66
Rate for Payer: Health Management Network Commercial	$539.22
Rate for Payer: Kaiser Permanente Commercial	$399.66
Rate for Payer: Kaiser Permanente Medicaid	$323.53
Rate for Payer: MDX Hawaii PPO	$615.35
Rate for Payer: University Health Alliance Commercial	$462.40

Trimed Drill 2.7mm Drill-2.7/130m [3643963]

Facility

$634.38

Hospital Charge Code	3643963
Hospital Revenue Code	272
Min. Negotiated Rate	$323.53
Max. Negotiated Rate	$615.35
Rate for Payer: Cash Price	$412.35
Rate for Payer: Hawaii Western Management Group Commercial	$602.66
Rate for Payer: Health Management Network Commercial	$539.22
Rate for Payer: Kaiser Permanente Commercial	$399.66
Rate for Payer: Kaiser Permanente Medicaid	$323.53
Rate for Payer: MDX Hawaii PPO	$615.35
Rate for Payer: University Health Alliance Commercial	$462.40

Trimed Drill 2.7mm Drill-2.7/130m [3643963]

Facility

$634.38

Hospital Charge Code	3643963
Hospital Revenue Code	272
Min. Negotiated Rate	$539.22
Max. Negotiated Rate	$615.35
Rate for Payer: Cash Price	$412.35
Rate for Payer: Health Management Network Commercial	$539.22
Rate for Payer: MDX Hawaii PPO	$615.35

Trimed Drill 3.2mm DRILL-3.2/220C [3642234]

Facility

$1,505.63

Hospital Charge Code	3642234
Hospital Revenue Code	272
Min. Negotiated Rate	$767.87
Max. Negotiated Rate	$1,460.46
Rate for Payer: Cash Price	$978.66
Rate for Payer: Hawaii Western Management Group Commercial	$1,430.35
Rate for Payer: Health Management Network Commercial	$1,279.79
Rate for Payer: Kaiser Permanente Commercial	$948.55
Rate for Payer: Kaiser Permanente Medicaid	$767.87
Rate for Payer: MDX Hawaii PPO	$1,460.46
Rate for Payer: University Health Alliance Commercial	$1,097.45

Trimed Drill 3.2mm DRILL-3.2/220C [3642234]

Facility

$1,505.63

Hospital Charge Code	3642234
Hospital Revenue Code	272
Min. Negotiated Rate	$1,279.79
Max. Negotiated Rate	$1,460.46
Rate for Payer: Cash Price	$978.66
Rate for Payer: Health Management Network Commercial	$1,279.79
Rate for Payer: MDX Hawaii PPO	$1,460.46

Trimed Drill Cann Smooth 2.1 x 100mm DRILL-2.1/100C S [3644943]

Facility

$1,305.10

Hospital Charge Code	3644943
Hospital Revenue Code	272
Min. Negotiated Rate	$1,109.34
Max. Negotiated Rate	$1,265.95
Rate for Payer: Cash Price	$848.32
Rate for Payer: Health Management Network Commercial	$1,109.34
Rate for Payer: MDX Hawaii PPO	$1,265.95

Trimed Drill Cann Smooth 2.1 x 100mm DRILL-2.1/100C S [3644943]

Facility

$1,305.10

Hospital Charge Code	3644943
Hospital Revenue Code	272
Min. Negotiated Rate	$665.60
Max. Negotiated Rate	$1,265.95
Rate for Payer: Cash Price	$848.32
Rate for Payer: Hawaii Western Management Group Commercial	$1,239.85
Rate for Payer: Health Management Network Commercial	$1,109.34
Rate for Payer: Kaiser Permanente Commercial	$822.21
Rate for Payer: Kaiser Permanente Medicaid	$665.60
Rate for Payer: MDX Hawaii PPO	$1,265.95
Rate for Payer: University Health Alliance Commercial	$951.29

Trimed Drill Cann Smooth 2.4 x 110mm DRILL-2.4/110C S [3644944]

Facility

$1,305.10

Hospital Charge Code	3644944
Hospital Revenue Code	272
Min. Negotiated Rate	$665.60
Max. Negotiated Rate	$1,265.95
Rate for Payer: Cash Price	$848.32
Rate for Payer: Hawaii Western Management Group Commercial	$1,239.85
Rate for Payer: Health Management Network Commercial	$1,109.34
Rate for Payer: Kaiser Permanente Commercial	$822.21
Rate for Payer: Kaiser Permanente Medicaid	$665.60
Rate for Payer: MDX Hawaii PPO	$1,265.95
Rate for Payer: University Health Alliance Commercial	$951.29

Trimed Drill Cann Smooth 2.4 x 110mm DRILL-2.4/110C S [3644944]

Facility

$1,305.10

Hospital Charge Code	3644944
Hospital Revenue Code	272
Min. Negotiated Rate	$1,109.34
Max. Negotiated Rate	$1,265.95
Rate for Payer: Cash Price	$848.32
Rate for Payer: Health Management Network Commercial	$1,109.34
Rate for Payer: MDX Hawaii PPO	$1,265.95

Trimed Hex Driver Marked Cann AO 1.8 x 70mm DVHX-1.8/070MC AO [3644949]

Facility

$1,455.04

Hospital Charge Code	3644949
Hospital Revenue Code	272
Min. Negotiated Rate	$1,236.78
Max. Negotiated Rate	$1,411.39
Rate for Payer: Cash Price	$945.78
Rate for Payer: Health Management Network Commercial	$1,236.78
Rate for Payer: MDX Hawaii PPO	$1,411.39

Trimed Hex Driver Marked Cann AO 1.8 x 70mm DVHX-1.8/070MC AO [3644949]

Facility

$1,455.04

Hospital Charge Code	3644949
Hospital Revenue Code	272
Min. Negotiated Rate	$742.07
Max. Negotiated Rate	$1,411.39
Rate for Payer: Cash Price	$945.78
Rate for Payer: Hawaii Western Management Group Commercial	$1,382.29
Rate for Payer: Health Management Network Commercial	$1,236.78
Rate for Payer: Kaiser Permanente Commercial	$916.68
Rate for Payer: Kaiser Permanente Medicaid	$742.07
Rate for Payer: MDX Hawaii PPO	$1,411.39
Rate for Payer: University Health Alliance Commercial	$1,060.58

Trimed Hex Driver Marked Cann AO 2.0 x 70mm DVHX-2.0/070MC AO [3644950]

Facility

$1,455.04

Hospital Charge Code	3644950
Hospital Revenue Code	272
Min. Negotiated Rate	$1,236.78
Max. Negotiated Rate	$1,411.39
Rate for Payer: Cash Price	$945.78
Rate for Payer: Health Management Network Commercial	$1,236.78
Rate for Payer: MDX Hawaii PPO	$1,411.39

Trimed Hex Driver Marked Cann AO 2.0 x 70mm DVHX-2.0/070MC AO [3644950]

Facility

$1,455.04

Hospital Charge Code	3644950
Hospital Revenue Code	272
Min. Negotiated Rate	$742.07
Max. Negotiated Rate	$1,411.39
Rate for Payer: Cash Price	$945.78
Rate for Payer: Hawaii Western Management Group Commercial	$1,382.29
Rate for Payer: Health Management Network Commercial	$1,236.78
Rate for Payer: Kaiser Permanente Commercial	$916.68
Rate for Payer: Kaiser Permanente Medicaid	$742.07
Rate for Payer: MDX Hawaii PPO	$1,411.39
Rate for Payer: University Health Alliance Commercial	$1,060.58

Trimed Hook Plate Dorsal 4 Hole WHD4 [3641936]

Facility

$4,665.50

Service Code	HCPCS C1713
Hospital Charge Code	3641936
Hospital Revenue Code	278
Min. Negotiated Rate	$2,379.41
Max. Negotiated Rate	$4,525.53
Rate for Payer: Cash Price	$3,032.58
Rate for Payer: Hawaii Western Management Group Commercial	$3,265.85
Rate for Payer: Health Management Network Commercial	$3,965.68
Rate for Payer: Kaiser Permanente Commercial	$2,939.26
Rate for Payer: Kaiser Permanente Medicaid	$2,379.41
Rate for Payer: MDX Hawaii PPO	$4,525.53
Rate for Payer: University Health Alliance Commercial	$2,612.68

Trimed Hook Plate Dorsal 4 Hole WHD4 [3641936]

Facility

$4,665.50

Service Code	HCPCS C1713
Hospital Charge Code	3641936
Hospital Revenue Code	278
Min. Negotiated Rate	$2,612.68
Max. Negotiated Rate	$4,525.53
Rate for Payer: Cash Price	$3,032.58
Rate for Payer: Hawaii Western Management Group Commercial	$3,265.85
Rate for Payer: Health Management Network Commercial	$3,965.68
Rate for Payer: MDX Hawaii PPO	$4,525.53
Rate for Payer: University Health Alliance Commercial	$2,612.68

Trimed Hook Plate Dorsal 6 Hole WHD6 [3642414]

Facility

$5,213.00

Service Code	HCPCS C1713
Hospital Charge Code	3642414
Hospital Revenue Code	278
Min. Negotiated Rate	$2,919.28
Max. Negotiated Rate	$5,056.61
Rate for Payer: Cash Price	$3,388.45
Rate for Payer: Hawaii Western Management Group Commercial	$3,649.10
Rate for Payer: Health Management Network Commercial	$4,431.05
Rate for Payer: MDX Hawaii PPO	$5,056.61
Rate for Payer: University Health Alliance Commercial	$2,919.28

Trimed Hook Plate Dorsal 6 Hole WHD6 [3642414]

Facility

$5,213.00

Service Code	HCPCS C1713
Hospital Charge Code	3642414
Hospital Revenue Code	278
Min. Negotiated Rate	$2,658.63
Max. Negotiated Rate	$5,056.61
Rate for Payer: Cash Price	$3,388.45
Rate for Payer: Hawaii Western Management Group Commercial	$3,649.10
Rate for Payer: Health Management Network Commercial	$4,431.05
Rate for Payer: Kaiser Permanente Commercial	$3,284.19
Rate for Payer: Kaiser Permanente Medicaid	$2,658.63
Rate for Payer: MDX Hawaii PPO	$5,056.61
Rate for Payer: University Health Alliance Commercial	$2,919.28

Trimed Hook Plate Volar 4 Hole Whv4 [3643894]

Facility

$2,537.50

Service Code	HCPCS C1713
Hospital Charge Code	3643894
Hospital Revenue Code	278
Min. Negotiated Rate	$1,294.12
Max. Negotiated Rate	$2,461.38
Rate for Payer: Cash Price	$1,649.38
Rate for Payer: Hawaii Western Management Group Commercial	$1,776.25
Rate for Payer: Health Management Network Commercial	$2,156.88
Rate for Payer: Kaiser Permanente Commercial	$1,598.62
Rate for Payer: Kaiser Permanente Medicaid	$1,294.12
Rate for Payer: MDX Hawaii PPO	$2,461.38
Rate for Payer: University Health Alliance Commercial	$1,421.00

Trimed Hook Plate Volar 4 Hole Whv4 [3643894]

Facility

$2,537.50

Service Code	HCPCS C1713
Hospital Charge Code	3643894
Hospital Revenue Code	278
Min. Negotiated Rate	$1,421.00
Max. Negotiated Rate	$2,461.38
Rate for Payer: Cash Price	$1,649.38
Rate for Payer: Hawaii Western Management Group Commercial	$1,776.25
Rate for Payer: Health Management Network Commercial	$2,156.88
Rate for Payer: MDX Hawaii PPO	$2,461.38
Rate for Payer: University Health Alliance Commercial	$1,421.00

Trimed IM Nail Thrd Ti 2.1 x 45mm IMN2.1-45T [3644946]

Facility

$7,208.00

Service Code	HCPCS C1713
Hospital Charge Code	3644946
Hospital Revenue Code	278
Min. Negotiated Rate	$4,036.48
Max. Negotiated Rate	$6,991.76
Rate for Payer: Cash Price	$4,685.20
Rate for Payer: Hawaii Western Management Group Commercial	$5,045.60
Rate for Payer: Health Management Network Commercial	$6,126.80
Rate for Payer: MDX Hawaii PPO	$6,991.76
Rate for Payer: University Health Alliance Commercial	$4,036.48

Trimed IM Nail Thrd Ti 2.1 x 45mm IMN2.1-45T [3644946]

Facility

$7,208.00

Service Code	HCPCS C1713
Hospital Charge Code	3644946
Hospital Revenue Code	278
Min. Negotiated Rate	$3,676.08
Max. Negotiated Rate	$6,991.76
Rate for Payer: Cash Price	$4,685.20
Rate for Payer: Hawaii Western Management Group Commercial	$5,045.60
Rate for Payer: Health Management Network Commercial	$6,126.80
Rate for Payer: Kaiser Permanente Commercial	$4,541.04
Rate for Payer: Kaiser Permanente Medicaid	$3,676.08
Rate for Payer: MDX Hawaii PPO	$6,991.76
Rate for Payer: University Health Alliance Commercial	$4,036.48

Know your out-of-pocket cost for care.

All Charges