CPT 28485
The price you pay depends on the rate negotiated by your insurance plan and what portion your insurance plan requires you to contribute towards that amount. Enter your info below to start your estimate.
To calculate an estimate of your cost, you will need two things:
LOCATION
79-1019 Haukapila Street, Kealakekua, HI, 96750CONTACT
(808) 322-9311 Visit WebsiteIn compliance with the Centers for Medicare and Medicaid Services (CMS) Final 2020 Price Transparency Rules, effective January 1, 2021, all hospitals in the United States annually must provide a machine-readable file containing negotiated charges (rates) for ALL items and services. Additionally, the rule requires that for 300 shoppable items and services only, hospitals must provide a consumer-friendly display of gross charge and negotiated charges (rates) or estimation tool.
The fees and/or costs provided via this tool are only estimates, and your final bill may be higher or lower than the estimate for various reasons including but not limited to differences in the number of conditions among patients having the same or similar primary procedures, differences in physician ordering practices, unforeseen complications, etc. Moreover, this is not a guarantee of your benefit plan coverage or payment, and the actual payer and patient portion reflected in your final bill may also be higher or lower.
In some instances, where no recent historical claims and/or payment information is available for the payer plan and the item or service you have selected, the estimate may be for the base rate only or not available. Consequently, the estimate may exclude estimates for additional charges and payer payments for services billed in conjunction with the item or service you selected.
Also, this estimate DOES NOT include other services billed for separately by other providers including but not limited to physician or practitioner fees such as pathologist, radiologist, anesthesiologist, physician surgeon or assistant surgeon, etc.
If you have questions about your individual situation or were unable to find an estimate for your upcoming service, please contact us at (808) 322-5813 or email us at [email protected].
Choose a plan to view the insurance rate estimate.
Total estimated charges
Price Negotiated by Insurer
$8,572.09Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
BUPIVACAINE LIPOSOME (PF) 1.3 % (13.3 MG/ML) LINF SUSP
$1.63HCHG BASIC METABOLIC PROFILE
$8.46HCHG CAREGIVER HEALTH RISK ASSMT
$44.26HCHG CBC W DIFF
$7.77HCHG CULT ANAEROBIC ISOL
$9.47HCHG CULT FUNGI BLOOD
$20.46HCHG CULTURE AFB NON BLOOD KSO
$10.80HCHG CULTURE BRONCHIAL
$8.62HCHG DEBRIDE SKIN/SQ/MUSC/BONE
$1,951.11HCHG EMERGENCY FEE 6 CRITICAL CARE
$975.82HCHG FLUOROSCOPY UP TO 1 HR
$281.87HCHG FOOT 3 VIEWS
$102.81HCHG FOOT PORT, 2 VIEWS
$102.81HCHG FUNGUS STAIN BY CALCOFLUOR WHITE
$5.39HCHG IMMUNIZATION ADMINISTRATION, ONE VACCINE
$85.06HCHG INJ, ANESTH AGENT;FEMORAL NERVE,SINGLE
$833.89HCHG INJ IM/SUBQ MOD XU
$85.06HCHG IV INFUSION THERAPY UP TO 1 HR
$251.28HCHG IV INFUS SEQ INFUS UP TO 1HR
$85.06HCHG NJX AA&/STRD SCIATIC NERVE
$833.89HCHG SPECIMEN INFECT AGNT CONCNTJ
$6.68HCHG TRANSCUTANEOUS MONITORING
$152.01HCHG WRIGHTS STAIN WBC STOOL
$4.27KETOROLAC 30 MG/ML (1 ML) INJ SOLN
$0.39OPEN TREATMENT OF TARSOMETATARSAL JOINT DISLOCATION, INCLUDES INTERNAL FIXATION, WHEN PERFORMED
$8,572.09TETANUS IMMUNE GLOBULIN (PF) 250 UNIT IM SYR
$558.12This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Kona Community Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Kona Community Hospital directly at (808) 322-9311.
Total estimated charges
Price Negotiated by Insurer
$8,572.09Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
BUPIVACAINE LIPOSOME (PF) 1.3 % (13.3 MG/ML) LINF SUSP
$1.63HCHG BASIC METABOLIC PROFILE
$8.46HCHG CAREGIVER HEALTH RISK ASSMT
$44.26HCHG CBC W DIFF
$7.77HCHG CULT ANAEROBIC ISOL
$9.47HCHG CULT FUNGI BLOOD
$20.46HCHG CULTURE AFB NON BLOOD KSO
$10.80HCHG CULTURE BRONCHIAL
$8.62HCHG DEBRIDE SKIN/SQ/MUSC/BONE
$1,951.11HCHG EMERGENCY FEE 6 CRITICAL CARE
$975.82HCHG FLUOROSCOPY UP TO 1 HR
$281.87HCHG FOOT 3 VIEWS
$102.81HCHG FOOT PORT, 2 VIEWS
$102.81HCHG FUNGUS STAIN BY CALCOFLUOR WHITE
$5.39HCHG IMMUNIZATION ADMINISTRATION, ONE VACCINE
$85.06HCHG INJ, ANESTH AGENT;FEMORAL NERVE,SINGLE
$833.89HCHG INJ IM/SUBQ MOD XU
$85.06HCHG IV INFUSION THERAPY UP TO 1 HR
$251.28HCHG IV INFUS SEQ INFUS UP TO 1HR
$85.06HCHG NJX AA&/STRD SCIATIC NERVE
$833.89HCHG SPECIMEN INFECT AGNT CONCNTJ
$6.68HCHG TRANSCUTANEOUS MONITORING
$152.01HCHG WRIGHTS STAIN WBC STOOL
$4.27KETOROLAC 30 MG/ML (1 ML) INJ SOLN
$0.39OPEN TREATMENT OF TARSOMETATARSAL JOINT DISLOCATION, INCLUDES INTERNAL FIXATION, WHEN PERFORMED
$8,572.09TETANUS IMMUNE GLOBULIN (PF) 250 UNIT IM SYR
$558.12This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Kona Community Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Kona Community Hospital directly at (808) 322-9311.
Total estimated charges
Price Negotiated by Insurer
$9,429.30Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
BUPIVACAINE LIPOSOME (PF) 1.3 % (13.3 MG/ML) LINF SUSP
$1.79HCHG BASIC METABOLIC PROFILE
$9.31HCHG CAREGIVER HEALTH RISK ASSMT
$48.69HCHG CBC W DIFF
$8.55HCHG CULT ANAEROBIC ISOL
$10.42HCHG CULT FUNGI BLOOD
$22.51HCHG CULTURE AFB NON BLOOD KSO
$11.88HCHG CULTURE BRONCHIAL
$9.48HCHG DEBRIDE SKIN/SQ/MUSC/BONE
$2,146.22HCHG EMERGENCY FEE 6 CRITICAL CARE
$1,073.40HCHG FLUOROSCOPY UP TO 1 HR
$310.06HCHG FOOT 3 VIEWS
$113.09HCHG FOOT PORT, 2 VIEWS
$113.09HCHG FUNGUS STAIN BY CALCOFLUOR WHITE
$5.93HCHG IMMUNIZATION ADMINISTRATION, ONE VACCINE
$93.57HCHG INJ, ANESTH AGENT;FEMORAL NERVE,SINGLE
$917.28HCHG INJ IM/SUBQ MOD XU
$93.57HCHG IV INFUSION THERAPY UP TO 1 HR
$276.41HCHG IV INFUS SEQ INFUS UP TO 1HR
$93.57HCHG NJX AA&/STRD SCIATIC NERVE
$917.28HCHG SPECIMEN INFECT AGNT CONCNTJ
$7.35HCHG TRANSCUTANEOUS MONITORING
$167.21HCHG WRIGHTS STAIN WBC STOOL
$4.70KETOROLAC 30 MG/ML (1 ML) INJ SOLN
$0.43OPEN TREATMENT OF TARSOMETATARSAL JOINT DISLOCATION, INCLUDES INTERNAL FIXATION, WHEN PERFORMED
$9,429.30TETANUS IMMUNE GLOBULIN (PF) 250 UNIT IM SYR
$613.93This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Kona Community Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Kona Community Hospital directly at (808) 322-9311.
Total estimated charges
Price Negotiated by Insurer
$848.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
BUPIVACAINE 0.125 % 50 ML PCA DISCRETE DOSE (WHR)
$0.01BUPIVACAINE LIPOSOME (PF) 1.3 % (13.3 MG/ML) LINF SUSP
$1.49CEFAZOLIN 1 GRAM INJ RECON.SOLN.
$1.37FENTANYL CITRATE (PF)-0.9%NACL 500 MCG/50 ML (10 MCG/ML) IV PCA SYR
$0.96HCHG BASIC METABOLIC PROFILE
$11.70HCHG CAREGIVER HEALTH RISK ASSMT
$560.00HCHG CBC W DIFF
$10.74HCHG CULT ANAEROBIC ISOL
$13.08HCHG CULT FUNGI BLOOD
$12.46HCHG CULTURE AFB NON BLOOD KSO
$13.63HCHG CULTURE BRONCHIAL
$11.90HCHG DEBRIDE SKIN/SQ/MUSC/BONE
$848.00HCHG EMERGENCY FEE 6 CRITICAL CARE
$560.00HCHG FLUOROSCOPY UP TO 1 HR
$42.98HCHG FOOT 3 VIEWS
$19.08HCHG FOOT PORT, 2 VIEWS
$16.41HCHG FUNGUS STAIN BY CALCOFLUOR WHITE
$7.42HCHG IMMUNIZATION ADMINISTRATION, ONE VACCINE
$4.00HCHG INJ, ANESTH AGENT;FEMORAL NERVE,SINGLE
$393.00HCHG IV INFUSION THERAPY UP TO 1 HR
$560.00HCHG NJX AA&/STRD SCIATIC NERVE
$393.00HCHG SPECIMEN INFECT AGNT CONCNTJ
$9.23HCHG WRIGHTS STAIN WBC STOOL
$5.90KETOROLAC 30 MG/ML (1 ML) INJ SOLN
$0.35MIDAZOLAM 5 MG/ML INJ SOLN
$0.16MORPHINE 10 MG/ML IV SOLN
$4.55ONDANSETRON HCL 2 MG/ML IV SOLN (20 ML MDV)
$0.09OPEN TREATMENT OF TARSOMETATARSAL JOINT DISLOCATION, INCLUDES INTERNAL FIXATION, WHEN PERFORMED
$848.00PROPOFOL 1000 MG/100 ML IV DRIP
$0.09TETANUS IMMUNE GLOBULIN (PF) 250 UNIT IM SYR
$577.05This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Kona Community Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Kona Community Hospital directly at (808) 322-9311.
Total estimated charges
Price Negotiated by Insurer
$9,416.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
BUPIVACAINE LIPOSOME (PF) 1.3 % (13.3 MG/ML) LINF SUSP
$2.04HCHG BASIC METABOLIC PROFILE
$10.57HCHG CAREGIVER HEALTH RISK ASSMT
$1,600.00HCHG CBC W DIFF
$9.71HCHG CULT ANAEROBIC ISOL
$11.84HCHG CULT FUNGI BLOOD
$25.57HCHG CULTURE AFB NON BLOOD KSO
$13.50HCHG CULTURE BRONCHIAL
$10.78HCHG DEBRIDE SKIN/SQ/MUSC/BONE
$9,416.00HCHG EMERGENCY FEE 6 CRITICAL CARE
$1,600.00HCHG FLUOROSCOPY UP TO 1 HR
$352.34HCHG FOOT 3 VIEWS
$128.51HCHG FOOT PORT, 2 VIEWS
$128.51HCHG FUNGUS STAIN BY CALCOFLUOR WHITE
$6.74HCHG IMMUNIZATION ADMINISTRATION, ONE VACCINE
$106.33HCHG INJ, ANESTH AGENT;FEMORAL NERVE,SINGLE
$2,833.00HCHG INJ IM/SUBQ MOD XU
$106.33HCHG IV INFUSION THERAPY UP TO 1 HR
$1,600.00HCHG IV INFUS SEQ INFUS UP TO 1HR
$106.33HCHG NJX AA&/STRD SCIATIC NERVE
$2,833.00HCHG SPECIMEN INFECT AGNT CONCNTJ
$8.35HCHG TRANSCUTANEOUS MONITORING
$190.01HCHG WRIGHTS STAIN WBC STOOL
$5.34KETOROLAC 30 MG/ML (1 ML) INJ SOLN
$0.49OPEN TREATMENT OF TARSOMETATARSAL JOINT DISLOCATION, INCLUDES INTERNAL FIXATION, WHEN PERFORMED
$9,416.00TETANUS IMMUNE GLOBULIN (PF) 250 UNIT IM SYR
$697.65This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Kona Community Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Kona Community Hospital directly at (808) 322-9311.
Total estimated charges
Price Negotiated by Insurer
$8,572.09Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
BUPIVACAINE LIPOSOME (PF) 1.3 % (13.3 MG/ML) LINF SUSP
$1.63HCHG BASIC METABOLIC PROFILE
$8.46HCHG CAREGIVER HEALTH RISK ASSMT
$44.26HCHG CBC W DIFF
$7.77HCHG CULT ANAEROBIC ISOL
$9.47HCHG CULT FUNGI BLOOD
$20.46HCHG CULTURE AFB NON BLOOD KSO
$10.80HCHG CULTURE BRONCHIAL
$8.62HCHG DEBRIDE SKIN/SQ/MUSC/BONE
$1,951.11HCHG EMERGENCY FEE 6 CRITICAL CARE
$975.82HCHG FLUOROSCOPY UP TO 1 HR
$281.87HCHG FOOT 3 VIEWS
$102.81HCHG FOOT PORT, 2 VIEWS
$102.81HCHG FUNGUS STAIN BY CALCOFLUOR WHITE
$5.39HCHG IMMUNIZATION ADMINISTRATION, ONE VACCINE
$85.06HCHG INJ, ANESTH AGENT;FEMORAL NERVE,SINGLE
$833.89HCHG INJ IM/SUBQ MOD XU
$85.06HCHG IV INFUSION THERAPY UP TO 1 HR
$251.28HCHG IV INFUS SEQ INFUS UP TO 1HR
$85.06HCHG NJX AA&/STRD SCIATIC NERVE
$833.89HCHG SPECIMEN INFECT AGNT CONCNTJ
$6.68HCHG TRANSCUTANEOUS MONITORING
$152.01HCHG WRIGHTS STAIN WBC STOOL
$4.27KETOROLAC 30 MG/ML (1 ML) INJ SOLN
$0.39OPEN TREATMENT OF TARSOMETATARSAL JOINT DISLOCATION, INCLUDES INTERNAL FIXATION, WHEN PERFORMED
$8,572.09TETANUS IMMUNE GLOBULIN (PF) 250 UNIT IM SYR
$558.12This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Kona Community Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Kona Community Hospital directly at (808) 322-9311.
Total estimated charges
Price Negotiated by Insurer
$849.21Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
BUPIVACAINE 0.125 % 50 ML PCA DISCRETE DOSE (WHR)
$0.01BUPIVACAINE LIPOSOME (PF) 1.3 % (13.3 MG/ML) LINF SUSP
$1.49CEFAZOLIN 1 GRAM INJ RECON.SOLN.
$1.37FENTANYL CITRATE (PF)-0.9%NACL 500 MCG/50 ML (10 MCG/ML) IV PCA SYR
$0.96HCHG BASIC METABOLIC PROFILE
$12.29HCHG CAREGIVER HEALTH RISK ASSMT
$520.00HCHG CBC W DIFF
$11.28HCHG CULT ANAEROBIC ISOL
$13.73HCHG CULT FUNGI BLOOD
$13.08HCHG CULTURE AFB NON BLOOD KSO
$14.31HCHG CULTURE BRONCHIAL
$12.50HCHG DEBRIDE SKIN/SQ/MUSC/BONE
$849.21HCHG EMERGENCY FEE 6 CRITICAL CARE
$520.00HCHG FLUOROSCOPY UP TO 1 HR
$46.76HCHG FOOT 3 VIEWS
$20.03HCHG FOOT PORT, 2 VIEWS
$17.57HCHG FUNGUS STAIN BY CALCOFLUOR WHITE
$7.79HCHG IMMUNIZATION ADMINISTRATION, ONE VACCINE
$12.56HCHG INJ, ANESTH AGENT;FEMORAL NERVE,SINGLE
$407.95HCHG IV INFUSION THERAPY UP TO 1 HR
$520.00HCHG NJX AA&/STRD SCIATIC NERVE
$407.95HCHG SPECIMEN INFECT AGNT CONCNTJ
$9.69HCHG WRIGHTS STAIN WBC STOOL
$6.20KETOROLAC 30 MG/ML (1 ML) INJ SOLN
$0.35MIDAZOLAM 5 MG/ML INJ SOLN
$0.16MORPHINE 10 MG/ML IV SOLN
$4.55ONDANSETRON HCL 2 MG/ML IV SOLN (20 ML MDV)
$0.09OPEN TREATMENT OF TARSOMETATARSAL JOINT DISLOCATION, INCLUDES INTERNAL FIXATION, WHEN PERFORMED
$849.21PROPOFOL 1000 MG/100 ML IV DRIP
$0.09TETANUS IMMUNE GLOBULIN (PF) 250 UNIT IM SYR
$577.05This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Kona Community Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Kona Community Hospital directly at (808) 322-9311.
Total estimated charges
Price Negotiated by Insurer
$8,572.09Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
BUPIVACAINE LIPOSOME (PF) 1.3 % (13.3 MG/ML) LINF SUSP
$1.63HCHG BASIC METABOLIC PROFILE
$8.46HCHG CAREGIVER HEALTH RISK ASSMT
$44.26HCHG CBC W DIFF
$7.77HCHG CULT ANAEROBIC ISOL
$9.47HCHG CULT FUNGI BLOOD
$20.46HCHG CULTURE AFB NON BLOOD KSO
$10.80HCHG CULTURE BRONCHIAL
$8.62HCHG DEBRIDE SKIN/SQ/MUSC/BONE
$1,951.11HCHG EMERGENCY FEE 6 CRITICAL CARE
$975.82HCHG FLUOROSCOPY UP TO 1 HR
$281.87HCHG FOOT 3 VIEWS
$102.81HCHG FOOT PORT, 2 VIEWS
$102.81HCHG FUNGUS STAIN BY CALCOFLUOR WHITE
$5.39HCHG IMMUNIZATION ADMINISTRATION, ONE VACCINE
$85.06HCHG INJ, ANESTH AGENT;FEMORAL NERVE,SINGLE
$833.89HCHG INJ IM/SUBQ MOD XU
$85.06HCHG IV INFUSION THERAPY UP TO 1 HR
$251.28HCHG IV INFUS SEQ INFUS UP TO 1HR
$85.06HCHG NJX AA&/STRD SCIATIC NERVE
$833.89HCHG SPECIMEN INFECT AGNT CONCNTJ
$6.68HCHG TRANSCUTANEOUS MONITORING
$152.01HCHG WRIGHTS STAIN WBC STOOL
$4.27KETOROLAC 30 MG/ML (1 ML) INJ SOLN
$0.39OPEN TREATMENT OF TARSOMETATARSAL JOINT DISLOCATION, INCLUDES INTERNAL FIXATION, WHEN PERFORMED
$8,572.09TETANUS IMMUNE GLOBULIN (PF) 250 UNIT IM SYR
$558.12This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Kona Community Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Kona Community Hospital directly at (808) 322-9311.
Total estimated charges
Price Negotiated by Insurer
$2,837.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
BUPIVACAINE 0.125 % 50 ML PCA DISCRETE DOSE (WHR)
$29.56BUPIVACAINE LIPOSOME (PF) 1.3 % (13.3 MG/ML) LINF SUSP
$544.51CEFAZOLIN 1 GRAM INJ RECON.SOLN.
$5.57FENTANYL CITRATE (PF)-0.9%NACL 500 MCG/50 ML (10 MCG/ML) IV PCA SYR
$37.47HCHG BASIC METABOLIC PROFILE
$68.85HCHG CAREGIVER HEALTH RISK ASSMT
$937.50HCHG CBC W DIFF
$67.32HCHG CULT ANAEROBIC ISOL
$82.11HCHG CULT FUNGI BLOOD
$75.99HCHG CULTURE AFB NON BLOOD KSO
$68.34HCHG CULTURE BRONCHIAL
$74.46HCHG DEBRIDE SKIN/SQ/MUSC/BONE
$937.50HCHG EMERGENCY FEE 6 CRITICAL CARE
$937.50HCHG FLUOROSCOPY UP TO 1 HR
$443.19HCHG FOOT 3 VIEWS
$242.76HCHG FOOT PORT, 2 VIEWS
$242.76HCHG FUNGUS STAIN BY CALCOFLUOR WHITE
$46.41HCHG IMMUNIZATION ADMINISTRATION, ONE VACCINE
$104.55HCHG INJ, ANESTH AGENT;FEMORAL NERVE,SINGLE
$937.50HCHG INJ IM/SUBQ MOD XU
$112.20HCHG IV INFUSION THERAPY UP TO 1 HR
$937.50HCHG IV INFUS SEQ INFUS UP TO 1HR
$137.70HCHG NJX AA&/STRD SCIATIC NERVE
$2,837.00HCHG OPTIME IMPLANTS
$1,223.95HCHG OT MED-SURG EVAL MOD
$316.20HCHG PT GAIT TRAINING 15 MIN
$101.49HCHG PT INIT EVAL MOD
$316.20HCHG SPECIMEN INFECT AGNT CONCNTJ
$58.14HCHG TRANSCUTANEOUS MONITORING
$474.30HCHG WRIGHTS STAIN WBC STOOL
$33.15KETOROLAC 30 MG/ML (1 ML) INJ SOLN
$4.93MIDAZOLAM 5 MG/ML INJ SOLN
$20.76MORPHINE 10 MG/ML IV SOLN
$6.00ONDANSETRON HCL 2 MG/ML IV SOLN (20 ML MDV)
$2.68OPEN TREATMENT OF TARSOMETATARSAL JOINT DISLOCATION, INCLUDES INTERNAL FIXATION, WHEN PERFORMED
$2,837.00PROPOFOL 1000 MG/100 ML IV DRIP
$12.16TETANUS IMMUNE GLOBULIN (PF) 250 UNIT IM SYR
$809.72This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Kona Community Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Kona Community Hospital directly at (808) 322-9311.
Total estimated charges
Price Negotiated by Insurer
$8,572.09Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
BUPIVACAINE LIPOSOME (PF) 1.3 % (13.3 MG/ML) LINF SUSP
$1.63HCHG BASIC METABOLIC PROFILE
$8.46HCHG CAREGIVER HEALTH RISK ASSMT
$44.26HCHG CBC W DIFF
$7.77HCHG CULT ANAEROBIC ISOL
$9.47HCHG CULT FUNGI BLOOD
$20.46HCHG CULTURE AFB NON BLOOD KSO
$10.80HCHG CULTURE BRONCHIAL
$8.62HCHG DEBRIDE SKIN/SQ/MUSC/BONE
$1,951.11HCHG EMERGENCY FEE 6 CRITICAL CARE
$975.82HCHG FLUOROSCOPY UP TO 1 HR
$281.87HCHG FOOT 3 VIEWS
$102.81HCHG FOOT PORT, 2 VIEWS
$102.81HCHG FUNGUS STAIN BY CALCOFLUOR WHITE
$5.39HCHG IMMUNIZATION ADMINISTRATION, ONE VACCINE
$85.06HCHG INJ, ANESTH AGENT;FEMORAL NERVE,SINGLE
$833.89HCHG INJ IM/SUBQ MOD XU
$85.06HCHG IV INFUSION THERAPY UP TO 1 HR
$251.28HCHG IV INFUS SEQ INFUS UP TO 1HR
$85.06HCHG NJX AA&/STRD SCIATIC NERVE
$833.89HCHG SPECIMEN INFECT AGNT CONCNTJ
$6.68HCHG TRANSCUTANEOUS MONITORING
$152.01HCHG WRIGHTS STAIN WBC STOOL
$4.27KETOROLAC 30 MG/ML (1 ML) INJ SOLN
$0.39OPEN TREATMENT OF TARSOMETATARSAL JOINT DISLOCATION, INCLUDES INTERNAL FIXATION, WHEN PERFORMED
$8,572.09TETANUS IMMUNE GLOBULIN (PF) 250 UNIT IM SYR
$558.12This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Kona Community Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Kona Community Hospital directly at (808) 322-9311.
Total estimated charges
Price Negotiated by Insurer
$9,429.30Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
BUPIVACAINE LIPOSOME (PF) 1.3 % (13.3 MG/ML) LINF SUSP
$1.79HCHG BASIC METABOLIC PROFILE
$9.31HCHG CAREGIVER HEALTH RISK ASSMT
$48.69HCHG CBC W DIFF
$8.55HCHG CULT ANAEROBIC ISOL
$10.42HCHG CULT FUNGI BLOOD
$22.51HCHG CULTURE AFB NON BLOOD KSO
$11.88HCHG CULTURE BRONCHIAL
$9.48HCHG DEBRIDE SKIN/SQ/MUSC/BONE
$2,146.22HCHG EMERGENCY FEE 6 CRITICAL CARE
$1,073.40HCHG FLUOROSCOPY UP TO 1 HR
$310.06HCHG FOOT 3 VIEWS
$113.09HCHG FOOT PORT, 2 VIEWS
$113.09HCHG FUNGUS STAIN BY CALCOFLUOR WHITE
$5.93HCHG IMMUNIZATION ADMINISTRATION, ONE VACCINE
$93.57HCHG INJ, ANESTH AGENT;FEMORAL NERVE,SINGLE
$917.28HCHG INJ IM/SUBQ MOD XU
$93.57HCHG IV INFUSION THERAPY UP TO 1 HR
$276.41HCHG IV INFUS SEQ INFUS UP TO 1HR
$93.57HCHG NJX AA&/STRD SCIATIC NERVE
$917.28HCHG SPECIMEN INFECT AGNT CONCNTJ
$7.35HCHG TRANSCUTANEOUS MONITORING
$167.21HCHG WRIGHTS STAIN WBC STOOL
$4.70KETOROLAC 30 MG/ML (1 ML) INJ SOLN
$0.43OPEN TREATMENT OF TARSOMETATARSAL JOINT DISLOCATION, INCLUDES INTERNAL FIXATION, WHEN PERFORMED
$9,429.30TETANUS IMMUNE GLOBULIN (PF) 250 UNIT IM SYR
$613.93This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Kona Community Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Kona Community Hospital directly at (808) 322-9311.
Total estimated charges
Price Negotiated by Insurer
$8,572.09Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
BUPIVACAINE LIPOSOME (PF) 1.3 % (13.3 MG/ML) LINF SUSP
$1.63HCHG BASIC METABOLIC PROFILE
$8.46HCHG CAREGIVER HEALTH RISK ASSMT
$44.26HCHG CBC W DIFF
$7.77HCHG CULT ANAEROBIC ISOL
$9.47HCHG CULT FUNGI BLOOD
$20.46HCHG CULTURE AFB NON BLOOD KSO
$10.80HCHG CULTURE BRONCHIAL
$8.62HCHG DEBRIDE SKIN/SQ/MUSC/BONE
$1,951.11HCHG EMERGENCY FEE 6 CRITICAL CARE
$975.82HCHG FLUOROSCOPY UP TO 1 HR
$281.87HCHG FOOT 3 VIEWS
$102.81HCHG FOOT PORT, 2 VIEWS
$102.81HCHG FUNGUS STAIN BY CALCOFLUOR WHITE
$5.39HCHG IMMUNIZATION ADMINISTRATION, ONE VACCINE
$85.06HCHG INJ, ANESTH AGENT;FEMORAL NERVE,SINGLE
$833.89HCHG INJ IM/SUBQ MOD XU
$85.06HCHG IV INFUSION THERAPY UP TO 1 HR
$251.28HCHG IV INFUS SEQ INFUS UP TO 1HR
$85.06HCHG NJX AA&/STRD SCIATIC NERVE
$833.89HCHG SPECIMEN INFECT AGNT CONCNTJ
$6.68HCHG TRANSCUTANEOUS MONITORING
$152.01HCHG WRIGHTS STAIN WBC STOOL
$4.27KETOROLAC 30 MG/ML (1 ML) INJ SOLN
$0.39OPEN TREATMENT OF TARSOMETATARSAL JOINT DISLOCATION, INCLUDES INTERNAL FIXATION, WHEN PERFORMED
$8,572.09TETANUS IMMUNE GLOBULIN (PF) 250 UNIT IM SYR
$558.12This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Kona Community Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Kona Community Hospital directly at (808) 322-9311.
Total estimated charges
Price Negotiated by Insurer
$521.33Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
BUPIVACAINE 0.125 % 50 ML PCA DISCRETE DOSE (WHR)
$34.78BUPIVACAINE LIPOSOME (PF) 1.3 % (13.3 MG/ML) LINF SUSP
$640.60CEFAZOLIN 1 GRAM INJ RECON.SOLN.
$6.56FENTANYL CITRATE (PF)-0.9%NACL 500 MCG/50 ML (10 MCG/ML) IV PCA SYR
$9.31HCHG BASIC METABOLIC PROFILE
$11.70HCHG CBC W DIFF
$10.74HCHG CULT ANAEROBIC ISOL
$13.08HCHG CULT FUNGI BLOOD
$12.46HCHG CULTURE AFB NON BLOOD KSO
$13.63HCHG CULTURE BRONCHIAL
$11.90HCHG DEBRIDE SKIN/SQ/MUSC/BONE
$340.18HCHG FLUOROSCOPY UP TO 1 HR
$42.98HCHG FOOT 3 VIEWS
$19.08HCHG FOOT PORT, 2 VIEWS
$16.41HCHG FUNGUS STAIN BY CALCOFLUOR WHITE
$7.42HCHG IMMUNIZATION ADMINISTRATION, ONE VACCINE
$4.00HCHG INJ, ANESTH AGENT;FEMORAL NERVE,SINGLE
$340.18HCHG INJ IM/SUBQ MOD XU
$13.87HCHG IV INFUS SEQ INFUS UP TO 1HR
$23.03HCHG NJX AA&/STRD SCIATIC NERVE
$340.18HCHG OT MED-SURG EVAL MOD
$107.85HCHG PT GAIT TRAINING 15 MIN
$16.70HCHG PT INIT EVAL MOD
$106.70HCHG SPECIMEN INFECT AGNT CONCNTJ
$9.23HCHG TRANSCUTANEOUS MONITORING
$20.00HCHG WRIGHTS STAIN WBC STOOL
$5.90KETOROLAC 30 MG/ML (1 ML) INJ SOLN
$5.80MIDAZOLAM 5 MG/ML INJ SOLN
$24.42MORPHINE 10 MG/ML IV SOLN
$7.06ONDANSETRON HCL 2 MG/ML IV SOLN (20 ML MDV)
$3.15OPEN TREATMENT OF TARSOMETATARSAL JOINT DISLOCATION, INCLUDES INTERNAL FIXATION, WHEN PERFORMED
$521.33PROPOFOL 1000 MG/100 ML IV DRIP
$14.31TETANUS IMMUNE GLOBULIN (PF) 250 UNIT IM SYR
$952.61This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Kona Community Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Kona Community Hospital directly at (808) 322-9311.
Total estimated charges
Price Negotiated by Insurer
$8,572.09Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
BUPIVACAINE LIPOSOME (PF) 1.3 % (13.3 MG/ML) LINF SUSP
$1.63HCHG BASIC METABOLIC PROFILE
$8.46HCHG CAREGIVER HEALTH RISK ASSMT
$44.26HCHG CBC W DIFF
$7.77HCHG CULT ANAEROBIC ISOL
$9.47HCHG CULT FUNGI BLOOD
$20.46HCHG CULTURE AFB NON BLOOD KSO
$10.80HCHG CULTURE BRONCHIAL
$8.62HCHG DEBRIDE SKIN/SQ/MUSC/BONE
$1,951.11HCHG EMERGENCY FEE 6 CRITICAL CARE
$975.82HCHG FLUOROSCOPY UP TO 1 HR
$281.87HCHG FOOT 3 VIEWS
$102.81HCHG FOOT PORT, 2 VIEWS
$102.81HCHG FUNGUS STAIN BY CALCOFLUOR WHITE
$5.39HCHG IMMUNIZATION ADMINISTRATION, ONE VACCINE
$85.06HCHG INJ, ANESTH AGENT;FEMORAL NERVE,SINGLE
$833.89HCHG INJ IM/SUBQ MOD XU
$85.06HCHG IV INFUSION THERAPY UP TO 1 HR
$251.28HCHG IV INFUS SEQ INFUS UP TO 1HR
$85.06HCHG NJX AA&/STRD SCIATIC NERVE
$833.89HCHG SPECIMEN INFECT AGNT CONCNTJ
$6.68HCHG TRANSCUTANEOUS MONITORING
$152.01HCHG WRIGHTS STAIN WBC STOOL
$4.27KETOROLAC 30 MG/ML (1 ML) INJ SOLN
$0.39OPEN TREATMENT OF TARSOMETATARSAL JOINT DISLOCATION, INCLUDES INTERNAL FIXATION, WHEN PERFORMED
$8,572.09TETANUS IMMUNE GLOBULIN (PF) 250 UNIT IM SYR
$558.12This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Kona Community Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Kona Community Hospital directly at (808) 322-9311.
Total estimated charges
Price Negotiated by Insurer
$10,679.55Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
BUPIVACAINE 0.125 % 50 ML PCA DISCRETE DOSE (WHR)
$9.54BUPIVACAINE LIPOSOME (PF) 1.3 % (13.3 MG/ML) LINF SUSP
$778.22CEFAZOLIN 1 GRAM INJ RECON.SOLN.
$5.51FENTANYL CITRATE (PF)-0.9%NACL 500 MCG/50 ML (10 MCG/ML) IV PCA SYR
$11.31HCHG BASIC METABOLIC PROFILE
$21.89HCHG CAREGIVER HEALTH RISK ASSMT
$90.38HCHG CBC W DIFF
$20.09HCHG CULT ANAEROBIC ISOL
$24.46HCHG CULT FUNGI BLOOD
$23.31HCHG CULTURE AFB NON BLOOD KSO
$25.49HCHG CULTURE BRONCHIAL
$22.26HCHG DEBRIDE SKIN/SQ/MUSC/BONE
$5,210.91HCHG EMERGENCY FEE 6 CRITICAL CARE
$3,299.00HCHG FLUOROSCOPY UP TO 1 HR
$179.71HCHG FOOT 3 VIEWS
$62.59HCHG FOOT PORT, 2 VIEWS
$54.67HCHG FUNGUS STAIN BY CALCOFLUOR WHITE
$13.88HCHG IMMUNIZATION ADMINISTRATION, ONE VACCINE
$149.42HCHG INJ, ANESTH AGENT;FEMORAL NERVE,SINGLE
$4,035.20HCHG INJ IM/SUBQ MOD XU
$160.36HCHG IV INFUSION THERAPY UP TO 1 HR
$772.63HCHG IV INFUS SEQ INFUS UP TO 1HR
$196.80HCHG NJX AA&/STRD SCIATIC NERVE
$2,412.66HCHG OPTIME IMPLANTS
$1,343.94HCHG OT MED-SURG EVAL MOD
$451.92HCHG PT GAIT TRAINING 15 MIN
$145.05HCHG PT INIT EVAL MOD
$451.92HCHG SPECIMEN INFECT AGNT CONCNTJ
$17.26HCHG TRANSCUTANEOUS MONITORING
$677.88HCHG WRIGHTS STAIN WBC STOOL
$11.03KETOROLAC 30 MG/ML (1 ML) INJ SOLN
$7.04MIDAZOLAM 5 MG/ML INJ SOLN
$29.67MORPHINE 10 MG/ML IV SOLN
$8.57ONDANSETRON HCL 2 MG/ML IV SOLN (20 ML MDV)
$3.83OPEN TREATMENT OF TARSOMETATARSAL JOINT DISLOCATION, INCLUDES INTERNAL FIXATION, WHEN PERFORMED
$6,743.44PROPOFOL 1000 MG/100 ML IV DRIP
$17.38TETANUS IMMUNE GLOBULIN (PF) 250 UNIT IM SYR
$1,157.26This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Kona Community Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Kona Community Hospital directly at (808) 322-9311.