▸ Hospital · HI · CCN 120019
Kona Community Hospital
79-1019 HAUKAPILA STREET, KEALAKEKUA, HI, 96750
83 bedsAcute Care Hospitals10
Compliance grade
A
97/100
Procedures tracked
167
of 209 target codes
Payers
9
with negotiated rates
Rates published
11,296
last crawl 2026-05-23
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 6 | — | — | $15,260 | $21,830 | $21,830 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 6 | $523 | $339.95 | $111.14 | $111.14 | $1,400 |
| ED visit level 2 | CPT | 99282 | 6 | $926 | $601.9 | $204.74 | $204.74 | $1,400 |
| ED visit level 3 | CPT | 99283 | 6 | $1,395 | $906.75 | $357.17 | $357.17 | $1,400 |
| ED visit level 4 | CPT | 99284 | 6 | $2,418 | $1,571.7 | $452 | $554.44 | $1,400 |
| ED visit level 5 | CPT | 99285 | 6 | $3,292 | $2,139.8 | $452 | $804.06 | $1,400 |
| Critical care, first hour | CPT | 99291 | 6 | $4,310 | $2,801.5 | $452 | $1,110.82 | $1,400 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 9 | $1,322 | $859.3 | $137.62 | $139.1 | $410.4 |
| CT head with contrast | CPT | 70460 | 9 | $1,630 | $1,059.5 | $186.48 | $230 | $503.73 |
| CT head with and without contrast | CPT | 70470 | 9 | $1,815 | $1,179.75 | $230 | $232.9 | $625.53 |
| CT neck with contrast | CPT | 70491 | 9 | $1,700 | $1,105 | $186.48 | $230 | $544.9 |
| MRI brain without contrast | CPT | 70551 | 9 | $1,782 | $1,158.3 | $306.74 | $337.41 | $1,034.99 |
| MRI brain with contrast | CPT | 70552 | 9 | $2,153 | $1,399.45 | $442.34 | $481.42 | $1,205.19 |
| MRI brain with and without contrast | CPT | 70553 | 9 | $2,370 | $1,540.5 | $481.42 | $529.56 | $2,019.86 |
| Chest X-ray single view | CPT | 71045 | 7 | $388 | $252.2 | $13.07 | $113.75 | $125.13 |
| Chest X-ray 2 views | CPT | 71046 | 7 | $464 | $301.6 | $20.37 | $113.75 | $125.13 |
| Chest X-ray 3 views | CPT | 71047 | 7 | $448 | $291.2 | $24.39 | $113.75 | $125.13 |
| CT chest without contrast | CPT | 71250 | 9 | $1,322 | $859.3 | $137.62 | $151.38 | $518.82 |
| CT chest with contrast | CPT | 71260 | 9 | $1,763 | $1,145.95 | $230 | $232.9 | $627.23 |
| CT chest with and without contrast | CPT | 71270 | 9 | $1,763 | $1,145.95 | $230 | $253 | $787.72 |
| MRI chest without contrast | CPT | 71550 | 9 | $1,460 | $949 | $306.74 | $337.41 | $1,065.73 |
| MRI chest with and without contrast | CPT | 71552 | 9 | $2,153 | $1,399.45 | $481.42 | $529.56 | $2,072.22 |
| Lumbosacral spine X-ray | CPT | 72100 | 9 | $458 | $297.7 | $21.96 | $137.62 | $151.38 |
| CT cervical spine without contrast | CPT | 72125 | 9 | $1,154 | $750.1 | $137.62 | $151.38 | $518.82 |
| CT thoracic spine without contrast | CPT | 72128 | 9 | $1,154 | $750.1 | $137.62 | $151.38 | $518.82 |
| CT lumbar spine without contrast | CPT | 72131 | 9 | $1,154 | $750.1 | $137.62 | $151.38 | $518.82 |
| MRI cervical spine without contrast | CPT | 72141 | 9 | $1,635 | $1,062.75 | $306.74 | $337.41 | $994.08 |
| MRI thoracic spine without contrast | CPT | 72146 | 9 | $1,606 | $1,043.9 | $306.74 | $337.41 | $1,076.34 |
| MRI lumbar spine without contrast | CPT | 72148 | 9 | $1,606 | $1,043.9 | $306.74 | $337.41 | $1,076.34 |
| MRI cervical spine with and without contrast | CPT | 72156 | 9 | $2,536 | $1,648.4 | $481.42 | $529.56 | $2,013.05 |
| MRI lumbar spine with contrast | CPT | 72158 | 9 | $2,582 | $1,678.3 | $481.42 | $529.56 | $2,013.05 |
| CT pelvis without contrast | CPT | 72192 | 9 | $1,154 | $750.1 | $137.62 | $151.38 | $510.29 |
| CT pelvis with contrast | CPT | 72193 | 9 | $1,630 | $1,059.5 | $225.48 | $230 | $603.64 |
| Shoulder X-ray | CPT | 73030 | 9 | $465 | $302.25 | $18.84 | $113.75 | $125.13 |
| Humerus X-ray | CPT | 73060 | 9 | $381 | $247.65 | $18.84 | $113.75 | $125.13 |
| Hand X-ray 3 views | CPT | 73130 | 9 | $458 | $297.7 | $19.08 | $113.75 | $125.13 |
| MRI upper extremity joint without contrast | CPT | 73221 | 9 | $1,757 | $1,142.05 | $306.74 | $337.41 | $1,007.6 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 9 | $2,305 | $1,498.25 | $481.42 | $529.56 | $1,983.88 |
| Knee X-ray 1-2 views | CPT | 73560 | 9 | $381 | $247.65 | $17.04 | $113.75 | $125.13 |
| Ankle X-ray 3 views | CPT | 73610 | 9 | $426 | $276.9 | $17.34 | $113.75 | $125.13 |
| MRI lower extremity joint without contrast | CPT | 73721 | 9 | $1,757 | $1,142.05 | $306.74 | $337.41 | $1,013.56 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 9 | $2,536 | $1,648.4 | $481.42 | $529.56 | $1,983.01 |
| CT abdomen without contrast | CPT | 74150 | 9 | $1,179 | $766.35 | $137.62 | $151.38 | $494.35 |
| CT abdomen with contrast | CPT | 74160 | 9 | $1,469 | $954.85 | $225.48 | $230 | $628.34 |
| CT abdomen with and without contrast | CPT | 74170 | 9 | $1,577 | $1,025.05 | $230 | $253 | $805.52 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 8 | $2,274 | $1,478.1 | $94.66 | $306.74 | $841.23 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 8 | $2,855 | $1,855.75 | $180.62 | $481.42 | $996.6 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 8 | $3,198 | $2,078.7 | $238.75 | $481.42 | $1,233.65 |
| MRI abdomen without contrast | CPT | 74181 | 9 | $1,635 | $1,062.75 | $306.74 | $337.41 | $985.66 |
| MRI abdomen with and without contrast | CPT | 74183 | 9 | $2,327 | $1,512.55 | $481.42 | $529.56 | $2,015.11 |
| Abdominal ultrasound complete | CPT | 76700 | 9 | $722 | $469.3 | $64.94 | $137.62 | $237.12 |
| Abdominal ultrasound limited | CPT | 76705 | 9 | $713 | $463.45 | $46.98 | $137.62 | $177.71 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 9 | $722 | $469.3 | $64.94 | $137.62 | $219.7 |
| Obstetric ultrasound first trimester | CPT | 76801 | 9 | $722 | $469.3 | $55.49 | $137.62 | $211.51 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 9 | $722 | $469.3 | $61.23 | $137.62 | $263.76 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 9 | $411 | $267.15 | $112.44 | $306.74 | $337.41 |
| Transvaginal ultrasound | CPT | 76830 | 9 | $722 | $469.3 | $50.35 | $137.62 | $251.46 |
| Pelvic ultrasound complete | CPT | 76856 | 9 | $722 | $469.3 | $50.35 | $137.62 | $217.66 |
| Scrotal ultrasound | CPT | 76870 | 9 | $722 | $469.3 | $50.35 | $137.62 | $170.14 |
| EKG complete | CPT | 93000 | 6 | $170 | $110.5 | $14.96 | $14.96 | $46.55 |
| EKG tracing only | CPT | 93005 | 7 | $283 | $183.95 | $15.16 | $76.57 | $84.23 |
| Transthoracic echocardiogram complete | CPT | 93306 | 6 | $2,895 | $1,881.75 | $132.88 | $690.59 | $2,671 |
| inpatient | ||||||||
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 6 | — | — | $24,174 | $27,102 | $40,797 |
| COPD w MCC | MS-DRG | 190 | 6 | — | — | $15,704 | $17,606 | $17,896 |
| COPD w CC | MS-DRG | 191 | 6 | — | — | $12,098 | $13,564 | $17,896 |
| COPD w/o CC/MCC | MS-DRG | 192 | 6 | — | — | $9,145.65 | $10,254 | $17,896 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 6 | — | — | $11,716 | $13,136 | $23,030 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 6 | — | — | $8,914.8 | $9,994.68 | $18,332 |
| AMI discharged alive w MCC | MS-DRG | 280 | 6 | — | — | $22,608 | $25,346 | $32,393 |
| AMI discharged alive w CC | MS-DRG | 281 | 6 | — | — | $13,010 | $14,586 | $28,007 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 6 | — | — | $10,233 | $11,472 | $24,527 |
| Heart failure & shock w MCC | MS-DRG | 291 | 6 | — | — | $18,296 | $20,512 | $27,606 |
| Heart failure & shock w CC | MS-DRG | 292 | 6 | — | — | $12,205 | $13,684 | $27,606 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 6 | — | — | $8,001.38 | $8,970.61 | $27,606 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 6 | — | — | $17,131 | $19,207 | $20,440 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 6 | — | — | $10,612 | $11,897 | $19,183 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 6 | — | — | $7,880.25 | $8,834.81 | $14,703 |
| GI hemorrhage w CC | MS-DRG | 378 | 6 | — | — | $14,019 | $15,717 | $20,675 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 6 | — | — | $9,023.1 | $10,116 | $15,854 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 6 | — | — | $11,195 | $12,551 | $14,092 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 6 | — | — | $11,805 | $26,064 | $26,064 |
| Kidney/UTI w MCC | MS-DRG | 689 | 6 | — | — | $16,735 | $18,762 | $18,762 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 6 | — | — | $11,498 | $12,891 | $14,498 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 6 | — | — | $28,252 | $31,674 | $39,520 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 6 | — | — | $14,676 | $16,454 | $39,497 |
| Initial hospital care, low complexity | CPT | 99221 | 6 | $139 | $90.35 | $53.33 | $81.13 | $89.24 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 9 | $129 | $83.85 | $8.74 | $9.62 | $23.9 |
| General health panel | CPT | 80050 | 3 | $428 | $278.2 | $41.19 | $49.16 | $92.74 |
| Electrolyte panel | CPT | 80051 | 9 | $82 | $53.3 | $7.24 | $7.97 | $19.8 |
| Comprehensive metabolic panel | CPT | 80053 | 9 | $161 | $104.65 | $10.91 | $12 | $29.84 |
| Lipid panel | CPT | 80061 | 9 | $173 | $112.45 | $13.84 | $15.22 | $37.81 |
| Renal function panel | CPT | 80069 | 9 | $125 | $81.25 | $8.97 | $9.87 | $24.5 |
| Hepatic function panel | CPT | 80076 | 9 | $134 | $87.1 | $8.44 | $9.29 | $23.07 |
| Urinalysis non-automated | CPT | 81002 | 9 | $55 | $35.75 | $3.54 | $3.6 | $7.21 |
| Urinalysis automated | CPT | 81003 | 9 | $49 | $31.85 | $2.33 | $2.56 | $6.34 |
| Glucose quantitative | CPT | 82947 | 9 | $52 | $33.8 | $4.06 | $4.47 | $11.07 |
| Hemoglobin A1c | CPT | 83036 | 9 | $140 | $91 | $10.03 | $11.04 | $27.39 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 9 | $270 | $175.5 | $17.36 | $19.1 | $47.41 |
| Complete blood count with automated differential | CPT | 85025 | 9 | $126 | $81.9 | $8.03 | $8.83 | $21.94 |
| Complete blood count without differential | CPT | 85027 | 9 | $96 | $62.4 | $6.69 | $7.35 | $18.26 |
| Urine culture bacterial | CPT | 87086 | 9 | $107 | $69.55 | $8.34 | $9.17 | $22.79 |
| Urine culture identification | CPT | 87088 | 9 | $111 | $72.15 | $8.36 | $9.2 | $21.55 |
| Tissue exam by pathologist level IV | CPT | 88305 | 8 | $392 | $254.8 | $40.64 | $67.83 | $144.69 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 7 | $635 | $412.75 | $8.21 | $249.45 | $274.39 |
| office | ||||||||
| Office visit, established patient, 5 min | CPT | 99211 | 6 | $61 | $39.65 | $8.71 | $8.71 | $9.58 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 6 | $220 | $143 | $24.13 | $34.93 | $38.42 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 6 | $380 | $247 | $36.31 | $65.47 | $72.02 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 6 | $536 | $348.4 | $56.46 | $96.67 | $106.34 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 6 | $748 | $486.2 | $83.57 | $143.51 | $157.86 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 9 | — | — | $340.18 | $1,134.75 | $3,104 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 9 | $3,713 | $2,413.45 | $456.03 | $1,134.75 | $5,830 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 7 | — | — | $357 | $1,144.1 | $3,104 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 9 | — | — | $357 | $1,144.1 | $3,104 |
| Colonoscopy diagnostic | CPT | 45378 | 9 | $2,173 | $1,412.45 | $456.03 | $1,144.1 | $5,830 |
| Colonoscopy with biopsy | CPT | 45380 | 9 | — | — | $456.03 | $1,477.23 | $5,830 |
| Colonoscopy with polyp removal | CPT | 45385 | 9 | — | — | $456.03 | $1,477.23 | $5,830 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 7 | — | — | $676 | $23,329 | $25,662 |
| Hip hemiarthroplasty | CPT | 27125 | 1 | — | — | $676 | $2,021.33 | $16,995 |
| Total hip replacement | CPT | 27130 | 7 | — | — | $676 | $16,475 | $19,500 |
| Total knee replacement | CPT | 27447 | 7 | — | — | $676 | $16,475 | $19,500 |
| Knee revision arthroplasty single component | CPT | 27486 | 1 | — | — | $676 | $1,829.2 | $16,487 |
| Knee revision arthroplasty all components | CPT | 27487 | 2 | — | — | $676 | $9,158.1 | $19,500 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 4 | — | — | $521.33 | $3,139 | $4,664 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 9 | — | — | $644.55 | $8,955.56 | $16,487 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 9 | — | — | $547 | $4,051.92 | $9,497.44 |
| ACL reconstruction | CPT | 29888 | 9 | — | — | $521.33 | $8,955.56 | $16,487 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 6 | — | — | $64,364 | $72,161 | $77,996 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 6 | — | — | $33,802 | $37,897 | $63,140 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 6 | — | — | $23,826 | $26,712 | $35,365 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 6 | — | — | $23,294 | $26,116 | $26,125 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 6 | — | — | $16,900 | $20,980 | $20,980 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 6 | — | — | $45,611 | $51,136 | $63,379 |
| Open appendectomy | CPT | 44950 | 6 | — | — | $676 | $9,470.69 | $13,875 |
| Laparoscopic appendectomy | CPT | 44970 | 7 | — | — | $676 | $7,222.95 | $19,500 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 6 | — | — | $81,564 | $105,959 | $105,959 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 6 | — | — | $52,125 | $58,439 | $76,751 |
| Major joint replacement w MCC | MS-DRG | 469 | 6 | — | — | $39,653 | $53,197 | $53,197 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 6 | — | — | $26,814 | $30,062 | $30,062 |
| Laparoscopic cholecystectomy | CPT | 47562 | 7 | — | — | $676 | $7,222.95 | $18,300 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 7 | — | — | $676 | $7,222.95 | $18,300 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 6 | — | — | $42,022 | $47,112 | $48,170 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 6 | — | — | $29,567 | $33,149 | $46,977 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 6 | — | — | $22,635 | $25,377 | $33,853 |
| Open umbilical hernia repair | CPT | 49560 | 2 | — | — | $547 | $4,847.78 | $9,497.44 |
| Umbilical hernia repair age 5+ | CPT | 49585 | 2 | — | — | $547 | $4,847.78 | $9,497.44 |
| Lap inguinal hernia repair | CPT | 49650 | 9 | — | — | $644.55 | $7,222.95 | $13,875 |
| Lap incisional hernia repair | CPT | 49652 | 1 | — | — | $547 | $816.55 | $8,879 |
| Total abdominal hysterectomy | CPT | 58150 | 1 | — | — | $676 | $1,829.2 | $16,487 |
| Vaginal hysterectomy | CPT | 58260 | 1 | — | — | $676 | $1,829.2 | $16,487 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 4 | — | — | $676 | $7,613 | $19,500 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 7 | — | — | $676 | $12,886 | $19,500 |
| Lap salpingo-oophorectomy | CPT | 58661 | 9 | — | — | $644.55 | $7,222.95 | $16,487 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 6 | — | — | $36,886 | $41,354 | $50,071 |
| OR procedure for obesity w CC | MS-DRG | 620 | 6 | — | — | $23,116 | $25,917 | $50,071 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 6 | — | — | $21,622 | $24,241 | $49,853 |
| Complex cataract surgery | CPT | 66982 | 9 | — | — | $547 | $2,917.18 | $11,224 |
| Cataract surgery with lens implant | CPT | 66984 | 9 | — | — | $547 | $2,917.18 | $11,224 |
| Intravitreal injection | CPT | 67028 | 1 | — | — | $3,104 | $3,104 | $3,104 |
| Vitrectomy mechanical | CPT | 67042 | 2 | — | — | $676 | $6,032.16 | $16,487 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 6 | — | — | $16,559 | $18,564 | $19,388 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 6 | — | — | $15,150 | $30,074 | $30,074 |
| PCI single major coronary artery | CPT | 92920 | 1 | — | — | $676 | $2,021.33 | $16,995 |
| PCI with drug-eluting stent | CPT | 92928 | 2 | — | — | $676 | $9,508.17 | $19,500 |
| PCI bypass graft | CPT | 92937 | 1 | — | — | $676 | $2,021.33 | $16,995 |
| Left heart catheterization | CPT | 93452 | 1 | — | — | $676 | $1,829.2 | $16,487 |
| Coronary angiography with cath | CPT | 93455 | 1 | — | — | $676 | $1,829.2 | $16,487 |
| Coronary angiography with bypass cath | CPT | 93458 | 2 | — | — | $676 | $9,158.1 | $19,500 |
Payer mix (top 9)
| Payer | Codes covered | Median rate |
|---|---|---|
| hmsa | 165 | $481.42 |
| UnitedHealthcare | 150 | $279.37 |
| Kaiser Permanente | 149 | $2,837 |
| Humana | 148 | $481.42 |
| alohacare | 148 | $306.74 |
| ohana | 148 | $306.74 |
| uha | 98 | $588.32 |
| hma | 79 | $364.13 |
| hmaa | 79 | $518.82 |