Visits & medical services prices at Kona Community Hospital

Kealakekua, HI · every code in this section with a posted price and a Medicare benchmark.

121 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640) $884.65 $1,361 3.4×
Application on-body injector (96377) $181.35 $279 3.3×
Behavral qualit analys voice (92524) $395.20 $608 3.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $399.10 $614 0.9×
Canalith repositioning proc (95992)
range across 2 matching MRF lines		 $133.90–$135.20 $206–$208 varies
Car seat/bed test 60 min (94780) $195.65 $301 4.4×
Cardiac Stress Tst,Tracing Only (93017) $1,014.65 $1,561 4.0×
Cardiopulmonary resuscitation (92950) $1,170 $1,800 4.6×
Cardioversion (92960)
range across 2 matching MRF lines		 $1,698.45–$2,148.90 $2,613–$3,306 varies
Caregiver hlth risk assmt score doc stnd instrm (96161) $80.60 $124 1.8×
Cbt 1st hour (94644) $384.15 $591 2.4×
Chemo Anti-Neopl Sq/Im (96401) $336.70 $518 4.0×
Chemo Hormon Antineopl Sq/Im (96402) $328.25 $505 3.9×
Chemo intralesional up to 7 (96405) $265.20 $408 3.1×
Chemo IV infusion addl hr (96415) $292.50 $450 3.4×
Chemo IV push addl drug (96411) $336.70 $518 4.0×
Chemother Prolong Infuse W/Pump (96416) $1,202.50 $1,850 3.1×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $292.50 $450 3.4×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $1,066.65 $1,641 2.7×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $620.10 $954 1.6×
Chest Wall Manipulation (94668) $162.50 $250 1.0×
Color/duplex Doppler, complete (93975) $942.50 $1,450 3.3×
Color/duplex Doppler, limited (93976) $700.05 $1,077 5.7×
Community/Work Reintegration Trainj Ea 15 Min (97537) $138.45 $213 4.3×
Continuous Pulse Ox (94762) $343.85 $529 2.3×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $611.65 $941 2.4×
Cpt initial (94667) $223.60 $344 1.4×
Critical care first hour (99291) $2,941.90 $4,526 3.0×
Debridement Open Wound 20 Sq Cm< (97597) $360.10 $554 1.5×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $588.90 $906 2.1×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $492.70 $758 4.0×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $435.50 $670 3.5×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $867.75 $1,335 3.1×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $460.20 $708 3.7×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $992.55 $1,527 3.5×
Dup-scan xtr veins unilateral/limited study (93971)
range across 3 matching MRF lines		 $313.30–$518.70 $482–$798 varies
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $942.50 $1,450 3.3×
Duplex Scan Hemodialysis Access (93990) $492.70 $758 4.0×
Duplex up extrem art bilat (93930) $942.50 $1,450 3.3×
Duplex up extrem art unilat/ltd (93931) $460.20 $708 3.7×
Echo Congenital Complete (93303)
range across 2 matching MRF lines		 $1,888.25–$1,976 $2,905–$3,040 varies
Echo Heart Xthoracic,Limited (93308) $514.15 $791 1.8×
Echo transesophageal (93312) $1,976 $3,040 3.1×
Electrical Stimulation Ea 15 Min (97032) $68.25 $105 4.6×
Electrocardiogram Tracing (93005) $230.10 $354 3.3×
Emergency Dept Visit Level 2 (99282) $652.60 $1,004 3.6×
Emergency Dept Visit Level 3 (99283) $1,058.20 $1,628 3.3×
Emergency Dept Visit Level 4 (99284) $1,650.35 $2,539 3.3×
Er level 1 (99281) $392.60 $604 3.9×
Er level v (99285) $2,247.05 $3,457 3.2×
Evaluate pt use of inhaler (94664) $271.70 $418 1.1×
Evaluate Speech Production (92522) $432.25 $665 3.9×
Evaluate Swallowing Function (92610) $409.50 $630 4.8×
Evoked Auditory Test,Limited (92587) $399.10 $614 1.6×
Extracranial Bilat Study (93880) $936.65 $1,441 3.3×
Extracranial Uni/Ltd Study (93882) $544.70 $838 4.4×
F-up/limited tthrc echo congenital car anomaly (93304) $1,888.25 $2,905 2.9×
Flexible endoscopic eval swallow c/v rec (92612) $633.10 $974 3.2×
Group Therapeutic Procedures (97150) $72.15 $111 4.0×
Immunization administration (90471) $133.25 $205 1.6×
Irrig Drug Delivery Device (96523) $113.75 $175 1.6×
IV infusion hydration each additional hour (96361) $146.90 $226 2.7×
IV infusion hydration initial 31 min-1 hour (96360) $689 $1,060 2.7×
IV infusion ther proph addl sequential to 1 hr (96367) $175.50 $270 2.1×
IV infusion therapy prophylaxis/dx ea hour (96366) $174.20 $268 3.1×
IV push initial (96374) $274.95 $423 1.1×
Liver Elastography W/O Imag W/I&R (91200)
range across 2 matching MRF lines		 $379.60–$627.25 $584–$965 varies
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $83.20 $128 2.6×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $87.75 $135 2.4×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $59.15 $91 3.5×
Motion Fluoroscopy/Swallow (92611) $457.60 $704 5.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $274.95 $423 1.2×
Neuromuscular Reeducation (97112) $146.25 $225 4.5×
Newborn resuscitation (99465) $835.25 $1,285 1.1×
Oral Function Therapy (92526) $346.45 $533 4.1×
Oral Speech Device Eval (92597) $523.90 $806 7.4×
Orthc/Prostc Mgmt Sbsq Enc (97763)
range across 2 matching MRF lines		 $169.65–$211.90 $261–$326 varies
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $162.50 $250 3.5×
Ot eval high complexity (97167) $403 $620 4.0×
Ot Eval Low Complex (97165) $392.60 $604 3.9×
Ot Eval Moderate Complexity (97166) $403 $620 4.0×
Ot manual therapy 15 min (97140) $126.10 $194 4.5×
Ot Prosthetic Training, Each 15 Min (97761) $125.45 $193 3.1×
Ot Re-Eval Est Plan Care (97168) $258.70 $398 3.8×
Phlebotomy therapeutic (99195) $214.50 $330 1.4×
Physical Performance Test (97750) $132.60 $204 3.9×
Pt Eval High Complex (97163) $403 $620 4.1×
Pt eval low complex 20 min (97161) $378.95 $583 3.9×
Pt Eval Mod Complex (97162) $403 $620 4.1×
Pt gait training 15 min (97116) $129.35 $199 4.5×
Pt Re-Eval Est Plan Care (97164) $268.45 $413 4.0×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $80.60 $124 1.8×
Pulm function test by gas (94727) $275.60 $424 1.1×
Pulmonary service/procedure (94799) $604.50 $930 4.0×
Pulmonary Stress Testing (94618) $464.10 $714 3.0×
Refill/Maint Portable Pump (96521) $796.90 $1,226 3.2×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $130 $200 1.9×
Self Care Mngment Training (97535) $146.90 $226 4.5×
Sleep study unattended (95806) $670.15 $1,031 2.6×
Speech sound lang comprehen (92523) $770.25 $1,185 3.4×
Spirometry (94010) $390.65 $601 1.5×
Standardized Cognitive Performance Testing (96125) $374.40 $576 3.6×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $435.50 $670 3.5×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $100.75 $155 4.5×
Ther Ivntj Ea Addl 15 Min (97130) $96.85 $149 4.6×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $187.85 $289 5.1×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $104.65 $161 3.5×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $382.20 $588 3.7×
Ther/Proph/Diag Inj Sc/Im (96372) $143 $220 1.7×
Ther/Proph/Diag Iv Inf Init (96365) $689 $1,060 2.7×
Therapeutic Activities (97530) $159.90 $246 4.6×
Tobacco Use Cessation Intensive >10 Minutes (99407) $110.50 $170 2.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $122.20 $188 2.8×
Tte w/doppler, complete (93306) $1,976 $3,040 3.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $311.35 $479 4.1×
Tx/Pro/Dx Inj New Drug Addon (96375) $230.75 $355 4.2×
Upr/L Xtremity Art 2 Levels (93922) $494.65 $761 3.1×
Vent Mgmt Inpat Init Day (94002) $1,079 $1,660 1.5×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $898.95 $1,383 1.2×
Vital capacity, total (94150) $609.05 $937 4.0×
Wheelchair Mgmt Ea 15 Min (97542) $138.45 $213 4.5×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.