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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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $884.65 $1,361 3.4×
Application on-body injector (96377) $181.35 $279 3.3×
Bedside Swallowing Eval (92610) $409.50 $630 4.8×
Behavioral and qualitative analysis of voice and resonance (92524) $395.20 $608 3.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $399.10 $614 0.9×
Canalith Repositioning Procedure (95992) $134.55 $207 3.3×
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) $1,923.68 $2,959.50 2.5×
Caregiver hlth risk assmt score doc stnd instrm (96161) $80.60 $124 1.8×
Cbt 1st hour (94644) $384.15 $591 2.4×
Chemo Hormon Antineopl Sq/Im (96402) $328.25 $505 3.9×
Chemo IV push addl drug (96411) $336.70 $518 4.0×
Chemo prolong 8+ hrs infuse w/pump (96416) $1,202.50 $1,850 3.1×
Chemother, IV infusion, 1 hr (96413) $1,066.65 $1,641 2.7×
Chemother, IV infusion, ea add hr (96415) $292.50 $450 3.4×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $336.70 $518 4.0×
Chemotherapy Administration Intralesional </7 (96405) $265.20 $408 3.1×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $292.50 $450 3.4×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $620.10 $954 1.6×
Color/duplex Doppler, complete (93975) $942.50 $1,450 3.3×
Color/duplex Doppler, limited (93976) $700.05 $1,077 5.7×
Cpap/bipap (94660) $611.65 $941 2.4×
Cpt initial (94667) $223.60 $344 1.4×
Critical care (99291) $2,941.90 $4,526 3.0×
Debridement Open Wound 20 Sq Cm< (97597) $360.10 $554 1.5×
Distort Product Evoked Otoacoustic Emisns Limitd (92587) $399.10 $614 1.6×
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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $942.50 $1,450 3.3×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $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) $518.70 $798 4.2×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $942.50 $1,450 3.3×
Duplex scan extracranial art compl bi study (93880) $936.65 $1,441 3.3×
Duplex Scan Hemodialysis Access (93990) $492.70 $758 4.0×
Echo Heart Xthoracic,Limited (93308) $514.15 $791 1.8×
Echo transesophageal (93312) $1,976 $3,040 3.1×
Echo Transthoracic - Congenital Tte Complete (93303) $1,932.12 $2,972.50 3.0×
Echo Transthoracic - Congenital Tte Limited (93304) $1,888.25 $2,905 2.9×
EKG rhythm strip (93041) $130 $200 1.9×
Electrocardiogram Tracing (93005) $230.10 $354 3.3×
Er level 1 (99281) $392.60 $604 3.9×
Er level ii (99282) $652.60 $1,004 3.6×
Er level iii (99283) $1,058.20 $1,628 3.3×
Er level IV (99284) $1,650.35 $2,539 3.3×
Er level v (99285) $2,247.05 $3,457 3.2×
Eval speech sound production (92522) $432.25 $665 3.9×
Eval to use/fit voice prosth (92597) $523.90 $806 7.4×
Evaluate Pt Use Of Inhaler (94664) $271.70 $418 1.1×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $633.10 $974 3.2×
Group Therapeutic Procedures (97150) $72.15 $111 4.0×
Immunization Admin (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, therap/proph/diagnost,initial,1st hour (96365) $689 $1,060 2.7×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $174.20 $268 3.1×
IV push ea addl new drug (96375) $230.75 $355 4.2×
IV push initial (96374) $274.95 $423 1.1×
Liver Elastography W/O Imag W/I&R (91200) $503.42 $774.50 3.3×
Manual therapy 15 min (97140) $126.10 $194 4.5×
Massage 15 min (97124) $104.65 $161 3.5×
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 Fluor Eval Swlng Funcj C/V Rec (92611) $457.60 $704 5.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $274.95 $423 1.2×
Newborn resuscitation (99465) $835.25 $1,285 1.1×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $494.65 $761 3.1×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $343.85 $529 2.3×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $162.50 $250 3.5×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $138.45 $213 4.3×
Ot eval high complex 60 min (97167) $403 $620 4.0×
Ot eval low complex 30 min (97165) $392.60 $604 3.9×
Ot eval mod complex 45 min (97166) $403 $620 4.0×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $190.78 $293.50 3.8×
Ot Prosthetic Training, Each 15 Min (97761) $125.45 $193 3.1×
Ot re-evaluation (97168) $258.70 $398 3.8×
Ot therapeutic activity 15 min (97530) $159.90 $246 4.6×
Phlebotomy therapeutic (99195) $214.50 $330 1.4×
Pt Aquatic Therapy/Exercises (97113) $187.85 $289 5.1×
Pt Electrical Stimulation (97032) $68.25 $105 4.6×
Pt eval high complex 45 min (97163) $403 $620 4.1×
Pt eval low complex 20 min (97161) $378.95 $583 3.9×
Pt eval mod complex 30 min (97162) $403 $620 4.1×
Pt gait training 15 min (97116) $129.35 $199 4.5×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $146.25 $225 4.5×
Pt Physical Performance Test (97750) $132.60 $204 3.9×
Pt re-evaluation (97164) $268.45 $413 4.0×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $146.90 $226 4.5×
Pt-focused hlth risk assmt (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 test simple (94618) $464.10 $714 3.0×
Refill/Maint Portable Pump (96521) $796.90 $1,226 3.2×
Rt Chest Wall Manipulation,Subsequent (94668) $162.50 $250 1.0×
Sleep study unattended (95806) $670.15 $1,031 2.6×
Smoking cessation > 10 min (99407) $110.50 $170 2.5×
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 Cog Funcj Cntct Ea Addl 15 Minutes (97130) $96.85 $149 4.6×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $382.20 $588 3.7×
Therapeutic prophylactic/dx injection subq/im (96372) $143 $220 1.7×
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 Swallowing Dysfunction&/Oral Funcj Feeding (92526) $346.45 $533 4.1×
Vasc Duplex Scan Extracranial,Limited (93882) $544.70 $838 4.4×
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×