CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Wilcox Memorial Hospital

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$8,532
about 1.5× the $5,676 Medicare rate · typically $5,740–$12,353
modeled estimate · not a bill or quote
What this hospital charges insurers
$10,011
Above the fair price
about $1,479 over the fair price · 1.8× Medicare
Medicare pays $5,676 Fair price $8,532 This hospital $10,011

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

On the higher side — 6 of 8 other HI hospitals charge less.

Cheapest $8,119 Priciest $12,373

Black dot = this hospital, among the 9 HI hospitals with a price for this procedure. Full list below.

A fair price for a Digestive disorders treatment (inpatient stay) is about $8,532 (about 1.5× the $5,676 Medicare rate). Wilcox Memorial Hospital charges insurers about $10,011 — above the fair price. Located in Lihue, HI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $8,532. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Kaiser Permanente Blue Cross Blue ShieldAetnaCignaHumana

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $1,230 22%
Kaiser Permanentemajor $18,520 326%
Devoted Health $10,407 183%
+ 8 smaller / regional plans $4,035 - $10,110

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 3-3420 Kuhio Highway, Lihue, HI 96766
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Federal
  • Hospital Type: Acute Care Hospitals