CMS Price Transparency Data

Breast lump removal

Facility: Kona Community Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$4,603
about 1.2× the $4,000 Medicare rate · typically $1,606–$5,102
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,625
About the fair price
about $22 over the fair price · 1.2× Medicare
Medicare pays $4,000 Fair price $4,603 This hospital $4,625

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

A typical price — 3 charge more and 5 charge less, among the 9 HI hospitals compared.

Cheapest $3,850 Priciest $4,930

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

A fair price for a Breast lump removal is about $4,603 (about 1.2× the $4,000 Medicare rate). Kona Community Hospital charges insurers about $4,625 — about the fair price. Located in Kealakekua, HI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Humana✓ Kaiser Permanente Blue Cross Blue ShieldAetnaCigna

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 $456 - $4,772 11%
Humanamajor $4,625 - $4,772 116%
Kaiser Permanentemajor $2,837 - $4,772 71%
Devoted Health $5,088 127%
+ 9 smaller / regional plans $479 - $6,743

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: 79-1019 Haukapila Street, Kealakekua, HI 96750
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals