CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Kona Community Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$21,877
about 1.6× the $14,044 Medicare rate · typically $18,990–$35,130
modeled estimate · not a bill or quote
What this hospital charges insurers
$27,415
Above the fair price
about $5,538 over the fair price · 2.0× Medicare
Medicare pays $14,044 Fair price $21,877 This hospital $27,415

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

Highest price of the 9 HI hospitals we have prices for — worth calling around.

Cheapest $17,574 Priciest $27,415

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

A fair price for a Hip or knee replacement (inpatient stay) is about $21,877 (about 1.6× the $14,044 Medicare rate). Kona Community Hospital charges insurers about $27,415 — above the fair price. Located in Kealakekua, 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 $21,877. 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.

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 $25,370 - $30,062 181%
Humanamajor $25,370 - $30,062 181%
Kaiser Permanentemajor $25,370 - $33,274 181%
Devoted Health $27,907 199%
+ 6 smaller / regional plans $10,400 - $30,062

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