CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Kona Community Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$36
about 1.0× the $35 Medicare rate · typically $32–$38
modeled estimate · not a bill or quote
What this hospital charges insurers
$39
About the fair price
about $3 over the fair price · 1.1× Medicare
Medicare pays $35 Fair price $36 This hospital $39 Cash price $147 Hospital's list price $226

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 $18 Priciest $41

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Occupational therapy (therapeutic activities) is about $36 (about 1.0× the $35 Medicare rate). Kona Community Hospital charges insurers about $39, or about $147 in cash — 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 $18 - $39 51%
Humanamajor $39 111%
Kaiser Permanentemajor $39 - $155 111%
+ 7 smaller / regional plans $39 - $239

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.

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Facility Profile & Credentials

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