CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Kona Community Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$72
about 0.8× the $95 Medicare rate · typically $59–$111
modeled estimate · not a bill or quote
What this hospital charges insurers
$65
About the fair price
about $7 under the fair price · 0.7× Medicare
Medicare pays $95 Fair price $72 This hospital $65 Cash price $276 Hospital's list price $424

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 $36 Priciest $67

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 Office visit, established patient (20-29 min) is about $72 (about 0.8× the $95 Medicare rate). Kona Community Hospital charges insurers about $65, or about $276 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 $36 - $67 38%
Humanamajor $65 68%
Kaiser Permanentemajor $65 - $307 68%
Devoted Health $63 66%
+ 9 smaller / regional plans $42 - $473

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