CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Kona Community Hospital

Billing Code: 97110 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$30
about 1.0× the $29 Medicare rate · typically $27–$31
modeled estimate · not a bill or quote
What this hospital charges insurers
$31
About the fair price
about $1 over the fair price · 1.1× Medicare
Medicare pays $29 Fair price $30 This hospital $31 Cash price $133 Hospital's list price $204

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

A typical price — 2 charge more and 4 charge less, among the 9 HI hospitals compared.

Cheapest $18 Priciest $34

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 Physical therapy (therapeutic exercise) is about $30 (about 1.0× the $29 Medicare rate). Kona Community Hospital charges insurers about $31, or about $133 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 - $31 62%
Humanamajor $31 107%
Kaiser Permanentemajor $31 - $132 107%
+ 7 smaller / regional plans $31 - $203

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