CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: Kona Community Hospital

Billing Code: G0103 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$20
about 1.1× the $19 Medicare rate · typically $18–$21
modeled estimate · not a bill or quote
What this hospital charges insurers
$20
About the fair price
1.1× Medicare
Medicare pays $19 Fair price $20 This hospital $20 Cash price $83 Hospital's list price $128

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

One of the lower prices — 5 of 7 other HI hospitals charge more for the same procedure.

Cheapest $19 Priciest $26

Black dot = this hospital, among the 8 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 Prostate cancer screening (blood test) is about $20 (about 1.1× the $19 Medicare rate). Kona Community Hospital charges insurers about $20, or about $83 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 $19 - $25 98%
Humanamajor $19 - $20 98%
Kaiser Permanentemajor $19 - $85 98%
Devoted Health $21 109%
+ 11 smaller / regional plans $19 - $131

Self-Pay How to get the cash price

Insurance Before you use insurance

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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