CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Kona Community Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$34,085

about 1.5× the $23,504 Medicare rate · typically $24,988–$50,003

modeled estimate · not a bill or quote

What this hospital charges insurers

$42,489

Above the fair price

about $8,404 over the fair price · 1.8× Medicare

Medicare pays $23,504 Fair price $34,085 This hospital $42,489

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

Highest price of the 8 HI hospitals we have prices for — worth calling around.

Cheapest $30,699 Priciest $42,489

Black dot = this hospital, among the 8 HI hospitals with a price for this procedure. Full list below.

A fair price for a Spinal fusion, single level (inpatient stay) is about $34,085 (about 1.5× the $23,504 Medicare rate). Kona Community Hospital charges insurers about $42,489 — 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 $34,085. 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	$42,489	181%
Humanamajor	$42,489	181%
Kaiser Permanentemajor	$42,489 - $55,724	181%
Devoted Health	$46,738	199%
+ 3 smaller / regional plans	$42,489

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 451.

Insurance Before you use insurance

Call your insurance company to confirm Kona Community Hospital is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 451.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Kona Community Hospital

Compare: Spinal fusion, single level (inpatient stay) at other HI hospitals

Kuakini Medical Center · Honolulu $30,699
Straub Clinic and Hospital · Honolulu $30,864
Leahi Hospital · Honolulu $32,273
Pali Momi Medical Center · Aiea $32,316
The Queens Medical Center · Honolulu $33,247
North Hawaii Community Hospital, Inc · Kamuela $36,175
Wilcox Memorial Hospital · Lihue $39,591

Insurance negotiated median for the same procedure, sorted lowest first.