CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: North Hawaii Community Hospital, Inc

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,180
about 1.2× the $950 Medicare rate · typically $638–$1,185
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,171
About the fair price
about $9 under the fair price · 1.2× Medicare
Medicare pays $950 Fair price $1,180 This hospital $1,171 Cash price $5,003 Hospital's list price $7,147

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

Highest price of the 9 HI hospitals we have prices for — worth calling around.

Cheapest $184 Priciest $1,171

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 Colonoscopy (diagnostic) is about $1,180 (about 1.2× the $950 Medicare rate). North Hawaii Community Hospital, Inc charges insurers about $1,171, or about $5,003 in cash — about the fair price. Located in Kamuela, HI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Kaiser Permanente Blue Cross Blue ShieldAetnaCignaHumana

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 $1,171 - $1,335 123%
Kaiser Permanentemajor $1,171 - $3,278 123%
+ 8 smaller / regional plans $281 - $4,081

Self-Pay How to get the cash price

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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: 67 1125 Mamalahoa Highway, Kamuela, HI 96743
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals