CMS Price Transparency Data

Colonoscopy with biopsy

Facility: North Hawaii Community Hospital, Inc

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,516
about 1.2× the $1,223 Medicare rate · typically $812–$1,516
modeled estimate · not a bill or quote
Medicare pays $1,223 Fair price $1,516 Hospital's list price $1

How we calculate the fair BaseRate →

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 $1,335 - $1,507 109%
Kaiser Permanentemajor $1,507 - $4,218 123%
+ 8 smaller / regional plans $305 - $4,081

Self-Pay How to get the cash price

Insurance Before you use insurance

Facility Profile & Credentials

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