CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: North Hawaii Community Hospital, Inc

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$21,600
about 1.5× the $14,044 Medicare rate · typically $18,660–$31,322
modeled estimate · not a bill or quote
What this hospital charges insurers
$21,600
About the fair price
1.5× Medicare
Medicare pays $14,044 Fair price $21,600 This hospital $21,600

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 $17,574 Priciest $21,600

Black dot = this hospital, among the 9 HI hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $21,600 (about 1.5× the $14,044 Medicare rate). North Hawaii Community Hospital, Inc charges insurers about $21,600 — 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 $21,600 154%
Kaiser Permanentemajor $21,600 - $59,401 154%
+ 4 smaller / regional plans $21,600 - $26,865

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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