CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: North Hawaii Community Hospital, Inc

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$33,043
about 1.4× the $23,504 Medicare rate · typically $25,400–$47,294
modeled estimate · not a bill or quote
What this hospital charges insurers
$36,175
About the fair price
about $3,132 over the fair price · 1.5× Medicare
Medicare pays $23,504 Fair price $33,043 This hospital $36,175

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

On the higher side — 5 of 7 other HI hospitals charge less.

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 $33,043 (about 1.4× the $23,504 Medicare rate). North Hawaii Community Hospital, Inc charges insurers about $36,175 — 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 $36,175 154%
Kaiser Permanentemajor $36,175 - $99,481 154%
+ 4 smaller / regional plans $36,175

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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