CMS Price Transparency Data

Group therapy session

Facility: Kau Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$65
about 0.6× the $104 Medicare rate · typically $23–$90
modeled estimate · not a bill or quote
What this hospital charges insurers
$24
Below the fair price — a good deal
about $41 under the fair price · 0.2× Medicare
Medicare pays $104 Fair price $65 This hospital $24 Cash price $33 Hospital's list price $55

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

Lowest price of the 9 HI hospitals we have prices for — a strong deal.

Cheapest $24 Priciest $119

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

A fair price for a Group therapy session is about $65 (about 0.6× the $104 Medicare rate). Kau Hospital charges insurers about $24, or about $33 in cash — below the fair price — a good deal. Located in Pahala, 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 $24 23%
Kaiser Permanentemajor $29 28%
Devoted Health $27 26%
+ 5 smaller / regional plans $24 - $47

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1 Kamani Street, Pahala, HI 96777
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - State
  • Hospital Type: Critical Access Hospitals