CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Kau Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$78
about 0.7× the $118 Medicare rate · typically $51–$104
modeled estimate · not a bill or quote
What this hospital charges insurers
$78
About the fair price
0.7× Medicare
Medicare pays $118 Fair price $78 This hospital $78 Cash price $130 Hospital's list price $216

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

One of the lower prices — 7 of 8 other HI hospitals charge more for the same procedure.

Cheapest $71 Priciest $86

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

A fair price for a New patient office visit (30-44 min) is about $78 (about 0.7× the $118 Medicare rate). Kau Hospital charges insurers about $78, or about $130 in cash — about the fair price. 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 $152 - $615 129%
Kaiser Permanentemajor $85 - $615 72%
Devoted Health $78 66%
+ 5 smaller / regional plans $71 - $615

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

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