CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Kau Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$26
about 0.7× the $35 Medicare rate · typically $17–$33
modeled estimate · not a bill or quote
What this hospital charges insurers
$18
Below the fair price — a good deal
about $8 under the fair price · 0.5× Medicare
Medicare pays $35 Fair price $26 This hospital $18 Cash price $109 Hospital's list price $181

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 $18 Priciest $41

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Occupational therapy (therapeutic activities) is about $26 (about 0.7× the $35 Medicare rate). Kau Hospital charges insurers about $18, or about $109 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.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Humana✓ Kaiser Permanente Blue Cross Blue ShieldAetnaCigna

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 $18 - $56 51%
Humanamajor $56 160%
Kaiser Permanentemajor $56 - $163 160%
Devoted Health $62 177%
+ 7 smaller / regional plans $56 - $176

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.

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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