CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Kau Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$62
about 0.7× the $95 Medicare rate · typically $38–$84
modeled estimate · not a bill or quote
What this hospital charges insurers
$63
About the fair price
about $1 over the fair price · 0.7× Medicare
Medicare pays $95 Fair price $62 This hospital $63 Cash price $106 Hospital's list price $176

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

A typical price — 3 charge more and 5 charge less, among the 9 HI hospitals compared.

Cheapest $36 Priciest $67

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

A fair price for a Office visit, established patient (20-29 min) is about $62 (about 0.7× the $95 Medicare rate). Kau Hospital charges insurers about $63, or about $106 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 - $615 160%
Kaiser Permanentemajor $69 - $615 72%
Devoted Health $63 66%
+ 5 smaller / regional plans $42 - $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