CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Kau Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$91
about 0.7× the $136 Medicare rate · typically $62–$119
modeled estimate · not a bill or quote
What this hospital charges insurers
$93
About the fair price
about $2 over the fair price · 0.7× Medicare
Medicare pays $136 Fair price $91 This hospital $93 Cash price $150 Hospital's list price $250

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

A typical price — 4 charge more and 4 charge less, among the 9 HI hospitals compared.

Cheapest $85 Priciest $103

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 (30-39 min) is about $91 (about 0.7× the $136 Medicare rate). Kau Hospital charges insurers about $93, or about $150 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 - $615 112%
Kaiser Permanentemajor $102 - $615 75%
Devoted Health $93 69%
+ 5 smaller / regional plans $63 - $615

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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