CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Kau Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$429
about 0.5× the $927 Medicare rate · typically $139–$956
modeled estimate · not a bill or quote
What this hospital charges insurers
$139
Below the fair price — a good deal
about $290 under the fair price · 0.1× Medicare
Medicare pays $927 Fair price $429 This hospital $139 Cash price $484 Hospital's list price $806

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 $139 Priciest $1,142

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 Upper endoscopy with biopsy is about $429 (about 0.5× the $927 Medicare rate). Kau Hospital charges insurers about $139, or about $484 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 $125 - $139 13%
Kaiser Permanentemajor $150 16%
Devoted Health $137 15%
+ 5 smaller / regional plans $125 - $685

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