CMS Price Transparency Data

Bunion correction surgery

Facility: Kohala Hospital

Billing Code: 28296 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,204
about 0.4× the $3,343 Medicare rate · typically $592–$3,325
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,334
Well above the fair price
about $2,130 over the fair price · 1.0× Medicare
Medicare pays $3,343 Fair price $1,204 This hospital $3,334

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

One of the lower prices — 6 of 8 other HI hospitals charge more for the same procedure.

Cheapest $548 Priciest $4,052

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

A fair price for a Bunion correction surgery is about $1,204 (about 0.4× the $3,343 Medicare rate). Kohala Hospital charges insurers about $3,334 — well above the fair price. Located in Kapaau, HI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $1,204. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $522 - $3,334 16%
Humanamajor $3,334 100%
Kaiser Permanentemajor $3,334 100%
+ 3 smaller / regional plans $541 - $3,334

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: 54-383 Hospital Road, Kapaau, HI 96755
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - State
  • Hospital Type: Critical Access Hospitals