CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Kohala Hospital

Billing Code: 45378 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$476
about 0.5× the $950 Medicare rate · typically $189–$973
modeled estimate · not a bill or quote
What this hospital charges insurers
$931
Well above the fair price
about $455 over the fair price · 1.0× Medicare
Medicare pays $950 Fair price $476 This hospital $931

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

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

Cheapest $184 Priciest $1,135

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

A fair price for a Colonoscopy (diagnostic) is about $476 (about 0.5× the $950 Medicare rate). Kohala Hospital charges insurers about $931 — 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 $476. 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 $193 - $931 20%
Humanamajor $931 98%
Kaiser Permanentemajor $931 98%
+ 3 smaller / regional plans $245 - $931

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