CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Kohala Hospital

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$571
about 0.5× the $1,223 Medicare rate · typically $206–$1,343
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,213
Well above the fair price
about $642 over the fair price · 1.0× Medicare
Medicare pays $1,223 Fair price $571 This hospital $1,213

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 $200 Priciest $1,461

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

A fair price for a Colonoscopy with biopsy is about $571 (about 0.5× the $1,223 Medicare rate). Kohala Hospital charges insurers about $1,213 — 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 $571. 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 $208 - $1,213 17%
Humanamajor $1,213 99%
Kaiser Permanentemajor $1,213 99%
+ 3 smaller / regional plans $290 - $1,213

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