CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Kohala Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$20,341
about 1.4× the $14,044 Medicare rate · typically $11,777–$39,522
modeled estimate · not a bill or quote
What this hospital charges insurers
$19,629
About the fair price
about $712 under the fair price · 1.4× Medicare
Medicare pays $14,044 Fair price $20,341 This hospital $19,629

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

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

Cheapest $17,574 Priciest $19,978

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

A fair price for a Hip or knee replacement (inpatient stay) is about $20,341 (about 1.4× the $14,044 Medicare rate). Kohala Hospital charges insurers about $19,629 — about the fair price. Located in Kapaau, HI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

0 of 6 major insurers have a published price at this hospital

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser Permanente

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
No insurance-company prices are published for this procedure.
+ 2 smaller / regional plans $4,619 - $19,629

Self-Pay How to get the cash price

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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