CMS Price Transparency Data

Inguinal hernia repair

Facility: Kohala Hospital

Billing Code: 49505 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,064
about 0.3× the $3,658 Medicare rate · typically $526–$3,599
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,967
Well above the fair price
about $2,903 over the fair price · 1.1× Medicare
Medicare pays $3,658 Fair price $1,064 This hospital $3,967

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 $511 Priciest $4,247

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

A fair price for a Inguinal hernia repair is about $1,064 (about 0.3× the $3,658 Medicare rate). Kohala Hospital charges insurers about $3,967 — 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 $1,064. 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 $321 - $3,967 9%
Humanamajor $3,967 108%
Kaiser Permanentemajor $3,967 108%
+ 3 smaller / regional plans $326 - $3,967

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