CMS Price Transparency Data

Neurobehavioral status check

Facility: Kohala Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$243
about 1.1× the $221 Medicare rate · typically $74–$325
modeled estimate · not a bill or quote
What this hospital charges insurers
$314
Above the fair price
about $71 over the fair price · 1.4× Medicare
Medicare pays $221 Fair price $243 This hospital $314

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

A typical price — 3 charge more and 2 charge less, among the 6 HI hospitals compared.

Cheapest $255 Priciest $369

Black dot = this hospital, among the 6 HI hospitals with a price for this procedure. Full list below.

A fair price for a Neurobehavioral status check is about $243 (about 1.1× the $221 Medicare rate). Kohala Hospital charges insurers about $314 — 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 $243. 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 $62 - $314 28%
Humanamajor $314 142%
Kaiser Permanentemajor $314 142%
+ 3 smaller / regional plans $62 - $314

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