CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Kohala Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$89
about 0.7× the $136 Medicare rate · typically $66–$110
modeled estimate · not a bill or quote
Medicare pays $136 Fair price $89 Cash price $133 Hospital's list price $205

How we calculate the fair BaseRate →

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Kaiser Permanente Blue Cross Blue ShieldAetnaCignaHumana

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 $56 - $261 41%
Kaiser Permanentemajor $234 - $261 173%
+ 3 smaller / regional plans $56 - $261

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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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