CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Kohala Hospital

Billing Code: 97750 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$29
about 0.9× the $34 Medicare rate · typically $19–$36
modeled estimate · not a bill or quote
What this hospital charges insurers
$20
Below the fair price — a good deal
about $9 under the fair price · 0.6× Medicare
Medicare pays $34 Fair price $29 This hospital $20

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

Lowest price of the 9 HI hospitals we have prices for — a strong deal.

Cheapest $20 Priciest $43

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

A fair price for a Physical therapy (functional capacity test) is about $29 (about 0.9× the $34 Medicare rate). Kohala Hospital charges insurers about $20 — below the fair price — a good deal. 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.

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

✓ UnitedHealthcare Blue 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
UnitedHealthcaremajor $20 59%
+ 1 smaller / regional plan $20 - $34

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