CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: Kohala Hospital

Billing Code: G0103 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$18
about 0.9× the $19 Medicare rate · typically $17–$24
modeled estimate · not a bill or quote
What this hospital charges insurers
$19
About the fair price
about $1 over the fair price · 1.0× Medicare
Medicare pays $19 Fair price $18 This hospital $19 Cash price $64 Hospital's list price $98

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

Lowest price of the 8 HI hospitals we have prices for — a strong deal.

Cheapest $19 Priciest $26

Black dot = this hospital, among the 8 HI hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Prostate cancer screening (blood test) is about $18 (about 0.9× the $19 Medicare rate). Kohala Hospital charges insurers about $19, or about $64 in cash — 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.

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 $19 - $25 98%
Humanamajor $19 98%
Kaiser Permanentemajor $19 - $88 98%
+ 7 smaller / regional plans $19 - $91

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