CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Kohala Hospital

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$170
about 0.9× the $181 Medicare rate · typically $131–$189
modeled estimate · not a bill or quote
What this hospital charges insurers
$163
About the fair price
about $7 under the fair price · 0.9× Medicare
Medicare pays $181 Fair price $170 This hospital $163 Cash price $325 Hospital's list price $500

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

A typical price — 5 charge more and 3 charge less, among the 9 HI hospitals compared.

Cheapest $148 Priciest $204

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

A fair price for a Psychiatric evaluation (first visit) is about $170 (about 0.9× the $181 Medicare rate). Kohala Hospital charges insurers about $163, or about $325 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 $104 - $163 57%
Humanamajor $163 90%
Kaiser Permanentemajor $163 - $450 90%
+ 7 smaller / regional plans $104 - $465

Self-Pay How to get the cash price

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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