CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Kohala Hospital

Billing Code: 871 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$22,768
about 1.6× the $14,117 Medicare rate · typically $10,864–$41,114
modeled estimate · not a bill or quote
What this hospital charges insurers
$28,814
Above the fair price
about $6,046 over the fair price · 2.0× Medicare
Medicare pays $14,117 Fair price $22,768 This hospital $28,814

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

On the higher side — 7 of 8 other HI hospitals charge less.

Cheapest $19,580 Priciest $30,829

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

A fair price for a Sepsis treatment (inpatient stay) is about $22,768 (about 1.6× the $14,117 Medicare rate). Kohala Hospital charges insurers about $28,814 — 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 $22,768. 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.

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

UnitedHealthcareBlue 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
No insurance-company prices are published for this procedure.
+ 2 smaller / regional plans $3,602 - $28,814

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