CMS Price Transparency Data

Blood test, sodium

Facility: Samuel Mahelona Memorial Hospital

Billing Code: 84295 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$7
about 1.4× the $5 Medicare rate · typically $7–$8
modeled estimate · not a bill or quote
What this hospital charges insurers
$7
About the fair price
1.4× Medicare
Medicare pays $5 Fair price $7 This hospital $7 Cash price $146 Hospital's list price $225

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

A typical price — 0 charge more and 5 charge less, among the 9 HI hospitals compared.

Cheapest $5 Priciest $7

Black dot = this hospital, among the 9 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 Blood test, sodium is about $7 (about 1.4× the $5 Medicare rate). Samuel Mahelona Memorial Hospital charges insurers about $7, or about $146 in cash — about the fair price. Located in Kapaa, 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 $7 - $115 146%
Humanamajor $110 - $115 2287%
Kaiser Permanentemajor $110 - $207 2287%
Devoted Health $121 - $126 2516%
+ 7 smaller / regional plans $5 - $223

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: 4800 Kawaihau Road, Kapaa, HI 96746
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - State
  • Hospital Type: Critical Access Hospitals