CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Samuel Mahelona Memorial Hospital

Billing Code: 94640 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$64
about 0.3× the $224 Medicare rate · typically $10–$232
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $64 Cash price $278 Hospital's list price $428

How we calculate the fair BaseRate →

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 $9 - $434 4%
Humanamajor $214 - $261 96%
Kaiser Permanentemajor $12 - $470 5%
Devoted Health $11 - $287 5%
+ 7 smaller / regional plans $9 - $506

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