CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Samuel Mahelona Memorial Hospital

Billing Code: 74176 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$145
about 0.6× the $244 Medicare rate · typically $136–$297
modeled estimate · not a bill or quote
What this hospital charges insurers
$161
About the fair price
about $16 over the fair price · 0.7× Medicare
Medicare pays $244 Fair price $145 This hospital $161 Cash price $1,775 Hospital's list price $2,730

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

One of the lower prices — 7 of 8 other HI hospitals charge more for the same procedure.

Cheapest $123 Priciest $287

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 CT scan, abdomen and pelvis (no contrast) is about $145 (about 0.6× the $244 Medicare rate). Samuel Mahelona Memorial Hospital charges insurers about $161, or about $1,775 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 $81 - $4,418 33%
Humanamajor $1,365 - $4,418 560%
Kaiser Permanentemajor $98 - $7,952 40%
Devoted Health $89 - $4,860 37%
+ 7 smaller / regional plans $81 - $8,571

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