CMS Price Transparency Data

CT scan, sinuses

Facility: Samuel Mahelona Memorial Hospital

Billing Code: 70486 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$94
about 0.9× the $107 Medicare rate · typically $77–$136
modeled estimate · not a bill or quote
What this hospital charges insurers
$137
Above the fair price
about $43 over the fair price · 1.3× Medicare
Medicare pays $107 Fair price $94 This hospital $137 Cash price $3,027 Hospital's list price $4,657

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

On the higher side — 6 of 8 other HI hospitals charge less.

Cheapest $100 Priciest $141

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, sinuses is about $94 (about 0.9× the $107 Medicare rate). Samuel Mahelona Memorial Hospital charges insurers about $137, or about $3,027 in cash — above the fair price. Located in Kapaa, 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 $94. 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.

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 $40 - $2,334 37%
Humanamajor $2,328 - $2,334 2180%
Kaiser Permanentemajor $49 - $4,200 46%
Devoted Health $45 - $2,567 42%
+ 7 smaller / regional plans $40 - $4,527

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