CMS Price Transparency Data

Culture, bacterial

Facility: Samuel Mahelona Memorial Hospital

Billing Code: 87070 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$11
about 1.2× the $9 Medicare rate · typically $10–$13
modeled estimate · not a bill or quote
What this hospital charges insurers
$12
About the fair price
about $1 over the fair price · 1.3× Medicare
Medicare pays $9 Fair price $11 This hospital $12 Cash price $69 Hospital's list price $106

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

Highest price of the 9 HI hospitals we have prices for — worth calling around.

Cheapest $9 Priciest $12

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 Culture, bacterial is about $11 (about 1.2× the $9 Medicare rate). Samuel Mahelona Memorial Hospital charges insurers about $12, or about $69 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 $4 - $64 46%
Humanamajor $4 - $64 46%
Kaiser Permanentemajor $4 - $114 46%
Devoted Health $5 - $70 58%
+ 7 smaller / regional plans $4 - $123

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