CMS Price Transparency Data

Extended office visit (prolonged)

Facility: Samuel Mahelona Memorial Hospital

Billing Code: G2212 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$29
about 0.9× the $34 Medicare rate · typically $21–$39
modeled estimate · not a bill or quote
What this hospital charges insurers
$30
About the fair price
about $1 over the fair price · 0.9× Medicare
Medicare pays $34 Fair price $29 This hospital $30 Cash price $55 Hospital's list price $85

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

One of the lower prices — 5 of 6 other HI hospitals charge more for the same procedure.

Cheapest $23 Priciest $47

Black dot = this hospital, among the 7 HI hospitals with a price for this procedure. Full list below.

A fair price for a Extended office visit (prolonged) is about $29 (about 0.9× the $34 Medicare rate). Samuel Mahelona Memorial Hospital charges insurers about $30, or about $55 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.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Kaiser Permanente Blue Cross Blue ShieldAetnaCignaHumana

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 $181 - $434 531%
Kaiser Permanentemajor $33 - $434 97%
Devoted Health $30 88%
+ 6 smaller / regional plans $27 - $434

Self-Pay How to get the cash price

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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