CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Samuel Mahelona Memorial Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$72
about 0.6× the $118 Medicare rate · typically $55–$88
modeled estimate · not a bill or quote
What this hospital charges insurers
$82
About the fair price
about $10 over the fair price · 0.7× Medicare
Medicare pays $118 Fair price $72 This hospital $82 Cash price $173 Hospital's list price $267

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

A typical price — 2 charge more and 3 charge less, among the 9 HI hospitals compared.

Cheapest $71 Priciest $86

Black dot = this hospital, among the 9 HI hospitals with a price for this procedure. Full list below.

A fair price for a New patient office visit (30-44 min) is about $72 (about 0.6× the $118 Medicare rate). Samuel Mahelona Memorial Hospital charges insurers about $82, or about $173 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 $71 - $434 60%
Kaiser Permanentemajor $85 - $434 72%
Devoted Health $78 66%
+ 5 smaller / regional plans $71 - $434

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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