Office visit, established patient (20-29 min)
Facility: Samuel Mahelona Memorial Hospital
Billing Code: 99213 (CPT)
A typical price — 4 charge more and 4 charge less, among the 9 HI hospitals compared.
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 Office visit, established patient (20-29 min) is about $60 (about 0.6× the $95 Medicare rate). Samuel Mahelona Memorial Hospital charges insurers about $61, or about $317 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
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 | $36 - $434 | 38% |
| Humanamajor | $244 | 256% |
| Kaiser Permanentemajor | $69 - $439 | 72% |
| Devoted Health | $63 - $268 | 66% |
| + 7 smaller / regional plans | $42 - $473 |
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.
Other Procedures at Samuel Mahelona Memorial Hospital
Compare: Office visit, established patient (20-29 min) at other HI hospitals
- Kohala Hospital · Kapaau $36
- Kapiolani Medical Center for Women & Children · Honolulu $46
- Adventist Health Castle · Kailua $58
- North Hawaii Community Hospital, Inc · Kamuela $58
- Kau Hospital · Pahala $63
- Kona Community Hospital · Kealakekua $65
- Kuakini Medical Center · Honolulu $67
- Shriners Hospital for Children · Honolulu $67
Insurance negotiated median for the same procedure, sorted lowest first.