CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Samuel Mahelona Memorial Hospital

Billing Code: G0009 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$33
about 0.7× the $48 Medicare rate · typically $12–$47
modeled estimate · not a bill or quote
What this hospital charges insurers
$35
About the fair price
about $2 over the fair price · 0.7× Medicare
Medicare pays $48 Fair price $33 This hospital $35 Cash price $73 Hospital's list price $113

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

One of the lower prices — 5 of 8 other HI hospitals charge more for the same procedure.

Cheapest $18 Priciest $56

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

A fair price for a Pneumonia vaccine injection is about $33 (about 0.7× the $48 Medicare rate). Samuel Mahelona Memorial Hospital charges insurers about $35, or about $73 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 $35 - $434 73%
Humanamajor $56 117%
Kaiser Permanentemajor $56 - $434 117%
Devoted Health $62 130%
+ 7 smaller / regional plans $18 - $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