CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: Samuel Mahelona Memorial Hospital

Billing Code: G0103 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$22
about 1.2× the $19 Medicare rate · typically $16–$25
modeled estimate · not a bill or quote
What this hospital charges insurers
$24
About the fair price
about $2 over the fair price · 1.3× Medicare
Medicare pays $19 Fair price $22 This hospital $24 Cash price $94 Hospital's list price $145

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

A typical price — 4 charge more and 3 charge less, among the 8 HI hospitals compared.

Cheapest $19 Priciest $26

Black dot = this hospital, among the 8 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 Prostate cancer screening (blood test) is about $22 (about 1.2× the $19 Medicare rate). Samuel Mahelona Memorial Hospital charges insurers about $24, or about $94 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 $25 - $434 129%
Humanamajor $60 - $72 311%
Kaiser Permanentemajor $23 - $434 119%
Devoted Health $21 - $80 109%
+ 7 smaller / regional plans $19 - $434

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