CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Samuel Mahelona Memorial Hospital

Billing Code: 77067 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$83
about 0.7× the $126 Medicare rate · typically $67–$105
modeled estimate · not a bill or quote
What this hospital charges insurers
$85
About the fair price
about $2 over the fair price · 0.7× Medicare
Medicare pays $126 Fair price $83 This hospital $85 Cash price $114 Hospital's list price $175

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

One of the lower prices — 7 of 8 other HI hospitals charge more for the same procedure.

Cheapest $36 Priciest $146

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

A fair price for a Screening mammogram (both breasts) is about $83 (about 0.7× the $126 Medicare rate). Samuel Mahelona Memorial Hospital charges insurers about $85, or about $114 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 $36 - $434 29%
Humanamajor $232 184%
Kaiser Permanentemajor $43 - $434 34%
Devoted Health $39 - $255 31%
+ 7 smaller / regional plans $36 - $450

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