CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Samuel Mahelona Memorial Hospital

Billing Code: 871 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$21,410
about 1.5× the $14,117 Medicare rate · typically $8,256–$40,917
modeled estimate · not a bill or quote
What this hospital charges insurers
$40,815
Well above the fair price
about $19,405 over the fair price · 2.9× Medicare
Medicare pays $14,117 Fair price $21,410 This hospital $40,815

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

Highest price of the 9 HI hospitals we have prices for — worth calling around.

Cheapest $19,580 Priciest $40,815

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

A fair price for a Sepsis treatment (inpatient stay) is about $21,410 (about 1.5× the $14,117 Medicare rate). Samuel Mahelona Memorial Hospital charges insurers about $40,815 — well above the fair price. Located in Kapaa, HI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $21,410. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

0 of 6 major insurers have a published price at this hospital

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser Permanente

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
No insurance-company prices are published for this procedure.
+ 1 smaller / regional plan $40,815

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 4800 Kawaihau Road, Kapaa, HI 96746
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - State
  • Hospital Type: Critical Access Hospitals