CMS Price Transparency Data

X-ray, shoulder

Facility: Samuel Mahelona Memorial Hospital

Billing Code: 73030 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$39
about 0.4× the $89 Medicare rate · typically $19–$67
modeled estimate · not a bill or quote
What this hospital charges insurers
$20
Below the fair price — a good deal
about $19 under the fair price · 0.2× Medicare
Medicare pays $89 Fair price $39 This hospital $20 Cash price $115 Hospital's list price $177

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

Lowest price of the 9 HI hospitals we have prices for — a strong deal.

Cheapest $20 Priciest $47

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 X-ray, shoulder is about $39 (about 0.4× the $89 Medicare rate). Samuel Mahelona Memorial Hospital charges insurers about $20, or about $115 in cash — below the fair price — a good deal. 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 $19 - $434 21%
Humanamajor $262 295%
Kaiser Permanentemajor $11 - $472 12%
Devoted Health $10 - $289 11%
+ 7 smaller / regional plans $9 - $509

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.

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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