Kula Hospital
100 Keokea Place, Kula, HI 96790 · 72 Priced Procedures
Typical commercial prices here are +42% above the fair benchmark (1.42×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Loss-Leader / Captive Ancillary Cross-Subsidizer
Kula Hospital prices routine shoppable procedures near 1.1× Medicare (p50 1.21×) while skewing captive emergency, lab, and upper-quartile codes to 2.2× Medicare (p75 2.15×, +78% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.62× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 8% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (85/100 safety score) with 72% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (12.6% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 2.5× markup over Medicare rates
- Captive ER (0.8×) & laboratory (3.2×) services average 2.00× higher multiples than routine shoppable care (1.1×)
- Upper-quartile procedures (Q75 2.15×) jump +78% above the median procedure ratio (Q50 1.21×)
- Consolidated metro market (HHI 9,671) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Kula Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 72 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Blood transfusion CPT Code: 36430 | $855 | 1.7× |
| Rabies immune globulin HCPCS Code: 90375 | $748 | 2.3× |
| Breathing treatment (nebulizer) CPT Code: 94640 | $366 | unverified |
| Hepatitis B immune globulin HCPCS Code: 90371 | $273 | unverified |
| New patient office visit (30-44 min) CPT Code: 99203 | $173 | 1.6× |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $178 | 1.4× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $146 | 1.1× |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $115 | 1.3× |
| Ultrasound, pelvis CPT Code: 76856 | $126 | 1.0× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $121 | 0.9× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $110 | 0.9× |
| Hospital observation (per hour) HCPCS Code: G0378 | $113 | unverified |
| Orthotic fitting and training CPT Code: 97760 | $83 | 1.6× |
| Typhoid vaccine HCPCS Code: 90675 | $487 | 1.4× |
| Drug screening test HCPCS Code: G0480 | $239 | 2.1× |
| Varicella (chickenpox) vaccine HCPCS Code: 90716 | $198 | 1.0× |
| Blood test, vitamin D CPT Code: 82306 | $182 | unverified |
| Hepatitis C antibody test CPT Code: 86803 | $97 | 6.5× |
| Prostate cancer screening (blood test) HCPCS Code: G0103 | $82 | 4.1× |
| MMR vaccine (measles, mumps, rubella) HCPCS Code: 90707 | $102 | 0.9× |
| Pneumococcal vaccine HCPCS Code: 90732 | $126 | 0.9× |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $82 | 5.9× |
| Blood test, PSA (prostate screen) CPT Code: 84153 | $95 | 5.0× |
| Blood test, lipase CPT Code: 83690 | $54 | 7.7× |
| Blood test, vitamin B12 CPT Code: 82607 | $79 | 4.9× |
Audit a Bill or Quote at Kula Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $188
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (12.6% of gross = $188).
Self-Pay Cash Rate ($581) Beats Your Bill
Kula Hospital's published 45 CFR § 180 self-pay cash rate is $581 (vs. $855 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $498 Fair BaseRate ($451 Medicare)
Your bill ($1,490) is $992 above the denoised Fair BaseRate ($498) and 3.3× the $451 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (12.6% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Kula Hospital. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-08-13·administrative_or_closure
Closure Notice
Recorded - 2025-05-13·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Kula Hospital.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.