Hospital Profile Critical Access Hospitals Government - State

Samuel Mahelona Memorial Hospital

4800 KAWAIHAU RD, Kapaa, HI 96746

CMS Overall Rating No CMS Rating

How this hospital's prices compare 112 procedures scored

1.0×

the fair BaseRate, typically

about the fair price

Across 112 shoppable procedures, Samuel Mahelona Memorial Hospital typically charges about the fair BaseRate for the procedures it prices. 9 of them run 30%+ above the fair BaseRate.

Where it's most above the fair price

Heart stent placement (inpatient stay) fair $20,398 → $40,483 2.0×
Digestive disorders treatment (inpatient stay) fair $7,461 → $14,553 2.0×
Sepsis treatment (inpatient stay) fair $21,410 → $40,815 1.9×

How we calculate the BaseRate →

Samuel Mahelona Memorial Hospital publishes prices for 113 shoppable procedures in Kapaa, HI. It's classified by CMS as Critical Access Hospitals (Government - State). CMS has not published a star rating for it.

Facility Overview

Setting: rural Bed Count: 5 Beds Teaching Status: Non-Teaching Annual Discharges: 1

Patient Experience

Recommendation Rate: N/A High Patient Rating: N/A ER Wait Time (Med): 59 min Readmission Rate: N/A

Pricing & Transparency

Procedures Mapped: 113 codes Typical vs Fair BaseRate: 1.0× Price File In Index: Yes MRF Version: 3.0.0

Prices at Samuel Mahelona Memorial Hospital

Every shoppable procedure, ranked by how far its price sits above the fair BaseRate. Fair BaseRate is the modeled typical charge; vs Fair is how many times higher this hospital's price is.

Search Procedures & Codes

Procedure & Code	Cash Price	This Hospital	Fair BaseRate	vs Fair
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$40,483	$20,398	2.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$14,553	$7,461	2.0×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$40,815	$21,410	1.9×
MRI, knee or other leg joint CPT Code: `73721`	$1,132	$396	$243	1.6×
CT scan, sinuses CPT Code: `70486`	$3,027	$137	$94	1.5×
Flu vaccine (high dose) HCPCS Code: `90656`	$63	$23	$16	1.4×
CT scan, chest (no contrast) CPT Code: `71250`	$1,047	$139	$100	1.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$442	$183	$135	1.4×
Blood transfusion CPT Code: `36430`	$1,338	$298	$239	1.2×
Hepatitis B vaccine HCPCS Code: `90744`	$25	$33	$27	1.2×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,287	$269	$232	1.2×
Flu vaccine injection HCPCS Code: `G0008`	$70	$35	$31	1.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$100	$19	$17	1.1×
New patient office visit (30-44 min) CPT Code: `99203`	$173	$82	$72	1.1×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$521	$105	$93	1.1×
Hepatitis C antibody test CPT Code: `86803`	$106	$20	$18	1.1×
Blood test, lipase CPT Code: `83690`	$61	$10	$9	1.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$92	$15	$13	1.1×
Care planning with family CPT Code: `90887`	$153	$71	$64	1.1×
Blood test, vitamin D CPT Code: `82306`	$206	$41	$37	1.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,775	$161	$145	1.1×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$94	$24	$22	1.1×
Blood test, vitamin B12 CPT Code: `82607`	$112	$21	$19	1.1×
Blood test, complete blood count (CBC) CPT Code: `85025`	$74	$11	$10	1.1×
Blood test, PSA (prostate screen) CPT Code: `84153`	$90	$25	$23	1.1×
Psychiatric evaluation (first visit) CPT Code: `90791`	$293	$148	$138	1.1×
Pneumonia vaccine injection HCPCS Code: `G0009`	$73	$35	$33	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$76	$12	$11	1.1×
Blood test, sodium CPT Code: `84295`	$146	$7	$7	1.1×
Blood test, amylase CPT Code: `82150`	$63	$9	$9	1.0×
Culture, bacterial CPT Code: `87070`	$69	$12	$11	1.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,976	$216	$208	1.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$184	$39	$38	1.0×
Blood test, magnesium CPT Code: `83735`	$67	$9	$9	1.0×
Drug screening test HCPCS Code: `G0480`	$153	$96	$93	1.0×
Extended office visit (prolonged) HCPCS Code: `G2212`	$55	$30	$29	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$111	$23	$22	1.0×
C-section delivery (full package) CPT Code: `59510`	$4,449	$2,638	$2,566	1.0×
Inguinal hernia repair CPT Code: `49505`	$3,239	$526	$514	1.0×
Screening mammogram (both breasts) CPT Code: `77067`	$114	$85	$83	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$83	$13	$13	1.0×
Culture, blood CPT Code: `87040`	$83	$14	$14	1.0×
Blood test, liver function panel CPT Code: `80076`	$78	$11	$11	1.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$317	$61	$60	1.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$324	$89	$88	1.0×
Vaginal delivery (full package) CPT Code: `59400`	$4,053	$2,388	$2,383	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	$150	$136	$136	1.0×
Family therapy session CPT Code: `90847`	$161	$104	$104	1.0×
Blood antibody screen CPT Code: `86850`	$129	$20	$20	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$80	$16	$16	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$41	$7	$7	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$54	$8	$8	1.0×
Blood test, calcium CPT Code: `82310`	$50	$7	$7	1.0×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$39	$16	$16	1.0×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$19,101	$19,880	1.0×
Blood test, potassium CPT Code: `84132`	$146	$6	$6	1.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$45	$13	$14	1.0×
CT scan, pelvis CPT Code: `72192`	$728	$90	$96	0.9×
Blood test, hemoglobin CPT Code: `85018`	$18	$3	$3	0.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$956	$88	$95	0.9×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$36	$5	$5	0.9×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$36	$4	$4	0.9×
Blood test, glucose (blood sugar) CPT Code: `82947`	$32	$5	$5	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$120	$21	$23	0.9×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$2,960	$569	$630	0.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$717	$87	$97	0.9×
Colonoscopy (diagnostic) CPT Code: `45378`	$792	$184	$207	0.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	$161	$92	$106	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$44	$5	$6	0.9×
Bunion correction surgery CPT Code: `28296`	$2,960	$548	$649	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$298	$65	$77	0.8×
X-ray, lower back CPT Code: `72110`	$322	$34	$41	0.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$85	$18	$22	0.8×
Colonoscopy with biopsy CPT Code: `45380`	$1,082	$200	$244	0.8×
CT scan, head (no contrast) CPT Code: `70450`	$1,041	$72	$88	0.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$767	$118	$145	0.8×
Cataract surgery with lens implant CPT Code: `66984`	$2,088	$570	$723	0.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$460	$54	$69	0.8×
X-ray, neck (cervical spine) CPT Code: `72040`	$221	$24	$32	0.8×
Physical therapy (functional capacity test) CPT Code: `97750`	$164	$20	$27	0.8×
X-ray, chest (two views) CPT Code: `71046`	$187	$23	$31	0.8×
Physical therapy (gait training) CPT Code: `97116`	$155	$17	$23	0.7×
CT scan, head (with contrast) CPT Code: `70460`	$1,011	$100	$135	0.7×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$173	$19	$26	0.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$129	$18	$25	0.7×
Ultrasound, pelvis CPT Code: `76856`	$496	$50	$70	0.7×
X-ray, hip CPT Code: `73502`	$203	$30	$44	0.7×
Occupational therapy (self-care training) CPT Code: `97535`	$143	$19	$28	0.7×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$180	$18	$28	0.6×
Ultrasound, thyroid and neck CPT Code: `76536`	$429	$47	$74	0.6×
X-ray, chest (single view) CPT Code: `71045`	$170	$17	$27	0.6×
Speech therapy (group session) CPT Code: `92508`	$115	$11	$18	0.6×
X-ray, hand CPT Code: `73130`	$231	$25	$40	0.6×
Upper endoscopy with biopsy CPT Code: `43239`	$842	$139	$229	0.6×
Group therapy session CPT Code: `90853`	$92	$24	$41	0.6×
Prosthetic fitting and training CPT Code: `97761`	$169	$18	$31	0.6×
X-ray, foot CPT Code: `73630`	$114	$20	$35	0.6×
X-ray, shoulder CPT Code: `73030`	$115	$20	$39	0.5×
X-ray, ankle CPT Code: `73610`	$119	$18	$38	0.5×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$241	$9	$32	0.3×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$3,589	—	$831	—
Orthotic fitting and training CPT Code: `97760`	$183	—	$36	—
Colorectal cancer screening HCPCS Code: `G0010`	$16	—	$36	—
Speech therapy (language evaluation) CPT Code: `92507`	$267	—	$58	—
Total knee replacement CPT Code: `27447`	$11,614	—	$2,560	—
Hospital observation (per hour) HCPCS Code: `G0378`	$106	—	$48	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$278	—	$64	—
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$76	—	$127	—
Total hip replacement CPT Code: `27130`	$11,614	—	$2,468	—
Breast lump removal CPT Code: `19120`	$2,206	—	$428	—
X-ray, pelvis CPT Code: `72170`	$100	—	$28	—
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$44	—	$55	—
Pneumococcal vaccine HCPCS Code: `90732`	$50	—	$86	—