Emergency visit, high (level 4) at Kohala Hospital. CPT 99284.
What Kohala Hospital publishes for this service, straight from its standard-charges file, last updated June 15, 2026.
Outpatient / ER
$2,495cash price (self-pay)
$3,839list price
$140–$3,801range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AlohaCare | Medicaid | $140 |
| Hawaii Medical Service Association | Non-ABD | $450 |
| Hawaii Medical Service Association | ABD | $469 |
| Kaiser Permanente | Medicaid | $938 |
| Hawaii Medical Service Association | Commercial | $1,600 |
| University Health Alliance | Commercial | $2,798 |
| Health Management Network | Commercial | $3,263 |
| AlohaCare | Medicare | $3,455 |
| Hawaii Medical Service Association | Medicare | $3,455 |
| Humana | Medicare | $3,455 |
| Kaiser Permanente | Medicare | $3,455 |
| Kaiser Permanente | Commercial | $3,455 |
| Ohana Health Plan | Medicaid | $3,455 |
| Ohana Health Plan | Medicare | $3,455 |
| UnitedHealthcare | Medicare | $3,455 |
| Hawaii Western Management Group | Commercial | $3,647 |
| MDX Hawaii | PPO | $3,724 |
| Devoted Health | Medicare | $3,801 |
Inpatient
$2,495cash price (self-pay)
$3,839list price
$3,263–$3,724range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Management Network | Commercial | $3,263 |
| Kaiser Permanente | Commercial | $3,455 |
| MDX Hawaii | PPO | $3,724 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.