Emergency visit, high (level 4) at Kona Community Hospital. CPT 99284.
What Kona Community Hospital publishes for this service, straight from its standard-charges file, last updated June 15, 2026.
Outpatient / ER
$1,650cash price (self-pay)
$2,539list price
$140–$2,463range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AlohaCare | Medicaid | $140 |
| AlohaCare | Medicare | $493 |
| Hawaii Medical Service Association | Medicare | $493 |
| Humana | Medicare | $493 |
| Kaiser Permanente | Medicare | $493 |
| Ohana Health Plan | Medicare | $493 |
| UnitedHealthcare | Medicare | $493 |
| Hawaii Medical Service Association | Non-ABD | $520 |
| Devoted Health | Medicare | $542 |
| Ohana Health Plan | Medicaid | $542 |
| Hawaii Medical Service Association | ABD | $560 |
| Kaiser Permanente | Medicaid | $938 |
| Kaiser Permanente | Commercial | $1,600 |
| Hawaii Medical Service Association | Commercial | $1,600 |
| University Health Alliance | Commercial | $1,851 |
| Health Management Network | Commercial | $2,158 |
| Hawaii Western Management Group | Commercial | $2,412 |
| MDX Hawaii | PPO | $2,463 |
Inpatient
$1,650cash price (self-pay)
$2,539list price
$2,158–$2,463range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Management Network | Commercial | $2,158 |
| MDX Hawaii | PPO | $2,463 |
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