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Critical Access HospitalGovernment - State

Kauai Veterans Memorial Hospital

Hawaii Health Systems Corporation ยท Waimea, HI

4643 Waimea Canyon Road, Waimea, HI 96796(808) 338-9431

Not rated by CMS

CMS star rating

45

Beds

835

Inpatient discharges a year

$55.6M

Net patient revenue a year

31

In-network payers

About this hospital

Kauai Veterans Memorial Hospital is a 45-bed government - state hospital in Waimea, HI, affiliated with Hawaii Health Systems Corporation. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 223 disclosed rate categories.

  • 340B participant
CCN
121300
NPI
1467510743
Health system
Hawaii Health Systems Corporation
County
Kauai County
Metro area
Kapaa, HI MicroSA
Medicare contractor
Jurisdiction E, Noridian Healthcare Solutions (01011)
In Medicare since
2001
Last CMS survey
2017

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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PayerCategoryCode Type & GroupContract Typevs. State Average

Aetna

Outpatient

CPT Anesthesia

Range: 00100 - 01999

Negotiated

Very High

Aetna

Outpatient

CPT Anesthesia

Range: 00100 - 01999

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Category III Codes

Range: 0042T - 0810T

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Negotiated

Very Low

Aetna

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Negotiated

Very Low

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Negotiated

Very Low

Aetna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Proprietary Laboratory Analyses

Range: 0001U - 0401U

Percentage of Bill Charged

-

Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

...

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Aspirus Health PlanAvera Health PlansBanner HealthCenteneEMI HealthGroup Health Cooperative of South Central Wisconsin

More about this hospital

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Kauai Veterans Memorial Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
99-0262194Kauai Veteran Memorial Hospital43Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 38 more1467510743 Kauai Veterans Memorial Hospital1649345968 Kauai Veterans Memorial Hospital1376601658 Kauai Veterans Memorial Hospitaland 2 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

4643 Waimea Canyon Road, Waimea, HI 96796

(808) 338-9431

Get directions

Frequently asked questions

About Kauai Veterans Memorial Hospital's rates and hospital price transparency.

How many patients does Kauai Veterans Memorial Hospital admit?

Kauai Veterans Memorial Hospital reported 835 inpatient discharges and 5,247 inpatient days from Jul 1, 2024 to Jun 30, 2025.

How many employees does Kauai Veterans Memorial Hospital have?

Kauai Veterans Memorial Hospital reported 270 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.

How much revenue does Kauai Veterans Memorial Hospital make?

Kauai Veterans Memorial Hospital reported $55.6M in net patient revenue on $96.5M of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of -22.9%, and net income of $13.3M.

How much charity and uncompensated care does Kauai Veterans Memorial Hospital provide?

Kauai Veterans Memorial Hospital reported $395,450 of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025, including $21,297 of charity care at cost.

Who is the CEO of Kauai Veterans Memorial Hospital?

Kauai Veterans Memorial Hospital's Medicare enrollment lists Lance K Segawa as Regional Chief Executive Officer since 2018.

What is Kauai Veterans Memorial Hospital's tax ID (EIN)?

Insurers' price transparency files list Kauai Veterans Memorial Hospital under employer identification number 99-0262194 (Kauai Veteran Memorial Hospital). 43 health plans and networks list 99-0262194 for it.

Does Kauai Veterans Memorial Hospital participate in the 340B drug pricing program?

Yes. HRSA's 340B database lists Kauai Veterans Memorial Hospital (340B ID CAH121300-00) as a participating critical access hospital since 2021.

How many doctors are affiliated with Kauai Veterans Memorial Hospital?

71 clinicians who bill Medicare list Kauai Veterans Memorial Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are emergency medicine physician (16), family medicine physician (9), internal medicine physician (6).

Is Kauai Veterans Memorial Hospital accredited?

Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Kauai Veterans Memorial Hospital, effective 2017.

What services does Kauai Veterans Memorial Hospital offer?

CMS lists 30 services at Kauai Veterans Memorial Hospital, including Anesthesia, Audiology, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Clinical Laboratory, Coronary Care Unit, CT Scan.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

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Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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  • Missing, duplicate and outdated charge lines identified
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