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Critical Access HospitalGovernment - State

Samuel Mahelona Memorial Hospital

Hawaii Health Systems Corporation · Kapaa, HI

4800 Kawaihau Rd, Kapaa, HI 96746(808) 822-4961

Not rated by CMS

CMS star rating

80

Beds

1

Inpatient discharges a year

$46.4M

Net patient revenue a year

About this hospital

Samuel Mahelona Memorial Hospital is an 80-bed government - state hospital in Kapaa, HI, affiliated with Hawaii Health Systems Corporation.

  • 340B participant
CCN
121306
NPI
1528129442
Website
hhsc.org
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
2005
Last CMS survey
2020

Prices for common services

The 24 services Samuel Mahelona Memorial Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$181 - $3,250

from 4 insurers · median $1,717

Aetna$2,437
Insurer A*$181
Insurer B*$997
Insurer C*est.$3,250
Medicare $356

Typical for a hospital with this service line

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$1,722 - $3,040

from 4 insurers · median $2,949

UnitedHealthcareest.$2,949
Insurer A*$1,722
Insurer B*est.$2,949
Insurer C*est.$3,040
Medicare $558

Typical for a hospital with this service line

Mammography

Screening mammography, bilateral

CPT 77067

$379 - $464

from 4 insurers · median $450

HMSAest.$464
Insurer A*$379
Insurer B*est.$450
Insurer C*est.$450
Medicare $92

Typical for a hospital with this service line

X-ray and bone density

Chest X-ray, two views

CPT 71046

$45 - $403

from 3 insurers · median $325

HMSA$45
Insurer A*$325
Insurer B*est.$403
Medicare $89Nearby hospitals $45623% above nearby hospitals

Typical for a hospital with this service line

How the insurers pay at Samuel Mahelona Memorial Hospital

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*23
453%
00
Insurer B*24
286%
00
Insurer C*23
144%
10
Insurer D*22
132%
00

How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Samuel Mahelona Memorial Hospital, or start a free trial.

Insurance Accepted

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

Medicare

More about this hospital

  • Quality

    Not rated by CMS

    • 61 min in the ER before going home (US median 148)
    See quality ratings

  • Doctors and services

    19 services

    • 60 affiliated clinicians
    See doctors and services

  • Finances

    $46.4M net patient revenue

    • Operating margin on patient care -20.6%
    • $1.7M unreimbursed and uncompensated care
    • $10.2M net income
    See finances

  • Ownership and leadership

    Owned by Hawaii Health Systems Corporation

    • State
    • Lance K Segawa, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Samuel Mahelona 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
99-0262217Samuel Mahelona Memorial Hospital18Aetna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan, Asuris Northwest Health and 13 more1619038536 Samuel Mahelona Memorial Hospital1033705074 Samuel Mahelona Memorial Hospital1083200232 Samuel Mahelona Memorial Hospitaland 12 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

4800 Kawaihau Rd, Kapaa, HI 96746

(808) 822-4961

Get directions

Frequently asked questions

About Samuel Mahelona Memorial Hospital's rates and hospital price transparency.

How much does an MRI cost at Samuel Mahelona Memorial Hospital?

For MRI lower-extremity joint without contrast (CPT 73721), published negotiated rates at Samuel Mahelona Memorial Hospital range from $1,139 to $1,741 across 4 insurers. Aetna's rate is $1,139. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Samuel Mahelona Memorial Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Samuel Mahelona Memorial Hospital range from $181 to $3,250 across 4 insurers. Aetna's rate is $2,437. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Samuel Mahelona Memorial Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Samuel Mahelona Memorial Hospital range from $1,615 to $3,173 across 4 insurers. Aetna's rate is $3,173. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Samuel Mahelona Memorial Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Samuel Mahelona Memorial Hospital range from $379 to $464 across 4 insurers. HMSA Blue Cross Blue Shield's rate is $464. What a patient pays depends on their plan's deductible, coinsurance and network status.

How many patients does Samuel Mahelona Memorial Hospital admit?

Samuel Mahelona Memorial Hospital reported 1 inpatient discharges and 77 inpatient days from Jul 1, 2024 to Jun 30, 2025.

How many employees does Samuel Mahelona Memorial Hospital have?

Samuel Mahelona Memorial Hospital reported 90 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.

How much revenue does Samuel Mahelona Memorial Hospital make?

Samuel Mahelona Memorial Hospital reported $46.4M in net patient revenue on $73.5M of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of -20.6%, and net income of $10.2M.

How much charity and uncompensated care does Samuel Mahelona Memorial Hospital provide?

Samuel Mahelona Memorial Hospital reported $1.7M of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025, including $128,470 of charity care at cost.

Who is the CEO of Samuel Mahelona Memorial Hospital?

Samuel Mahelona Memorial Hospital's Medicare enrollment lists Lance K Segawa as Regional CEO since 2018.

What is Samuel Mahelona Memorial Hospital's tax ID (EIN)?

Insurers' price transparency files list Samuel Mahelona Memorial Hospital under employer identification number 99-0262217 (Samuel Mahelona Memorial Hospital). 18 health plans and networks list 99-0262217 for it.

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.

Compliance MRF

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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  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • 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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CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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