Samuel Mahelona Memorial Hospital is a nonprofit critical access hospital in Kapaa, Hawaii. Its CMS Certification Number (CCN) is 121306 and its NPI is 1619038536.
CMS Certification Number
National Provider Identifier
Billing entity in payer files
Kapaa, HI
Negotiated rates
In-network rates for clinicians billing at this hospital, from each insurer's price transparency files. Median rate, with the range when more than one contract applies.
| Service | Code | Physician rate | vs. Hawaii hospitals |
|---|---|---|---|
| Emergency room visit, high severity | 99285 | $189$170–$208 · 2 rates | 52nd percentile · state median $189, mean $198 |
| CT scan, abdomen and pelvis, with contrast | 74177 | $413$379–$446 · 2 rates | 52nd percentile · state median $413, mean $436 |
| MRI, brain, with and without contrast | 70553 | $433$398–$468 · 2 rates | 48th percentile · state median $468, mean $467 |
| Colonoscopy, diagnostic | 45378 | $400$360–$441 · 2 rates | 48th percentile · state median $418, mean $419 |
See UnitedHealthcare rates for every billing code at Samuel Mahelona Memorial Hospital
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Every billing code
CPT, HCPCS, MS-DRG and revenue codes, not just the four shown here.
Institutional rates
What each insurer pays the hospital itself, its facility fees.
Professional rates
What insurers pay physicians and clinicians billing here.
Inpatient and outpatient
Per-stay rates for admissions and per-visit rates for outpatient care.
The table above shows physician rates: what the insurer pays clinicians for the service. Facility rates are in the full data. Source: insurer Transparency in Coverage files.
From the hospital's Medicare enrollment record.
From CMS Care Compare. Each measure is compared with the national rate.
CMS overall rating
Not rated. CMS only stars hospitals that report enough measures; most critical access and specialty hospitals are not rated.
CMS has not published mortality, safety or readmission measures for this hospital, usually because it treats too few patients for a reliable comparison.
Units Medicare certifies separately, each with its own CCN.
Swing-bed unit
Samuel Mahelona Memorial Hospital
CCN 12Z306
Adventist Health Castle
Kailua, HI
Hilo Benioff Medical Center
Hilo, HI
Honokaa Hospital & Skilled Nursing
Honokaa, HI
Kahuku Medical Center
Kahuku, HI
Kau Hospital
Pahala, HI
Kauai Veterans Memorial Hospital
Waimea, HI
Compare negotiated rates from UHC, Aetna, Cigna and BCBS with the rest of the market, down to the TIN.
Quick answers about Samuel Mahelona Memorial Hospital.
Samuel Mahelona Memorial Hospital's CMS Certification Number (CCN) is 121306. Medicare uses the CCN to identify the hospital in cost reports, quality reporting and claims.
Samuel Mahelona Memorial Hospital bills under National Provider Identifier (NPI) 1619038536.
Samuel Mahelona Memorial Hospital bills insurers under tax ID (EIN) 99-0262217, held by SAMUEL MAHELONA MEMORIAL HOSP. Insurers publish negotiated rates by tax ID, so this is the number to look up in price transparency files.
Samuel Mahelona Memorial Hospital is enrolled in Medicare as a critical access hospital with nonprofit ownership. Its legal business name is Samuel Mahelona Memorial Hospital.
Samuel Mahelona Memorial Hospital is at 4800 Kawaihau Rd, Kapaa, HI 96746.
Yes. Samuel Mahelona Memorial Hospital reports emergency services to CMS.
Yes. Samuel Mahelona Memorial Hospital has 1 Medicare-certified unit: swing-bed unit.
Enrollment records show how a hospital is registered with Medicare; confirm services and coverage with the hospital directly.