# Samuel Mahelona Memorial Hospital

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.

Web page: https://www.med-reveal.com/hospitals/hawaii/samuel-mahelona-memorial-hospital-121306

## Profile

| Field | Value |
| --- | --- |
| Legal business name | Samuel Mahelona Memorial Hospital |
| Hospital type | Critical Access Hospital |
| Ownership | Nonprofit |
| CCN | 121306 |
| NPI | 1619038536 |
| Tax ID (EIN) | 99-0262217 (SAMUEL MAHELONA MEMORIAL HOSP) |
| Address | 4800 Kawaihau Rd, Kapaa, HI 96746 |
| County | Kauai |
| Phone | (808) 822-4961 |

## Quality

- CMS overall star rating: Not rated
- Emergency services: Yes

## UnitedHealthcare physician rates

Median in-network rate for clinicians billing at this hospital (professional, global, no modifier), compared with the Hawaii median across hospitals.

| Service | Code | Median | Range | Hawaii percentile | Hawaii median |
| --- | --- | --- | --- | --- | --- |
| Emergency room visit, high severity | 99285 | $189 | $170–$208, 2 rates | 52nd | $189 |
| CT scan, abdomen and pelvis, with contrast | 74177 | $413 | $379–$446, 2 rates | 52nd | $413 |
| MRI, brain, with and without contrast | 70553 | $433 | $398–$468, 2 rates | 48th | $468 |
| Colonoscopy, diagnostic | 45378 | $400 | $360–$441, 2 rates | 48th | $418 |

Full rates for every billing code, facility and professional, inpatient and outpatient, across UnitedHealthcare, Aetna, Cigna and BCBS: https://www.med-reveal.com/login

## Medicare-certified units

- Samuel Mahelona Memorial Hospital (Swing-bed unit), CCN 12Z306

## Sources

- CMS Hospital Enrollments (PECOS): CCN, NPI, type, ownership, address, units. https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments
- CMS Hospital General Information: star rating, emergency services, quality measures. https://data.cms.gov/provider-data/dataset/xubh-q36u
- UnitedHealthcare Transparency in Coverage files: physician (professional) negotiated rates, global (no modifier). https://transparency-in-coverage.uhc.com/