CMS Price Transparency Data

Diagnostic procedure preparation

Facility: Kapiolani Medical Center for Women & Children

Billing Code: G0279 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0279
Insurance Median: $45
Cash Discount Price: $39
vs. Medicare Baseline: 1.11x Medicare

The contracted insurance negotiated median rate for a Diagnostic procedure preparation at Kapiolani Medical Center for Women & Children is $45. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $39. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 1.11x the Medicare baseline. Located in 1319 Punahou Street, Honolulu, HI.

Cash / Self-Pay

$39

Average discount available for prompt cash payment at this facility.

Insurance Median

$45

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$40.41

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $40.41 (100%)

Cash / Self-Pay: $39 (97%)

Insurance Median: $45 (111%)

Cash: $39 (97% of Medicare)

Ins. Median: $45 (111% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $40.41 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Ohana	$15 - $65	37%
UnitedHealthcare	$23	57%
Uha	$25 - $60	62%
Hmsa	$30 - $54	74%
Mimoh	$35 - $60	87%
Calvos	$38 - $60	94%
Mdx	$40 - $64	99%
Multiplan	$40 - $68	99%
Hcha	$40 - $64	99%
Hwmg/Hmaa	$40 - $64	99%
Verdegard	$40 - $64	99%
McCp	$42 - $68	104%
Kaiser	$44 - $70	109%
Coventry	$45 - $72	111%
Alohacare	$54 - $59	134%
Devoted	$57	141%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $39.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0279.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Kapiolani Medical Center for Women & Children is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code G0279.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.