Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

KONA HOSPITAL

General Acute Care Hospital·KEALAKEKUA, HI·NPI: 1952332991Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $22.3M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$22.3M

$22,270,287

Total Claims

287K

Beneficiaries

246K

1.2 claims/patient

Avg Cost/Claim

$77

Monthly Spending Trend

Yearly Spending

2018
$3.8M
-9%
2019
$3.5M
-42%
2020
$2.0M
+26%
2021
$2.5M
+12%
2022
$2.8M
+22%
2023
$3.5M
+20%
2024
$4.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 31% of total spending.

99284Top 5%

Emergency dept visit, high complexity

$6.9M

16K claims · 31.0%

Your Cost: $444.77/claim|Median: $69.51
6.4× median
99283Top 5%

Emergency dept visit, moderate complexity

$5.7M

17K claims · 25.5%

Your Cost: $330.89/claim|Median: $42.48
7.8× median
99285Top 1%

Emergency dept visit, high/urgent complexity

$3.6M

6,251 claims · 16.0%

Your Cost: $571.51/claim|Median: $85.65
6.7× median
74177Top 5%

CT abdomen and pelvis with contrast

$2.1M

2,632 claims · 9.3%

Your Cost: $783.67/claim|Median: $65.76
11.9× median
G0378Top 25%

Hospital observation service, per hour

$949K

1,724 claims · 4.3%

Your Cost: $550.64/claim|Median: $99.39
5.5× median
99282Top 5%

Emergency dept visit, low complexity

$778K

3,187 claims · 3.5%

Your Cost: $244.08/claim|Median: $37.72
6.5× median
74176Top 5%

CT abdomen and pelvis without contrast

$527K

775 claims · 2.4%

Your Cost: $679.68/claim|Median: $60.19
11.3× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$475K

580 claims · 2.1%

Your Cost: $818.52/claim|Median: $763.43
1.1× median
99291Top 5%

Critical care, first 30-74 minutes

$257K

348 claims · 1.2%

Your Cost: $739.15/claim|Median: $101.24
7.3× median
99281Top 10%

Emergency dept visit, minimal complexity

$166K

964 claims · 0.7%

Your Cost: $172.54/claim|Median: $52.03
3.3× median
70450Normal range

CT head/brain without contrast

$125K

3,441 claims · 0.6%

Your Cost: $36.47/claim|Median: $45.53
0.8× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$113K

653 claims · 0.5%

Your Cost: $172.34/claim|Median: $54.68
3.2× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$108K

4,046 claims · 0.5%

Your Cost: $26.63/claim|Median: $91.47
0.3× median
87502Top 1%

Influenza virus detection, reverse transcription, amplified probe

$101K

484 claims · 0.5%

Your Cost: $208.43/claim|Median: $65.64
3.2× median
59025Top 25%

Fetal non-stress test

$74K

1,533 claims · 0.3%

Your Cost: $48.51/claim|Median: $26.45
1.8× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$64K

3,960 claims · 0.3%

Your Cost: $16.19/claim|Median: $54.77
0.3× median
96360Normal range

IV infusion, hydration, initial, 31 minutes to 1 hour

$53K

1,865 claims · 0.2%

Your Cost: $28.29/claim|Median: $61.57
0.5× median
71275Top 10%

CT angiography, chest, with contrast

$50K

165 claims · 0.2%

Your Cost: $301.63/claim|Median: $92.96
3.2× median
78452Top 1%

Myocardial perfusion imaging, SPECT, multiple studies

$29K

25 claims · 0.1%

Your Cost: $1,155.54/claim|Median: $106.14
10.9× median
96366Normal range

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$23K

353 claims · 0.1%

Your Cost: $66.49/claim|Median: $40.12
1.7× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$20K

1,144 claims · 0.1%

Your Cost: $17.19/claim|Median: $53.41
0.3× median
96361Normal range

IV infusion, hydration, each additional hour

$19K

4,735 claims · 0.1%

Your Cost: $4.05/claim|Median: $38.92
0.1× median
59020Top 10%

$15K

163 claims · 0.1%

Your Cost: $93.20/claim|Median: $27.59
3.4× median
88305Normal range

Surgical pathology, gross and microscopic examination

$10K

198 claims · 0.0%

Your Cost: $50.11/claim|Median: $35.80
1.4× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$10K

5,916 claims · 0.0%

Your Cost: $1.62/claim|Median: $14.92
0.1× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$9K

259 claims · 0.0%

Your Cost: $33.63/claim|Median: $47.65
0.7× median
J3490Top 10%

Unclassified drugs

$7K

87 claims · 0.0%

Your Cost: $82.76/claim|Median: $5.70
14.5× median
71046Normal range

Chest X-ray, 2 views

$6K

1,774 claims · 0.0%

Your Cost: $3.35/claim|Median: $8.92
0.4× median
96160Normal range

Patient-focused health risk assessment

$6K

4,569 claims · 0.0%

Your Cost: $1.30/claim|Median: $2.10
0.6× median
76815Top 5%

Ultrasound, pregnant uterus, limited

$5K

56 claims · 0.0%

Your Cost: $94.72/claim|Median: $36.79
2.6× median
76705Normal range

Ultrasound, abdominal, limited

$5K

545 claims · 0.0%

Your Cost: $9.27/claim|Median: $23.81
0.4× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$5K

6,836 claims · 0.0%

Your Cost: $0.74/claim|Median: $21.76
0.0× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$5K

73 claims · 0.0%

Your Cost: $68.42/claim|Median: $75.28
0.9× median
72125Normal range

CT cervical spine without contrast

$5K

942 claims · 0.0%

Your Cost: $4.94/claim|Median: $32.30
0.2× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$4K

2,085 claims · 0.0%

Your Cost: $1.92/claim|Median: $10.88
0.2× median
71260Normal range

CT chest with contrast

$3K

77 claims · 0.0%

Your Cost: $44.10/claim|Median: $48.36
0.9× median
80053Normal range

Comprehensive metabolic panel

$3K

16K claims · 0.0%

Your Cost: $0.19/claim|Median: $7.24
0.0× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$3K

5,725 claims · 0.0%

Your Cost: $0.50/claim|Median: $7.50
0.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$2K

21K claims · 0.0%

Your Cost: $0.10/claim|Median: $4.71
0.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$2K

3,640 claims · 0.0%

Your Cost: $0.54/claim|Median: $9.56
0.1× median
71045Normal range

Chest X-ray, single view

$2K

7,512 claims · 0.0%

Your Cost: $0.25/claim|Median: $4.93
0.1× median
G0463Normal range

Hospital outpatient clinic visit

$2K

192 claims · 0.0%

Your Cost: $8.12/claim|Median: $26.41
0.3× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$2K

1,764 claims · 0.0%

Your Cost: $0.88/claim|Median: $39.70
0.0× median
76805Top 25%

Ultrasound, pregnant uterus, complete, single fetus

$1K

14 claims · 0.0%

Your Cost: $104.55/claim|Median: $74.78
1.4× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$1K

16 claims · 0.0%

Your Cost: $85.80/claim|Median: $111.09
0.8× median
83880Normal range

$1K

1,470 claims · 0.0%

Your Cost: $0.91/claim|Median: $11.81
0.1× median
76830Normal range

Ultrasound, transvaginal

$1K

58 claims · 0.0%

Your Cost: $22.41/claim|Median: $57.47
0.4× median
84484Normal range

Troponin, quantitative

$1K

5,138 claims · 0.0%

Your Cost: $0.22/claim|Median: $4.84
0.0× median
73630Normal range

X-ray, foot, complete, minimum 3 views

$923

587 claims · 0.0%

Your Cost: $1.57/claim|Median: $12.06
0.1× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$840

461 claims · 0.0%

Your Cost: $1.82/claim|Median: $37.56
0.0× median

Other Top Providers in Hawaii

View all →

The Queens Medical Center

Psychiatric Unit

$200.0M

Waianae District Comprehensive Health and Hospital Board, INC

Pediatrics

$125.4M

Similar Providers

Other top providers in General Acute Care Hospital

Yale New Haven Hospital

New Haven, CT

$1.08B

Montefiore Medical Center

Bronx, NY

$961.1M

The Cleveland Clinic Foundation

Cleveland, OH

$863.5M

Nationwide Children's Hospital

Columbus, OH

$777.5M

Boston Medical Center Corporation

Boston, MA

$768.5M

← All providersAll providers in Hawaii →How we detect fraud →