CT scan of neck with contrast dye at Samuel Mahelona Memorial Hospital

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

70491 CT SOFT TISS NCK C+ MATRL ProFee

Kapaa, HI

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Pricing by billing methodology

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How this price compares nationally

Samuel Mahelona Memorial Hospital’s median price of $265 is 42% below the median hospital's median price ($456), higher than 28% of the 2,626 hospitals reporting CPT 70491. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 70491 at Samuel Mahelona Memorial Hospital

Negotiated rates from the hospital’s own file: 4 payers, 19 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	UnitedHealthcare medicare professional · fee schedule · both	$64.67	$91.86	$64.67 – $200.64
2	Devoted medicare professional · fee schedule · both	$71.14	$96.07	$71.14 – $220.70
3	Kaiser commercial professional · fee schedule · both	$77.60	$104.80	$77.60 – $240.77
4	Kaiser medicaid professional · fee schedule · both	$77.60	$110.23	$77.60 – $240.77
5	Kaiser medicare professional · fee schedule · both	$77.60	$110.23	$77.60 – $240.77
6	UnitedHealthcare medicaid professional · fee schedule · both	$124.95	$124.95	$124.95 – $124.95
7	UnitedHealthcare medicaid facility · fee schedule · outpatient	$186.48	$186.48	$186.48 – $186.48
8	Kaiser commercial professional · per diem · both	$246.64	$254.90	$181.39 – $339.46
9	Kaiser medicare professional · per diem · both	$246.64	$254.90	$181.39 – $339.46
10	UnitedHealthcare medicare professional · per diem · both	$246.64	$254.90	$181.39 – $339.46
11	Kaiser medicaid professional · per diem · both	$434.26	$434.26	$434.26 – $434.26
12	UnitedHealthcare medicaid professional · per diem · both	$434.26	$434.26	$434.26 – $434.26
13	Humana medicare facility · percent of total billed charges · outpatientfrom % of charges	$2,704	$2,380	$1,082 – $2,704
14	Kaiser medicare facility · percent of total billed charges · outpatientfrom % of charges	$2,704	$2,380	$1,082 – $2,704
15	UnitedHealthcare medicare facility · percent of total billed charges · outpatientfrom % of charges	$2,704	$2,380	$1,082 – $2,704
16	Kaiser medicaid facility · percent of total billed charges · outpatientfrom % of charges	$2,758	$2,427	$1,104 – $2,758
17	Devoted medicare facility · percent of total billed charges · outpatientfrom % of charges	$2,974	$2,618	$1,190 – $2,974
18	Kaiser commercial facility · percent of total billed charges · inpatientfrom % of charges	$4,867	$4,283	$1,948 – $4,867
19	Kaiser commercial facility · percent of total billed charges · outpatientfrom % of charges	$4,867	$4,283	$1,948 – $4,867

Last updated: Jun 15, 2026

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