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Insurance Information
If you do not know your deductible, coinsurance, or out-of-pocket maximum amounts for the service you have selected, please check with your insurance company or refer to your insurance plan’s benefits guide.
Read and Accept Disclaimer
Please read the following and click “I Agree” if you accept the terms and conditions of usage of the “Out-of-Pocket Calculator.” Upon acceptance of the terms of usage, you will be directed to the “Out-of-Pocket Calculator” estimates for hospital services page.
This is a license agreement (Agreement) that permits you (Authorized User) to access and use the information contained in the “Out-of-Pocket Calculator,” as described below. Hawaii Pacific Health grants a non-exclusive, non-transferable, revocable right to access the “Out-of-Pocket Calculator” according to the terms and conditions in this Agreement. The term “Out-of-Pocket Calculator” includes the program features, functionality, documentation and cost and quality information contained in the Web application labeled “Out-of-Pocket Calculator.”
Estimate Only. The information provided on this website is neither a quote nor a guarantee of the amount that you will owe. The estimated amount you will owe does not include any physician charges (including, but not limited to office visits, surgeon, anesthesiologist, emergency room physician, radiologist, pathologist, consulting physician, etc.). If you have requested an estimate for a surgical procedure, this estimate does not include pre-procedure office visits, post-procedure office visits, and diagnostic testing.
Based on your unique medical condition and medical needs as determined by your physician, the actual amount you will owe may be either lower or higher than the estimates on this website. This amount will depend upon a variety of factors, which may include, but is not limited to: the length of time spent in surgery or recovery, the number of days spend in the hospital, specific equipment, supplies and medications required, additional tests required by your physician, and/or any unusual special care of unexpected conditions or complications, and other factors.
No Guarantee of Insurance Coverage. The estimated amount you may owe calculated by the “Out-of-Pocket Calculator” is not a guarantee of insurance coverage. Please consult with your insurance company if you have any question regarding the scope of insurance coverage afforded by your insurance policy both for the service chosen and for any other associated services.
Permissible Use of Results.
Calculations. The calculations contained in the “Out-of-Pocket Calculator” are based on Hawaii Pacific Health’s proprietary database of claims information and other assumptions and inputs. The outputs are significantly influence by the data you input. Hawaii Pacific Health makes no warranty, either express or implied, about the accuracy of results for any individual.
Use of results. You accept responsibility for using the results of the “Out-of-Pocket Calculator” in an appropriate manner for your own personal purposes, and not in any commercial manner or in any way that would compete with Hawaii Pacific Health or disparage the goodwill of Hawaii Pacific Health.
Unauthorized Use. You may print out a paper copy of the results of the “Out-of-Pocket Calculator” for personal use according to terms and conditions of this Agreement. You may not make any copies or disseminate any part of the “Out-of-Pocket Calculator or attempt to reverse engineer features of the “Out-of-Pocket Calculator” or ascertain data relating to individual provider fees or discounts.
Get Your Estimate
Procedure Name:
This estimate is based on the insurance you selected and your responses to the questions. Please note that this is not a guarantee of coverage. For more information please call , Financial Services.
The information provided on this website is not a quote nor is it a guarantee of the amount that you will owe. The above figure is an estimated amount you will owe on your hospital bill, which will represent the most significant portion of your out-of-pocket cost for the service you require. Your hospital bill includes the room, equipment, supplies, and non-physician personnel. For an inpatient stay, it may also include laboratory, pharmacy, tests, X-rays, and other services ordered by your physician. The estimated amount you will owe does not include any physician charges (including office visits, surgeon, anesthesiologist, emergency room physician, radiologist, pathologist, consulting physicians, etc.). If you have requested an estimate for a surgical procedure, this estimate does not include pre-procedure office visits, post-procedure office visits, and diagnostic testing.
Based on your unique medical condition and medical needs as determined by your physician, the actual amount you will owe will be either lower or higher than the estimates on this website. This amount will depend upon a variety of factors such as: the length of time spent in surgery or recovery, the number of days spent in the hospital, specific equipment, supplies and medications required, additional tests required by your physician, and/or any unusual special care or unexpected conditions or complications. If you have requested an estimate for an inpatient service, the most appropriate selection of your service cannot be determined until the end of your hospital stay.
Note: The estimated amount you will owe is not a guarantee of insurance coverage. Please check with your insurance company if you need help understanding your benefits for the service chosen.