Hysterectomy Cost in Hawaii (2026): Average Prices & What You'll Pay
What does a hysterectomy cost in Hawaii?
For a commercially insured patient, a hysterectomy in Hawaii typically runs $3,489–$12,811 once facility and physician fees are combined. The median reported facility price across 9 hospitals is $5,191. The figures draw on CMS fee schedules and hospital price transparency data published under federal law.
Hawaii's island geography creates isolated health economies — each island is effectively its own market, and most specialized care on neighbor islands requires inter-island travel. Kaiser Permanente Hawaii and Hawaii Pacific Health cover most of the Oahu market. Transport and logistics costs embedded in hospital operating expenses push prices well above the mainland average for comparable services.
Hysterectomy costs vary primarily by surgical approach (open, laparoscopic, or robotic) and inpatient vs. outpatient classification. Robotic-assisted procedures carry higher facility fees and may not offer better outcomes for routine cases. Most commercial plans cover medically necessary hysterectomy after the deductible; elective or fertility-related procedures may face different coverage rules. Anesthesia and pathology are billed separately from the facility and surgeon.
Across 9 Hawaii hospitals that publish prices, a hysterectomy runs from as little as $504 (Kahuku Medical Center in Kahuku) to $39,206 (Queens Medical Center in Honolulu) — a 77.8× spread for the same procedure. A typical Hawaii facility lands around $5,191 — most sit in the $1,770–$8,495 band. There's a gap between the sticker and the real price here: a median cash quote of $8,495 sits above the $612 insurers negotiate — about 13.9× higher, so asking for the cash or insurer-negotiated rate is often the single biggest lever on your bill.
Forecast your out-of-pocket cost
- Lower-cost hospitals (bottom 25%): under $1,770
- Median hospital: $5,191
- Higher-cost hospitals (top 30%): $8,495+
That's a 5× spread for the same procedure — driven entirely by which facility you choose, not by clinical complexity.
- Patient A (higher-rate plan or out-of-network): ~$8,495
- Patient B (lower-rate in-network plan): ~$1,871
Where hysterectomy costs vary in Hawaii
Pins show hospitals with price-transparency data (colored by vs. state average) and nearby ambulatory surgery centers, imaging centers, and other facilities (colored by type). Click any pin for facility name and estimated cost range.
See every Hawaii hospital's price
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Cheapest Hysterectomy Providers in Hawaii
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs Median |
|---|---|---|---|---|
| 1 | Kau Hospital | Pahala, HI | $1,763 | -$3,428 |
| 2 | Hale Ho'ola Hamakua | Honokaa, HI | $1,763 | -$3,428 |
| 3 | Hilo Medical Center | Hilo, HI | $1,770 | -$3,421 |
| 4 | Hawaii Pacific Health | HI | $2,022 | -$3,169 |
| 5 | Kahuku Medical Center | Kahuku, HI | $5,191 | +$0 |
| 6 | Queens Medical Center | Honolulu, HI | $8,495 | +$3,304 |
| 7 | Queens Medical Center - West Oahu | Ewa Beach, HI | $8,495 | +$3,304 |
| 8 | The Queens Medical Center - Wahiawa | Wahiawa, HI | $8,495 | +$3,304 |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
The facility you choose matters more than almost anything else — the same procedure, same quality, same state can cost 5× more at one hospital versus the one down the road.
→ Compare all procedure costs → Hysterectomy costs nationwide
Check YOUR hospital's pricing → Estimate YOUR exact cost →
What you'll actually pay — example scenarios
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met (pay in full) | ~$7,889 |
| Deductible met — 20% coinsurance | ~$1,578 |
| Out-of-network provider | $17,356+ |
Based on a typical episode cost of $7,889 (facility + physician fees). Your actual cost depends on your plan deductible, coinsurance rate, and network tier. Get YOUR personalized estimate →
What this means for you
If you haven't met your deductible, you are effectively a cash-pay patient.
That means:
- You should verify your hospital is in-network before an elective visit when possible
- The cheapest facility can save you $3,428+ vs. the median.
This is the single biggest lever most patients have to reduce their cost.
Lower-cost options in Hawaii start around $1,770 or below. Most hospitals cluster between $1,770 and $8,495. A smaller group reports prices above that — often academic medical centers or high-cost markets.
If you're comparing specific hospitals, the lowest self-pay rates reported in this dataset include: Kahuku Medical Center in Kahuku (cash price from $5,191); Queens Medical Center in Honolulu (cash price from $8,495); Queens Medical Center - West Oahu in Ewa Beach (cash price from $8,495). These are declared cash prices — contact each facility for a formal quote before scheduling.
How where you go changes what you pay for hysterectomy
The same hysterectomy bundles different services depending on the setting — facility fee, surgeon fee, and anesthesia each arrive as separate bills. Estimated ranges below reflect the typical full bundled cost, including all expected charges.
- Facility fee $1,763–$17,717
- Professional fee $1,083–$7,432
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $1,763–$1,770
- Professional fee $1,083–$7,432
Estimated from CMS fee schedules + commercial rate multipliers
- Best value hospitals (lowest prices): Kau Hospital: $1,763; Hale Ho'ola Hamakua: $1,763; Hilo Medical Center: $1,770
- Most expensive (outpatient): Queens North Hawaii Community Hospital: ~$17,717; Queens Medical Center: ~$8,495
→ Choosing the right facility can save $3,428+ vs. the state median.
Hawaii Hysterectomy prices by facility
All prices below come from hospital chargemasters — the official price lists each hospital must publish under federal law. Gross charge is the undiscounted list price; cash price is the self-pay rate; negotiated range covers the spread across insurance contracts.
- Cash price — the self-pay rate you can actually negotiate and pay
- Negotiated rate — if reported by the hospital across insurance contracts
- Gross charge — fallback only; this is the inflated list price few people pay
This reflects the real prices patients encounter — not inflated chargemaster rates.
| # | Facility | City | Your Price | vs Median | Gross Charge |
|---|---|---|---|---|---|
| #1 | Kau Hospital | Pahala, HI | $1,763 | -$3,428 | $1,763–$1,859 |
| #2 | Hale Ho'ola Hamakua | Honokaa, HI | $1,763 | -$3,428 | $1,763–$1,859 |
| #3 | Hilo Medical Center | Hilo, HI | $1,770 | -$3,421 | $1,770 |
| #4 | Hawaii Pacific Health | HI | $2,022 | -$3,169 | $765–$14,809 |
| #5 | Kahuku Medical Center | Kahuku, HI | $5,191 | +$0 | $504–$10,177 |
| #6 | Queens Medical Center | Honolulu, HI | $8,495 | +$3,304 | $12,137–$39,206 |
| #7 | Queens Medical Center - West Oahu | Ewa Beach, HI | $8,495 | +$3,304 | $12,137–$39,206 |
| #8 | The Queens Medical Center - Wahiawa | Wahiawa, HI | $8,495 | +$3,304 | $12,137–$39,206 |
| #9 | Queens North Hawaii Community Hospital | Waimea, HI | $17,717 | +$12,526 | $25,311–$27,186 |
Unlock all 4 remaining Hawaii hospitals
Enter your email to reveal the full table instantly — and we'll email you the complete price list as a PDF to keep.
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Source: CMS hospital price transparency machine-readable files. vs Median = savings or premium relative to the state median price. Gross Charge = undiscounted list price for reference.
Received a bill? Check it for errors → Estimate YOUR cost before you go →
Compare other procedures in Hawaii:
Where you can save the most on hysterectomy in Hawaii
These facilities have the lowest declared prices relative to the state median — they represent the best opportunities to reduce your out-of-pocket cost for this procedure.
| Facility | City | Your Price | vs Median |
|---|---|---|---|
| Kau Hospital | Pahala, HI | $1,763 | -$3,428 |
| Hale Ho'ola Hamakua | Honokaa, HI | $1,763 | -$3,428 |
| Hilo Medical Center | Hilo, HI | $1,770 | -$3,421 |
| Hawaii Pacific Health | HI | $2,022 | -$3,169 |
| Kahuku Medical Center | Kahuku, HI | $5,191 | +$0 |
How to choose a lower-cost facility
- Choose independent outpatient centers when possible — freestanding ASCs (ambulatory surgical centers) consistently charge less than hospital outpatient departments for identical procedures.
- Ask for the cash price if your deductible isn't met — self-pay rates are often lower than what insurance pays before your deductible is satisfied, especially at facilities that have a high cash-price discount.
- Avoid hospital outpatient departments for routine cases — hospital-owned locations add a facility fee that freestanding centers don't charge, often adding $500–$1,500 to the same procedure.
Most expensive hysterectomy providers in Hawaii
These facilities report the highest prices for this procedure. Academic medical centers and specialty hospitals often top this list — their gross charges rarely reflect what anyone actually pays, but understanding the spread helps you negotiate.
| Facility | City | Price | vs Median |
|---|---|---|---|
| Queens North Hawaii Community Hospital | Waimea, HI | $17,717 | +$12,526 |
| Queens Medical Center | Honolulu, HI | $8,495 | +$3,304 |
| Queens Medical Center - West Oahu | Ewa Beach, HI | $8,495 | +$3,304 |
| The Queens Medical Center - Wahiawa | Wahiawa, HI | $8,495 | +$3,304 |
| Kahuku Medical Center | Kahuku, HI | $5,191 | +$0 |
Why prices vary this much
Setting drives much of the gap in Hawaii: the median outpatient price is $5,191 versus $1,763 inpatient, so where a procedure is performed often matters more than which hospital you choose. Of the Hawaii facilities reporting prices, 3 fall in a low-cost tier (up to $1,770) while 4 sit in a high-cost tier ($8,495 and up) — a lower-priced option almost always exists within the same state.
The spread comes from how each hospital sets its chargemaster (the undiscounted list price), what cash discounts it applies, and what rates it negotiates with each insurer. Facility classification matters too — a hospital-owned outpatient center adds a facility fee that a freestanding clinic does not. Understanding these mechanics is the first step to paying less.
Learn more:
→ Allowed amount vs negotiated rate — what your EOB is really saying
→ How to read your medical bill
→ Why hospital prices are so hard to find — and what to do about it
How insurance changes what you actually pay
Hospital list prices are only part of the picture. What you pay out of pocket depends on your deductible, your plan's out-of-pocket maximum, whether the facility is in-network, and whether your plan classifies the visit as outpatient or inpatient. A lower gross charge doesn't guarantee a lower bill if the facility is out-of-network or adds facility fees your plan doesn't cover.
Understand your cost before you go:
→ Deductible vs out-of-pocket max
→ EOB vs medical bill — complete guide
→ How to stop medical bill problems before they start (in-network vs out-of-network)
Hysterectomy Costs by Metro Area in Hawaii
Prices vary across Hawaii metro areas based on local hospital competition, wage adjustments, and facility mix. Explore detailed facility price data for each metro area:
Compare hysterectomy costs in nearby states
Frequently asked questions: hysterectomy costs in Hawaii
How much does a hysterectomy cost in Hawaii?
Across 9 Hawaii hospitals that publish prices, a hysterectomy ranges from $504 to $39,206, with a median of $5,191. Most facilities fall between $1,770 and $8,495. What you pay depends on the facility, your insurance, and whether you have met your deductible.
Where is the cheapest place to get a hysterectomy in Hawaii?
Based on declared prices, the lowest-cost facility in our Hawaii data is Kau Hospital in Pahala at about $1,763. Freestanding ambulatory surgery and imaging centers are often cheaper still and may not appear in hospital price data — ask your doctor whether one is an option.
Why is a hysterectomy so much cheaper at some Hawaii hospitals?
Prices vary up to 77.8× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Hawaii, the median cash (self-pay) price is $8,495 versus a median negotiated rate of $612 — about 13.9× higher. Asking for the cash price or your insurer's negotiated rate is often the single biggest lever on what you pay.
How much will I actually pay out of pocket for a hysterectomy in Hawaii?
Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network — not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.
Explore all hysterectomy cost data
→ See hysterectomy costs across all states
Other Hawaii Hospitals and ambulatory surgery centers for Hysterectomy
These hospitals and ambulatory surgery centers are registered in the CMS National Provider Identifier (NPI) registry as active hospitals and ambulatory surgery centers in Hawaii. Cost estimates use the bundled service model for each place of service. Contact them directly for a formal quote.
| Provider | City | Type | Est. Cost | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ACPAYUMO MD LLC
8089839648 |
HONOLULU, HI | General Acute Care Hospital | $2,846–$25,149 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ALI'I HEALTH CENTER
8083317960 |
KAILUA KONA, HI | Ambulatory Surgical Center | — | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ALOHA EYE CLINIC SURGICAL CENTER LLC
8088773984 |
WAILUKU, HI | Ambulatory Surgical Center | — | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ALOHA SURGICAL CENTER LLC
8088930578 |
KAHULUI, HI | Ambulatory Surgical Center | — | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ANDREW MAEDA MD LLC
8085311116 |
HONOLULU, HI | General Acute Care Hospital | $2,846–$25,149 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ASIA PACIFIC SURGERY, LLC
8085858855 |
HONOLULU, HI | Ambulatory Surgical Center | — | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BLUDOC PEDIATRICS, INC.
8087228792 |
MILILANI, HI | Children's Hospital | $2,846–$25,149 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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CASTLE AMBULATORY SURGERY CENTER, LLC
8082186850 |
KAILUA, HI | Ambulatory Surgical Center | — | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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CASTLE MEDICAL CENTER
8083635176 |
KAILUA, HI | General Acute Care Hospital | $2,846–$25,149 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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COMMUNITY CLINIC OF MAUI, INC.
8082449056 |
WAILUKU, HI | General Acute Care Hospital | $2,846–$25,149 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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DAVIS R KING MD INC.
8088746877 |
KAHULUI, HI | Ambulatory Surgical Center | — | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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GAMMA KNIFE CENTER OF THE PACIFIC INC
8085351579 |
HONOLULU, HI | Ambulatory Surgical Center | — | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
▼ Show 90 more Hawaii hospitals and ambulatory surgery centers
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Est. cost = bundled estimate (facility fee + professional fee + anesthesia where applicable) based on CMS fee schedules and commercial rate multipliers. Contact each provider for an actual quote.
Source: CMS NPPES NPI Registry. NPI numbers can be verified at npiregistry.cms.hhs.gov.
Where You Get a Hysterectomy Matters
Hospital outpatient departments typically charge 2–4× more than ASCs or independent centers for the same procedure — same outcome, very different bill.
Hospital Outpatient Department
Hospital Outpatient Department typically carries a higher price for a hysterectomy. Facility fee billed separately from professional fee. Provider-based billing adds facility overhead. You can shop here — call ahead and ask for a self-pay or cash quote.
Hospital Inpatient
Hospital Inpatient typically carries the highest price for a hysterectomy. DRG-based billing bundles most services. Professional fees billed separately. Length of stay drives cost.
What's Actually on Your Hysterectomy Bill
A hysterectomy involves multiple providers — each bills separately. Understanding each line item helps you verify your Explanation of Benefits and catch billing errors.
Hospital Outpatient
- Facility Fee — For laparoscopic and vaginal approaches.
- Ob Gyn Surgeon Professional Fee
- Anesthesia
Hospital Inpatient
- Drg Facility Stay — DRGs 742/743 for non-malignancy.
- Ob Gyn Surgeon Professional Fee
- Anesthesia
Hysterectomy Cost by Type
Which type your doctor orders changes the billing code — and what you pay. Here's how the common types differ.
Laparoscopic Total Hysterectomy
A recognized variation that can change the billing code and what you owe. Most common modern approach. Same-day or 1-night stay.
Vaginal Hysterectomy
A recognized variation that can change the billing code and what you owe.
Open (Abdominal) Hysterectomy
A recognized variation that can change the billing code and what you owe. Inpatient-only (OPPS SI=C). 2–3 day hospital stay. Higher cost.
This Procedure Is Shoppable — Choosing the Right Facility Can Save Thousands
Hysterectomy is elective and schedulable. You have time to compare facilities — and hospital outpatient prices often run 2–4× higher than Hospital OP for identical clinical outcomes.
How to shop: Ask your doctor for the CPT code, then call 2–3 facilities and request an out-of-pocket cost estimate. Confirm your insurance is accepted. If uninsured, ask for the cash-pay rate — it's usually 20–50% below the list price.
Prior Authorization Is Usually Required
Most commercial and Medicare Advantage plans require pre-approval for hysterectomy before scheduling. If your doctor submits the order without prior authorization — or if the authorization lapses — your insurer can deny the entire claim, leaving you responsible for the full cost.
Action step: Call the member services number on your insurance card before scheduling. Ask: "Does this procedure require prior authorization?" Get the authorization number in writing and confirm it's attached to the claim before your appointment.
Who performs this: Hysterectomy is typically performed by a Obstetrics & Gynecology. The specialist's professional fee is billed separately from the facility charge — you will likely receive separate bills from each.
CostKits compiles hospital price transparency data to help families make informed decisions. If you've received a bill for this procedure:
→ Analyze your medical bill for errors
→ How to negotiate your medical bills
→ Track and manage your healthcare costs (free account)
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About the Author
John Caruso, FSA, MAAA
Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.
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