Does Hilo Benioff Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Hilo Benioff Medical Center. In a medical emergency, call 911.

Where is Hilo Benioff Medical Center?

1190 Waianuenue Avenue, Hilo, HI 96720, in Hawaii County, Hawaii.

What is the phone number of Hilo Benioff Medical Center?

(808) 932-3000, as listed by Medicare (CMS).

What is the Medicare star rating of Hilo Benioff Medical Center?

3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Hilo Benioff Medical Center — Hilo, HI

Quick answers

Does Hilo Benioff Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Hilo Benioff Medical Center. In a medical emergency, call 911.
Where is Hilo Benioff Medical Center?: 1190 Waianuenue Avenue, Hilo, HI 96720, in Hawaii County, Hawaii.
What is the phone number of Hilo Benioff Medical Center?: (808) 932-3000, as listed by Medicare (CMS).
What is the Medicare star rating of Hilo Benioff Medical Center?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][6]

Conditions treated^[4][12]

Treatments^[12]

Percutaneous coronary intervention (PCI)
Cardiac catheterization

Procedures^[5][7]

Angiography
CT
MRI
Nuclear medicine
Ultrasound
CT scan
X-ray and fluoroscopy
Laboratory testing

Programs and centers^{[4][5][6][7][8]}

Behavioral health
Maternity
Intensive care unit
STEMI team
Rehabilitation services
Emergency Department
Level III Trauma Program
Progressive Care Unit
Medical Unit
Primary Stroke Center
Imaging Department
Laboratory
Pharmacy
Patient Services (case management and social work)

Emergency care (hospital website)^[4][6]

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level III
Stroke designation	Primary Stroke Center

Visiting and practical information

Visiting	General visiting hours 8 am to 8 pm, with 4 visitors at a time^[10]
Parking	Valet parking $8 at main entrance; wheelchair/transport help by calling (808) 747-0275 from visitor lots^[11]
Interpreters and languages	Free language assistance services are available for patients who speak a foreign language^[4]

Doctors and clinicians (329)

329 doctors and other clinicians list Hilo Benioff Medical Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 305 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Honoka'a Hospital and Skilled Nursing34 mi · Honokaa, HI · Critical Access Hospital
Kau Hospital43 mi · Pahala, HI · Critical Access Hospital
North Hawaii Community Hospital, Inc49 mi · Kamuela, HI · Acute Care Hospital
Kona Community Hospital54 mi · Kealakekua, HI · Acute Care Hospital
Kohala Hospital57 mi · Kapaau, HI · Critical Access Hospital

Other hospitals nearby

Maui Memorial Medical Center120 mi · Wailuku, HI · Acute Care Hospital

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

Yukio Okutsu State Veterans Home0.2 mi · Hilo, HI · 5 of 5 stars
Hilo Benioff Medical Center0.2 mi · Hilo, HI · 4 of 5 stars
Hale Anuenue Restorative Care0.2 mi · Hilo, HI · 4 of 5 stars

All nursing homes in the state →

Hospice providers

DBA Hawai'i Care Choices8.7 mi · Hilo, HI · 4 of 5 stars

All hospice providers in the state →

Home health agencies

Bayada Home Health Care8.7 mi · Hilo, HI · 3 of 5 stars

All home health agencies in the state →

Dialysis facilities

Fresenius Kidney Care Hilo Lanikaula8.7 mi · Hilo, HI · 3 of 5 stars
Liberty Dialysis Hawaii - Hilo Dialysis8.7 mi · Hilo, HI · 3 of 5 stars
USRC Hilo Dialysis8.7 mi · Hilo, HI · 2 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

Hawaii Vision Surgical Suites LLC8.7 mi · Hilo, HI
Hilo Community Surgery Center8.7 mi · Hilo, HI
The Endoscopy Center8.7 mi · Hilo, HI

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Hilo Woman's Health Center1.0 mi · Hilo, HI · Community health center
Wailuku Family Health Center1.5 mi · Hilo, HI · Community health center
Administration Office2.0 mi · Hilo, HI · Community health center

Clinics and urgent care

East Hawaii Health Clinic at 1190 Waianuenue8.7 mi · Hilo, HI · Rural health clinic
East Hawaii Health Clinic at 1285 Waianuenue8.7 mi · Hilo, HI · Rural health clinic
East Hawaii Health Primary Care8.7 mi · Hilo, HI · Rural health clinic

Pharmacies

Clinical Pharmacy Consultants8.7 mi · Hilo, HI · Community/retail pharmacy
Clinical Pharmacy Consultants8.7 mi · Hilo, HI · Community/retail pharmacy
Duke Ann Corporation8.7 mi · Hilo, HI · Community/retail pharmacy

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Hilo Benioff Medical Center reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	2 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	3 of 5 stars
Doctors communicated well	3 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	1 of 5 stars
Rated the hospital 9 or 10 out of 10	62%National average: 72%
Would definitely recommend the hospital	63%National average: 71%
Nurses “always” communicated well	77%National average: 80%
Doctors “always” communicated well	77%National average: 80%
Staff “always” explained medicines before giving them	58%National average: 62%
Were given information about recovery at home	85%National average: 86%
Room and bathroom “always” clean	72%National average: 74%
Area around the room “always” quiet at night	36%National average: 60%
Completed surveys	758Response rate: 23%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)	0Better than the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.404No different from the national benchmark
Surgical site infections after colon surgery	0.513No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	0No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.449Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients	10.8%
Deaths within 30 days: heart failure patients	10.1%
Deaths within 30 days: pneumonia patients	18.5%
Deaths within 30 days: COPD patients	7.3%
Deaths within 30 days: stroke patients	10.2%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	1.41No different from the national rate
Complications after hip or knee replacement	Too few cases to report

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	14.4%
Readmitted within 30 days: heart failure	22.5%
Readmitted within 30 days: pneumonia	17.8%
Readmitted within 30 days: COPD	19.8%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	5.6%

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)	High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	148 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	67%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in Hawaii Best hospitals in Hawaii

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 75 common services exactly as Hilo Benioff Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES	$215.90	$129.54	$70.97 – $183.51
New patient office visit (about 30–44 minutes): 10 of 15 insurance plan rates AlohaCare — Medicaid: $82.26 AlohaCare — Medicare: $70.97 Devoted Health — Medicare: $78.07 Hawaii Medical Service Association — ABD: $82.26 Hawaii Medical Service Association — Medicare: $70.97 Hawaii Medical Service Association — Non-ABD: $82.26 Hawaii Western Management Group — Commercial: $77.24 Health Management Network — Commercial: $183.51 Kaiser Permanente — Commercial: $85.16 Kaiser Permanente — Medicaid: $85.16
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PBB OFFICE OUTPATIENT NEW 30 MINUTES	$654	$392.40	$68.82 – $634.38
New patient office visit (about 30–44 minutes): rates for 7 insurance plans Hawaii Western Management Group — Commercial: $621.30 Health Management Network — Commercial: $555.90 Kaiser Permanente — Commercial: $412.02 Kaiser Permanente — Medicaid: $333.54 MDX Hawaii — PPO: $634.38 UnitedHealthcare — Medicaid: $68.82 University Health Alliance — Commercial: $476.70
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PBB OFFICE OUTPATIENT NEW 30 MINUTES	$654	$392.40	$555.90 – $634.38
New patient office visit (about 30–44 minutes): rates for 2 insurance plans Health Management Network — Commercial: $555.90 MDX Hawaii — PPO: $634.38
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES	$324.26	$194.56	$112.99 – $275.62
New patient office visit (about 45–59 minutes): 10 of 15 insurance plan rates AlohaCare — Medicaid: $134.25 AlohaCare — Medicare: $116.55 Devoted Health — Medicare: $128.21 Hawaii Medical Service Association — ABD: $134.25 Hawaii Medical Service Association — Medicare: $116.55 Hawaii Medical Service Association — Non-ABD: $134.25 Hawaii Western Management Group — Commercial: $112.99 Health Management Network — Commercial: $275.62 Kaiser Permanente — Commercial: $139.86 Kaiser Permanente — Medicaid: $139.86
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PBB OFFICE OUTPATIENT NEW 45 MINUTES	$743	$445.80	$99.17 – $720.71
New patient office visit (about 45–59 minutes): rates for 7 insurance plans Hawaii Western Management Group — Commercial: $705.85 Health Management Network — Commercial: $631.55 Kaiser Permanente — Commercial: $468.09 Kaiser Permanente — Medicaid: $378.93 MDX Hawaii — PPO: $720.71 UnitedHealthcare — Medicaid: $99.17 University Health Alliance — Commercial: $541.57
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PBB OFFICE OUTPATIENT NEW 45 MINUTES	$743	$445.80	$631.55 – $720.71
New patient office visit (about 45–59 minutes): rates for 2 insurance plans Health Management Network — Commercial: $631.55 MDX Hawaii — PPO: $720.71
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES	$431.43	$258.86	$135.52 – $366.72
New patient office visit (about 60–74 minutes): 10 of 15 insurance plan rates AlohaCare — Medicaid: $182.72 AlohaCare — Medicare: $159.56 Devoted Health — Medicare: $175.52 Hawaii Medical Service Association — ABD: $182.72 Hawaii Medical Service Association — Medicare: $159.56 Hawaii Medical Service Association — Non-ABD: $182.72 Hawaii Western Management Group — Commercial: $135.52 Health Management Network — Commercial: $366.72 Kaiser Permanente — Commercial: $191.47 Kaiser Permanente — Medicaid: $191.47
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PBB OFFICE OUTPATIENT NEW 60 MINUTES	$825	$495	$122.28 – $800.25
New patient office visit (about 60–74 minutes): rates for 7 insurance plans Hawaii Western Management Group — Commercial: $783.75 Health Management Network — Commercial: $701.25 Kaiser Permanente — Commercial: $519.75 Kaiser Permanente — Medicaid: $420.75 MDX Hawaii — PPO: $800.25 UnitedHealthcare — Medicaid: $122.28 University Health Alliance — Commercial: $601.34
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PBB OFFICE OUTPATIENT NEW 60 MINUTES	$825	$495	$701.25 – $800.25
New patient office visit (about 60–74 minutes): rates for 2 insurance plans Health Management Network — Commercial: $701.25 MDX Hawaii — PPO: $800.25
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN	$176.07	$105.64	$42.37 – $149.66
Established patient office visit (about 20–29 minutes): 10 of 15 insurance plan rates AlohaCare — Medicaid: $66.56 AlohaCare — Medicare: $57.69 Devoted Health — Medicare: $63.46 Hawaii Medical Service Association — ABD: $66.56 Hawaii Medical Service Association — Medicare: $57.69 Hawaii Medical Service Association — Non-ABD: $66.56 Hawaii Western Management Group — Commercial: $42.37 Health Management Network — Commercial: $149.66 Kaiser Permanente — Commercial: $69.23 Kaiser Permanente — Medicaid: $69.23
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PBB OFFICE OUTPATIENT VISIT 15 MINUTES	$627	$376.20	$36.31 – $608.19
Established patient office visit (about 20–29 minutes): rates for 7 insurance plans Hawaii Western Management Group — Commercial: $595.65 Health Management Network — Commercial: $532.95 Kaiser Permanente — Commercial: $395.01 Kaiser Permanente — Medicaid: $319.77 MDX Hawaii — PPO: $608.19 UnitedHealthcare — Medicaid: $36.31 University Health Alliance — Commercial: $457.02
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC L&D OP VISIT EP LEVEL 3	$627	$376.20	$36.31 – $608.19
Established patient office visit (about 20–29 minutes): rates for 7 insurance plans Hawaii Western Management Group — Commercial: $595.65 Health Management Network — Commercial: $532.95 Kaiser Permanente — Commercial: $395.01 Kaiser Permanente — Medicaid: $319.77 MDX Hawaii — PPO: $608.19 UnitedHealthcare — Medicaid: $36.31 University Health Alliance — Commercial: $457.02
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN	$249.88	$149.93	$63.45 – $212.40
Established patient office visit (about 30–39 minutes): 10 of 15 insurance plan rates AlohaCare — Medicaid: $98.27 AlohaCare — Medicare: $84.69 Devoted Health — Medicare: $93.16 Hawaii Medical Service Association — ABD: $98.27 Hawaii Medical Service Association — Medicare: $84.69 Hawaii Medical Service Association — Non-ABD: $98.27 Hawaii Western Management Group — Commercial: $63.45 Health Management Network — Commercial: $212.40 Kaiser Permanente — Commercial: $101.63 Kaiser Permanente — Medicaid: $101.63
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PBB OFFICE OUTPATIENT VISIT 25 MINUTES	$680	$408	$56.46 – $659.60
Established patient office visit (about 30–39 minutes): rates for 7 insurance plans Hawaii Western Management Group — Commercial: $646 Health Management Network — Commercial: $578 Kaiser Permanente — Commercial: $428.40 Kaiser Permanente — Medicaid: $346.80 MDX Hawaii — PPO: $659.60 UnitedHealthcare — Medicaid: $56.46 University Health Alliance — Commercial: $495.65
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC L&D OP VISIT EP LEVEL 4	$680	$408	$56.46 – $659.60
Established patient office visit (about 30–39 minutes): rates for 7 insurance plans Hawaii Western Management Group — Commercial: $646 Health Management Network — Commercial: $578 Kaiser Permanente — Commercial: $428.40 Kaiser Permanente — Medicaid: $346.80 MDX Hawaii — PPO: $659.60 UnitedHealthcare — Medicaid: $56.46 University Health Alliance — Commercial: $495.65
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES	$206	$123.60	$89.13 – $175.10
Office consultation with a specialist (moderate): rates for 4 insurance plans Hawaii Medical Service Association — ABD: $89.13 Hawaii Medical Service Association — Non-ABD: $89.13 Hawaii Western Management Group — Commercial: $105.54 Health Management Network — Commercial: $175.10
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES	$293	$175.80	$136.13 – $249.05
Office consultation with a specialist (moderate to high): rates for 4 insurance plans Hawaii Medical Service Association — ABD: $136.13 Hawaii Medical Service Association — Non-ABD: $136.13 Hawaii Western Management Group — Commercial: $139.47 Health Management Network — Commercial: $249.05
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Doctor (professional) fee In the file: PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS	$249	$149.40	$64.63 – $211.65
Preventive checkup, new patient, age 18–39: rates for 7 insurance plans AlohaCare — Medicaid: $94.46 Hawaii Medical Service Association — ABD: $92.91 Hawaii Medical Service Association — Non-ABD: $92.91 Hawaii Western Management Group — Commercial: $64.63 Health Management Network — Commercial: $211.65 Ohana Health Plan — Medicaid: $94.46 UnitedHealthcare — Medicaid: $94.46
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Doctor (professional) fee In the file: PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS	$286	$171.60	$64.63 – $243.10
Preventive checkup, new patient, age 40–64: rates for 7 insurance plans AlohaCare — Medicaid: $114.60 Hawaii Medical Service Association — ABD: $112.73 Hawaii Medical Service Association — Non-ABD: $112.73 Hawaii Western Management Group — Commercial: $64.63 Health Management Network — Commercial: $243.10 Ohana Health Plan — Medicaid: $114.60 UnitedHealthcare — Medicaid: $114.60
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 3 VISIT MODERATE SEVERITY	$1,807	$1,084.20	$140 – $1,752.79
Emergency room visit (moderate): 10 of 19 insurance plan rates AlohaCare — Medicaid: $140 AlohaCare — Medicare: $322.48 Devoted Health — Medicare: $354.73 Hawaii Medical Service Association — ABD: $569 Hawaii Medical Service Association — Commercial: $1,600 Hawaii Medical Service Association — Medicare: $322.48 Hawaii Medical Service Association — Non-ABD: $520 Hawaii Western Management Group — Commercial: $1,716.65 Health Management Network — Commercial: $1,535.95 Humana — Medicare: $322.48
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Doctor (professional) fee In the file: PR EMERGENCY DEPARTMENT VISIT LOW MDM	$118.90	$71.34	$67.94 – $107.92
Emergency room visit (moderate): 10 of 13 insurance plan rates AlohaCare — Medicaid: $69.44 AlohaCare — Medicare: $67.94 Devoted Health — Medicare: $74.73 Hawaii Medical Service Association — Medicare: $67.94 Hawaii Western Management Group — Commercial: $107.92 Health Management Network — Commercial: $101.06 Kaiser Permanente — Commercial: $81.53 Kaiser Permanente — Medicaid: $81.53 Kaiser Permanente — Medicare: $81.53 Ohana Health Plan — Medicaid: $69.44
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 3 VISIT MODERATE SEVERITY	$1,807	$1,084.20	$1,535.95 – $1,752.79
Emergency room visit (moderate): rates for 2 insurance plans Health Management Network — Commercial: $1,535.95 MDX Hawaii — PPO: $1,752.79
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY	$3,071	$1,842.60	$140 – $2,978.87
Emergency room visit (moderately high): 10 of 19 insurance plan rates AlohaCare — Medicaid: $140 AlohaCare — Medicare: $492.93 Devoted Health — Medicare: $542.22 Hawaii Medical Service Association — ABD: $569 Hawaii Medical Service Association — Commercial: $1,600 Hawaii Medical Service Association — Medicare: $492.93 Hawaii Medical Service Association — Non-ABD: $520 Hawaii Western Management Group — Commercial: $2,917.45 Health Management Network — Commercial: $2,610.35 Humana — Medicare: $492.93
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Doctor (professional) fee In the file: PR EMERGENCY DEPARTMENT VISIT MODERATE MDM	$201.92	$121.15	$115.38 – $171.63
Emergency room visit (moderately high): 10 of 13 insurance plan rates AlohaCare — Medicaid: $118.04 AlohaCare — Medicare: $115.38 Devoted Health — Medicare: $126.92 Hawaii Medical Service Association — Medicare: $115.38 Hawaii Western Management Group — Commercial: $119.86 Health Management Network — Commercial: $171.63 Kaiser Permanente — Commercial: $138.46 Kaiser Permanente — Medicaid: $138.46 Kaiser Permanente — Medicare: $138.46 Ohana Health Plan — Medicaid: $118.04
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY	$3,071	$1,842.60	$2,610.35 – $2,978.87
Emergency room visit (moderately high): rates for 2 insurance plans Health Management Network — Commercial: $2,610.35 MDX Hawaii — PPO: $2,978.87
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC	$4,879	$2,927.40	$140 – $4,732.63
Emergency room visit (high): 10 of 19 insurance plan rates AlohaCare — Medicaid: $140 AlohaCare — Medicare: $703.53 Devoted Health — Medicare: $773.88 Hawaii Medical Service Association — ABD: $569 Hawaii Medical Service Association — Commercial: $1,600 Hawaii Medical Service Association — Medicare: $703.53 Hawaii Medical Service Association — Non-ABD: $520 Hawaii Western Management Group — Commercial: $4,635.05 Health Management Network — Commercial: $4,147.15 Humana — Medicare: $703.53
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Doctor (professional) fee In the file: PR EMERGENCY DEPARTMENT VISIT HIGH MDM	$293.25	$175.95	$167.57 – $249.26
Emergency room visit (high): 10 of 13 insurance plan rates AlohaCare — Medicaid: $170.83 AlohaCare — Medicare: $167.57 Devoted Health — Medicare: $184.33 Hawaii Medical Service Association — Medicare: $167.57 Hawaii Western Management Group — Commercial: $189.10 Health Management Network — Commercial: $249.26 Kaiser Permanente — Commercial: $201.08 Kaiser Permanente — Medicaid: $201.08 Kaiser Permanente — Medicare: $201.08 Ohana Health Plan — Medicaid: $170.83
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC	$4,879	$2,927.40	$4,147.15 – $4,732.63
Emergency room visit (high): rates for 2 insurance plans Health Management Network — Commercial: $4,147.15 MDX Hawaii — PPO: $4,732.63

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL CALCIUM TOTAL - BUNDLED CHARGE	$71	$42.60	$8.46 – $68.87
Basic metabolic panel (blood test): 10 of 19 insurance plan rates AlohaCare — Medicaid: $8.46 AlohaCare — Medicare: $8.46 Devoted Health — Medicare: $9.31 Hawaii Medical Service Association — ABD: $11.70 Hawaii Medical Service Association — Commercial: $10.57 Hawaii Medical Service Association — Medicare: $8.46 Hawaii Medical Service Association — Non-ABD: $12.29 Hawaii Western Management Group — Commercial: $8.46 Health Management Network — Commercial: $60.35 Humana — Medicare: $8.46
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL CALCIUM TOTAL - BUNDLED CHARGE	$71	$42.60	$60.35 – $68.87
Basic metabolic panel (blood test): rates for 2 insurance plans Health Management Network — Commercial: $60.35 MDX Hawaii — PPO: $68.87
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE	$89	$53.40	$10.56 – $86.33
Comprehensive metabolic panel (blood test): 10 of 19 insurance plan rates AlohaCare — Medicaid: $10.56 AlohaCare — Medicare: $10.56 Devoted Health — Medicare: $11.62 Hawaii Medical Service Association — ABD: $14.61 Hawaii Medical Service Association — Commercial: $13.20 Hawaii Medical Service Association — Medicare: $10.56 Hawaii Medical Service Association — Non-ABD: $15.34 Hawaii Western Management Group — Commercial: $10.56 Health Management Network — Commercial: $75.65 Humana — Medicare: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG COMPREHENSIVE METABOLIC PANEL	$18	$10.80	$10.56 – $22.20
Comprehensive metabolic panel (blood test): 10 of 13 insurance plan rates AlohaCare — Medicaid: $14.61 AlohaCare — Medicare: $10.56 Devoted Health — Medicare: $11.62 Hawaii Medical Service Association — Medicare: $10.56 Hawaii Western Management Group — Commercial: $22.20 Health Management Network — Commercial: $15.30 Kaiser Permanente — Commercial: $12.67 Kaiser Permanente — Medicaid: $12.67 Kaiser Permanente — Medicare: $12.67 Ohana Health Plan — Medicaid: $14.61
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE	$89	$53.40	$75.65 – $86.33
Comprehensive metabolic panel (blood test): rates for 2 insurance plans Health Management Network — Commercial: $75.65 MDX Hawaii — PPO: $86.33
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL - BUNDLED CHARGE	$112	$67.20	$13.39 – $108.64
Cholesterol panel (lipid panel): 10 of 19 insurance plan rates AlohaCare — Medicaid: $13.39 AlohaCare — Medicare: $13.39 Devoted Health — Medicare: $14.73 Hawaii Medical Service Association — ABD: $18.51 Hawaii Medical Service Association — Commercial: $16.74 Hawaii Medical Service Association — Medicare: $13.39 Hawaii Medical Service Association — Non-ABD: $19.44 Hawaii Western Management Group — Commercial: $13.39 Health Management Network — Commercial: $95.20 Humana — Medicare: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG LIPID PANEL	$23	$13.80	$13.39 – $19.55
Cholesterol panel (lipid panel): 10 of 13 insurance plan rates AlohaCare — Medicaid: $18.51 AlohaCare — Medicare: $13.39 Devoted Health — Medicare: $14.73 Hawaii Medical Service Association — Medicare: $13.39 Hawaii Western Management Group — Commercial: $18.50 Health Management Network — Commercial: $19.55 Kaiser Permanente — Commercial: $16.07 Kaiser Permanente — Medicaid: $16.07 Kaiser Permanente — Medicare: $16.07 Ohana Health Plan — Medicaid: $18.51
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LIPID PANEL - BUNDLED CHARGE	$112	$67.20	$95.20 – $108.64
Cholesterol panel (lipid panel): rates for 2 insurance plans Health Management Network — Commercial: $95.20 MDX Hawaii — PPO: $108.64
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL - BUNDLED CHARGE	$73	$43.80	$8.68 – $70.81
Kidney function panel: 10 of 19 insurance plan rates AlohaCare — Medicaid: $8.68 AlohaCare — Medicare: $8.68 Devoted Health — Medicare: $9.55 Hawaii Medical Service Association — ABD: $12 Hawaii Medical Service Association — Commercial: $10.85 Hawaii Medical Service Association — Medicare: $8.68 Hawaii Medical Service Association — Non-ABD: $12.60 Hawaii Western Management Group — Commercial: $8.68 Health Management Network — Commercial: $62.05 Humana — Medicare: $8.68
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL - BUNDLED CHARGE	$73	$43.80	$62.05 – $70.81
Kidney function panel: rates for 2 insurance plans Health Management Network — Commercial: $62.05 MDX Hawaii — PPO: $70.81
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE	$69	$41.40	$8.17 – $66.93
Liver function panel: 10 of 19 insurance plan rates AlohaCare — Medicaid: $8.17 AlohaCare — Medicare: $8.17 Devoted Health — Medicare: $8.99 Hawaii Medical Service Association — ABD: $11.29 Hawaii Medical Service Association — Commercial: $10.21 Hawaii Medical Service Association — Medicare: $8.17 Hawaii Medical Service Association — Non-ABD: $11.85 Hawaii Western Management Group — Commercial: $8.17 Health Management Network — Commercial: $58.65 Humana — Medicare: $8.17
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE	$69	$41.40	$58.65 – $66.93
Liver function panel: rates for 2 insurance plans Health Management Network — Commercial: $58.65 MDX Hawaii — PPO: $66.93
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO, W/SCOPE - URINALYSIS MICROSCOPIC	$27	$16.20	$3.17 – $26.19
Urine test (automated, with microscope): 10 of 19 insurance plan rates AlohaCare — Medicaid: $3.17 AlohaCare — Medicare: $3.17 Devoted Health — Medicare: $3.49 Hawaii Medical Service Association — ABD: $4.37 Hawaii Medical Service Association — Commercial: $3.96 Hawaii Medical Service Association — Medicare: $3.17 Hawaii Medical Service Association — Non-ABD: $4.59 Hawaii Western Management Group — Commercial: $3.17 Health Management Network — Commercial: $22.95 Humana — Medicare: $3.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO, W/SCOPE - UA REFLEX C&S	$27	$16.20	$3.17 – $26.19
Urine test (automated, with microscope): 10 of 19 insurance plan rates AlohaCare — Medicaid: $3.17 AlohaCare — Medicare: $3.17 Devoted Health — Medicare: $3.49 Hawaii Medical Service Association — ABD: $4.37 Hawaii Medical Service Association — Commercial: $3.96 Hawaii Medical Service Association — Medicare: $3.17 Hawaii Medical Service Association — Non-ABD: $4.59 Hawaii Western Management Group — Commercial: $3.17 Health Management Network — Commercial: $22.95 Humana — Medicare: $3.17
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO, W/SCOPE - URINALYSIS MICROSCOPIC	$27	$16.20	$22.95 – $26.19
Urine test (automated, with microscope): rates for 2 insurance plans Health Management Network — Commercial: $22.95 MDX Hawaii — PPO: $26.19
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS NONAUTO W/O SCOPE	$29	$17.40	$3.48 – $28.13
Urine test (manual, without microscope): 10 of 19 insurance plan rates AlohaCare — Medicaid: $3.48 AlohaCare — Medicare: $3.48 Devoted Health — Medicare: $3.83 Hawaii Medical Service Association — ABD: $3.54 Hawaii Medical Service Association — Commercial: $4.35 Hawaii Medical Service Association — Medicare: $3.48 Hawaii Medical Service Association — Non-ABD: $3.72 Hawaii Western Management Group — Commercial: $3.48 Health Management Network — Commercial: $24.65 Humana — Medicare: $3.48
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP	$6	$3.60	$3.48 – $5.10
Urine test (manual, without microscope): 10 of 13 insurance plan rates AlohaCare — Medicaid: $3.54 AlohaCare — Medicare: $3.48 Devoted Health — Medicare: $3.83 Hawaii Medical Service Association — Medicare: $3.48 Hawaii Western Management Group — Commercial: $3.55 Health Management Network — Commercial: $5.10 Kaiser Permanente — Commercial: $4.18 Kaiser Permanente — Medicaid: $4.18 Kaiser Permanente — Medicare: $4.18 Ohana Health Plan — Medicaid: $3.54
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS NONAUTO W/O SCOPE	$29	$17.40	$24.65 – $28.13
Urine test (manual, without microscope): rates for 2 insurance plans Health Management Network — Commercial: $24.65 MDX Hawaii — PPO: $28.13
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO, W/O SCOPE - URINALYSIS CHEM ONLY	$19	$11.40	$2.25 – $18.43
Urine test (automated, without microscope): 10 of 19 insurance plan rates AlohaCare — Medicaid: $2.25 AlohaCare — Medicare: $2.25 Devoted Health — Medicare: $2.48 Hawaii Medical Service Association — ABD: $3.10 Hawaii Medical Service Association — Commercial: $2.81 Hawaii Medical Service Association — Medicare: $2.25 Hawaii Medical Service Association — Non-ABD: $3.26 Hawaii Western Management Group — Commercial: $2.25 Health Management Network — Commercial: $16.15 Humana — Medicare: $2.25
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY	$4	$2.40	$2.25 – $3.40
Urine test (automated, without microscope): 10 of 13 insurance plan rates AlohaCare — Medicaid: $3.10 AlohaCare — Medicare: $2.25 Devoted Health — Medicare: $2.48 Hawaii Medical Service Association — Medicare: $2.25 Hawaii Western Management Group — Commercial: $3.10 Health Management Network — Commercial: $3.40 Kaiser Permanente — Commercial: $2.70 Kaiser Permanente — Medicaid: $2.70 Kaiser Permanente — Medicare: $2.70 Ohana Health Plan — Medicaid: $3.10
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO, W/O SCOPE - URINALYSIS CHEM ONLY	$19	$11.40	$16.15 – $18.43
Urine test (automated, without microscope): rates for 2 insurance plans Health Management Network — Commercial: $16.15 MDX Hawaii — PPO: $18.43
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA	$154	$92.40	$18.39 – $149.38
PSA (prostate specific antigen) blood test: 10 of 19 insurance plan rates AlohaCare — Medicaid: $18.39 AlohaCare — Medicare: $18.39 Devoted Health — Medicare: $20.23 Hawaii Medical Service Association — ABD: $25.42 Hawaii Medical Service Association — Commercial: $22.99 Hawaii Medical Service Association — Medicare: $18.39 Hawaii Medical Service Association — Non-ABD: $26.69 Hawaii Western Management Group — Commercial: $18.39 Health Management Network — Commercial: $130.90 Humana — Medicare: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA	$154	$92.40	$130.90 – $149.38
PSA (prostate specific antigen) blood test: rates for 2 insurance plans Health Management Network — Commercial: $130.90 MDX Hawaii — PPO: $149.38
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ASSAY THYROID STIM HORMONE - THYROID STIMULATING HORMONE	$141	$84.60	$16.80 – $136.77
Thyroid stimulating hormone (TSH) test: 10 of 19 insurance plan rates AlohaCare — Medicaid: $16.80 AlohaCare — Medicare: $16.80 Devoted Health — Medicare: $18.48 Hawaii Medical Service Association — ABD: $23.21 Hawaii Medical Service Association — Commercial: $21 Hawaii Medical Service Association — Medicare: $16.80 Hawaii Medical Service Association — Non-ABD: $24.37 Hawaii Western Management Group — Commercial: $16.80 Health Management Network — Commercial: $119.85 Humana — Medicare: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ASSAY THYROID STIM HORMONE - THYROID STIMULATING HORMONE	$141	$84.60	$119.85 – $136.77
Thyroid stimulating hormone (TSH) test: rates for 2 insurance plans Health Management Network — Commercial: $119.85 MDX Hawaii — PPO: $136.77
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPLETE CBC & AUTO DIFF WBC - ADDITIONAL CHARGE	$65	$39	$7.77 – $63.05
Complete blood count (CBC) with differential: 10 of 19 insurance plan rates AlohaCare — Medicaid: $7.77 AlohaCare — Medicare: $7.77 Devoted Health — Medicare: $8.55 Hawaii Medical Service Association — ABD: $10.74 Hawaii Medical Service Association — Commercial: $9.71 Hawaii Medical Service Association — Medicare: $7.77 Hawaii Medical Service Association — Non-ABD: $11.28 Hawaii Western Management Group — Commercial: $7.77 Health Management Network — Commercial: $55.25 Humana — Medicare: $7.77
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC	$14	$8.40	$7.77 – $11.90
Complete blood count (CBC) with differential: 10 of 13 insurance plan rates AlohaCare — Medicaid: $10.74 AlohaCare — Medicare: $7.77 Devoted Health — Medicare: $8.55 Hawaii Medical Service Association — Medicare: $7.77 Hawaii Western Management Group — Commercial: $10.75 Health Management Network — Commercial: $11.90 Kaiser Permanente — Commercial: $9.32 Kaiser Permanente — Medicaid: $9.32 Kaiser Permanente — Medicare: $9.32 Ohana Health Plan — Medicaid: $10.74
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPLETE CBC & AUTO DIFF WBC - ADDITIONAL CHARGE	$65	$39	$55.25 – $63.05
Complete blood count (CBC) with differential: rates for 2 insurance plans Health Management Network — Commercial: $55.25 MDX Hawaii — PPO: $63.05
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPLETE CBC - CBC	$54	$32.40	$6.47 – $52.38
Complete blood count (CBC), automated: 10 of 19 insurance plan rates AlohaCare — Medicaid: $6.47 AlohaCare — Medicare: $6.47 Devoted Health — Medicare: $7.12 Hawaii Medical Service Association — ABD: $8.95 Hawaii Medical Service Association — Commercial: $8.09 Hawaii Medical Service Association — Medicare: $6.47 Hawaii Medical Service Association — Non-ABD: $9.40 Hawaii Western Management Group — Commercial: $6.47 Health Management Network — Commercial: $45.90 Humana — Medicare: $6.47
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPLETE CBC - CBC	$54	$32.40	$45.90 – $52.38
Complete blood count (CBC), automated: rates for 2 insurance plans Health Management Network — Commercial: $45.90 MDX Hawaii — PPO: $52.38
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME	$36	$21.60	$4.29 – $34.92
Blood clotting time test (prothrombin time, PT): 10 of 19 insurance plan rates AlohaCare — Medicaid: $4.29 AlohaCare — Medicare: $4.29 Devoted Health — Medicare: $4.72 Hawaii Medical Service Association — ABD: $5.43 Hawaii Medical Service Association — Commercial: $5.36 Hawaii Medical Service Association — Medicare: $4.29 Hawaii Medical Service Association — Non-ABD: $5.70 Hawaii Western Management Group — Commercial: $4.29 Health Management Network — Commercial: $30.60 Humana — Medicare: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG PROTHROMBIN TIME	$8	$4.80	$4.29 – $6.80
Blood clotting time test (prothrombin time, PT): 10 of 13 insurance plan rates AlohaCare — Medicaid: $5.43 AlohaCare — Medicare: $4.29 Devoted Health — Medicare: $4.72 Hawaii Medical Service Association — Medicare: $4.29 Hawaii Western Management Group — Commercial: $5.43 Health Management Network — Commercial: $6.80 Kaiser Permanente — Commercial: $5.15 Kaiser Permanente — Medicaid: $5.15 Kaiser Permanente — Medicare: $5.15 Ohana Health Plan — Medicaid: $5.43
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME	$36	$21.60	$30.60 – $34.92
Blood clotting time test (prothrombin time, PT): rates for 2 insurance plans Health Management Network — Commercial: $30.60 MDX Hawaii — PPO: $34.92
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THROMBOPLAS TIME PARTIAL - PTT SO	$50	$30	$6.01 – $48.50
Blood clotting test (partial thromboplastin time, PTT): 10 of 19 insurance plan rates AlohaCare — Medicaid: $6.01 AlohaCare — Medicare: $6.01 Devoted Health — Medicare: $6.61 Hawaii Medical Service Association — ABD: $8.30 Hawaii Medical Service Association — Commercial: $7.51 Hawaii Medical Service Association — Medicare: $6.01 Hawaii Medical Service Association — Non-ABD: $8.72 Hawaii Western Management Group — Commercial: $6.01 Health Management Network — Commercial: $42.50 Humana — Medicare: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THROMBOPLAS TIME PARTIAL - PTT	$50	$30	$6.01 – $48.50
Blood clotting test (partial thromboplastin time, PTT): 10 of 19 insurance plan rates AlohaCare — Medicaid: $6.01 AlohaCare — Medicare: $6.01 Devoted Health — Medicare: $6.61 Hawaii Medical Service Association — ABD: $8.30 Hawaii Medical Service Association — Commercial: $7.51 Hawaii Medical Service Association — Medicare: $6.01 Hawaii Medical Service Association — Non-ABD: $8.72 Hawaii Western Management Group — Commercial: $6.01 Health Management Network — Commercial: $42.50 Humana — Medicare: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC THROMBOPLAS TIME PARTIAL - PTT SO	$50	$30	$42.50 – $48.50
Blood clotting test (partial thromboplastin time, PTT): rates for 2 insurance plans Health Management Network — Commercial: $42.50 MDX Hawaii — PPO: $48.50

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL - CT HEAD WO CONTRAST	$529	$317.40	$123.50 – $513.13
CT scan of the head or brain, without contrast: 10 of 19 insurance plan rates AlohaCare — Medicaid: $123.50 AlohaCare — Medicare: $123.50 Devoted Health — Medicare: $135.85 Hawaii Medical Service Association — ABD: $139.10 Hawaii Medical Service Association — Commercial: $154.38 Hawaii Medical Service Association — Medicare: $123.50 Hawaii Medical Service Association — Non-ABD: $169.03 Hawaii Western Management Group — Commercial: $123.50 Health Management Network — Commercial: $449.65 Humana — Medicare: $123.50
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG CT HEAD/BRAIN W/O CONTRAST MATERIAL	$326	$195.60	$71.70 – $277.10
CT scan of the head or brain, without contrast: 10 of 13 insurance plan rates AlohaCare — Medicaid: $71.70 AlohaCare — Medicare: $116.23 Devoted Health — Medicare: $127.85 Hawaii Medical Service Association — Medicare: $116.23 Hawaii Western Management Group — Commercial: $254.45 Health Management Network — Commercial: $277.10 Kaiser Permanente — Commercial: $139.48 Kaiser Permanente — Medicaid: $139.48 Kaiser Permanente — Medicare: $139.48 Ohana Health Plan — Medicaid: $71.70
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL - CT HEAD WO CONTRAST	$529	$317.40	$449.65 – $513.13
CT scan of the head or brain, without contrast: rates for 2 insurance plans Health Management Network — Commercial: $449.65 MDX Hawaii — PPO: $513.13
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI BRAIN COMBO - MRI BRAIN W WO CONTRAST	$1,776	$1,065.60	$412.14 – $1,722.72
MRI of the brain, before and after contrast: 10 of 19 insurance plan rates AlohaCare — Medicaid: $412.14 AlohaCare — Medicare: $412.14 Devoted Health — Medicare: $453.35 Hawaii Medical Service Association — ABD: $879.74 Hawaii Medical Service Association — Commercial: $515.17 Hawaii Medical Service Association — Medicare: $412.14 Hawaii Medical Service Association — Non-ABD: $923.73 Hawaii Western Management Group — Commercial: $412.14 Health Management Network — Commercial: $1,509.60 Humana — Medicare: $412.14
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL	$607	$364.20	$216.78 – $1,225.62
MRI of the brain, before and after contrast: 10 of 13 insurance plan rates AlohaCare — Medicaid: $216.78 AlohaCare — Medicare: $347.21 Devoted Health — Medicare: $381.93 Hawaii Medical Service Association — Medicare: $347.21 Hawaii Western Management Group — Commercial: $1,225.62 Health Management Network — Commercial: $515.95 Kaiser Permanente — Commercial: $416.65 Kaiser Permanente — Medicaid: $416.65 Kaiser Permanente — Medicare: $416.65 Ohana Health Plan — Medicaid: $216.78
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI BRAIN COMBO - MRI BRAIN W WO CONTRAST	$1,776	$1,065.60	$1,509.60 – $1,722.72
MRI of the brain, before and after contrast: rates for 2 insurance plans Health Management Network — Commercial: $1,509.60 MDX Hawaii — PPO: $1,722.72
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RADIOLOGIC EXAM CHEST 2 VIEWS - XR CHEST 2 VIEWS	$438	$262.80	$20.40 – $424.86
Chest X-ray, 2 views: 10 of 19 insurance plan rates AlohaCare — Medicaid: $102.81 AlohaCare — Medicare: $102.81 Devoted Health — Medicare: $113.09 Hawaii Medical Service Association — ABD: $20.40 Hawaii Medical Service Association — Commercial: $128.51 Hawaii Medical Service Association — Medicare: $102.81 Hawaii Medical Service Association — Non-ABD: $23.07 Hawaii Western Management Group — Commercial: $102.81 Health Management Network — Commercial: $372.30 Humana — Medicare: $102.81
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RADIOLOGIC EXAM CHEST 2 VIEWS - FL/XR CHEST 2 VIEWS W/ FLUORO	$438	$262.80	$20.40 – $424.86
Chest X-ray, 2 views: 10 of 19 insurance plan rates AlohaCare — Medicaid: $102.81 AlohaCare — Medicare: $102.81 Devoted Health — Medicare: $113.09 Hawaii Medical Service Association — ABD: $20.40 Hawaii Medical Service Association — Commercial: $128.51 Hawaii Medical Service Association — Medicare: $102.81 Hawaii Medical Service Association — Non-ABD: $23.07 Hawaii Western Management Group — Commercial: $102.81 Health Management Network — Commercial: $372.30 Humana — Medicare: $102.81
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG RADIOLOGIC EXAM CHEST 2 VIEWS	$105	$63	$22.29 – $89.25
Chest X-ray, 2 views: 10 of 13 insurance plan rates AlohaCare — Medicaid: $22.29 AlohaCare — Medicare: $36.26 Devoted Health — Medicare: $39.89 Hawaii Medical Service Association — Medicare: $36.26 Hawaii Western Management Group — Commercial: $39.25 Health Management Network — Commercial: $89.25 Kaiser Permanente — Commercial: $43.51 Kaiser Permanente — Medicaid: $43.51 Kaiser Permanente — Medicare: $43.51 Ohana Health Plan — Medicaid: $22.29
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC X-RAY LUMBAR SPINE 4 VW - XR LUMBAR SPINE COMPLETE 4+ VIEWS	$529	$317.40	$32.35 – $513.13
X-ray of the lower spine, at least 4 views: 10 of 19 insurance plan rates AlohaCare — Medicaid: $123.50 AlohaCare — Medicare: $123.50 Devoted Health — Medicare: $135.85 Hawaii Medical Service Association — ABD: $32.35 Hawaii Medical Service Association — Commercial: $154.38 Hawaii Medical Service Association — Medicare: $123.50 Hawaii Medical Service Association — Non-ABD: $33.97 Hawaii Western Management Group — Commercial: $123.50 Health Management Network — Commercial: $449.65 Humana — Medicare: $123.50
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS	$169	$101.40	$34.79 – $143.65
X-ray of the lower spine, at least 4 views: 10 of 13 insurance plan rates AlohaCare — Medicaid: $34.79 AlohaCare — Medicare: $59.06 Devoted Health — Medicare: $64.97 Hawaii Medical Service Association — Medicare: $59.06 Hawaii Western Management Group — Commercial: $57.23 Health Management Network — Commercial: $143.65 Kaiser Permanente — Commercial: $70.87 Kaiser Permanente — Medicaid: $70.87 Kaiser Permanente — Medicare: $70.87 Ohana Health Plan — Medicaid: $34.79
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC X-RAY LUMBAR SPINE 4 VW - XR LUMBAR SPINE COMPLETE 4+ VIEWS	$529	$317.40	$449.65 – $513.13
X-ray of the lower spine, at least 4 views: rates for 2 insurance plans Health Management Network — Commercial: $449.65 MDX Hawaii — PPO: $513.13
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI, LUMBAR SPINE - MRI LUMBAR SPINE WO CONTRAST	$1,203	$721.80	$281.87 – $1,166.91
MRI of the lower back (lumbar spine), without contrast: 10 of 19 insurance plan rates AlohaCare — Medicaid: $281.87 AlohaCare — Medicare: $281.87 Devoted Health — Medicare: $310.06 Hawaii Medical Service Association — ABD: $439.71 Hawaii Medical Service Association — Commercial: $352.34 Hawaii Medical Service Association — Medicare: $281.87 Hawaii Medical Service Association — Non-ABD: $461.70 Hawaii Western Management Group — Commercial: $281.87 Health Management Network — Commercial: $1,022.55 Humana — Medicare: $281.87
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI, LUMBAR SPINE - MRI LUMBAR SPINE WO CONTRAST	$1,203	$721.80	$1,022.55 – $1,166.91
MRI of the lower back (lumbar spine), without contrast: rates for 2 insurance plans Health Management Network — Commercial: $1,022.55 MDX Hawaii — PPO: $1,166.91
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT SCAN OF PELVIS CONTRAST - CT PELVIS W CONTRAST	$885	$531	$207.21 – $858.45
CT scan of the pelvis, with contrast: 10 of 19 insurance plan rates AlohaCare — Medicaid: $207.21 AlohaCare — Medicare: $207.21 Devoted Health — Medicare: $227.93 Hawaii Medical Service Association — ABD: $225.48 Hawaii Medical Service Association — Commercial: $259.01 Hawaii Medical Service Association — Medicare: $207.21 Hawaii Medical Service Association — Non-ABD: $245.18 Hawaii Western Management Group — Commercial: $207.21 Health Management Network — Commercial: $752.25 Humana — Medicare: $207.21
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT SCAN OF PELVIS CONTRAST - CT PELVIS W CONTRAST	$885	$531	$752.25 – $858.45
CT scan of the pelvis, with contrast: rates for 2 insurance plans Health Management Network — Commercial: $752.25 MDX Hawaii — PPO: $858.45
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI JNT OF LWR EXTRE W/O DYE	$1,203	$721.80	$281.87 – $1,166.91
MRI of a leg joint (such as the knee), without contrast: 10 of 19 insurance plan rates AlohaCare — Medicaid: $281.87 AlohaCare — Medicare: $281.87 Devoted Health — Medicare: $310.06 Hawaii Medical Service Association — ABD: $396.10 Hawaii Medical Service Association — Commercial: $352.34 Hawaii Medical Service Association — Medicare: $281.87 Hawaii Medical Service Association — Non-ABD: $415.91 Hawaii Western Management Group — Commercial: $281.87 Health Management Network — Commercial: $1,022.55 Humana — Medicare: $281.87
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI JNT OF LWR EXTRE W/O DYE	$1,203	$721.80	$1,022.55 – $1,166.91
MRI of a leg joint (such as the knee), without contrast: rates for 2 insurance plans Health Management Network — Commercial: $1,022.55 MDX Hawaii — PPO: $1,166.91
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT ABD & PELV W/CONTRAST - CT ABDOMEN PELVIS W CONTRAST	$1,776	$1,065.60	$180.62 – $1,722.72
CT scan of the abdomen and pelvis, with contrast: 10 of 19 insurance plan rates AlohaCare — Medicaid: $412.14 AlohaCare — Medicare: $412.14 Devoted Health — Medicare: $453.35 Hawaii Medical Service Association — ABD: $180.62 Hawaii Medical Service Association — Commercial: $515.17 Hawaii Medical Service Association — Medicare: $412.14 Hawaii Medical Service Association — Non-ABD: $490.36 Hawaii Western Management Group — Commercial: $412.14 Health Management Network — Commercial: $1,509.60 Humana — Medicare: $412.14
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG CT ABDOMEN & PELVIS W/CONTRAST MATERIAL	$976	$585.60	$207.63 – $829.60
CT scan of the abdomen and pelvis, with contrast: 10 of 13 insurance plan rates AlohaCare — Medicaid: $207.63 AlohaCare — Medicare: $330.89 Devoted Health — Medicare: $363.98 Hawaii Medical Service Association — Medicare: $330.89 Hawaii Western Management Group — Commercial: $393.28 Health Management Network — Commercial: $829.60 Kaiser Permanente — Commercial: $397.07 Kaiser Permanente — Medicaid: $397.07 Kaiser Permanente — Medicare: $397.07 Ohana Health Plan — Medicaid: $207.63
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT ABD & PELV W/CONTRAST - CT ABDOMEN PELVIS W CONTRAST	$1,776	$1,065.60	$1,509.60 – $1,722.72
CT scan of the abdomen and pelvis, with contrast: rates for 2 insurance plans Health Management Network — Commercial: $1,509.60 MDX Hawaii — PPO: $1,722.72
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE - US ABDOMEN COMPLETE	$529	$317.40	$64.94 – $513.13
Ultrasound of the abdomen, complete: 10 of 19 insurance plan rates AlohaCare — Medicaid: $123.50 AlohaCare — Medicare: $123.50 Devoted Health — Medicare: $135.85 Hawaii Medical Service Association — ABD: $64.94 Hawaii Medical Service Association — Commercial: $154.38 Hawaii Medical Service Association — Medicare: $123.50 Hawaii Medical Service Association — Non-ABD: $70.56 Hawaii Western Management Group — Commercial: $123.50 Health Management Network — Commercial: $449.65 Humana — Medicare: $123.50
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION	$355	$213	$76.97 – $301.75
Ultrasound of the abdomen, complete: 10 of 13 insurance plan rates AlohaCare — Medicaid: $76.97 AlohaCare — Medicare: $125.15 Devoted Health — Medicare: $137.66 Hawaii Medical Service Association — Medicare: $125.15 Hawaii Western Management Group — Commercial: $130.90 Health Management Network — Commercial: $301.75 Kaiser Permanente — Commercial: $150.18 Kaiser Permanente — Medicaid: $150.18 Kaiser Permanente — Medicare: $150.18 Ohana Health Plan — Medicaid: $76.97
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE - US ABDOMEN COMPLETE	$529	$317.40	$449.65 – $513.13
Ultrasound of the abdomen, complete: rates for 2 insurance plans Health Management Network — Commercial: $449.65 MDX Hawaii — PPO: $513.13
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OB US >/= 14 WKS SNGL FETUS - US OB 14+ WEEKS SINGLE OR FIRST GEST	$529	$317.40	$61.23 – $513.13
Pregnancy ultrasound (after the first trimester): 10 of 19 insurance plan rates AlohaCare — Medicaid: $123.50 AlohaCare — Medicare: $123.50 Devoted Health — Medicare: $135.85 Hawaii Medical Service Association — ABD: $61.23 Hawaii Medical Service Association — Commercial: $154.38 Hawaii Medical Service Association — Medicare: $123.50 Hawaii Medical Service Association — Non-ABD: $75.32 Hawaii Western Management Group — Commercial: $123.50 Health Management Network — Commercial: $449.65 Humana — Medicare: $123.50
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION	$260	$156	$89.75 – $221
Pregnancy ultrasound (after the first trimester): 10 of 13 insurance plan rates AlohaCare — Medicaid: $89.75 AlohaCare — Medicare: $148.82 Devoted Health — Medicare: $163.70 Hawaii Medical Service Association — Medicare: $148.82 Hawaii Western Management Group — Commercial: $146.63 Health Management Network — Commercial: $221 Kaiser Permanente — Commercial: $178.58 Kaiser Permanente — Medicaid: $178.58 Kaiser Permanente — Medicare: $178.58 Ohana Health Plan — Medicaid: $89.75
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OB US >/= 14 WKS SNGL FETUS - US OB 14+ WEEKS SINGLE OR FIRST GEST	$529	$317.40	$449.65 – $513.13
Pregnancy ultrasound (after the first trimester): rates for 2 insurance plans Health Management Network — Commercial: $449.65 MDX Hawaii — PPO: $513.13
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ECHOGRAPHY,TRANSVAGINAL	$529	$317.40	$50.35 – $513.13
Transvaginal ultrasound: 10 of 19 insurance plan rates AlohaCare — Medicaid: $123.50 AlohaCare — Medicare: $123.50 Devoted Health — Medicare: $135.85 Hawaii Medical Service Association — ABD: $50.35 Hawaii Medical Service Association — Commercial: $154.38 Hawaii Medical Service Association — Medicare: $123.50 Hawaii Medical Service Association — Non-ABD: $54.65 Hawaii Western Management Group — Commercial: $123.50 Health Management Network — Commercial: $449.65 Humana — Medicare: $123.50
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ECHOGRAPHY,TRANSVAGINAL - US PELVIS TRANSVAGINAL	$529	$317.40	$50.35 – $513.13
Transvaginal ultrasound: 10 of 19 insurance plan rates AlohaCare — Medicaid: $123.50 AlohaCare — Medicare: $123.50 Devoted Health — Medicare: $135.85 Hawaii Medical Service Association — ABD: $50.35 Hawaii Medical Service Association — Commercial: $154.38 Hawaii Medical Service Association — Medicare: $123.50 Hawaii Medical Service Association — Non-ABD: $54.65 Hawaii Western Management Group — Commercial: $123.50 Health Management Network — Commercial: $449.65 Humana — Medicare: $123.50
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG US TRANSVAGINAL	$375	$225	$79.51 – $318.75
Transvaginal ultrasound: 10 of 13 insurance plan rates AlohaCare — Medicaid: $79.51 AlohaCare — Medicare: $129.49 Devoted Health — Medicare: $142.44 Hawaii Medical Service Association — Medicare: $129.49 Hawaii Western Management Group — Commercial: $105.25 Health Management Network — Commercial: $318.75 Kaiser Permanente — Commercial: $155.39 Kaiser Permanente — Medicaid: $155.39 Kaiser Permanente — Medicare: $155.39 Ohana Health Plan — Medicaid: $79.51

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ECG ROUTINE ECG W/LEAST 12 LDS W/I&R	$251	$150.60	$15.21 – $213.35
Electrocardiogram (ECG/EKG) with reading: 10 of 13 insurance plan rates AlohaCare — Medicaid: $15.21 AlohaCare — Medicare: $16.32 Devoted Health — Medicare: $17.95 Hawaii Medical Service Association — Medicare: $16.32 Hawaii Western Management Group — Commercial: $30.55 Health Management Network — Commercial: $213.35 Kaiser Permanente — Commercial: $19.58 Kaiser Permanente — Medicaid: $19.58 Kaiser Permanente — Medicare: $19.58 Ohana Health Plan — Medicaid: $15.21
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I	$16,000	$9,600	$521.33 – $15,520
Left heart catheterization (diagnostic): 10 of 19 insurance plan rates AlohaCare — Medicaid: $3,829.84 AlohaCare — Medicare: $3,829.84 Devoted Health — Medicare: $4,212.82 Hawaii Medical Service Association — ABD: $1,900 Hawaii Medical Service Association — Commercial: $14,395 Hawaii Medical Service Association — Medicare: $3,829.84 Hawaii Medical Service Association — Non-ABD: $2,695.11 Hawaii Western Management Group — Commercial: $15,200 Health Management Network — Commercial: $13,600 Humana — Medicare: $3,829.84
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Doctor (professional) fee In the file: PR L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I	$2,731	$1,638.60	$959.27 – $2,321.35
Left heart catheterization (diagnostic): 10 of 12 insurance plan rates AlohaCare — Medicaid: $974.38 AlohaCare — Medicare: $959.27 Devoted Health — Medicare: $1,055.20 Hawaii Medical Service Association — Medicare: $959.27 Health Management Network — Commercial: $2,321.35 Kaiser Permanente — Commercial: $1,151.12 Kaiser Permanente — Medicaid: $1,151.12 Kaiser Permanente — Medicare: $1,151.12 Ohana Health Plan — Medicaid: $974.38 Ohana Health Plan — Medicare: $959.27
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I	$16,000	$9,600	$13,600 – $15,520
Left heart catheterization (diagnostic): rates for 2 insurance plans Health Management Network — Commercial: $13,600 MDX Hawaii — PPO: $15,520

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC PT THERAPEUTIC EXERCISES	$140	$84	$17.65 – $135.80
Physical therapy: therapeutic exercise (each 15 minutes): rates for 7 insurance plans Hawaii Western Management Group — Commercial: $133 Health Management Network — Commercial: $119 Kaiser Permanente — Commercial: $88.20 Kaiser Permanente — Medicaid: $71.40 MDX Hawaii — PPO: $135.80 UnitedHealthcare — Medicaid: $17.65 University Health Alliance — Commercial: $102.05
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GO In the file: HC OT THERAPEUTIC EXERCISES	$140	$84	$17.65 – $135.80
Physical therapy: therapeutic exercise (each 15 minutes): rates for 7 insurance plans Hawaii Western Management Group — Commercial: $133 Health Management Network — Commercial: $119 Kaiser Permanente — Commercial: $88.20 Kaiser Permanente — Medicaid: $71.40 MDX Hawaii — PPO: $135.80 UnitedHealthcare — Medicaid: $17.65 University Health Alliance — Commercial: $102.05
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: HC PT THERAPEUTIC EXERCISES	$140	$84	$119 – $135.80
Physical therapy: therapeutic exercise (each 15 minutes): rates for 2 insurance plans Health Management Network — Commercial: $119 MDX Hawaii — PPO: $135.80
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS	$486	$291.60	$106.70 – $471.42
Physical therapy evaluation (low complexity): rates for 7 insurance plans Hawaii Western Management Group — Commercial: $461.70 Health Management Network — Commercial: $413.10 Kaiser Permanente — Commercial: $306.18 Kaiser Permanente — Medicaid: $247.86 MDX Hawaii — PPO: $471.42 UnitedHealthcare — Medicaid: $106.70 University Health Alliance — Commercial: $354.25
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS	$486	$291.60	$413.10 – $471.42
Physical therapy evaluation (low complexity): rates for 2 insurance plans Health Management Network — Commercial: $413.10 MDX Hawaii — PPO: $471.42
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS	$486	$291.60	$106.70 – $471.42
Physical therapy evaluation (moderate complexity): rates for 7 insurance plans Hawaii Western Management Group — Commercial: $461.70 Health Management Network — Commercial: $413.10 Kaiser Permanente — Commercial: $306.18 Kaiser Permanente — Medicaid: $247.86 MDX Hawaii — PPO: $471.42 UnitedHealthcare — Medicaid: $106.70 University Health Alliance — Commercial: $354.25
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS	$486	$291.60	$413.10 – $471.42
Physical therapy evaluation (moderate complexity): rates for 2 insurance plans Health Management Network — Commercial: $413.10 MDX Hawaii — PPO: $471.42
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS	$486	$291.60	$106.70 – $471.42
Physical therapy evaluation (high complexity): rates for 7 insurance plans Hawaii Western Management Group — Commercial: $461.70 Health Management Network — Commercial: $413.10 Kaiser Permanente — Commercial: $306.18 Kaiser Permanente — Medicaid: $247.86 MDX Hawaii — PPO: $471.42 UnitedHealthcare — Medicaid: $106.70 University Health Alliance — Commercial: $354.25
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS	$486	$291.60	$413.10 – $471.42
Physical therapy evaluation (high complexity): rates for 2 insurance plans Health Management Network — Commercial: $413.10 MDX Hawaii — PPO: $471.42
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PSYCHOTHERAPY W/PATIENT 30 MINUTES	$154.94	$92.96	$68.60 – $131.70
Psychotherapy, 30 minutes: 10 of 15 insurance plan rates AlohaCare — Medicaid: $68.60 AlohaCare — Medicare: $69.93 Devoted Health — Medicare: $76.92 Hawaii Medical Service Association — ABD: $68.60 Hawaii Medical Service Association — Medicare: $69.93 Hawaii Medical Service Association — Non-ABD: $68.60 Health Management Network — Commercial: $131.70 Kaiser Permanente — Commercial: $83.92 Kaiser Permanente — Medicaid: $83.92 Kaiser Permanente — Medicare: $83.92
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PSYCHOTHERAPY W/PATIENT 45 MINUTES	$205.47	$123.28	$90.82 – $174.65
Psychotherapy, 45 minutes: 10 of 15 insurance plan rates AlohaCare — Medicaid: $90.82 AlohaCare — Medicare: $92.35 Devoted Health — Medicare: $101.58 Hawaii Medical Service Association — ABD: $90.82 Hawaii Medical Service Association — Medicare: $92.35 Hawaii Medical Service Association — Non-ABD: $90.82 Health Management Network — Commercial: $174.65 Kaiser Permanente — Commercial: $110.82 Kaiser Permanente — Medicaid: $110.82 Kaiser Permanente — Medicare: $110.82
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PSYCHOTHERAPY W/PATIENT 60 MINUTES	$301.37	$180.82	$134.02 – $256.16
Psychotherapy, 60 minutes: 10 of 15 insurance plan rates AlohaCare — Medicaid: $134.02 AlohaCare — Medicare: $136.14 Devoted Health — Medicare: $149.75 Hawaii Medical Service Association — ABD: $134.02 Hawaii Medical Service Association — Medicare: $136.14 Hawaii Medical Service Association — Non-ABD: $134.02 Health Management Network — Commercial: $256.16 Kaiser Permanente — Commercial: $163.37 Kaiser Permanente — Medicaid: $163.37 Kaiser Permanente — Medicare: $163.37
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Doctor (professional) fee In the file: PR FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS	$187.76	$112.66	$97.86 – $159.60
Family psychotherapy, without the patient: 10 of 15 insurance plan rates AlohaCare — Medicaid: $97.86 AlohaCare — Medicare: $99.69 Devoted Health — Medicare: $109.66 Hawaii Medical Service Association — ABD: $97.86 Hawaii Medical Service Association — Medicare: $99.69 Hawaii Medical Service Association — Non-ABD: $97.86 Health Management Network — Commercial: $159.60 Kaiser Permanente — Commercial: $119.63 Kaiser Permanente — Medicaid: $119.63 Kaiser Permanente — Medicare: $119.63
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Doctor (professional) fee In the file: PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS	$194.42	$116.65	$102.29 – $165.26
Family psychotherapy, with the patient: 10 of 15 insurance plan rates AlohaCare — Medicaid: $102.29 AlohaCare — Medicare: $103.51 Devoted Health — Medicare: $113.86 Hawaii Medical Service Association — ABD: $102.29 Hawaii Medical Service Association — Medicare: $103.51 Hawaii Medical Service Association — Non-ABD: $102.29 Health Management Network — Commercial: $165.26 Kaiser Permanente — Commercial: $124.21 Kaiser Permanente — Medicaid: $124.21 Kaiser Permanente — Medicare: $124.21
Group psychotherapy CPT 90853 · Inpatient or outpatient · Doctor (professional) fee In the file: PR GROUP PSYCHOTHERAPY	$54.79	$32.87	$24.07 – $46.57
Group psychotherapy: 10 of 15 insurance plan rates AlohaCare — Medicaid: $24.07 AlohaCare — Medicare: $24.47 Devoted Health — Medicare: $26.92 Hawaii Medical Service Association — ABD: $24.07 Hawaii Medical Service Association — Medicare: $24.47 Hawaii Medical Service Association — Non-ABD: $24.07 Health Management Network — Commercial: $46.57 Kaiser Permanente — Commercial: $29.36 Kaiser Permanente — Medicaid: $29.36 Kaiser Permanente — Medicare: $29.36

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Doctor (professional) fee In the file: PR EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION	$1,046.94	$628.16	$332.54 – $889.90
Removal of breast growth (open surgery): 10 of 17 insurance plan rates AlohaCare — Medicaid: $426.08 AlohaCare — Medicare: $410.27 Devoted Health — Medicare: $451.30 Hawaii Medical Service Association — ABD: $426.08 Hawaii Medical Service Association — Commercial: $711.53 Hawaii Medical Service Association — Medicare: $410.27 Hawaii Medical Service Association — Non-ABD: $426.08 Hawaii Western Management Group — Commercial: $332.54 Health Management Network — Commercial: $889.90 Kaiser Permanente — Commercial: $492.32
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXCISION OF CYST, FIBROADENOMA, OR OTHER BENIGN OR MALIGNANT TUMOR, ABERRANT BREAST TISSUE, DUCT LESION, NIPPLE OR AREOLAR LESION (EXCEPT 19	Not listed in the file	Not listed in the file	$456.03 – $6,743.44
Removal of breast growth (open surgery): 10 of 16 insurance plan rates AlohaCare — Medicaid: $4,625.48 AlohaCare — Medicare: $4,625.48 Devoted Health — Medicare: $5,088.03 Hawaii Medical Service Association — ABD: $695 Hawaii Medical Service Association — Commercial: $5,509 Hawaii Medical Service Association — Medicare: $4,625.48 Hawaii Medical Service Association — Non-ABD: $1,028.67 Humana — Medicare: $4,625.48 Kaiser Permanente — Medicaid: $2,837 Kaiser Permanente — Medicare: $4,625.48
Total hip replacement CPT 27130 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT	$2,234	$1,340.40	$1,158.29 – $1,898.90
Total hip replacement: 10 of 13 insurance plan rates AlohaCare — Medicaid: $1,301.40 AlohaCare — Medicare: $1,158.29 Devoted Health — Medicare: $1,274.12 Hawaii Medical Service Association — Medicare: $1,158.29 Hawaii Western Management Group — Commercial: $1,672.32 Health Management Network — Commercial: $1,898.90 Kaiser Permanente — Commercial: $1,389.95 Kaiser Permanente — Medicaid: $1,389.95 Kaiser Permanente — Medicare: $1,389.95 Ohana Health Plan — Medicaid: $1,301.40
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHROPLASTY, ACETABULAR AND PROXIMAL FEMORAL PROSTHETIC REPLACEMENT (TOTAL HIP ARTHROPLASTY), WITH OR WITHOUT AUTOGRAFT OR ALLOGRAFT	Not listed in the file	Not listed in the file	$644.55 – $24,500
Total hip replacement: 10 of 16 insurance plan rates AlohaCare — Medicaid: $15,166.91 AlohaCare — Medicare: $15,166.91 Devoted Health — Medicare: $16,683.60 Hawaii Medical Service Association — ABD: $2,102 Hawaii Medical Service Association — Commercial: $19,192 Hawaii Medical Service Association — Medicare: $15,166.91 Hawaii Medical Service Association — Non-ABD: $3,561 Humana — Medicare: $15,166.91 Kaiser Permanente — Medicaid: $2,837 Kaiser Permanente — Medicare: $15,166.91
Total knee replacement CPT 27447 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS	$2,231	$1,338.60	$1,155.81 – $1,896.35
Total knee replacement: 10 of 13 insurance plan rates AlohaCare — Medicaid: $1,299.50 AlohaCare — Medicare: $1,155.81 Devoted Health — Medicare: $1,271.39 Hawaii Medical Service Association — Medicare: $1,155.81 Hawaii Western Management Group — Commercial: $1,777.62 Health Management Network — Commercial: $1,896.35 Kaiser Permanente — Commercial: $1,386.97 Kaiser Permanente — Medicaid: $1,386.97 Kaiser Permanente — Medicare: $1,386.97 Ohana Health Plan — Medicaid: $1,299.50
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHROPLASTY, KNEE, CONDYLE AND PLATEAU; MEDIAL AND LATERAL COMPARTMENTS WITH OR WITHOUT PATELLA RESURFACING (TOTAL KNEE ARTHROPLASTY)	Not listed in the file	Not listed in the file	$644.55 – $24,500
Total knee replacement: 10 of 16 insurance plan rates AlohaCare — Medicaid: $15,166.91 AlohaCare — Medicare: $15,166.91 Devoted Health — Medicare: $16,683.60 Hawaii Medical Service Association — ABD: $1,900 Hawaii Medical Service Association — Commercial: $14,395 Hawaii Medical Service Association — Medicare: $15,166.91 Hawaii Medical Service Association — Non-ABD: $2,695.11 Humana — Medicare: $15,166.91 Kaiser Permanente — Medicaid: $2,837 Kaiser Permanente — Medicare: $15,166.91
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Doctor (professional) fee In the file: PR SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS	$290	$174	$143.64 – $774.28
Shoulder arthroscopy: shaving of shoulder bone: 10 of 13 insurance plan rates AlohaCare — Medicaid: $168.83 AlohaCare — Medicare: $143.64 Devoted Health — Medicare: $158 Hawaii Medical Service Association — Medicare: $143.64 Hawaii Western Management Group — Commercial: $774.28 Health Management Network — Commercial: $246.50 Kaiser Permanente — Commercial: $172.37 Kaiser Permanente — Medicaid: $172.37 Kaiser Permanente — Medicare: $172.37 Ohana Health Plan — Medicaid: $168.83
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHROSCOPY, SHOULDER, SURGICAL; DECOMPRESSION OF SUBACROMIAL SPACE WITH PARTIAL ACROMIOPLASTY, WITH CORACOACROMIAL LIGAMENT (IE, ARCH) RELE	Not listed in the file	Not listed in the file	$575.82 – $2,837
Shoulder arthroscopy: shaving of shoulder bone: rates for 3 insurance plans Kaiser Permanente — Medicaid: $2,837 UnitedHealthcare — Medicaid: $575.82 Hawaii Western Management Group — Commercial: 80% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG	$977	$586.20	$528.92 – $830.45
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 13 insurance plan rates AlohaCare — Medicaid: $568.81 AlohaCare — Medicare: $528.92 Devoted Health — Medicare: $581.81 Hawaii Medical Service Association — Medicare: $528.92 Hawaii Western Management Group — Commercial: $658.84 Health Management Network — Commercial: $830.45 Kaiser Permanente — Commercial: $634.70 Kaiser Permanente — Medicaid: $634.70 Kaiser Permanente — Medicare: $634.70 Ohana Health Plan — Medicaid: $568.81
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHROSCOPY, KNEE, SURGICAL; WITH MENISCECTOMY (MEDIAL OR LATERAL, INCLUDING ANY MENISCAL SHAVING) INCLUDING DEBRIDEMENT/SHAVING OF ARTICULA	Not listed in the file	Not listed in the file	$456.03 – $10,679.55
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 16 insurance plan rates AlohaCare — Medicaid: $3,865.36 AlohaCare — Medicare: $3,865.36 Devoted Health — Medicare: $4,251.90 Hawaii Medical Service Association — ABD: $848 Hawaii Medical Service Association — Commercial: $8,270 Hawaii Medical Service Association — Medicare: $3,865.36 Hawaii Medical Service Association — Non-ABD: $1,427.62 Humana — Medicare: $3,865.36 Kaiser Permanente — Medicaid: $2,837 Kaiser Permanente — Medicare: $3,865.36
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient · Doctor (professional) fee In the file: PR TONSILLECTOMY & ADENOIDECTOMY <AGE 12	$522	$313.20	$266.80 – $443.70
Removal of tonsils and adenoids (under age 12): 10 of 13 insurance plan rates AlohaCare — Medicaid: $305.62 AlohaCare — Medicare: $266.80 Devoted Health — Medicare: $293.48 Hawaii Medical Service Association — Medicare: $266.80 Hawaii Western Management Group — Commercial: $267.54 Health Management Network — Commercial: $443.70 Kaiser Permanente — Commercial: $320.16 Kaiser Permanente — Medicaid: $320.16 Kaiser Permanente — Medicare: $320.16 Ohana Health Plan — Medicaid: $305.62
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TONSILLECTOMY AND ADENOIDECTOMY; YOUNGER THAN AGE 12	Not listed in the file	Not listed in the file	$456.03 – $7,692.70
Removal of tonsils and adenoids (under age 12): 10 of 16 insurance plan rates AlohaCare — Medicaid: $6,993.36 AlohaCare — Medicare: $6,993.36 Devoted Health — Medicare: $7,692.70 Hawaii Medical Service Association — ABD: $695 Hawaii Medical Service Association — Commercial: $5,509 Hawaii Medical Service Association — Medicare: $6,993.36 Hawaii Medical Service Association — Non-ABD: $1,028.67 Humana — Medicare: $6,993.36 Kaiser Permanente — Medicaid: $2,837 Kaiser Permanente — Medicare: $6,993.36
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC - EGD	$3,731	$2,238.60	$393 – $3,619.07
Upper GI endoscopy (diagnostic): 10 of 19 insurance plan rates AlohaCare — Medicaid: $1,071.46 AlohaCare — Medicare: $1,071.46 Devoted Health — Medicare: $1,178.61 Hawaii Medical Service Association — ABD: $393 Hawaii Medical Service Association — Commercial: $2,536 Hawaii Medical Service Association — Medicare: $1,071.46 Hawaii Medical Service Association — Non-ABD: $496.75 Health Management Network — Commercial: $3,171.35 Humana — Medicare: $1,071.46 Kaiser Permanente — Commercial: $2,350.53
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC	$618.50	$371.10	$111.90 – $525.73
Upper GI endoscopy (diagnostic): 10 of 16 insurance plan rates AlohaCare — Medicaid: $123.38 AlohaCare — Medicare: $111.90 Devoted Health — Medicare: $123.09 Hawaii Medical Service Association — ABD: $123.38 Hawaii Medical Service Association — Commercial: $238.45 Hawaii Medical Service Association — Medicare: $111.90 Hawaii Medical Service Association — Non-ABD: $123.38 Hawaii Western Management Group — Commercial: $232.96 Health Management Network — Commercial: $525.73 Kaiser Permanente — Commercial: $134.28
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC - EGD	$3,731	$2,238.60	$3,171.35 – $3,619.07
Upper GI endoscopy (diagnostic): rates for 2 insurance plans Health Management Network — Commercial: $3,171.35 MDX Hawaii — PPO: $3,619.07
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EGD TRANSORAL BIOPSY SINGLE/MULTIPLE - EGD	$3,731	$2,238.60	$456.03 – $5,509
Upper GI endoscopy with biopsy: 10 of 19 insurance plan rates AlohaCare — Medicaid: $1,071.46 AlohaCare — Medicare: $1,071.46 Devoted Health — Medicare: $1,178.61 Hawaii Medical Service Association — ABD: $695 Hawaii Medical Service Association — Commercial: $5,509 Hawaii Medical Service Association — Medicare: $1,071.46 Hawaii Medical Service Association — Non-ABD: $1,028.67 Health Management Network — Commercial: $3,171.35 Humana — Medicare: $1,071.46 Kaiser Permanente — Commercial: $2,350.53
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Doctor (professional) fee In the file: PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE	$805.94	$483.56	$124.82 – $685.05
Upper GI endoscopy with biopsy: 10 of 16 insurance plan rates AlohaCare — Medicaid: $139.09 AlohaCare — Medicare: $124.82 Devoted Health — Medicare: $137.30 Hawaii Medical Service Association — ABD: $139.09 Hawaii Medical Service Association — Commercial: $282.27 Hawaii Medical Service Association — Medicare: $124.82 Hawaii Medical Service Association — Non-ABD: $139.09 Hawaii Western Management Group — Commercial: $256.36 Health Management Network — Commercial: $685.05 Kaiser Permanente — Commercial: $149.78
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EGD TRANSORAL BIOPSY SINGLE/MULTIPLE - EGD	$3,731	$2,238.60	$3,171.35 – $3,619.07
Upper GI endoscopy with biopsy: rates for 2 insurance plans Health Management Network — Commercial: $3,171.35 MDX Hawaii — PPO: $3,619.07
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD - COLONOSCOPY	$3,628	$2,176.80	$456.03 – $5,509
Colonoscopy (diagnostic): 10 of 19 insurance plan rates AlohaCare — Medicaid: $1,098.60 AlohaCare — Medicare: $1,098.60 Devoted Health — Medicare: $1,208.46 Hawaii Medical Service Association — ABD: $695 Hawaii Medical Service Association — Commercial: $5,509 Hawaii Medical Service Association — Medicare: $1,098.60 Hawaii Medical Service Association — Non-ABD: $1,028.67 Health Management Network — Commercial: $3,083.80 Humana — Medicare: $1,098.60 Kaiser Permanente — Commercial: $2,285.64
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD	$713.48	$428.09	$124.82 – $606.46
Colonoscopy (diagnostic): 10 of 17 insurance plan rates AlohaCare — Medicaid: $184.06 AlohaCare — Medicare: $165.03 Devoted Health — Medicare: $181.53 Hawaii Medical Service Association — ABD: $184.06 Hawaii Medical Service Association — Commercial: $374.75 Hawaii Medical Service Association — Medicare: $165.03 Hawaii Medical Service Association — Non-ABD: $184.06 Hawaii Western Management Group — Commercial: $319.54 Health Management Network — Commercial: $606.46 Kaiser Permanente — Commercial: $198.04
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD - COLONOSCOPY	$3,628	$2,176.80	$3,083.80 – $3,519.16
Colonoscopy (diagnostic): rates for 2 insurance plans Health Management Network — Commercial: $3,083.80 MDX Hawaii — PPO: $3,519.16
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE - COLONOSCOPY	$4,692	$2,815.20	$456.03 – $5,509
Colonoscopy with biopsy: 10 of 19 insurance plan rates AlohaCare — Medicaid: $1,413.65 AlohaCare — Medicare: $1,413.65 Devoted Health — Medicare: $1,555.02 Hawaii Medical Service Association — ABD: $695 Hawaii Medical Service Association — Commercial: $5,509 Hawaii Medical Service Association — Medicare: $1,413.65 Hawaii Medical Service Association — Non-ABD: $1,028.67 Health Management Network — Commercial: $3,988.20 Humana — Medicare: $1,413.65 Kaiser Permanente — Commercial: $2,955.96
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE	$914.20	$548.52	$178.33 – $777.07
Colonoscopy with biopsy: 10 of 17 insurance plan rates AlohaCare — Medicaid: $200.16 AlohaCare — Medicare: $178.33 Devoted Health — Medicare: $196.16 Hawaii Medical Service Association — ABD: $200.16 Hawaii Medical Service Association — Commercial: $443.45 Hawaii Medical Service Association — Medicare: $178.33 Hawaii Medical Service Association — Non-ABD: $200.16 Hawaii Western Management Group — Commercial: $351.52 Health Management Network — Commercial: $777.07 Kaiser Permanente — Commercial: $214
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE - COLONOSCOPY	$4,692	$2,815.20	$3,988.20 – $4,551.24
Colonoscopy with biopsy: rates for 2 insurance plans Health Management Network — Commercial: $3,988.20 MDX Hawaii — PPO: $4,551.24
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ - COLONOSCOPY	$4,692	$2,815.20	$456.03 – $5,509
Colonoscopy with removal of polyps (snare): 10 of 19 insurance plan rates AlohaCare — Medicaid: $1,413.65 AlohaCare — Medicare: $1,413.65 Devoted Health — Medicare: $1,555.02 Hawaii Medical Service Association — ABD: $695 Hawaii Medical Service Association — Commercial: $5,509 Hawaii Medical Service Association — Medicare: $1,413.65 Hawaii Medical Service Association — Non-ABD: $1,028.67 Health Management Network — Commercial: $3,988.20 Humana — Medicare: $1,413.65 Kaiser Permanente — Commercial: $2,955.96
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ	$943.22	$565.93	$224.15 – $801.74
Colonoscopy with removal of polyps (snare): 10 of 17 insurance plan rates AlohaCare — Medicaid: $252.85 AlohaCare — Medicare: $224.15 Devoted Health — Medicare: $246.56 Hawaii Medical Service Association — ABD: $252.85 Hawaii Medical Service Association — Commercial: $525.91 Hawaii Medical Service Association — Medicare: $224.15 Hawaii Medical Service Association — Non-ABD: $252.85 Hawaii Western Management Group — Commercial: $466.18 Health Management Network — Commercial: $801.74 Kaiser Permanente — Commercial: $268.98
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ - COLONOSCOPY	$4,692	$2,815.20	$3,988.20 – $4,551.24
Colonoscopy with removal of polyps (snare): rates for 2 insurance plans Health Management Network — Commercial: $3,988.20 MDX Hawaii — PPO: $4,551.24
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLON CA SCRN NOT HI RSK IND	$3,628	$2,176.80	$340.18 – $5,509
Screening colonoscopy (not high risk): 10 of 19 insurance plan rates AlohaCare — Medicaid: $1,098.60 AlohaCare — Medicare: $1,098.60 Devoted Health — Medicare: $1,208.46 Hawaii Medical Service Association — ABD: $695 Hawaii Medical Service Association — Commercial: $5,509 Hawaii Medical Service Association — Medicare: $1,098.60 Hawaii Medical Service Association — Non-ABD: $1,028.67 Health Management Network — Commercial: $3,083.80 Humana — Medicare: $1,098.60 Kaiser Permanente — Commercial: $2,285.64
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLON CA SCRN NOT HI RSK IND	$713.82	$428.29	$125.26 – $606.75
Screening colonoscopy (not high risk): 10 of 17 insurance plan rates AlohaCare — Medicaid: $184.24 AlohaCare — Medicare: $165.23 Devoted Health — Medicare: $181.75 Hawaii Medical Service Association — ABD: $184.24 Hawaii Medical Service Association — Commercial: $374.75 Hawaii Medical Service Association — Medicare: $165.23 Hawaii Medical Service Association — Non-ABD: $184.24 Hawaii Western Management Group — Commercial: $319.54 Health Management Network — Commercial: $606.75 Kaiser Permanente — Commercial: $198.28
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COLON CA SCRN NOT HI RSK IND	$3,628	$2,176.80	$3,083.80 – $3,519.16
Screening colonoscopy (not high risk): rates for 2 insurance plans Health Management Network — Commercial: $3,083.80 MDX Hawaii — PPO: $3,519.16
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Doctor (professional) fee In the file: PR LAPAROSCOPY SURG CHOLECYSTECTOMY	$1,129	$677.40	$622.04 – $959.65
Gallbladder removal by laparoscope: 10 of 13 insurance plan rates AlohaCare — Medicaid: $658.28 AlohaCare — Medicare: $622.04 Devoted Health — Medicare: $684.24 Hawaii Medical Service Association — Medicare: $622.04 Hawaii Western Management Group — Commercial: $686.66 Health Management Network — Commercial: $959.65 Kaiser Permanente — Commercial: $746.45 Kaiser Permanente — Medicaid: $746.45 Kaiser Permanente — Medicare: $746.45 Ohana Health Plan — Medicaid: $658.28
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$521.33 – $20,300
Gallbladder removal by laparoscope: 10 of 16 insurance plan rates AlohaCare — Medicaid: $7,141.85 AlohaCare — Medicare: $7,141.85 Devoted Health — Medicare: $7,856.03 Hawaii Medical Service Association — ABD: $695 Hawaii Medical Service Association — Commercial: $5,509 Hawaii Medical Service Association — Medicare: $7,141.85 Hawaii Medical Service Association — Non-ABD: $1,028.67 Humana — Medicare: $7,141.85 Kaiser Permanente — Medicaid: $2,837 Kaiser Permanente — Medicare: $7,141.85
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Doctor (professional) fee In the file: PR RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE	$903	$541.80	$424.58 – $767.55
Groin (inguinal) hernia repair, age 5 or older: 10 of 13 insurance plan rates AlohaCare — Medicaid: $526.25 AlohaCare — Medicare: $503.91 Devoted Health — Medicare: $554.30 Hawaii Medical Service Association — Medicare: $503.91 Hawaii Western Management Group — Commercial: $424.58 Health Management Network — Commercial: $767.55 Kaiser Permanente — Commercial: $604.69 Kaiser Permanente — Medicaid: $604.69 Kaiser Permanente — Medicare: $604.69 Ohana Health Plan — Medicaid: $526.25
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REPAIR INITIAL INGUINAL HERNIA, AGE 5 YEARS OR OLDER; REDUCIBLE	Not listed in the file	Not listed in the file	$456.03 – $10,679.55
Groin (inguinal) hernia repair, age 5 or older: 10 of 16 insurance plan rates AlohaCare — Medicaid: $4,229.69 AlohaCare — Medicare: $4,229.69 Devoted Health — Medicare: $4,652.66 Hawaii Medical Service Association — ABD: $848 Hawaii Medical Service Association — Commercial: $8,270 Hawaii Medical Service Association — Medicare: $4,229.69 Hawaii Medical Service Association — Non-ABD: $1,427.62 Humana — Medicare: $4,229.69 Kaiser Permanente — Medicaid: $2,837 Kaiser Permanente — Medicare: $4,229.69
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY, PROSTATE; NEEDLE OR PUNCH, SINGLE OR MULTIPLE, ANY APPROACH	Not listed in the file	Not listed in the file	$64.46 – $5,509
Prostate biopsy: rates for 7 insurance plans Hawaii Medical Service Association — ABD: $695 Hawaii Medical Service Association — Commercial: $5,509 Hawaii Medical Service Association — Non-ABD: $1,028.67 Kaiser Permanente — Medicaid: $2,837 UnitedHealthcare — Medicaid: $64.46 University Health Alliance — Commercial: $4,035.20 Hawaii Western Management Group — Commercial: 80% (a percentage in the contract, not a dollar amount)
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient · Doctor (professional) fee In the file: PR LAPS SURG PRST8ECT RPBIC RAD W/NRV SPARING ROBOT	$2,045	$1,227	$1,077.11 – $1,738.25
Prostate removal by laparoscope (radical prostatectomy): 10 of 13 insurance plan rates AlohaCare — Medicaid: $1,193.90 AlohaCare — Medicare: $1,077.11 Devoted Health — Medicare: $1,184.82 Hawaii Medical Service Association — Medicare: $1,077.11 Hawaii Western Management Group — Commercial: $1,571.18 Health Management Network — Commercial: $1,738.25 Kaiser Permanente — Commercial: $1,292.53 Kaiser Permanente — Medicaid: $1,292.53 Kaiser Permanente — Medicare: $1,292.53 Ohana Health Plan — Medicaid: $1,193.90
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPY, SURGICAL PROSTATECTOMY, RETROPUBIC RADICAL, INCLUDING NERVE SPARING, INCLUDES ROBOTIC ASSISTANCE, WHEN PERFORMED;	Not listed in the file	Not listed in the file	$644.55 – $24,500
Prostate removal by laparoscope (radical prostatectomy): 10 of 16 insurance plan rates AlohaCare — Medicaid: $12,557.50 AlohaCare — Medicare: $12,557.50 Devoted Health — Medicare: $13,813.25 Hawaii Medical Service Association — ABD: $1,900 Hawaii Medical Service Association — Commercial: $14,395 Hawaii Medical Service Association — Medicare: $12,557.50 Hawaii Medical Service Association — Non-ABD: $2,695.11 Humana — Medicare: $12,557.50 Kaiser Permanente — Medicaid: $2,837 Kaiser Permanente — Medicare: $12,557.50
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Doctor (professional) fee In the file: PR HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C	$2,472.70	$1,483.62	$200.38 – $2,101.80
Hysteroscopy with biopsy of the uterus lining: 10 of 16 insurance plan rates AlohaCare — Medicaid: $230.09 AlohaCare — Medicare: $200.38 Devoted Health — Medicare: $220.42 Hawaii Medical Service Association — ABD: $230.09 Hawaii Medical Service Association — Commercial: $385.28 Hawaii Medical Service Association — Medicare: $200.38 Hawaii Medical Service Association — Non-ABD: $230.09 Hawaii Western Management Group — Commercial: $278.20 Health Management Network — Commercial: $2,101.80 Kaiser Permanente — Commercial: $240.46
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY, SURGICAL; WITH SAMPLING (BIOPSY) OF ENDOMETRIUM AND/OR POLYPECTOMY, WITH OR WITHOUT D & C	Not listed in the file	Not listed in the file	$456.03 – $8,270
Hysteroscopy with biopsy of the uterus lining: 10 of 16 insurance plan rates AlohaCare — Medicaid: $3,824.16 AlohaCare — Medicare: $3,824.16 Devoted Health — Medicare: $4,206.58 Hawaii Medical Service Association — ABD: $848 Hawaii Medical Service Association — Commercial: $8,270 Hawaii Medical Service Association — Medicare: $3,824.16 Hawaii Medical Service Association — Non-ABD: $1,427.62 Humana — Medicare: $3,824.16 Kaiser Permanente — Medicaid: $2,837 Kaiser Permanente — Medicare: $3,824.16
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Doctor (professional) fee In the file: PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$524	$314.40	$90.18 – $445.40
Spinal injection, lower back (epidural), with imaging guidance: 10 of 17 insurance plan rates AlohaCare — Medicaid: $100.76 AlohaCare — Medicare: $90.18 Devoted Health — Medicare: $99.20 Hawaii Medical Service Association — ABD: $100.76 Hawaii Medical Service Association — Commercial: $167.28 Hawaii Medical Service Association — Medicare: $90.18 Hawaii Medical Service Association — Non-ABD: $100.76 Hawaii Western Management Group — Commercial: $273.26 Health Management Network — Commercial: $445.40 Kaiser Permanente — Commercial: $108.22
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJECTION(S), OF DIAGNOSTIC OR THERAPEUTIC SUBSTANCE(S) (EG, ANESTHETIC, ANTISPASMODIC, OPIOID, STEROID, OTHER SOLUTION), NOT INCLUDING NEUR	Not listed in the file	Not listed in the file	$340.18 – $4,035.20
Spinal injection, lower back (epidural), with imaging guidance: 10 of 16 insurance plan rates AlohaCare — Medicaid: $833.89 AlohaCare — Medicare: $833.89 Devoted Health — Medicare: $917.28 Hawaii Medical Service Association — ABD: $393 Hawaii Medical Service Association — Commercial: $2,536 Hawaii Medical Service Association — Medicare: $833.89 Hawaii Medical Service Association — Non-ABD: $496.75 Humana — Medicare: $833.89 Kaiser Permanente — Medicaid: $2,837 Kaiser Permanente — Medicare: $833.89
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL	$3,543	$2,125.80	$340.18 – $4,035.20
Nerve root injection, lower back, with imaging guidance: 10 of 19 insurance plan rates AlohaCare — Medicaid: $1,044.87 AlohaCare — Medicare: $1,044.87 Devoted Health — Medicare: $1,149.36 Hawaii Medical Service Association — ABD: $393 Hawaii Medical Service Association — Commercial: $2,536 Hawaii Medical Service Association — Medicare: $1,044.87 Hawaii Medical Service Association — Non-ABD: $496.75 Health Management Network — Commercial: $3,011.55 Humana — Medicare: $1,044.87 Kaiser Permanente — Commercial: $2,232.09
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Doctor (professional) fee In the file: PR NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL	$506.66	$304	$101.54 – $430.66
Nerve root injection, lower back, with imaging guidance: 10 of 17 insurance plan rates AlohaCare — Medicaid: $114.03 AlohaCare — Medicare: $101.54 Devoted Health — Medicare: $111.69 Hawaii Medical Service Association — ABD: $114.03 Hawaii Medical Service Association — Commercial: $188.88 Hawaii Medical Service Association — Medicare: $101.54 Hawaii Medical Service Association — Non-ABD: $114.03 Hawaii Western Management Group — Commercial: $211.90 Health Management Network — Commercial: $430.66 Kaiser Permanente — Commercial: $121.85
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL	$3,543	$2,125.80	$3,011.55 – $3,436.71
Nerve root injection, lower back, with imaging guidance: rates for 2 insurance plans Health Management Network — Commercial: $3,011.55 MDX Hawaii — PPO: $3,436.71
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Doctor (professional) fee In the file: PR NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE	$889.21	$533.53	$371.28 – $755.83
Carpal tunnel release: 10 of 16 insurance plan rates AlohaCare — Medicaid: $466.95 AlohaCare — Medicare: $440.52 Devoted Health — Medicare: $484.57 Hawaii Medical Service Association — ABD: $466.95 Hawaii Medical Service Association — Medicare: $440.52 Hawaii Medical Service Association — Non-ABD: $466.95 Hawaii Western Management Group — Commercial: $371.28 Health Management Network — Commercial: $755.83 Kaiser Permanente — Commercial: $528.62 Kaiser Permanente — Medicaid: $528.62
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEUROPLASTY AND/OR TRANSPOSITION; MEDIAN NERVE AT CARPAL TUNNEL	Not listed in the file	Not listed in the file	$456.03 – $5,509
Carpal tunnel release: 10 of 16 insurance plan rates AlohaCare — Medicaid: $2,306.84 AlohaCare — Medicare: $2,306.84 Devoted Health — Medicare: $2,537.52 Hawaii Medical Service Association — ABD: $695 Hawaii Medical Service Association — Commercial: $5,509 Hawaii Medical Service Association — Medicare: $2,306.84 Hawaii Medical Service Association — Non-ABD: $1,028.67 Humana — Medicare: $2,306.84 Kaiser Permanente — Medicaid: $2,837 Kaiser Permanente — Medicare: $2,306.84

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM	$4,089	$2,453.40	$1,053.78 – $3,475.65
Vaginal delivery, with care before and after: 10 of 13 insurance plan rates AlohaCare — Medicaid: $2,408.90 AlohaCare — Medicare: $2,152.11 Devoted Health — Medicare: $2,367.32 Hawaii Medical Service Association — Medicare: $2,152.11 Hawaii Western Management Group — Commercial: $1,053.78 Health Management Network — Commercial: $3,475.65 Kaiser Permanente — Commercial: $2,582.53 Kaiser Permanente — Medicaid: $2,582.53 Kaiser Permanente — Medicare: $2,582.53 Ohana Health Plan — Medicaid: $2,408.90
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM	$4,506	$2,703.60	$1,448.98 – $3,830.10
Cesarean delivery (C-section), with care before and after: 10 of 13 insurance plan rates AlohaCare — Medicaid: $2,656.47 AlohaCare — Medicare: $2,382.05 Devoted Health — Medicare: $2,620.26 Hawaii Medical Service Association — Medicare: $2,382.05 Hawaii Western Management Group — Commercial: $1,448.98 Health Management Network — Commercial: $3,830.10 Kaiser Permanente — Commercial: $2,858.46 Kaiser Permanente — Medicaid: $2,858.46 Kaiser Permanente — Medicare: $2,858.46 Ohana Health Plan — Medicaid: $2,656.47

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$111,272.07 – $197,962.03
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 9 insurance plans AlohaCare — Medicare: $111,272.07 Devoted Health — Medicare: $122,399.28 Hawaii Medical Service Association — Commercial: $197,962.03 Hawaii Medical Service Association — Medicare: $111,272.07 Humana — Medicare: $111,272.07 Kaiser Permanente — Commercial: $168,753.30 Kaiser Permanente — Medicare: $111,272.07 Ohana Health Plan — Medicare: $111,272.07 UnitedHealthcare — Medicare: $111,272.07
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$10,400 – $33,273.53
Hip or knee replacement (major joint of the leg), without major complications: rates for 10 insurance plans AlohaCare — Medicare: $21,939.80 Devoted Health — Medicare: $24,133.78 Hawaii Medical Service Association — Commercial: $28,464.02 Hawaii Medical Service Association — Medicare: $21,939.80 Humana — Medicare: $21,939.80 Kaiser Permanente — Commercial: $33,273.53 Kaiser Permanente — Medicare: $21,939.80 Ohana Health Plan — Medicare: $21,939.80 UnitedHealthcare — Medicare: $21,939.80 University Health Alliance — Commercial: $10,400
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$27,767.98 – $47,100.31
Neck (cervical) spinal fusion, without complications: rates for 9 insurance plans AlohaCare — Medicare: $27,767.98 Devoted Health — Medicare: $30,544.78 Hawaii Medical Service Association — Commercial: $47,100.31 Hawaii Medical Service Association — Medicare: $27,767.98 Humana — Medicare: $27,767.98 Kaiser Permanente — Commercial: $42,112.43 Kaiser Permanente — Medicare: $27,767.98 Ohana Health Plan — Medicare: $27,767.98 UnitedHealthcare — Medicare: $27,767.98
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$14,112.04 – $21,402.08
Uterus and ovary surgery (not for cancer), without complications: rates for 9 insurance plans AlohaCare — Medicare: $14,112.04 Devoted Health — Medicare: $15,523.24 Hawaii Medical Service Association — Commercial: $20,504.77 Hawaii Medical Service Association — Medicare: $14,112.04 Humana — Medicare: $14,112.04 Kaiser Permanente — Commercial: $21,402.08 Kaiser Permanente — Medicare: $14,112.04 Ohana Health Plan — Medicare: $14,112.04 UnitedHealthcare — Medicare: $14,112.04

Source: Hilo Benioff Medical Center’s standard charges file (tq-consumer-static-prd.turquoise.health, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on June 15, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Acute Care Hospital
Address	1190 Waianuenue Avenue, Hilo, HI 96720
County	Hawaii County
State	Hawaii
Phone	(808) 932‑3000
Emergency services	Yes
Ownership	Government - State
Medicare overall rating	3 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	120005
Name in Medicare records	HILO BENIOFF MEDICAL CENTER
Profile level	Medicare data + hospital website
Official website	hbmc.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

Hilo Benioff Medical Center — hbmc.org
Imaging - Hilo Benioff Medical Center — hbmc.org
Emergency Department – Hilo Benioff Medical Center — hbmc.org
Laboratory – Hilo Benioff Medical Center — hbmc.org
Primary Stroke Center – Hilo Benioff Medical Center — hbmc.org
Visitor Guide – Hilo Benioff Medical Center — hbmc.org
INFORMATION ON PARKING AND ACCESS TO OUR HOSPITAL AND CLINICS – Hilo Benioff Medical Center — hbmc.org
Cardiac & Heart Attack – Hilo Benioff Medical Center — hbmc.org

Hilo Benioff Medical Center

Summary

Profile from official sources

At a glance