Does Kauai Veterans Memorial Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Kauai Veterans Memorial Hospital. In a medical emergency, call 911.

Where is Kauai Veterans Memorial Hospital?

4643 Waimea Canyon Drive, Waimea, HI 96796, in Kauai County, Hawaii.

What is the phone number of Kauai Veterans Memorial Hospital?

(808) 338-9431, as listed by Medicare (CMS).

What is the Medicare star rating of Kauai Veterans Memorial Hospital?

CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Kauai Veterans Memorial Hospital — Waimea, HI

Quick answers

Does Kauai Veterans Memorial Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Kauai Veterans Memorial Hospital. In a medical emergency, call 911.
Where is Kauai Veterans Memorial Hospital?: 4643 Waimea Canyon Drive, Waimea, HI 96796, in Kauai County, Hawaii.
What is the phone number of Kauai Veterans Memorial Hospital?: (808) 338-9431, as listed by Medicare (CMS).
What is the Medicare star rating of Kauai Veterans Memorial Hospital?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^[5]

Treatments^[5]

Procedures^[5]

Outpatient surgery
CT
Ultrasound
Mammography
CT scan

Programs and centers^[5]

ICU/CCU
Medical-surgical care
Obstetrical and gynecological services
Hospitalist physician care

Emergency care (hospital website)^[5]

Emergency room	Yes
Open 24/7	Yes

Doctors and clinicians (71)

71 doctors and other clinicians list Kauai Veterans Memorial Hospital 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 47 more: the button below opens the full list.

Other emergency rooms nearby

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

Wilcox Memorial Hospital17 mi · Lihue, HI · Acute Care Hospital
Samuel Mahelona Memorial Hospital24 mi · Kapaa, HI · Critical Access Hospital
Kahuku Medical Center112 mi · Kahuku, HI · Critical Access Hospital
Pali Momi Medical Center118 mi · Aiea, HI · Acute Care Hospital
Kaiser Foundation Hospital121 mi · Honolulu, HI · Acute Care Hospital

Other hospitals nearby

Tripler AMC (FT Shafter)121 mi · Honolulu, HI · Military Hospital (Department of Defense)

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

Kauai Veterans Memorial Hospital0.0 mi · Waimea, HI · 5 of 5 stars
Kauai Care Center0.2 mi · Waimea, HI · 2 of 5 stars
Hale Kupuna Heritage Home, LLC12 mi · Koloa, HI · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Kauai Hospice17 mi · Lihue, HI · 5 of 5 stars

All hospice providers in the state →

Home health agencies

Ohana Home Health LLC11 mi · Lawai, HI
Home Health Kauai17 mi · Lihue, HI
Kokua Healthcare LLC17 mi · Lihue, HI

All home health agencies in the state →

Dialysis facilities

Liberty Dialysis Hawaii - West Kauai Dialysis0.2 mi · Waimea, HI · 3 of 5 stars
Liberty Dialysis Hawaii - Kauai Dialysis Facility17 mi · Lihue, HI · 3 of 5 stars

All dialysis facilities 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

Ho'ola Lahui Hawai'i West0.1 mi · Waimea, HI · Community health center
Kauai Community Health Ctr-West0.1 mi · Waimea, HI · Community health center
HLH West Mobile 118 mi · Lihue, HI · Community health center

Clinics and urgent care

HHSC - Kauai Region Clinics the Clinic at Waimea0.2 mi · Waimea, HI · Rural health clinic
HHSC - Kauai Region Clinics the Clinic at Port Allen7.7 mi · Eleele, HI · Rural health clinic
HHSC - Kauai Region Clinics the Clinic at Kalaheo9.9 mi · Kalaheo, HI · Rural health clinic

Pharmacies

Garden Island Pharmacy Serv, Inc0.2 mi · Waimea, HI · Community/retail pharmacy
Kauai Region Pharmacy West0.2 mi · Waimea, HI · Community/retail pharmacy
Brian a Carter Inc5.6 mi · Hanapepe, 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 Kauai Veterans Memorial Hospital 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)	4 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	5 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	4 of 5 stars
Staff explained medicines	4 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	4 of 5 stars
Rated the hospital 9 or 10 out of 10	80%National average: 72%
Would definitely recommend the hospital	83%National average: 71%
Nurses “always” communicated well	79%National average: 80%
Doctors “always” communicated well	82%National average: 80%
Staff “always” explained medicines before giving them	66%National average: 62%
Were given information about recovery at home	88%National average: 86%
Room and bathroom “always” clean	78%National average: 74%
Area around the room “always” quiet at night	59%National average: 60%
Completed surveys	103Response rate: 18%

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)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	Not reported to Medicare

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.

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	Too few cases to report
Deaths within 30 days: heart failure patients	Too few cases to report
Deaths within 30 days: pneumonia patients	Too few cases to report
Deaths within 30 days: COPD patients	Too few cases to report
Deaths within 30 days: stroke patients	Too few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	Not reported to Medicare
Complications after hip or knee replacement	Not reported to Medicare

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026.

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	Too few cases to report
Readmitted within 30 days: heart failure	Too few cases to report
Readmitted within 30 days: pneumonia	17.1%
Readmitted within 30 days: COPD	Too few cases to report
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Not reported to Medicare

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)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	79 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	58%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 56 common services exactly as Kauai Veterans Memorial Hospital 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: 99203 Office/Outpatient Visit - New Patient, Level 3 (30-44 min)	$117	$76.05	$70.97 – $99.45
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: $99.45 Kaiser Permanente — Commercial: $78.07 Kaiser Permanente — Medicaid: $78.07
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB Check Level 3 Charge	$488	$317.20	$36.31 – $473.36
Established patient office visit (about 20–29 minutes): 10 of 16 insurance plan rates AlohaCare — Medicaid: $244 AlohaCare — Medicare: $244 Devoted Health — Medicare: $268.40 Hawaii Medical Service Association — Medicare: $244 Hawaii Western Management Group — Commercial: $463.60 Health Management Network — Commercial: $414.80 Humana — Medicare: $244 Kaiser Permanente — Commercial: $439.20 Kaiser Permanente — Medicaid: $248.88 Kaiser Permanente — Medicare: $244
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OB Check Level 3 Charge	$488	$317.20	$414.80 – $473.36
Established patient office visit (about 20–29 minutes): rates for 3 insurance plans Health Management Network — Commercial: $414.80 Kaiser Permanente — Commercial: $439.20 MDX Hawaii — PPO: $473.36
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB Check Level 4 Charge	$499	$324.35	$56.46 – $484.03
Established patient office visit (about 30–39 minutes): 10 of 16 insurance plan rates AlohaCare — Medicaid: $249.50 AlohaCare — Medicare: $249.50 Devoted Health — Medicare: $274.45 Hawaii Medical Service Association — Medicare: $249.50 Hawaii Western Management Group — Commercial: $474.05 Health Management Network — Commercial: $424.15 Humana — Medicare: $249.50 Kaiser Permanente — Commercial: $449.10 Kaiser Permanente — Medicaid: $254.49 Kaiser Permanente — Medicare: $249.50
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OB Check Level 4 Charge	$499	$324.35	$424.15 – $484.03
Established patient office visit (about 30–39 minutes): rates for 3 insurance plans Health Management Network — Commercial: $424.15 Kaiser Permanente — Commercial: $449.10 MDX Hawaii — PPO: $484.03
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Doctor (professional) fee In the file: 99243 Office Consultation, Level 3	$423	$274.95	$89.13 – $359.55
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: $359.55
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Doctor (professional) fee In the file: 99244 Office Consultation, Level 4	$170	$110.50	$136.13 – $144.50
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: $144.50
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99283 ED VISIT E&M PATIENT, LEV 3, REQ MED APPROP HSTRY/EXAM/LOW MDM, CC	$1,678	$1,090.70	$520 – $1,627.66
Emergency room visit (moderate): 10 of 19 insurance plan rates AlohaCare — Medicaid: $525.09 AlohaCare — Medicare: $839 Devoted Health — Medicare: $922.90 Hawaii Medical Service Association — ABD: $588 Hawaii Medical Service Association — Commercial: $1,600 Hawaii Medical Service Association — Medicare: $839 Hawaii Medical Service Association — Non-ABD: $520 Hawaii Western Management Group — Commercial: $1,594.10 Health Management Network — Commercial: $1,426.30 Humana — Medicare: $839
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 99283 ED VISIT E&M PATIENT, LEV 3, REQ MED APPROP HSTRY/EXAM/LOW MDM, CC	$1,678	$1,090.70	$1,426.30 – $1,627.66
Emergency room visit (moderate): rates for 3 insurance plans Health Management Network — Commercial: $1,426.30 Kaiser Permanente — Commercial: $1,510.20 MDX Hawaii — PPO: $1,627.66
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99284 ED VISIT E&M PATIENT, LEV 4, REQ MED APPROP HSTRY/EXAM/MODERATE MDM, CC	$3,010	$1,956.50	$520 – $2,919.70
Emergency room visit (moderately high): 10 of 19 insurance plan rates AlohaCare — Medicaid: $525.09 AlohaCare — Medicare: $1,505 Devoted Health — Medicare: $1,655.50 Hawaii Medical Service Association — ABD: $588 Hawaii Medical Service Association — Commercial: $1,600 Hawaii Medical Service Association — Medicare: $1,505 Hawaii Medical Service Association — Non-ABD: $520 Hawaii Western Management Group — Commercial: $2,859.50 Health Management Network — Commercial: $2,558.50 Humana — Medicare: $1,505
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 99284 ED VISIT E&M PATIENT, LEV 4, REQ MED APPROP HSTRY/EXAM/MODERATE MDM, CC	$3,010	$1,956.50	$2,558.50 – $2,919.70
Emergency room visit (moderately high): rates for 3 insurance plans Health Management Network — Commercial: $2,558.50 Kaiser Permanente — Commercial: $2,709 MDX Hawaii — PPO: $2,919.70
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99285 ED VISIT E M PATIENT, LEV 5, REQ MED APPROP HSTRY/EXAM/HIGH MDM, CC	$4,646	$3,019.90	$520 – $4,506.62
Emergency room visit (high): 10 of 19 insurance plan rates AlohaCare — Medicaid: $525.09 AlohaCare — Medicare: $2,323 Devoted Health — Medicare: $2,555.30 Hawaii Medical Service Association — ABD: $588 Hawaii Medical Service Association — Commercial: $1,600 Hawaii Medical Service Association — Medicare: $2,323 Hawaii Medical Service Association — Non-ABD: $520 Hawaii Western Management Group — Commercial: $4,413.70 Health Management Network — Commercial: $3,949.10 Humana — Medicare: $2,323
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 99285 ED VISIT E M PATIENT, LEV 5, REQ MED APPROP HSTRY/EXAM/HIGH MDM, CC	$4,646	$3,019.90	$3,949.10 – $4,506.62
Emergency room visit (high): rates for 3 insurance plans Health Management Network — Commercial: $3,949.10 Kaiser Permanente — Commercial: $4,181.40 MDX Hawaii — PPO: $4,506.62

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: Basic Metabolic Panel (BMP) FSI	$117	$76.05	$8.46 – $113.49
Basic metabolic panel (blood test): 10 of 19 insurance plan rates AlohaCare — Medicaid: $58.50 AlohaCare — Medicare: $58.50 Devoted Health — Medicare: $64.35 Hawaii Medical Service Association — ABD: $11.70 Hawaii Medical Service Association — Commercial: $10.57 Hawaii Medical Service Association — Medicare: $58.50 Hawaii Medical Service Association — Non-ABD: $12.29 Hawaii Western Management Group — Commercial: $8.46 Health Management Network — Commercial: $99.45 Humana — Medicare: $58.50
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Basic Metabolic Panel (BMP) FSI	$117	$76.05	$99.45 – $113.49
Basic metabolic panel (blood test): rates for 3 insurance plans Health Management Network — Commercial: $99.45 Kaiser Permanente — Commercial: $105.30 MDX Hawaii — PPO: $113.49
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehensive Metabolic Panel (CMP) FSI	$141	$91.65	$10.56 – $136.77
Comprehensive metabolic panel (blood test): 10 of 19 insurance plan rates AlohaCare — Medicaid: $70.50 AlohaCare — Medicare: $70.50 Devoted Health — Medicare: $77.55 Hawaii Medical Service Association — ABD: $14.61 Hawaii Medical Service Association — Commercial: $13.20 Hawaii Medical Service Association — Medicare: $70.50 Hawaii Medical Service Association — Non-ABD: $15.34 Hawaii Western Management Group — Commercial: $10.56 Health Management Network — Commercial: $119.85 Humana — Medicare: $70.50
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Comprehensive Metabolic Panel (CMP) FSI	$141	$91.65	$119.85 – $136.77
Comprehensive metabolic panel (blood test): rates for 3 insurance plans Health Management Network — Commercial: $119.85 Kaiser Permanente — Commercial: $126.90 MDX Hawaii — PPO: $136.77
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid Profile FSI	$154	$100.10	$13.39 – $149.38
Cholesterol panel (lipid panel): 10 of 19 insurance plan rates AlohaCare — Medicaid: $77 AlohaCare — Medicare: $77 Devoted Health — Medicare: $84.70 Hawaii Medical Service Association — ABD: $18.51 Hawaii Medical Service Association — Commercial: $16.74 Hawaii Medical Service Association — Medicare: $77 Hawaii Medical Service Association — Non-ABD: $19.44 Hawaii Western Management Group — Commercial: $13.39 Health Management Network — Commercial: $130.90 Humana — Medicare: $77
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Lipid Profile FSI	$154	$100.10	$130.90 – $149.38
Cholesterol panel (lipid panel): rates for 3 insurance plans Health Management Network — Commercial: $130.90 Kaiser Permanente — Commercial: $138.60 MDX Hawaii — PPO: $149.38
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal Function Panel FSI	$113	$73.45	$8.68 – $109.61
Kidney function panel: 10 of 19 insurance plan rates AlohaCare — Medicaid: $56.50 AlohaCare — Medicare: $56.50 Devoted Health — Medicare: $62.15 Hawaii Medical Service Association — ABD: $12 Hawaii Medical Service Association — Commercial: $10.85 Hawaii Medical Service Association — Medicare: $56.50 Hawaii Medical Service Association — Non-ABD: $12.60 Hawaii Western Management Group — Commercial: $8.68 Health Management Network — Commercial: $96.05 Humana — Medicare: $56.50
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Renal Function Panel FSI	$113	$73.45	$96.05 – $109.61
Kidney function panel: rates for 3 insurance plans Health Management Network — Commercial: $96.05 Kaiser Permanente — Commercial: $101.70 MDX Hawaii — PPO: $109.61
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic Function Panel FSI	$120	$78	$8.17 – $116.40
Liver function panel: 10 of 19 insurance plan rates AlohaCare — Medicaid: $60 AlohaCare — Medicare: $60 Devoted Health — Medicare: $66 Hawaii Medical Service Association — ABD: $11.29 Hawaii Medical Service Association — Commercial: $10.21 Hawaii Medical Service Association — Medicare: $60 Hawaii Medical Service Association — Non-ABD: $11.85 Hawaii Western Management Group — Commercial: $8.17 Health Management Network — Commercial: $102 Humana — Medicare: $60
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Hepatic Function Panel FSI	$120	$78	$102 – $116.40
Liver function panel: rates for 3 insurance plans Health Management Network — Commercial: $102 Kaiser Permanente — Commercial: $108 MDX Hawaii — PPO: $116.40
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA Micro w Rfx Culture REF	$56	$36.40	$3.17 – $54.32
Urine test (automated, with microscope): 10 of 19 insurance plan rates AlohaCare — Medicaid: $28 AlohaCare — Medicare: $28 Devoted Health — Medicare: $30.80 Hawaii Medical Service Association — ABD: $4.37 Hawaii Medical Service Association — Commercial: $3.96 Hawaii Medical Service Association — Medicare: $28 Hawaii Medical Service Association — Non-ABD: $4.59 Hawaii Western Management Group — Commercial: $3.17 Health Management Network — Commercial: $47.60 Humana — Medicare: $28
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis Complete FSI	$56	$36.40	$3.17 – $54.32
Urine test (automated, with microscope): 10 of 19 insurance plan rates AlohaCare — Medicaid: $28 AlohaCare — Medicare: $28 Devoted Health — Medicare: $30.80 Hawaii Medical Service Association — ABD: $4.37 Hawaii Medical Service Association — Commercial: $3.96 Hawaii Medical Service Association — Medicare: $28 Hawaii Medical Service Association — Non-ABD: $4.59 Hawaii Western Management Group — Commercial: $3.17 Health Management Network — Commercial: $47.60 Humana — Medicare: $28
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis Complete Reflex Culture FSI	$56	$36.40	$3.17 – $54.32
Urine test (automated, with microscope): 10 of 19 insurance plan rates AlohaCare — Medicaid: $28 AlohaCare — Medicare: $28 Devoted Health — Medicare: $30.80 Hawaii Medical Service Association — ABD: $4.37 Hawaii Medical Service Association — Commercial: $3.96 Hawaii Medical Service Association — Medicare: $28 Hawaii Medical Service Association — Non-ABD: $4.59 Hawaii Western Management Group — Commercial: $3.17 Health Management Network — Commercial: $47.60 Humana — Medicare: $28
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 81002 URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP TechFee	$42	$27.30	$3.48 – $40.74
Urine test (manual, without microscope): 10 of 19 insurance plan rates AlohaCare — Medicaid: $21 AlohaCare — Medicare: $21 Devoted Health — Medicare: $23.10 Hawaii Medical Service Association — ABD: $3.54 Hawaii Medical Service Association — Commercial: $4.35 Hawaii Medical Service Association — Medicare: $21 Hawaii Medical Service Association — Non-ABD: $3.72 Hawaii Western Management Group — Commercial: $3.48 Health Management Network — Commercial: $35.70 Humana — Medicare: $21
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urine Dipstick POCT	$25	$16.25	$3.48 – $24.25
Urine test (manual, without microscope): 10 of 19 insurance plan rates AlohaCare — Medicaid: $12.50 AlohaCare — Medicare: $12.50 Devoted Health — Medicare: $13.75 Hawaii Medical Service Association — ABD: $3.54 Hawaii Medical Service Association — Commercial: $4.35 Hawaii Medical Service Association — Medicare: $12.50 Hawaii Medical Service Association — Non-ABD: $3.72 Hawaii Western Management Group — Commercial: $3.48 Health Management Network — Commercial: $21.25 Humana — Medicare: $12.50
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urine Dipstick POC	$35	$22.75	$3.48 – $33.95
Urine test (manual, without microscope): 10 of 19 insurance plan rates AlohaCare — Medicaid: $17.50 AlohaCare — Medicare: $17.50 Devoted Health — Medicare: $19.25 Hawaii Medical Service Association — ABD: $3.54 Hawaii Medical Service Association — Commercial: $4.35 Hawaii Medical Service Association — Medicare: $17.50 Hawaii Medical Service Association — Non-ABD: $3.72 Hawaii Western Management Group — Commercial: $3.48 Health Management Network — Commercial: $29.75 Humana — Medicare: $17.50
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Specific Gravity Urine††FSI	$37	$24.05	$2.25 – $35.89
Urine test (automated, without microscope): 10 of 19 insurance plan rates AlohaCare — Medicaid: $18.50 AlohaCare — Medicare: $18.50 Devoted Health — Medicare: $20.35 Hawaii Medical Service Association — ABD: $3.10 Hawaii Medical Service Association — Commercial: $2.81 Hawaii Medical Service Association — Medicare: $18.50 Hawaii Medical Service Association — Non-ABD: $3.26 Hawaii Western Management Group — Commercial: $2.25 Health Management Network — Commercial: $31.45 Humana — Medicare: $18.50
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis Macroscopic FSI	$37	$24.05	$2.25 – $35.89
Urine test (automated, without microscope): 10 of 19 insurance plan rates AlohaCare — Medicaid: $18.50 AlohaCare — Medicare: $18.50 Devoted Health — Medicare: $20.35 Hawaii Medical Service Association — ABD: $3.10 Hawaii Medical Service Association — Commercial: $2.81 Hawaii Medical Service Association — Medicare: $18.50 Hawaii Medical Service Association — Non-ABD: $3.26 Hawaii Western Management Group — Commercial: $2.25 Health Management Network — Commercial: $31.45 Humana — Medicare: $18.50
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Specific Gravity Urine††FSI	$37	$24.05	$31.45 – $35.89
Urine test (automated, without microscope): rates for 3 insurance plans Health Management Network — Commercial: $31.45 Kaiser Permanente — Commercial: $33.30 MDX Hawaii — PPO: $35.89
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA, Total FSI	$139	$90.35	$18.39 – $134.83
PSA (prostate specific antigen) blood test: 10 of 19 insurance plan rates AlohaCare — Medicaid: $69.50 AlohaCare — Medicare: $69.50 Devoted Health — Medicare: $76.45 Hawaii Medical Service Association — ABD: $25.42 Hawaii Medical Service Association — Commercial: $22.99 Hawaii Medical Service Association — Medicare: $69.50 Hawaii Medical Service Association — Non-ABD: $26.69 Hawaii Western Management Group — Commercial: $18.39 Health Management Network — Commercial: $118.15 Humana — Medicare: $69.50
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSA, Total FSI	$139	$90.35	$118.15 – $134.83
PSA (prostate specific antigen) blood test: rates for 3 insurance plans Health Management Network — Commercial: $118.15 Kaiser Permanente — Commercial: $125.10 MDX Hawaii — PPO: $134.83
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH FSI	$170	$110.50	$16.80 – $164.90
Thyroid stimulating hormone (TSH) test: 10 of 19 insurance plan rates AlohaCare — Medicaid: $85 AlohaCare — Medicare: $85 Devoted Health — Medicare: $93.50 Hawaii Medical Service Association — ABD: $23.21 Hawaii Medical Service Association — Commercial: $21 Hawaii Medical Service Association — Medicare: $85 Hawaii Medical Service Association — Non-ABD: $24.37 Hawaii Western Management Group — Commercial: $16.80 Health Management Network — Commercial: $144.50 Humana — Medicare: $85
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH w/ Reflex FT4 FSI	$170	$110.50	$16.80 – $164.90
Thyroid stimulating hormone (TSH) test: 10 of 19 insurance plan rates AlohaCare — Medicaid: $85 AlohaCare — Medicare: $85 Devoted Health — Medicare: $93.50 Hawaii Medical Service Association — ABD: $23.21 Hawaii Medical Service Association — Commercial: $21 Hawaii Medical Service Association — Medicare: $85 Hawaii Medical Service Association — Non-ABD: $24.37 Hawaii Western Management Group — Commercial: $16.80 Health Management Network — Commercial: $144.50 Humana — Medicare: $85
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TSH FSI	$170	$110.50	$144.50 – $164.90
Thyroid stimulating hormone (TSH) test: rates for 3 insurance plans Health Management Network — Commercial: $144.50 Kaiser Permanente — Commercial: $153 MDX Hawaii — PPO: $164.90
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC Complete Blood Count w/ Diff FSI	$114	$74.10	$7.77 – $110.58
Complete blood count (CBC) with differential: 10 of 19 insurance plan rates AlohaCare — Medicaid: $57 AlohaCare — Medicare: $57 Devoted Health — Medicare: $62.70 Hawaii Medical Service Association — ABD: $10.74 Hawaii Medical Service Association — Commercial: $9.71 Hawaii Medical Service Association — Medicare: $57 Hawaii Medical Service Association — Non-ABD: $11.28 Hawaii Western Management Group — Commercial: $7.77 Health Management Network — Commercial: $96.90 Humana — Medicare: $57
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC Complete Blood Count w/ Diff FSI	$114	$74.10	$96.90 – $110.58
Complete blood count (CBC) with differential: rates for 3 insurance plans Health Management Network — Commercial: $96.90 Kaiser Permanente — Commercial: $102.60 MDX Hawaii — PPO: $110.58
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC Complete Blood Count w/ Manual Diff FSI	$96	$62.40	$6.47 – $93.12
Complete blood count (CBC), automated: 10 of 19 insurance plan rates AlohaCare — Medicaid: $48 AlohaCare — Medicare: $48 Devoted Health — Medicare: $52.80 Hawaii Medical Service Association — ABD: $8.95 Hawaii Medical Service Association — Commercial: $8.09 Hawaii Medical Service Association — Medicare: $48 Hawaii Medical Service Association — Non-ABD: $9.40 Hawaii Western Management Group — Commercial: $6.47 Health Management Network — Commercial: $81.60 Humana — Medicare: $48
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC without Diff FSI	$96	$62.40	$6.47 – $93.12
Complete blood count (CBC), automated: 10 of 19 insurance plan rates AlohaCare — Medicaid: $48 AlohaCare — Medicare: $48 Devoted Health — Medicare: $52.80 Hawaii Medical Service Association — ABD: $8.95 Hawaii Medical Service Association — Commercial: $8.09 Hawaii Medical Service Association — Medicare: $48 Hawaii Medical Service Association — Non-ABD: $9.40 Hawaii Western Management Group — Commercial: $6.47 Health Management Network — Commercial: $81.60 Humana — Medicare: $48
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC Complete Blood Count w/ Manual Diff FSI	$96	$62.40	$81.60 – $93.12
Complete blood count (CBC), automated: rates for 3 insurance plans Health Management Network — Commercial: $81.60 Kaiser Permanente — Commercial: $86.40 MDX Hawaii — PPO: $93.12
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 85610 PT/INR (POC)	$67	$43.55	$4.29 – $64.99
Blood clotting time test (prothrombin time, PT): 10 of 19 insurance plan rates AlohaCare — Medicaid: $33.50 AlohaCare — Medicare: $33.50 Devoted Health — Medicare: $36.85 Hawaii Medical Service Association — ABD: $5.43 Hawaii Medical Service Association — Commercial: $5.36 Hawaii Medical Service Association — Medicare: $33.50 Hawaii Medical Service Association — Non-ABD: $5.70 Hawaii Western Management Group — Commercial: $4.29 Health Management Network — Commercial: $56.95 Humana — Medicare: $33.50
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Protime w/ INR FSI	$67	$43.55	$4.29 – $64.99
Blood clotting time test (prothrombin time, PT): 10 of 19 insurance plan rates AlohaCare — Medicaid: $33.50 AlohaCare — Medicare: $33.50 Devoted Health — Medicare: $36.85 Hawaii Medical Service Association — ABD: $5.43 Hawaii Medical Service Association — Commercial: $5.36 Hawaii Medical Service Association — Medicare: $33.50 Hawaii Medical Service Association — Non-ABD: $5.70 Hawaii Western Management Group — Commercial: $4.29 Health Management Network — Commercial: $56.95 Humana — Medicare: $33.50
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 85610 PT/INR (POC)	$67	$43.55	$56.95 – $64.99
Blood clotting time test (prothrombin time, PT): rates for 3 insurance plans Health Management Network — Commercial: $56.95 Kaiser Permanente — Commercial: $60.30 MDX Hawaii — PPO: $64.99
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT FSI	$83	$53.95	$6.01 – $80.51
Blood clotting test (partial thromboplastin time, PTT): 10 of 19 insurance plan rates AlohaCare — Medicaid: $41.50 AlohaCare — Medicare: $41.50 Devoted Health — Medicare: $45.65 Hawaii Medical Service Association — ABD: $8.30 Hawaii Medical Service Association — Commercial: $7.51 Hawaii Medical Service Association — Medicare: $41.50 Hawaii Medical Service Association — Non-ABD: $8.72 Hawaii Western Management Group — Commercial: $6.01 Health Management Network — Commercial: $70.55 Humana — Medicare: $41.50
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PTT FSI	$83	$53.95	$70.55 – $80.51
Blood clotting test (partial thromboplastin time, PTT): rates for 3 insurance plans Health Management Network — Commercial: $70.55 Kaiser Permanente — Commercial: $74.70 MDX Hawaii — PPO: $80.51

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: CT Brain/Head w/o Contrast	$1,601	$1,040.65	$106.81 – $1,552.97
CT scan of the head or brain, without contrast: 10 of 19 insurance plan rates AlohaCare — Medicaid: $800.50 AlohaCare — Medicare: $800.50 Devoted Health — Medicare: $880.55 Hawaii Medical Service Association — ABD: $139.10 Hawaii Medical Service Association — Commercial: $133.51 Hawaii Medical Service Association — Medicare: $800.50 Hawaii Medical Service Association — Non-ABD: $169.03 Hawaii Western Management Group — Commercial: $106.81 Health Management Network — Commercial: $1,360.85 Humana — Medicare: $800.50
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT Brain/Head w/o Contrast	$1,601	$1,040.65	$1,360.85 – $1,552.97
CT scan of the head or brain, without contrast: rates for 3 insurance plans Health Management Network — Commercial: $1,360.85 Kaiser Permanente — Commercial: $1,440.90 MDX Hawaii — PPO: $1,552.97
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: CT Brain/Head w/o Contrast - Report	$155	$100.75	$40.08 – $254.45
CT scan of the head or brain, without contrast: 10 of 13 insurance plan rates AlohaCare — Medicaid: $71.70 AlohaCare — Medicare: $40.08 Devoted Health — Medicare: $44.09 Hawaii Medical Service Association — Medicare: $40.08 Hawaii Western Management Group — Commercial: $254.45 Health Management Network — Commercial: $131.75 Kaiser Permanente — Commercial: $44.09 Kaiser Permanente — Medicaid: $44.09 Kaiser Permanente — Medicare: $44.09 Ohana Health Plan — Medicaid: $71.70
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR Chest 2 Views	$443	$287.95	$20.40 – $429.71
Chest X-ray, 2 views: 10 of 19 insurance plan rates AlohaCare — Medicaid: $221.50 AlohaCare — Medicare: $221.50 Devoted Health — Medicare: $243.65 Hawaii Medical Service Association — ABD: $20.40 Hawaii Medical Service Association — Commercial: $111.14 Hawaii Medical Service Association — Medicare: $221.50 Hawaii Medical Service Association — Non-ABD: $23.07 Hawaii Western Management Group — Commercial: $88.91 Health Management Network — Commercial: $376.55 Humana — Medicare: $221.50
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Doctor (professional) fee In the file: 71046 RADIOLOGIC EXAM CHEST 2 VIEWS ProFee	$121	$78.65	$22.29 – $102.85
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: $102.85 Kaiser Permanente — Commercial: $39.89 Kaiser Permanente — Medicaid: $39.89 Kaiser Permanente — Medicare: $39.89 Ohana Health Plan — Medicaid: $22.29
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: XR Chest 2 Views	$443	$287.95	$376.55 – $429.71
Chest X-ray, 2 views: rates for 3 insurance plans Health Management Network — Commercial: $376.55 Kaiser Permanente — Commercial: $398.70 MDX Hawaii — PPO: $429.71
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR Spine Lumbosacral 4plus Views	$758	$492.70	$32.35 – $735.26
X-ray of the lower spine, at least 4 views: 10 of 19 insurance plan rates AlohaCare — Medicaid: $379 AlohaCare — Medicare: $379 Devoted Health — Medicare: $416.90 Hawaii Medical Service Association — ABD: $32.35 Hawaii Medical Service Association — Commercial: $133.51 Hawaii Medical Service Association — Medicare: $379 Hawaii Medical Service Association — Non-ABD: $33.97 Hawaii Western Management Group — Commercial: $106.81 Health Management Network — Commercial: $644.30 Humana — Medicare: $379
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: XR Spine Lumbosacral 4plus Views	$758	$492.70	$644.30 – $735.26
X-ray of the lower spine, at least 4 views: rates for 3 insurance plans Health Management Network — Commercial: $644.30 Kaiser Permanente — Commercial: $682.20 MDX Hawaii — PPO: $735.26
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: XR Spine Lumbosacral 4plus Views - Report	$145	$94.25	$12.91 – $123.25
X-ray of the lower spine, at least 4 views: 10 of 13 insurance plan rates AlohaCare — Medicaid: $34.79 AlohaCare — Medicare: $12.91 Devoted Health — Medicare: $14.20 Hawaii Medical Service Association — Medicare: $12.91 Hawaii Western Management Group — Commercial: $57.23 Health Management Network — Commercial: $123.25 Kaiser Permanente — Commercial: $14.20 Kaiser Permanente — Medicaid: $14.20 Kaiser Permanente — Medicare: $14.20 Ohana Health Plan — Medicaid: $34.79
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Pelvis w/ Contrast	$1,555	$1,010.75	$179.20 – $1,508.35
CT scan of the pelvis, with contrast: 10 of 19 insurance plan rates AlohaCare — Medicaid: $777.50 AlohaCare — Medicare: $777.50 Devoted Health — Medicare: $855.25 Hawaii Medical Service Association — ABD: $225.48 Hawaii Medical Service Association — Commercial: $224 Hawaii Medical Service Association — Medicare: $777.50 Hawaii Medical Service Association — Non-ABD: $245.18 Hawaii Western Management Group — Commercial: $179.20 Health Management Network — Commercial: $1,321.75 Humana — Medicare: $777.50
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT Pelvis w/ Contrast	$1,555	$1,010.75	$1,321.75 – $1,508.35
CT scan of the pelvis, with contrast: rates for 3 insurance plans Health Management Network — Commercial: $1,321.75 Kaiser Permanente — Commercial: $1,399.50 MDX Hawaii — PPO: $1,508.35
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: CT Pelvis w/ Contrast - Report	$226	$146.90	$54.29 – $364.03
CT scan of the pelvis, with contrast: 10 of 13 insurance plan rates AlohaCare — Medicaid: $157.39 AlohaCare — Medicare: $54.29 Devoted Health — Medicare: $59.72 Hawaii Medical Service Association — Medicare: $54.29 Hawaii Western Management Group — Commercial: $364.03 Health Management Network — Commercial: $192.10 Kaiser Permanente — Commercial: $59.72 Kaiser Permanente — Medicaid: $59.72 Kaiser Permanente — Medicare: $59.72 Ohana Health Plan — Medicaid: $157.39
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: MRI LE Joint w/o Contrast Left	$1,741	$1,131.65	$396.10 – $1,688.77
MRI of a leg joint (such as the knee), without contrast: 10 of 18 insurance plan rates AlohaCare — Medicaid: $870.50 AlohaCare — Medicare: $870.50 Devoted Health — Medicare: $957.55 Hawaii Medical Service Association — ABD: $396.10 Hawaii Medical Service Association — Medicare: $870.50 Hawaii Medical Service Association — Non-ABD: $415.91 Hawaii Western Management Group — Commercial: $1,653.95 Health Management Network — Commercial: $1,479.85 Humana — Medicare: $870.50 Kaiser Permanente — Commercial: $1,566.90
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: MRI LE Joint w/o Contrast Right	$1,741	$1,131.65	$396.10 – $1,688.77
MRI of a leg joint (such as the knee), without contrast: 10 of 18 insurance plan rates AlohaCare — Medicaid: $870.50 AlohaCare — Medicare: $870.50 Devoted Health — Medicare: $957.55 Hawaii Medical Service Association — ABD: $396.10 Hawaii Medical Service Association — Medicare: $870.50 Hawaii Medical Service Association — Non-ABD: $415.91 Hawaii Western Management Group — Commercial: $1,653.95 Health Management Network — Commercial: $1,479.85 Humana — Medicare: $870.50 Kaiser Permanente — Commercial: $1,566.90
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Doctor (professional) fee · modifier 26,LT In the file: MRI LE Joint w/o Contrast Left - Report	$332	$215.80	$138.35 – $565.39
MRI of a leg joint (such as the knee), without contrast: rates for 5 insurance plans AlohaCare — Medicaid: $138.35 Hawaii Western Management Group — Commercial: $565.39 Health Management Network — Commercial: $282.20 Ohana Health Plan — Medicaid: $138.35 UnitedHealthcare — Medicaid: $138.35
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 74177 - CT Angio Chest PE + Abd/Pelvis w/ Cont	$10,205	$6,633.25	$180.62 – $9,898.85
CT scan of the abdomen and pelvis, with contrast: 10 of 19 insurance plan rates AlohaCare — Medicaid: $5,102.50 AlohaCare — Medicare: $5,102.50 Devoted Health — Medicare: $5,612.75 Hawaii Medical Service Association — ABD: $180.62 Hawaii Medical Service Association — Commercial: $445.54 Hawaii Medical Service Association — Medicare: $5,102.50 Hawaii Medical Service Association — Non-ABD: $490.36 Hawaii Western Management Group — Commercial: $356.43 Health Management Network — Commercial: $8,674.25 Humana — Medicare: $5,102.50
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 74177 - add on	$10,205	$6,633.25	$180.62 – $9,898.85
CT scan of the abdomen and pelvis, with contrast: 10 of 19 insurance plan rates AlohaCare — Medicaid: $5,102.50 AlohaCare — Medicare: $5,102.50 Devoted Health — Medicare: $5,612.75 Hawaii Medical Service Association — ABD: $180.62 Hawaii Medical Service Association — Commercial: $445.54 Hawaii Medical Service Association — Medicare: $5,102.50 Hawaii Medical Service Association — Non-ABD: $490.36 Hawaii Western Management Group — Commercial: $356.43 Health Management Network — Commercial: $8,674.25 Humana — Medicare: $5,102.50
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Abdomen and Pelvis w/ Contrast	$3,518	$2,286.70	$180.62 – $3,412.46
CT scan of the abdomen and pelvis, with contrast: 10 of 19 insurance plan rates AlohaCare — Medicaid: $1,759 AlohaCare — Medicare: $1,759 Devoted Health — Medicare: $1,934.90 Hawaii Medical Service Association — ABD: $180.62 Hawaii Medical Service Association — Commercial: $445.54 Hawaii Medical Service Association — Medicare: $1,759 Hawaii Medical Service Association — Non-ABD: $490.36 Hawaii Western Management Group — Commercial: $356.43 Health Management Network — Commercial: $2,990.30 Humana — Medicare: $1,759
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Abdomen Complete	$758	$492.70	$64.94 – $735.26
Ultrasound of the abdomen, complete: 10 of 19 insurance plan rates AlohaCare — Medicaid: $379 AlohaCare — Medicare: $379 Devoted Health — Medicare: $416.90 Hawaii Medical Service Association — ABD: $64.94 Hawaii Medical Service Association — Commercial: $133.51 Hawaii Medical Service Association — Medicare: $379 Hawaii Medical Service Association — Non-ABD: $70.56 Hawaii Western Management Group — Commercial: $106.81 Health Management Network — Commercial: $644.30 Humana — Medicare: $379
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US Abdomen Complete	$758	$492.70	$644.30 – $735.26
Ultrasound of the abdomen, complete: rates for 3 insurance plans Health Management Network — Commercial: $644.30 Kaiser Permanente — Commercial: $682.20 MDX Hawaii — PPO: $735.26
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: US Abdomen Complete - Report	$146	$94.90	$38.17 – $130.90
Ultrasound of the abdomen, complete: 10 of 13 insurance plan rates AlohaCare — Medicaid: $76.97 AlohaCare — Medicare: $38.17 Devoted Health — Medicare: $41.99 Hawaii Medical Service Association — Medicare: $38.17 Hawaii Western Management Group — Commercial: $130.90 Health Management Network — Commercial: $124.10 Kaiser Permanente — Commercial: $41.99 Kaiser Permanente — Medicaid: $41.99 Kaiser Permanente — Medicare: $41.99 Ohana Health Plan — Medicaid: $76.97
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US OB Greater Than 14 Weeks	$761	$494.65	$61.23 – $738.17
Pregnancy ultrasound (after the first trimester): 10 of 19 insurance plan rates AlohaCare — Medicaid: $380.50 AlohaCare — Medicare: $380.50 Devoted Health — Medicare: $418.55 Hawaii Medical Service Association — ABD: $61.23 Hawaii Medical Service Association — Commercial: $133.51 Hawaii Medical Service Association — Medicare: $380.50 Hawaii Medical Service Association — Non-ABD: $75.32 Hawaii Western Management Group — Commercial: $106.81 Health Management Network — Commercial: $646.85 Humana — Medicare: $380.50
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US OB Greater Than 14 Weeks	$761	$494.65	$646.85 – $738.17
Pregnancy ultrasound (after the first trimester): rates for 3 insurance plans Health Management Network — Commercial: $646.85 Kaiser Permanente — Commercial: $684.90 MDX Hawaii — PPO: $738.17
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: US OB Greater Than 14 Weeks - Report	$181	$117.65	$48.18 – $153.85
Pregnancy ultrasound (after the first trimester): 10 of 13 insurance plan rates AlohaCare — Medicaid: $89.75 AlohaCare — Medicare: $48.18 Devoted Health — Medicare: $53 Hawaii Medical Service Association — Medicare: $48.18 Hawaii Western Management Group — Commercial: $146.63 Health Management Network — Commercial: $153.85 Kaiser Permanente — Commercial: $53 Kaiser Permanente — Medicaid: $53 Kaiser Permanente — Medicare: $53 Ohana Health Plan — Medicaid: $89.75
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HHSC Transvaginal	$758	$492.70	$50.35 – $735.26
Transvaginal ultrasound: 10 of 19 insurance plan rates AlohaCare — Medicaid: $379 AlohaCare — Medicare: $379 Devoted Health — Medicare: $416.90 Hawaii Medical Service Association — ABD: $50.35 Hawaii Medical Service Association — Commercial: $133.51 Hawaii Medical Service Association — Medicare: $379 Hawaii Medical Service Association — Non-ABD: $54.65 Hawaii Western Management Group — Commercial: $106.81 Health Management Network — Commercial: $644.30 Humana — Medicare: $379
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Transvaginal Non-OB	$758	$492.70	$50.35 – $735.26
Transvaginal ultrasound: 10 of 19 insurance plan rates AlohaCare — Medicaid: $379 AlohaCare — Medicare: $379 Devoted Health — Medicare: $416.90 Hawaii Medical Service Association — ABD: $50.35 Hawaii Medical Service Association — Commercial: $133.51 Hawaii Medical Service Association — Medicare: $379 Hawaii Medical Service Association — Non-ABD: $54.65 Hawaii Western Management Group — Commercial: $106.81 Health Management Network — Commercial: $644.30 Humana — Medicare: $379
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Doctor (professional) fee In the file: 76830 US Pelvic Transvaginal POC	$145	$94.25	$79.51 – $142.44
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: $123.25 Kaiser Permanente — Commercial: $142.44 Kaiser Permanente — Medicaid: $142.44 Kaiser Permanente — Medicare: $142.44 Ohana Health Plan — Medicaid: $79.51
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: MG Mammo Diagnostic Left w/ Tomo	$576	$374.40	$64.13 – $558.72
Diagnostic mammogram, one breast: 10 of 18 insurance plan rates AlohaCare — Medicaid: $288 AlohaCare — Medicare: $288 Devoted Health — Medicare: $316.80 Hawaii Medical Service Association — ABD: $64.13 Hawaii Medical Service Association — Medicare: $288 Hawaii Medical Service Association — Non-ABD: $85.82 Hawaii Western Management Group — Commercial: $547.20 Health Management Network — Commercial: $489.60 Humana — Medicare: $288 Kaiser Permanente — Commercial: $518.40
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: MG Mammo Digital Diagnostic Left	$576	$374.40	$64.13 – $558.72
Diagnostic mammogram, one breast: 10 of 18 insurance plan rates AlohaCare — Medicaid: $288 AlohaCare — Medicare: $288 Devoted Health — Medicare: $316.80 Hawaii Medical Service Association — ABD: $64.13 Hawaii Medical Service Association — Medicare: $288 Hawaii Medical Service Association — Non-ABD: $85.82 Hawaii Western Management Group — Commercial: $547.20 Health Management Network — Commercial: $489.60 Humana — Medicare: $288 Kaiser Permanente — Commercial: $518.40
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: MG Mammo Digital Diagnostic Left.	$576	$374.40	$64.13 – $558.72
Diagnostic mammogram, one breast: 10 of 18 insurance plan rates AlohaCare — Medicaid: $288 AlohaCare — Medicare: $288 Devoted Health — Medicare: $316.80 Hawaii Medical Service Association — ABD: $64.13 Hawaii Medical Service Association — Medicare: $288 Hawaii Medical Service Association — Non-ABD: $85.82 Hawaii Western Management Group — Commercial: $547.20 Health Management Network — Commercial: $489.60 Humana — Medicare: $288 Kaiser Permanente — Commercial: $518.40
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG Mammo Diagnostic Bilateral w/ Tomo	$802	$521.30	$77.83 – $777.94
Diagnostic mammogram, both breasts: 10 of 18 insurance plan rates AlohaCare — Medicaid: $401 AlohaCare — Medicare: $401 Devoted Health — Medicare: $441.10 Hawaii Medical Service Association — ABD: $77.83 Hawaii Medical Service Association — Medicare: $401 Hawaii Medical Service Association — Non-ABD: $104.42 Hawaii Western Management Group — Commercial: $761.90 Health Management Network — Commercial: $681.70 Humana — Medicare: $401 Kaiser Permanente — Commercial: $721.80
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG Mammo Digital Diagnostic Bilat.	$802	$521.30	$77.83 – $777.94
Diagnostic mammogram, both breasts: 10 of 18 insurance plan rates AlohaCare — Medicaid: $401 AlohaCare — Medicare: $401 Devoted Health — Medicare: $441.10 Hawaii Medical Service Association — ABD: $77.83 Hawaii Medical Service Association — Medicare: $401 Hawaii Medical Service Association — Non-ABD: $104.42 Hawaii Western Management Group — Commercial: $761.90 Health Management Network — Commercial: $681.70 Humana — Medicare: $401 Kaiser Permanente — Commercial: $721.80
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG Mammo Implant Diag Bilateral w/ Tomo.	$802	$521.30	$77.83 – $777.94
Diagnostic mammogram, both breasts: 10 of 18 insurance plan rates AlohaCare — Medicaid: $401 AlohaCare — Medicare: $401 Devoted Health — Medicare: $441.10 Hawaii Medical Service Association — ABD: $77.83 Hawaii Medical Service Association — Medicare: $401 Hawaii Medical Service Association — Non-ABD: $104.42 Hawaii Western Management Group — Commercial: $761.90 Health Management Network — Commercial: $681.70 Humana — Medicare: $401 Kaiser Permanente — Commercial: $721.80
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG Mammo Implant Digital Screening Bilat	$464	$301.60	$80.77 – $450.08
Screening mammogram, both breasts: 10 of 18 insurance plan rates AlohaCare — Medicaid: $232 AlohaCare — Medicare: $232 Devoted Health — Medicare: $255.20 Hawaii Medical Service Association — ABD: $80.77 Hawaii Medical Service Association — Medicare: $232 Hawaii Medical Service Association — Non-ABD: $106.74 Hawaii Western Management Group — Commercial: $440.80 Health Management Network — Commercial: $394.40 Humana — Medicare: $232 Kaiser Permanente — Commercial: $417.60
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG Mammo Implant Screening Bil w/ Tomo.	$464	$301.60	$80.77 – $450.08
Screening mammogram, both breasts: 10 of 18 insurance plan rates AlohaCare — Medicaid: $232 AlohaCare — Medicare: $232 Devoted Health — Medicare: $255.20 Hawaii Medical Service Association — ABD: $80.77 Hawaii Medical Service Association — Medicare: $232 Hawaii Medical Service Association — Non-ABD: $106.74 Hawaii Western Management Group — Commercial: $440.80 Health Management Network — Commercial: $394.40 Humana — Medicare: $232 Kaiser Permanente — Commercial: $417.60
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG Mammo Screening Bilateral w/ Tomo	$464	$301.60	$80.77 – $450.08
Screening mammogram, both breasts: 10 of 18 insurance plan rates AlohaCare — Medicaid: $232 AlohaCare — Medicare: $232 Devoted Health — Medicare: $255.20 Hawaii Medical Service Association — ABD: $80.77 Hawaii Medical Service Association — Medicare: $232 Hawaii Medical Service Association — Non-ABD: $106.74 Hawaii Western Management Group — Commercial: $440.80 Health Management Network — Commercial: $394.40 Humana — Medicare: $232 Kaiser Permanente — Commercial: $417.60

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,CQ In the file: Therapeutic Exercise Charges	$199	$129.35	$17.65 – $193.03
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 16 insurance plan rates AlohaCare — Medicaid: $99.50 AlohaCare — Medicare: $99.50 Devoted Health — Medicare: $109.45 Hawaii Medical Service Association — Medicare: $99.50 Hawaii Western Management Group — Commercial: $189.05 Health Management Network — Commercial: $169.15 Humana — Medicare: $99.50 Kaiser Permanente — Commercial: $179.10 Kaiser Permanente — Medicaid: $101.49 Kaiser Permanente — Medicare: $99.50
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GO In the file: OT Therapeutic Exercise Charges	$199	$129.35	$17.65 – $193.03
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 16 insurance plan rates AlohaCare — Medicaid: $99.50 AlohaCare — Medicare: $99.50 Devoted Health — Medicare: $109.45 Hawaii Medical Service Association — Medicare: $99.50 Hawaii Western Management Group — Commercial: $189.05 Health Management Network — Commercial: $169.15 Humana — Medicare: $99.50 Kaiser Permanente — Commercial: $179.10 Kaiser Permanente — Medicaid: $101.49 Kaiser Permanente — Medicare: $99.50
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GO,CO In the file: OT Therapeutic Exercise Assistant units	$199	$129.35	$17.65 – $193.03
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 16 insurance plan rates AlohaCare — Medicaid: $99.50 AlohaCare — Medicare: $99.50 Devoted Health — Medicare: $109.45 Hawaii Medical Service Association — Medicare: $99.50 Hawaii Western Management Group — Commercial: $189.05 Health Management Network — Commercial: $169.15 Humana — Medicare: $99.50 Kaiser Permanente — Commercial: $179.10 Kaiser Permanente — Medicaid: $101.49 Kaiser Permanente — Medicare: $99.50
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP,CQ In the file: PT Low Complex Units	$710	$461.50	$106.70 – $688.70
Physical therapy evaluation (low complexity): 10 of 16 insurance plan rates AlohaCare — Medicaid: $355 AlohaCare — Medicare: $355 Devoted Health — Medicare: $390.50 Hawaii Medical Service Association — Medicare: $355 Hawaii Western Management Group — Commercial: $674.50 Health Management Network — Commercial: $603.50 Humana — Medicare: $355 Kaiser Permanente — Commercial: $639 Kaiser Permanente — Medicaid: $362.10 Kaiser Permanente — Medicare: $355
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP,CQ In the file: PT Low Complex Units	$710	$461.50	$603.50 – $688.70
Physical therapy evaluation (low complexity): rates for 3 insurance plans Health Management Network — Commercial: $603.50 Kaiser Permanente — Commercial: $639 MDX Hawaii — PPO: $688.70
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP,CQ In the file: PT Moderate Complex Units	$583	$378.95	$106.70 – $565.51
Physical therapy evaluation (moderate complexity): 10 of 16 insurance plan rates AlohaCare — Medicaid: $291.50 AlohaCare — Medicare: $291.50 Devoted Health — Medicare: $320.65 Hawaii Medical Service Association — Medicare: $291.50 Hawaii Western Management Group — Commercial: $553.85 Health Management Network — Commercial: $495.55 Humana — Medicare: $291.50 Kaiser Permanente — Commercial: $524.70 Kaiser Permanente — Medicaid: $297.33 Kaiser Permanente — Medicare: $291.50
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP,CQ In the file: PT Moderate Complex Units	$583	$378.95	$495.55 – $565.51
Physical therapy evaluation (moderate complexity): rates for 3 insurance plans Health Management Network — Commercial: $495.55 Kaiser Permanente — Commercial: $524.70 MDX Hawaii — PPO: $565.51
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP,CQ In the file: PT High Complex Units	$583	$378.95	$106.70 – $565.51
Physical therapy evaluation (high complexity): 10 of 16 insurance plan rates AlohaCare — Medicaid: $291.50 AlohaCare — Medicare: $291.50 Devoted Health — Medicare: $320.65 Hawaii Medical Service Association — Medicare: $291.50 Hawaii Western Management Group — Commercial: $553.85 Health Management Network — Commercial: $495.55 Humana — Medicare: $291.50 Kaiser Permanente — Commercial: $524.70 Kaiser Permanente — Medicaid: $297.33 Kaiser Permanente — Medicare: $291.50
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP,CQ In the file: PT High Complex Units	$583	$378.95	$495.55 – $565.51
Physical therapy evaluation (high complexity): rates for 3 insurance plans Health Management Network — Commercial: $495.55 Kaiser Permanente — Commercial: $524.70 MDX Hawaii — PPO: $565.51

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: 19120 Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue	$1,339	$870.35	$332.54 – $1,138.15
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: $1,138.15 Kaiser Permanente — Commercial: $451.30
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Doctor (professional) fee In the file: 43235 Esophagogastroduodenoscopy, flexible, transoral; diagnostic, collection of specimen brsh/floss	$1,262	$820.30	$111.90 – $1,072.70
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: $1,072.70 Kaiser Permanente — Commercial: $123.09
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEP	Not listed in the file	Not listed in the file	$393 – $2,837
Upper GI endoscopy (diagnostic): rates for 7 insurance plans AlohaCare — Medicaid: $672.48 Hawaii Medical Service Association — ABD: $393 Hawaii Medical Service Association — Commercial: $2,389 Hawaii Medical Service Association — Non-ABD: $407.95 Kaiser Permanente — Medicaid: $2,837 UnitedHealthcare — Medicaid: $456.03 Hawaii Western Management Group — Commercial: 80% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Doctor (professional) fee In the file: 43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	$1,262	$820.30	$124.82 – $1,072.70
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: $1,072.70 Kaiser Permanente — Commercial: $137.30
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH BIOPSY, SINGLE OR MULTIPLE	Not listed in the file	Not listed in the file	$456.03 – $5,655
Upper GI endoscopy with biopsy: rates for 8 insurance plans AlohaCare — Medicaid: $901.48 Hawaii Medical Service Association — ABD: $695 Hawaii Medical Service Association — Commercial: $5,655 Hawaii Medical Service Association — Non-ABD: $700.72 Kaiser Permanente — Medicaid: $2,837 UnitedHealthcare — Medicaid: $456.03 University Health Alliance — Commercial: $5,160.40 Hawaii Western Management Group — Commercial: 80% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee In the file: 45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing	$1,226	$796.90	$124.82 – $1,042.10
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: $1,042.10 Kaiser Permanente — Commercial: $181.53
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY, FLEXIBLE; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)	Not listed in the file	Not listed in the file	$456.03 – $5,655
Colonoscopy (diagnostic): rates for 8 insurance plans AlohaCare — Medicaid: $901.48 Hawaii Medical Service Association — ABD: $695 Hawaii Medical Service Association — Commercial: $5,655 Hawaii Medical Service Association — Non-ABD: $700.72 Kaiser Permanente — Medicaid: $2,837 UnitedHealthcare — Medicaid: $456.03 University Health Alliance — Commercial: $5,160.40 Hawaii Western Management Group — Commercial: 80% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Doctor (professional) fee In the file: 45380 Colonoscopy, flexible; with biopsy, single or multiple	$1,665	$1,082.25	$178.33 – $1,415.25
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: $1,415.25 Kaiser Permanente — Commercial: $196.16
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY, FLEXIBLE; WITH BIOPSY, SINGLE OR MULTIPLE	Not listed in the file	Not listed in the file	$456.03 – $5,655
Colonoscopy with biopsy: rates for 8 insurance plans AlohaCare — Medicaid: $901.48 Hawaii Medical Service Association — ABD: $695 Hawaii Medical Service Association — Commercial: $5,655 Hawaii Medical Service Association — Non-ABD: $700.72 Kaiser Permanente — Medicaid: $2,837 UnitedHealthcare — Medicaid: $456.03 University Health Alliance — Commercial: $5,160.40 Hawaii Western Management Group — Commercial: 80% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Doctor (professional) fee In the file: 45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare techniq	$1,644	$1,068.60	$224.15 – $1,397.40
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: $1,397.40 Kaiser Permanente — Commercial: $246.56
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY, FLEXIBLE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY SNARE TECHNIQUE	Not listed in the file	Not listed in the file	$456.03 – $5,655
Colonoscopy with removal of polyps (snare): rates for 8 insurance plans AlohaCare — Medicaid: $901.48 Hawaii Medical Service Association — ABD: $695 Hawaii Medical Service Association — Commercial: $5,655 Hawaii Medical Service Association — Non-ABD: $700.72 Kaiser Permanente — Medicaid: $2,837 UnitedHealthcare — Medicaid: $456.03 University Health Alliance — Commercial: $5,160.40 Hawaii Western Management Group — Commercial: 80% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Doctor (professional) fee In the file: G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	$1,179	$766.35	$125.26 – $1,002.15
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: $1,002.15 Kaiser Permanente — Commercial: $181.75
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK	Not listed in the file	Not listed in the file	$340.18 – $5,655
Screening colonoscopy (not high risk): rates for 8 insurance plans AlohaCare — Medicaid: $901.48 Hawaii Medical Service Association — ABD: $695 Hawaii Medical Service Association — Commercial: $5,655 Hawaii Medical Service Association — Non-ABD: $700.72 Kaiser Permanente — Medicaid: $2,837 UnitedHealthcare — Medicaid: $340.18 University Health Alliance — Commercial: $5,160.40 Hawaii Western Management Group — Commercial: 80% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Doctor (professional) fee In the file: 47562 Laparoscopy, surgical; cholecystectomy	$2,629	$1,708.85	$622.04 – $2,234.65
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: $2,234.65 Kaiser Permanente — Commercial: $684.24 Kaiser Permanente — Medicaid: $684.24 Kaiser Permanente — Medicare: $684.24 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: rates for 7 insurance plans Hawaii Medical Service Association — ABD: $695 Hawaii Medical Service Association — Commercial: $5,655 Hawaii Medical Service Association — Non-ABD: $700.72 Kaiser Permanente — Medicaid: $2,837 UnitedHealthcare — Medicaid: $521.33 University Health Alliance — Commercial: $20,300 Hawaii Western Management Group — Commercial: 80% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Doctor (professional) fee In the file: 49505 Repair initial inguinal hernia, age 5 years or older; reducible	$4,983	$3,238.95	$424.58 – $4,235.55
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: $4,235.55 Kaiser Permanente — Commercial: $554.30 Kaiser Permanente — Medicaid: $554.30 Kaiser Permanente — Medicare: $554.30 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: rates for 8 insurance plans AlohaCare — Medicaid: $1,379.34 Hawaii Medical Service Association — ABD: $848 Hawaii Medical Service Association — Commercial: $7,085 Hawaii Medical Service Association — Non-ABD: $849.21 Kaiser Permanente — Medicaid: $2,837 UnitedHealthcare — Medicaid: $456.03 University Health Alliance — Commercial: $10,679.55 Hawaii Western Management Group — Commercial: 80% (a percentage in the contract, not a dollar amount)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Doctor (professional) fee In the file: 58558 Hysteroscopy, surgical; w/ biopsy of endometrium and/or polypectomy, with or w/o D & C	$4,505	$2,928.25	$200.38 – $3,829.25
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: $3,829.25 Kaiser Permanente — Commercial: $220.42
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 – $7,085
Hysteroscopy with biopsy of the uterus lining: rates for 8 insurance plans AlohaCare — Medicaid: $1,030.55 Hawaii Medical Service Association — ABD: $848 Hawaii Medical Service Association — Commercial: $7,085 Hawaii Medical Service Association — Non-ABD: $849.21 Kaiser Permanente — Medicaid: $2,837 UnitedHealthcare — Medicaid: $456.03 University Health Alliance — Commercial: $6,743.44 Hawaii Western Management Group — Commercial: 80% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Doctor (professional) fee In the file: 62323 EPIDUROGRAPY RS&I ProFee	$982	$638.30	$90.18 – $834.70
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: $834.70 Kaiser Permanente — Commercial: $99.20
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXTRACAPSULAR CATARACT REMOVAL WITH INSERTION OF INTRAOCULAR LENS PROSTHESIS (1 STAGE PROCEDURE), MANUAL OR MECHANICAL TECHNIQUE (EG, IRRIGA	Not listed in the file	Not listed in the file	$456.03 – $7,085
Cataract removal with lens implant: rates for 8 insurance plans AlohaCare — Medicaid: $2,121.82 Hawaii Medical Service Association — ABD: $848 Hawaii Medical Service Association — Commercial: $7,085 Hawaii Medical Service Association — Non-ABD: $849.21 Kaiser Permanente — Medicaid: $2,837 UnitedHealthcare — Medicaid: $456.03 University Health Alliance — Commercial: $6,743.44 Hawaii Western Management Group — Commercial: 80% (a percentage in the contract, not a dollar amount)

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: 59400 Routine obstetric care including antepartum care, vaginal delivery, postpartum care	$6,236	$4,053.40	$1,053.78 – $5,300.60
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: $5,300.60 Kaiser Permanente — Commercial: $2,367.32 Kaiser Permanente — Medicaid: $2,367.32 Kaiser Permanente — Medicare: $2,367.32 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: 59510 Routine obstetric care including antepartum care, cesarean delivery, and postpartum care	$6,845	$4,449.25	$1,448.98 – $5,818.25
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: $5,818.25 Kaiser Permanente — Commercial: $2,620.26 Kaiser Permanente — Medicaid: $2,620.26 Kaiser Permanente — Medicare: $2,620.26 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	$207,996.37
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 1 insurance plan Hawaii Medical Service Association — Commercial: $207,996.37
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 – $29,906.81
Hip or knee replacement (major joint of the leg), without major complications: rates for 2 insurance plans Hawaii Medical Service Association — Commercial: $29,906.81 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	$49,487.74
Neck (cervical) spinal fusion, without complications: rates for 1 insurance plan Hawaii Medical Service Association — Commercial: $49,487.74
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	$21,544.12
Uterus and ovary surgery (not for cancer), without complications: rates for 1 insurance plan Hawaii Medical Service Association — Commercial: $21,544.12

Source: Kauai Veterans Memorial Hospital’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	Critical Access Hospital
Address	4643 Waimea Canyon Drive, Waimea, HI 96796
County	Kauai County
State	Hawaii
Phone	(808) 338‑9431
Emergency services	Yes
Ownership	Government - State
Medicare overall rating	Not rated by CMS
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	121300
Name in Medicare records	KAUAI VETERANS MEMORIAL HOSPITAL
Profile level	Medicare data + hospital website
Official website	kauai.hhsc.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.

Kauai Veterans Memorial Hospital (KVMH) — kauai.hhsc.org