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Acute Care Hospital

The Queens Medical Center

Honolulu, Hawaii · Honolulu County · Emergency services listed

Summary

The Queens Medical Center is an acute care hospital in Honolulu, Hawaii. Medicare data lists emergency services. CMS overall star rating: 3 of 5 stars. Its official website lists 55 services, specialties and programs. Medicare lists 1,483 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

Call(808) 538‑9011 Directions Website Medicare profile
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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
3 of 5 stars3 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
575Beds (hospital website)
1,483Doctors and clinicians
55Services listed

Quick answers

Does The Queens Medical Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at The Queens Medical Center. In a medical emergency, call 911.
Where is The Queens Medical Center?
1301 Punchbowl St, Honolulu, HI 96813, in Honolulu County, Hawaii.
What is the phone number of The Queens Medical Center?
(808) 538-9011, as listed by Medicare (CMS).
What is the Medicare star rating of The Queens 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][5][6][18]

Conditions treated[4][6][8][15]

  • Stroke
  • Heart disease
  • Cancer
  • Cerebral aneurysm
  • Arteriovenous malformation
  • Dural arteriovenous fistula
  • Moyamoya disease
  • Cerebral venous sinus thrombosis
  • Patent foramen ovale
  • Atrial septal defect

Treatments[8][11][13][14][16][17]

  • Stroke clot retrieval
  • Neurointerventional surgery
  • Neurovascular surgery
  • Advanced stroke imaging
  • Chemotherapy infusion
  • Mammography
  • Bone density testing
  • Ultrasound
  • Physical therapy
  • Occupational therapy
  • Speech-language pathology
  • Lymphedema screening

Procedures[5][19][20]

Programs and centers[5][6][8][12][15][17][18]

  • Stroke Center
  • Epilepsy Center
  • Transplant Center
  • Level 1 Geriatric Emergency Department
  • Neuroscience Intensive Care Unit (NSICU)
  • Obstetric Neurovascular Service
  • Neuro-Cardiology Program
  • Cancer Center patient navigation program
  • Breast and Cervical Cancer Control Program
  • Cardiovascular Disease Fellowship Training Program
  • Healing Through Art
  • Facility dog (pet therapy) program

Emergency care (hospital website)[4][6][8]

Emergency roomYes
Open 24/7Yes
Trauma designationLevel I
Stroke designationComprehensive Stroke Center

Visiting and practical information

VisitingVisiting hours 8 a.m.-8 p.m.; up to two visitors at a time[7]
ParkingSelf-parking 24/7 at Miller Garage; valet daily 5 am-10 pm at Punchbowl entrance, $8/day[9]
Interpreters and languagesForeign language and American Sign Language interpreters available at no cost[10]

Recognition[4][6][8][15][18]

  • Level 1 Geriatric Emergency Department accreditation (ACEP)
  • STEMI-accepting facility
  • Emergency Nurses Association Lantern Award 2026
  • Top hospital in Hawai'i, U.S. News & World Report 2026-2027 Best Hospitals
  • Level 1 Trauma Center (verified by American College of Surgeons; designated by Hawaii Department of Health)
  • Comprehensive Stroke Center (The Joint Commission)
  • Echocardiography accreditation (Intersocietal Accreditation Commission)
  • Accredited by the American College of Surgeons Commission on Cancer (Cancer Center)
  • U.S. News & World Report top hospital in Hawaii, Best Hospitals 2026-2027
  • 2026 ENA Lantern Award (Emergency Department)

Doctors and clinicians (1,483)

1,483 doctors and other clinicians list The Queens 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

Doctors with a page on this site (1,483)

And 1,459 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

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

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

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

Clinics and urgent care

Pharmacies

Assisted living nearby

Licensed homes from the official state licence list, by straight-line distance.

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 The Queens 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 hospital4 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well3 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night2 of 5 stars
Rated the hospital 9 or 10 out of 1073%National average: 72%
Would definitely recommend the hospital76%National average: 71%
Nurses “always” communicated well79%National average: 80%
Doctors “always” communicated well79%National average: 80%
Staff “always” explained medicines before giving them63%National average: 62%
Were given information about recovery at home86%National average: 86%
Room and bathroom “always” clean74%National average: 74%
Area around the room “always” quiet at night52%National average: 60%
Completed surveys3,104Response rate: 25%

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)0.453Better than the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.751No different from the national benchmark
Surgical site infections after colon surgery1.143No different from the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections0.345Better than the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.427Better 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 patients12.3%
Deaths within 30 days: heart failure patients9.4%
Deaths within 30 days: pneumonia patients15.3%
Deaths within 30 days: COPD patients8.2%
Deaths within 30 days: stroke patients10.5%
Deaths within 30 days: coronary bypass surgery (CABG)1.6%
Serious complications (patient safety indicator PSI-90)1.34Worse than the national rate
Complications after hip or knee replacement4%

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 attack14.3%
Readmitted within 30 days: heart failure21.2%
Readmitted within 30 days: pneumonia17.4%
Readmitted within 30 days: COPD17.5%
Readmitted within 30 days: coronary bypass surgery10.4%
Readmitted within 30 days: hip or knee replacement6.1%

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)Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)191 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)72%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 HonoluluBest hospitals in Honolulu

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 78 common services exactly as The Queens 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 →

$ 22 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-44 MINUTES $380 $266 $70.97 – $198.72
New patient office visit (about 30–44 minutes): 10 of 18 insurance plan rates
  • AlohaCare — Medicare: $70.97
  • HMSA — Commercial: $149.33
  • HMSA — Medicaid: $100.43
  • HMSA — Medicare: $70.97
  • HMSA — PHC Commercial: $149.33
  • Kaiser — Commercial: $198.72
  • Kaiser — Medicare Advantage: $70.97
  • Ohana Care — Medicare: $70.97
  • Seven Corners — Commercial: $131.29
  • United Healthcare — Medicaid: $115.49
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW LOW 30 MIN $399 $279.30 $70.97 – $198.72
New patient office visit (about 30–44 minutes): 10 of 18 insurance plan rates
  • AlohaCare — Medicare: $70.97
  • HMSA — Commercial: $149.33
  • HMSA — Medicaid: $100.43
  • HMSA — Medicare: $70.97
  • HMSA — PHC Commercial: $149.33
  • Kaiser — Commercial: $198.72
  • Kaiser — Medicare Advantage: $70.97
  • Ohana Care — Medicare: $70.97
  • Seven Corners — Commercial: $131.29
  • United Healthcare — Medicaid: $115.49
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-44 MINUTES $380 $266 $4,754 – $5,269
New patient office visit (about 30–44 minutes): rates for 7 insurance plans
  • Hawaii Community Health Alliance — Commercial: $4,754
  • Hawaii Laborers — Commercial: $5,269
  • Hawaii Mainland Administrators — NonTrust Local: $5,135
  • Hawaii Mainland Administrators — UFCW: $4,754
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
  • Humana — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Multiplan — Commercial: 70% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 45-59 MINUTES $430 $301 $116.55 – $326.34
New patient office visit (about 45–59 minutes): 10 of 18 insurance plan rates
  • AlohaCare — Medicare: $116.55
  • HMSA — Commercial: $221.22
  • HMSA — Medicaid: $149.15
  • HMSA — Medicare: $116.55
  • HMSA — PHC Commercial: $221.22
  • Kaiser — Commercial: $326.34
  • Kaiser — Medicare Advantage: $116.55
  • Ohana Care — Medicare: $116.55
  • Seven Corners — Commercial: $215.62
  • United Healthcare — Medicaid: $171.52
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW MOD 45 MIN $452 $316.40 $116.55 – $326.34
New patient office visit (about 45–59 minutes): 10 of 18 insurance plan rates
  • AlohaCare — Medicare: $116.55
  • HMSA — Commercial: $221.22
  • HMSA — Medicaid: $149.15
  • HMSA — Medicare: $116.55
  • HMSA — PHC Commercial: $221.22
  • Kaiser — Commercial: $326.34
  • Kaiser — Medicare Advantage: $116.55
  • Ohana Care — Medicare: $116.55
  • Seven Corners — Commercial: $215.62
  • United Healthcare — Medicaid: $171.52
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFFICE O/P NEW MOD 45 MIN $452 $316.40 $4,754 – $5,269
New patient office visit (about 45–59 minutes): rates for 7 insurance plans
  • Hawaii Community Health Alliance — Commercial: $4,754
  • Hawaii Laborers — Commercial: $5,269
  • Hawaii Mainland Administrators — NonTrust Local: $5,135
  • Hawaii Mainland Administrators — UFCW: $4,754
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
  • Humana — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Multiplan — Commercial: 70% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 60-74 MINUTES $477 $333.90 $159.56 – $446.77
New patient office visit (about 60–74 minutes): 10 of 18 insurance plan rates
  • AlohaCare — Medicare: $159.56
  • HMSA — Commercial: $282
  • HMSA — Medicaid: $196.57
  • HMSA — Medicare: $159.56
  • HMSA — PHC Commercial: $282
  • Kaiser — Commercial: $446.77
  • Kaiser — Medicare Advantage: $159.56
  • Ohana Care — Medicare: $159.56
  • Seven Corners — Commercial: $295.19
  • United Healthcare — Medicaid: $226.06
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFFICE O/P NEW HI 60 MIN $477 $333.90 $4,754 – $5,269
New patient office visit (about 60–74 minutes): rates for 7 insurance plans
  • Hawaii Community Health Alliance — Commercial: $4,754
  • Hawaii Laborers — Commercial: $5,269
  • Hawaii Mainland Administrators — NonTrust Local: $5,135
  • Hawaii Mainland Administrators — UFCW: $4,754
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
  • Humana — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Multiplan — Commercial: 70% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 60-74 MINUTES $477 $333.90 $159.56 – $446.77
New patient office visit (about 60–74 minutes): 10 of 14 insurance plan rates
  • AlohaCare — Medicare: $159.56
  • HMSA — Medicare: $159.56
  • Kaiser — Commercial: $446.77
  • Kaiser — Medicare Advantage: $159.56
  • Ohana Care — Medicare: $159.56
  • Seven Corners — Commercial: $295.19
  • United Healthcare — Medicare: $159.56
  • University Health Alliance — Commercial: $186
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
  • Hawaii Laborers — Commercial: 80% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES $307 $214.90 $57.69 – $186
Established patient office visit (about 20–29 minutes): 10 of 18 insurance plan rates
  • AlohaCare — Medicare: $57.69
  • HMSA — Commercial: $100.56
  • HMSA — Medicaid: $81.95
  • HMSA — Medicare: $57.69
  • HMSA — PHC Commercial: $100.56
  • Kaiser — Commercial: $161.53
  • Kaiser — Medicare Advantage: $57.69
  • Ohana Care — Medicare: $57.69
  • Seven Corners — Commercial: $106.73
  • United Healthcare — Medicaid: $94.24
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST LOW 20 MIN $322 $225.40 $57.69 – $186
Established patient office visit (about 20–29 minutes): 10 of 18 insurance plan rates
  • AlohaCare — Medicare: $57.69
  • HMSA — Commercial: $100.56
  • HMSA — Medicaid: $81.95
  • HMSA — Medicare: $57.69
  • HMSA — PHC Commercial: $100.56
  • Kaiser — Commercial: $161.53
  • Kaiser — Medicare Advantage: $57.69
  • Ohana Care — Medicare: $57.69
  • Seven Corners — Commercial: $106.73
  • United Healthcare — Medicaid: $94.24
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFFICE O/P EST LOW 20 MIN $322 $225.40 $4,754 – $5,269
Established patient office visit (about 20–29 minutes): rates for 7 insurance plans
  • Hawaii Community Health Alliance — Commercial: $4,754
  • Hawaii Laborers — Commercial: $5,269
  • Hawaii Mainland Administrators — NonTrust Local: $5,135
  • Hawaii Mainland Administrators — UFCW: $4,754
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
  • Humana — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Multiplan — Commercial: 70% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES $349 $244.30 $84.69 – $237.13
Established patient office visit (about 30–39 minutes): 10 of 18 insurance plan rates
  • AlohaCare — Medicare: $84.69
  • HMSA — Commercial: $148.62
  • HMSA — Medicaid: $116.01
  • HMSA — Medicare: $84.69
  • HMSA — PHC Commercial: $148.62
  • Kaiser — Commercial: $237.13
  • Kaiser — Medicare Advantage: $84.69
  • Ohana Care — Medicare: $84.69
  • Seven Corners — Commercial: $156.68
  • United Healthcare — Medicaid: $133.41
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST MOD 30 MIN $366 $256.20 $84.69 – $237.13
Established patient office visit (about 30–39 minutes): 10 of 18 insurance plan rates
  • AlohaCare — Medicare: $84.69
  • HMSA — Commercial: $148.62
  • HMSA — Medicaid: $116.01
  • HMSA — Medicare: $84.69
  • HMSA — PHC Commercial: $148.62
  • Kaiser — Commercial: $237.13
  • Kaiser — Medicare Advantage: $84.69
  • Ohana Care — Medicare: $84.69
  • Seven Corners — Commercial: $156.68
  • United Healthcare — Medicaid: $133.41
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES $349 $244.30 $4,754 – $5,269
Established patient office visit (about 30–39 minutes): rates for 7 insurance plans
  • Hawaii Community Health Alliance — Commercial: $4,754
  • Hawaii Laborers — Commercial: $5,269
  • Hawaii Mainland Administrators — NonTrust Local: $5,135
  • Hawaii Mainland Administrators — UFCW: $4,754
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
  • Humana — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Multiplan — Commercial: 70% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY $2,155 $1,508.50 $62.90 – $1,419
Emergency room visit (moderate): 10 of 23 insurance plan rates
  • AlohaCare — Medicare: $320.90
  • HMSA — Commercial: $1,419
  • HMSA — Medicaid: $877
  • HMSA — Medicare: $320.90
  • HMSA — PHC Commercial: $1,419
  • Kaiser — Commercial: $898.52
  • Kaiser — Medicare Advantage: $320.90
  • MDX Hawaii — Commercial: $62.90
  • Ohana Care — Medicare: $320.90
  • Seven Corners — Commercial: $593.66
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY $2,155 $1,508.50 $320.90 – $1,419
Emergency room visit (moderate): 10 of 22 insurance plan rates
  • AlohaCare — Medicare: $320.90
  • HMSA — Commercial: $1,419
  • HMSA — Medicaid: $877
  • HMSA — Medicare: $320.90
  • HMSA — PHC Commercial: $1,419
  • Kaiser — Commercial: $898.52
  • Kaiser — Medicare Advantage: $320.90
  • Ohana Care — Medicare: $320.90
  • Seven Corners — Commercial: $593.66
  • United Healthcare — Medicaid: $936
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25_XU In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY $2,155 $1,508.50 $320.90 – $1,419
Emergency room visit (moderate): 10 of 22 insurance plan rates
  • AlohaCare — Medicare: $320.90
  • HMSA — Commercial: $1,419
  • HMSA — Medicaid: $877
  • HMSA — Medicare: $320.90
  • HMSA — PHC Commercial: $1,419
  • Kaiser — Commercial: $898.52
  • Kaiser — Medicare Advantage: $320.90
  • Ohana Care — Medicare: $320.90
  • Seven Corners — Commercial: $593.66
  • United Healthcare — Medicaid: $936
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY $3,136 $2,195.20 $119.20 – $2,119
Emergency room visit (moderately high): 10 of 23 insurance plan rates
  • AlohaCare — Medicare: $490.51
  • HMSA — Commercial: $1,419
  • HMSA — Medicaid: $877
  • HMSA — Medicare: $490.51
  • HMSA — PHC Commercial: $1,419
  • Kaiser — Commercial: $1,373.43
  • Kaiser — Medicare Advantage: $490.51
  • MDX Hawaii — Commercial: $119.20
  • Ohana Care — Medicare: $490.51
  • Seven Corners — Commercial: $907.44
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY $3,136 $2,195.20 $490.51 – $2,119
Emergency room visit (moderately high): 10 of 22 insurance plan rates
  • AlohaCare — Medicare: $490.51
  • HMSA — Commercial: $1,419
  • HMSA — Medicaid: $877
  • HMSA — Medicare: $490.51
  • HMSA — PHC Commercial: $1,419
  • Kaiser — Commercial: $1,373.43
  • Kaiser — Medicare Advantage: $490.51
  • Ohana Care — Medicare: $490.51
  • Seven Corners — Commercial: $907.44
  • United Healthcare — Medicaid: $936
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25_27 In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY $3,136 $2,195.20 $490.51 – $2,119
Emergency room visit (moderately high): 10 of 22 insurance plan rates
  • AlohaCare — Medicare: $490.51
  • HMSA — Commercial: $1,419
  • HMSA — Medicaid: $877
  • HMSA — Medicare: $490.51
  • HMSA — PHC Commercial: $1,419
  • Kaiser — Commercial: $1,373.43
  • Kaiser — Medicare Advantage: $490.51
  • Ohana Care — Medicare: $490.51
  • Seven Corners — Commercial: $907.44
  • United Healthcare — Medicaid: $936
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT HI MDM $4,131 $2,891.70 $175.39 – $3,385
Emergency room visit (high): 10 of 23 insurance plan rates
  • AlohaCare — Medicare: $700.08
  • HMSA — Commercial: $1,419
  • HMSA — Medicaid: $877
  • HMSA — Medicare: $700.08
  • HMSA — PHC Commercial: $1,419
  • Kaiser — Commercial: $1,960.22
  • Kaiser — Medicare Advantage: $700.08
  • MDX Hawaii — Commercial: $175.39
  • Ohana Care — Medicare: $700.08
  • Seven Corners — Commercial: $1,295.15
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY $7,267 $5,086.90 $175.39 – $3,385
Emergency room visit (high): 10 of 23 insurance plan rates
  • AlohaCare — Medicare: $700.08
  • HMSA — Commercial: $1,419
  • HMSA — Medicaid: $877
  • HMSA — Medicare: $700.08
  • HMSA — PHC Commercial: $1,419
  • Kaiser — Commercial: $1,960.22
  • Kaiser — Medicare Advantage: $700.08
  • MDX Hawaii — Commercial: $175.39
  • Ohana Care — Medicare: $700.08
  • Seven Corners — Commercial: $1,295.15
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25_27 In the file: EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY $4,131 $2,891.70 $700.08 – $3,385
Emergency room visit (high): 10 of 22 insurance plan rates
  • AlohaCare — Medicare: $700.08
  • HMSA — Commercial: $1,419
  • HMSA — Medicaid: $877
  • HMSA — Medicare: $700.08
  • HMSA — PHC Commercial: $1,419
  • Kaiser — Commercial: $1,960.22
  • Kaiser — Medicare Advantage: $700.08
  • Ohana Care — Medicare: $700.08
  • Seven Corners — Commercial: $1,295.15
  • United Healthcare — Medicaid: $936

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) $122 $85.40 $8.46 – $35.10
Basic metabolic panel (blood test): 10 of 20 insurance plan rates
  • AlohaCare — Medicare: $8.46
  • Hawaii Community Health Alliance — Commercial: $12.69
  • Hawaii Laborers — Commercial: $19.04
  • Hawaii Mainland Administrators — NonTrust Local: $35.10
  • Hawaii Mainland Administrators — UFCW: $12.69
  • Hawaii Western Management Group — Commercial: $19.57
  • HMSA — Commercial: $18.15
  • HMSA — Medicaid: $12.29
  • HMSA — Medicare: $8.46
  • HMSA — PHC Commercial: $18.15
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 91 In the file: BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) $122 $85.40 $8.46 – $23.69
Basic metabolic panel (blood test): 10 of 16 insurance plan rates
  • AlohaCare — Medicare: $8.46
  • HMSA — Medicare: $8.46
  • Kaiser — Commercial: $23.69
  • Kaiser — Medicare Advantage: $8.46
  • Ohana Care — Medicare: $8.46
  • Seven Corners — Commercial: $15.65
  • United Healthcare — Medicare: $8.46
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
  • Hawaii Community Health Alliance — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Hawaii Laborers — Commercial: 80% (a percentage in the contract, not a dollar amount)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 91_GZ In the file: BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) $122 $85.40 $8.46 – $23.69
Basic metabolic panel (blood test): 10 of 16 insurance plan rates
  • AlohaCare — Medicare: $8.46
  • HMSA — Medicare: $8.46
  • Kaiser — Commercial: $23.69
  • Kaiser — Medicare Advantage: $8.46
  • Ohana Care — Medicare: $8.46
  • Seven Corners — Commercial: $15.65
  • United Healthcare — Medicare: $8.46
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
  • Hawaii Community Health Alliance — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Hawaii Laborers — Commercial: 80% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS $138 $96.60 $10.56 – $43.83
Comprehensive metabolic panel (blood test): 10 of 20 insurance plan rates
  • AlohaCare — Medicare: $10.56
  • Hawaii Community Health Alliance — Commercial: $15.84
  • Hawaii Laborers — Commercial: $23.76
  • Hawaii Mainland Administrators — NonTrust Local: $43.83
  • Hawaii Mainland Administrators — UFCW: $15.84
  • Hawaii Western Management Group — Commercial: $24.43
  • HMSA — Commercial: $22.69
  • HMSA — Medicaid: $15.34
  • HMSA — Medicare: $10.56
  • HMSA — PHC Commercial: $22.69
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 91 In the file: BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS $138 $96.60 $10.56 – $29.57
Comprehensive metabolic panel (blood test): 10 of 16 insurance plan rates
  • AlohaCare — Medicare: $10.56
  • HMSA — Medicare: $10.56
  • Kaiser — Commercial: $29.57
  • Kaiser — Medicare Advantage: $10.56
  • Ohana Care — Medicare: $10.56
  • Seven Corners — Commercial: $19.54
  • United Healthcare — Medicare: $10.56
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
  • Hawaii Community Health Alliance — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Hawaii Laborers — Commercial: 80% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 95 In the file: BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS $138 $96.60 $10.56 – $29.57
Comprehensive metabolic panel (blood test): 10 of 16 insurance plan rates
  • AlohaCare — Medicare: $10.56
  • HMSA — Medicare: $10.56
  • Kaiser — Commercial: $29.57
  • Kaiser — Medicare Advantage: $10.56
  • Ohana Care — Medicare: $10.56
  • Seven Corners — Commercial: $19.54
  • United Healthcare — Medicare: $10.56
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
  • Hawaii Community Health Alliance — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Hawaii Laborers — Commercial: 80% (a percentage in the contract, not a dollar amount)
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL $413 $289.10 $47.81 – $133.87
Obstetric blood test panel: 10 of 20 insurance plan rates
  • AlohaCare — Medicare: $47.81
  • Hawaii Community Health Alliance — Commercial: $71.72
  • Hawaii Laborers — Commercial: $107.57
  • Hawaii Mainland Administrators — NonTrust Local: $63.42
  • Hawaii Mainland Administrators — UFCW: $71.72
  • HMSA — Commercial: $128.72
  • HMSA — Medicaid: $82.74
  • HMSA — Medicare: $47.81
  • HMSA — PHC Commercial: $128.72
  • Kaiser — Commercial: $133.87
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) $167 $116.90 $13.39 – $55.53
Cholesterol panel (lipid panel): 10 of 20 insurance plan rates
  • AlohaCare — Medicare: $13.39
  • Hawaii Community Health Alliance — Commercial: $20.08
  • Hawaii Laborers — Commercial: $30.13
  • Hawaii Mainland Administrators — NonTrust Local: $55.53
  • Hawaii Mainland Administrators — UFCW: $20.08
  • Hawaii Western Management Group — Commercial: $30.97
  • HMSA — Commercial: $28.71
  • HMSA — Medicaid: $19.44
  • HMSA — Medicare: $13.39
  • HMSA — PHC Commercial: $28.71
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 91 In the file: BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) $167 $116.90 $13.39 – $37.49
Cholesterol panel (lipid panel): 10 of 16 insurance plan rates
  • AlohaCare — Medicare: $13.39
  • HMSA — Medicare: $13.39
  • Kaiser — Commercial: $37.49
  • Kaiser — Medicare Advantage: $13.39
  • Ohana Care — Medicare: $13.39
  • Seven Corners — Commercial: $24.77
  • United Healthcare — Medicare: $13.39
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
  • Hawaii Community Health Alliance — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Hawaii Laborers — Commercial: 80% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 95 In the file: BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) $167 $116.90 $13.39 – $37.49
Cholesterol panel (lipid panel): 10 of 16 insurance plan rates
  • AlohaCare — Medicare: $13.39
  • HMSA — Medicare: $13.39
  • Kaiser — Commercial: $37.49
  • Kaiser — Medicare Advantage: $13.39
  • Ohana Care — Medicare: $13.39
  • Seven Corners — Commercial: $24.77
  • United Healthcare — Medicare: $13.39
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
  • Hawaii Community Health Alliance — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Hawaii Laborers — Commercial: 80% (a percentage in the contract, not a dollar amount)
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KIDNEY FUNCTION BLOOD TEST PANEL $99 $69.30 $8.68 – $36
Kidney function panel: 10 of 20 insurance plan rates
  • AlohaCare — Medicare: $8.68
  • Hawaii Community Health Alliance — Commercial: $13.02
  • Hawaii Laborers — Commercial: $19.53
  • Hawaii Mainland Administrators — NonTrust Local: $36
  • Hawaii Mainland Administrators — UFCW: $13.02
  • Hawaii Western Management Group — Commercial: $20.09
  • HMSA — Commercial: $18.64
  • HMSA — Medicaid: $12.60
  • HMSA — Medicare: $8.68
  • HMSA — PHC Commercial: $18.64
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 91 In the file: KIDNEY FUNCTION BLOOD TEST PANEL $99 $69.30 $8.68 – $24.30
Kidney function panel: 10 of 16 insurance plan rates
  • AlohaCare — Medicare: $8.68
  • HMSA — Medicare: $8.68
  • Kaiser — Commercial: $24.30
  • Kaiser — Medicare Advantage: $8.68
  • Ohana Care — Medicare: $8.68
  • Seven Corners — Commercial: $16.06
  • United Healthcare — Medicare: $8.68
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
  • Hawaii Community Health Alliance — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Hawaii Laborers — Commercial: 80% (a percentage in the contract, not a dollar amount)
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIVER FUNCTION BLOOD TEST PANEL $96 $67.20 $8.17 – $33.87
Liver function panel: 10 of 20 insurance plan rates
  • AlohaCare — Medicare: $8.17
  • Hawaii Community Health Alliance — Commercial: $12.26
  • Hawaii Laborers — Commercial: $18.38
  • Hawaii Mainland Administrators — NonTrust Local: $33.87
  • Hawaii Mainland Administrators — UFCW: $12.26
  • Hawaii Western Management Group — Commercial: $18.89
  • HMSA — Commercial: $17.53
  • HMSA — Medicaid: $11.85
  • HMSA — Medicare: $8.17
  • HMSA — PHC Commercial: $17.53
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 91 In the file: LIVER FUNCTION BLOOD TEST PANEL $96 $67.20 $8.17 – $22.88
Liver function panel: 10 of 16 insurance plan rates
  • AlohaCare — Medicare: $8.17
  • HMSA — Medicare: $8.17
  • Kaiser — Commercial: $22.88
  • Kaiser — Medicare Advantage: $8.17
  • Ohana Care — Medicare: $8.17
  • Seven Corners — Commercial: $15.11
  • United Healthcare — Medicare: $8.17
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
  • Hawaii Community Health Alliance — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Hawaii Laborers — Commercial: 80% (a percentage in the contract, not a dollar amount)
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 95 In the file: LIVER FUNCTION BLOOD TEST PANEL $96 $67.20 $8.17 – $22.88
Liver function panel: 10 of 16 insurance plan rates
  • AlohaCare — Medicare: $8.17
  • HMSA — Medicare: $8.17
  • Kaiser — Commercial: $22.88
  • Kaiser — Medicare Advantage: $8.17
  • Ohana Care — Medicare: $8.17
  • Seven Corners — Commercial: $15.11
  • United Healthcare — Medicare: $8.17
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
  • Hawaii Community Health Alliance — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Hawaii Laborers — Commercial: 80% (a percentage in the contract, not a dollar amount)
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED $49 $34.30 $3.17 – $13.11
Urine test (automated, with microscope): 10 of 20 insurance plan rates
  • AlohaCare — Medicare: $3.17
  • Hawaii Community Health Alliance — Commercial: $4.76
  • Hawaii Laborers — Commercial: $7.13
  • Hawaii Mainland Administrators — NonTrust Local: $13.11
  • Hawaii Mainland Administrators — UFCW: $4.76
  • Hawaii Western Management Group — Commercial: $7.33
  • HMSA — Commercial: $6.78
  • HMSA — Medicaid: $4.59
  • HMSA — Medicare: $3.17
  • HMSA — PHC Commercial: $6.78
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED $49 $34.30 $3.17 – $8.88
Urine test (automated, with microscope): 10 of 16 insurance plan rates
  • AlohaCare — Medicare: $3.17
  • HMSA — Medicare: $3.17
  • Kaiser — Commercial: $8.88
  • Kaiser — Medicare Advantage: $3.17
  • Ohana Care — Medicare: $3.17
  • Seven Corners — Commercial: $5.86
  • United Healthcare — Medicare: $3.17
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
  • Hawaii Community Health Alliance — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Hawaii Laborers — Commercial: 80% (a percentage in the contract, not a dollar amount)
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59_91 In the file: MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED $49 $34.30 $3.17 – $8.88
Urine test (automated, with microscope): 10 of 16 insurance plan rates
  • AlohaCare — Medicare: $3.17
  • HMSA — Medicare: $3.17
  • Kaiser — Commercial: $8.88
  • Kaiser — Medicare Advantage: $3.17
  • Ohana Care — Medicare: $3.17
  • Seven Corners — Commercial: $5.86
  • United Healthcare — Medicare: $3.17
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
  • Hawaii Community Health Alliance — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Hawaii Laborers — Commercial: 80% (a percentage in the contract, not a dollar amount)
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS; MANUAL TEST $26 $18.20 $3.48 – $10.62
Urine test (manual, without microscope): 10 of 20 insurance plan rates
  • AlohaCare — Medicare: $3.48
  • Hawaii Community Health Alliance — Commercial: $5.22
  • Hawaii Laborers — Commercial: $7.83
  • Hawaii Mainland Administrators — NonTrust Local: $10.62
  • Hawaii Mainland Administrators — UFCW: $5.22
  • Hawaii Western Management Group — Commercial: $5.92
  • HMSA — Commercial: $5.47
  • HMSA — Medicaid: $3.72
  • HMSA — Medicare: $3.48
  • HMSA — PHC Commercial: $5.47
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: URINALYSIS; MANUAL TEST $26 $18.20 $3.48 – $9.74
Urine test (manual, without microscope): 10 of 16 insurance plan rates
  • AlohaCare — Medicare: $3.48
  • HMSA — Medicare: $3.48
  • Kaiser — Commercial: $9.74
  • Kaiser — Medicare Advantage: $3.48
  • Ohana Care — Medicare: $3.48
  • Seven Corners — Commercial: $6.44
  • United Healthcare — Medicare: $3.48
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
  • Hawaii Community Health Alliance — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Hawaii Laborers — Commercial: 80% (a percentage in the contract, not a dollar amount)
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 91 In the file: URINALYSIS; MANUAL TEST $26 $18.20 $3.48 – $9.74
Urine test (manual, without microscope): 10 of 16 insurance plan rates
  • AlohaCare — Medicare: $3.48
  • HMSA — Medicare: $3.48
  • Kaiser — Commercial: $9.74
  • Kaiser — Medicare Advantage: $3.48
  • Ohana Care — Medicare: $3.48
  • Seven Corners — Commercial: $6.44
  • United Healthcare — Medicare: $3.48
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
  • Hawaii Community Health Alliance — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Hawaii Laborers — Commercial: 80% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/O SCOPE $38 $26.60 $2.25 – $9.30
Urine test (automated, without microscope): 10 of 20 insurance plan rates
  • AlohaCare — Medicare: $2.25
  • Hawaii Community Health Alliance — Commercial: $3.38
  • Hawaii Laborers — Commercial: $5.06
  • Hawaii Mainland Administrators — NonTrust Local: $9.30
  • Hawaii Mainland Administrators — UFCW: $3.38
  • Hawaii Western Management Group — Commercial: $5.20
  • HMSA — Commercial: $4.85
  • HMSA — Medicaid: $3.26
  • HMSA — Medicare: $2.25
  • HMSA — PHC Commercial: $4.85
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AUTOMATED URINALYSIS TEST $41 $28.70 $2.25 – $9.30
Urine test (automated, without microscope): 10 of 20 insurance plan rates
  • AlohaCare — Medicare: $2.25
  • Hawaii Community Health Alliance — Commercial: $3.38
  • Hawaii Laborers — Commercial: $5.06
  • Hawaii Mainland Administrators — NonTrust Local: $9.30
  • Hawaii Mainland Administrators — UFCW: $3.38
  • Hawaii Western Management Group — Commercial: $5.20
  • HMSA — Commercial: $4.85
  • HMSA — Medicaid: $3.26
  • HMSA — Medicare: $2.25
  • HMSA — PHC Commercial: $4.85
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: AUTOMATED URINALYSIS TEST $38 $26.60 $2.25 – $6.30
Urine test (automated, without microscope): 10 of 16 insurance plan rates
  • AlohaCare — Medicare: $2.25
  • HMSA — Medicare: $2.25
  • Kaiser — Commercial: $6.30
  • Kaiser — Medicare Advantage: $2.25
  • Ohana Care — Medicare: $2.25
  • Seven Corners — Commercial: $4.16
  • United Healthcare — Medicare: $2.25
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
  • Hawaii Community Health Alliance — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Hawaii Laborers — Commercial: 80% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL $200 $140 $18.39 – $76.26
PSA (prostate specific antigen) blood test: 10 of 20 insurance plan rates
  • AlohaCare — Medicare: $18.39
  • Hawaii Community Health Alliance — Commercial: $27.58
  • Hawaii Laborers — Commercial: $41.38
  • Hawaii Mainland Administrators — NonTrust Local: $76.26
  • Hawaii Mainland Administrators — UFCW: $27.58
  • Hawaii Western Management Group — Commercial: $42.55
  • HMSA — Commercial: $39.47
  • HMSA — Medicaid: $26.69
  • HMSA — Medicare: $18.39
  • HMSA — PHC Commercial: $39.47
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 90 In the file: PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL $200 $140 $18.39 – $51.49
PSA (prostate specific antigen) blood test: 10 of 16 insurance plan rates
  • AlohaCare — Medicare: $18.39
  • Hawaii Western Management Group — Commercial: $42.55
  • HMSA — Medicare: $18.39
  • Kaiser — Commercial: $51.49
  • Kaiser — Medicare Advantage: $18.39
  • Ohana Care — Medicare: $18.39
  • Seven Corners — Commercial: $34.02
  • United Healthcare — Medicare: $18.39
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
  • Hawaii Community Health Alliance — Commercial: 75% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; THYROID STIMULATING HORMONE (TSH) $182 $127.40 $16.80 – $69.63
Thyroid stimulating hormone (TSH) test: 10 of 20 insurance plan rates
  • AlohaCare — Medicare: $16.80
  • Hawaii Community Health Alliance — Commercial: $25.20
  • Hawaii Laborers — Commercial: $37.80
  • Hawaii Mainland Administrators — NonTrust Local: $69.63
  • Hawaii Mainland Administrators — UFCW: $25.20
  • Hawaii Western Management Group — Commercial: $38.88
  • HMSA — Commercial: $36.05
  • HMSA — Medicaid: $24.37
  • HMSA — Medicare: $16.80
  • HMSA — PHC Commercial: $36.05
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 90 In the file: BLOOD TEST; THYROID STIMULATING HORMONE (TSH) $182 $127.40 $16.80 – $47.04
Thyroid stimulating hormone (TSH) test: 10 of 16 insurance plan rates
  • AlohaCare — Medicare: $16.80
  • Hawaii Western Management Group — Commercial: $38.88
  • HMSA — Medicare: $16.80
  • Kaiser — Commercial: $47.04
  • Kaiser — Medicare Advantage: $16.80
  • Ohana Care — Medicare: $16.80
  • Seven Corners — Commercial: $31.08
  • United Healthcare — Medicare: $16.80
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
  • Hawaii Community Health Alliance — Commercial: 75% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 90_91 In the file: BLOOD TEST; THYROID STIMULATING HORMONE (TSH) $182 $127.40 $16.80 – $47.04
Thyroid stimulating hormone (TSH) test: 10 of 16 insurance plan rates
  • AlohaCare — Medicare: $16.80
  • Hawaii Western Management Group — Commercial: $38.88
  • HMSA — Medicare: $16.80
  • Kaiser — Commercial: $47.04
  • Kaiser — Medicare Advantage: $16.80
  • Ohana Care — Medicare: $16.80
  • Seven Corners — Commercial: $31.08
  • United Healthcare — Medicare: $16.80
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
  • Hawaii Community Health Alliance — Commercial: 75% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT $88 $61.60 $7.77 – $32.22
Complete blood count (CBC) with differential: 10 of 20 insurance plan rates
  • AlohaCare — Medicare: $7.77
  • Hawaii Community Health Alliance — Commercial: $11.66
  • Hawaii Laborers — Commercial: $17.48
  • Hawaii Mainland Administrators — NonTrust Local: $32.22
  • Hawaii Mainland Administrators — UFCW: $11.66
  • Hawaii Western Management Group — Commercial: $17.99
  • HMSA — Commercial: $16.66
  • HMSA — Medicaid: $11.28
  • HMSA — Medicare: $7.77
  • HMSA — PHC Commercial: $16.66
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 91 In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT $88 $61.60 $7.77 – $21.76
Complete blood count (CBC) with differential: 10 of 16 insurance plan rates
  • AlohaCare — Medicare: $7.77
  • HMSA — Medicare: $7.77
  • Kaiser — Commercial: $21.76
  • Kaiser — Medicare Advantage: $7.77
  • Ohana Care — Medicare: $7.77
  • Seven Corners — Commercial: $14.37
  • United Healthcare — Medicare: $7.77
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
  • Hawaii Community Health Alliance — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Hawaii Laborers — Commercial: 80% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 95 In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT $88 $61.60 $7.77 – $21.76
Complete blood count (CBC) with differential: 10 of 16 insurance plan rates
  • AlohaCare — Medicare: $7.77
  • HMSA — Medicare: $7.77
  • Kaiser — Commercial: $21.76
  • Kaiser — Medicare Advantage: $7.77
  • Ohana Care — Medicare: $7.77
  • Seven Corners — Commercial: $14.37
  • United Healthcare — Medicare: $7.77
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
  • Hawaii Community Health Alliance — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Hawaii Laborers — Commercial: 80% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST $68 $47.60 $6.47 – $26.85
Complete blood count (CBC), automated: 10 of 20 insurance plan rates
  • AlohaCare — Medicare: $6.47
  • Hawaii Community Health Alliance — Commercial: $9.70
  • Hawaii Laborers — Commercial: $14.56
  • Hawaii Mainland Administrators — NonTrust Local: $26.85
  • Hawaii Mainland Administrators — UFCW: $9.70
  • Hawaii Western Management Group — Commercial: $14.98
  • HMSA — Commercial: $13.87
  • HMSA — Medicaid: $9.40
  • HMSA — Medicare: $6.47
  • HMSA — PHC Commercial: $13.87
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 91 In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST $136 $95.20 $6.47 – $18.12
Complete blood count (CBC), automated: 10 of 16 insurance plan rates
  • AlohaCare — Medicare: $6.47
  • HMSA — Medicare: $6.47
  • Kaiser — Commercial: $18.12
  • Kaiser — Medicare Advantage: $6.47
  • Ohana Care — Medicare: $6.47
  • Seven Corners — Commercial: $11.97
  • United Healthcare — Medicare: $6.47
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
  • Hawaii Community Health Alliance — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Hawaii Laborers — Commercial: 80% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GT In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST $68 $47.60 $6.47 – $18.12
Complete blood count (CBC), automated: 10 of 16 insurance plan rates
  • AlohaCare — Medicare: $6.47
  • HMSA — Medicare: $6.47
  • Kaiser — Commercial: $18.12
  • Kaiser — Medicare Advantage: $6.47
  • Ohana Care — Medicare: $6.47
  • Seven Corners — Commercial: $11.97
  • United Healthcare — Medicare: $6.47
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
  • Hawaii Community Health Alliance — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Hawaii Laborers — Commercial: 80% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; CLOTTING TIME $58 $40.60 $4.29 – $16.29
Blood clotting time test (prothrombin time, PT): 10 of 20 insurance plan rates
  • AlohaCare — Medicare: $4.29
  • Hawaii Community Health Alliance — Commercial: $6.44
  • Hawaii Laborers — Commercial: $9.65
  • Hawaii Mainland Administrators — NonTrust Local: $16.29
  • Hawaii Mainland Administrators — UFCW: $6.44
  • Hawaii Western Management Group — Commercial: $9.10
  • HMSA — Commercial: $8.45
  • HMSA — Medicaid: $5.70
  • HMSA — Medicare: $4.29
  • HMSA — PHC Commercial: $8.45
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 90 In the file: BLOOD TEST; CLOTTING TIME $58 $40.60 $4.29 – $12.01
Blood clotting time test (prothrombin time, PT): 10 of 16 insurance plan rates
  • AlohaCare — Medicare: $4.29
  • Hawaii Western Management Group — Commercial: $9.10
  • HMSA — Medicare: $4.29
  • Kaiser — Commercial: $12.01
  • Kaiser — Medicare Advantage: $4.29
  • Ohana Care — Medicare: $4.29
  • Seven Corners — Commercial: $7.94
  • United Healthcare — Medicare: $4.29
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
  • Hawaii Community Health Alliance — Commercial: 75% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 91 In the file: BLOOD TEST; CLOTTING TIME $58 $40.60 $4.29 – $12.01
Blood clotting time test (prothrombin time, PT): 10 of 16 insurance plan rates
  • AlohaCare — Medicare: $4.29
  • HMSA — Medicare: $4.29
  • Kaiser — Commercial: $12.01
  • Kaiser — Medicare Advantage: $4.29
  • Ohana Care — Medicare: $4.29
  • Seven Corners — Commercial: $7.94
  • United Healthcare — Medicare: $4.29
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
  • Hawaii Community Health Alliance — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Hawaii Laborers — Commercial: 80% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD $68 $47.60 $6.01 – $24.90
Blood clotting test (partial thromboplastin time, PTT): 10 of 20 insurance plan rates
  • AlohaCare — Medicare: $6.01
  • Hawaii Community Health Alliance — Commercial: $9.02
  • Hawaii Laborers — Commercial: $13.52
  • Hawaii Mainland Administrators — NonTrust Local: $24.90
  • Hawaii Mainland Administrators — UFCW: $9.02
  • Hawaii Western Management Group — Commercial: $13.89
  • HMSA — Commercial: $12.87
  • HMSA — Medicaid: $8.72
  • HMSA — Medicare: $6.01
  • HMSA — PHC Commercial: $12.87
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 91 In the file: COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD $68 $47.60 $6.01 – $16.83
Blood clotting test (partial thromboplastin time, PTT): 10 of 16 insurance plan rates
  • AlohaCare — Medicare: $6.01
  • HMSA — Medicare: $6.01
  • Kaiser — Commercial: $16.83
  • Kaiser — Medicare Advantage: $6.01
  • Ohana Care — Medicare: $6.01
  • Seven Corners — Commercial: $11.12
  • United Healthcare — Medicare: $6.01
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
  • Hawaii Community Health Alliance — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Hawaii Laborers — Commercial: 80% (a percentage in the contract, not a dollar amount)

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

ServiceHospital chargeCash priceInsurance 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 SCAN HEAD OR BRAIN WITHOUT CONTRAST $1,835 $1,284.50 $113.45 – $417.30
CT scan of the head or brain, without contrast: 10 of 20 insurance plan rates
  • AlohaCare — Medicare: $122.89
  • Hawaii Community Health Alliance — Commercial: $113.45
  • Hawaii Laborers — Commercial: $205.90
  • Hawaii Mainland Administrators — NonTrust Local: $417.30
  • Hawaii Mainland Administrators — UFCW: $113.45
  • Hawaii Western Management Group — Commercial: $160.66
  • HMSA — Commercial: $310.57
  • HMSA — Medicaid: $169.03
  • HMSA — Medicare: $122.89
  • HMSA — PHC Commercial: $310.57
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC_XE In the file: CT SCAN HEAD OR BRAIN WITHOUT CONTRAST $1,835 $1,284.50 $122.89 – $344.09
CT scan of the head or brain, without contrast: 10 of 18 insurance plan rates
  • AlohaCare — Medicare: $122.89
  • HMSA — Medicaid: $169.03
  • HMSA — Medicare: $122.89
  • Kaiser — Commercial: $344.09
  • Kaiser — Medicare Advantage: $122.89
  • Ohana Care — Medicare: $122.89
  • Seven Corners — Commercial: $227.35
  • United Healthcare — Medicaid: $194.38
  • United Healthcare — Medicare: $122.89
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC_XU In the file: CT SCAN HEAD OR BRAIN WITHOUT CONTRAST $1,835 $1,284.50 $122.89 – $344.09
CT scan of the head or brain, without contrast: 10 of 18 insurance plan rates
  • AlohaCare — Medicare: $122.89
  • HMSA — Medicaid: $169.03
  • HMSA — Medicare: $122.89
  • Kaiser — Commercial: $344.09
  • Kaiser — Medicare Advantage: $122.89
  • Ohana Care — Medicare: $122.89
  • Seven Corners — Commercial: $227.35
  • United Healthcare — Medicaid: $194.38
  • United Healthcare — Medicare: $122.89
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST $2,779 $1,945.30 $390.78 – $2,639.22
MRI of the brain, before and after contrast: 10 of 20 insurance plan rates
  • AlohaCare — Medicare: $410.12
  • Hawaii Community Health Alliance — Commercial: $390.78
  • Hawaii Laborers — Commercial: $709.20
  • Hawaii Mainland Administrators — NonTrust Local: $2,639.22
  • Hawaii Mainland Administrators — UFCW: $390.78
  • Hawaii Western Management Group — Commercial: $577.09
  • HMSA — Commercial: $1,636.73
  • HMSA — Medicaid: $923.73
  • HMSA — Medicare: $410.12
  • HMSA — PHC Commercial: $1,636.73
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN STEM W/O & W/DYE $3,140 $2,198 $390.78 – $2,639.22
MRI of the brain, before and after contrast: 10 of 20 insurance plan rates
  • AlohaCare — Medicare: $410.12
  • Hawaii Community Health Alliance — Commercial: $390.78
  • Hawaii Laborers — Commercial: $709.20
  • Hawaii Mainland Administrators — NonTrust Local: $2,639.22
  • Hawaii Mainland Administrators — UFCW: $390.78
  • Hawaii Western Management Group — Commercial: $577.09
  • HMSA — Commercial: $1,636.73
  • HMSA — Medicaid: $923.73
  • HMSA — Medicare: $410.12
  • HMSA — PHC Commercial: $1,636.73
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52_TC In the file: MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST $2,779 $1,945.30 $205.06 – $1,062.29
MRI of the brain, before and after contrast: 10 of 18 insurance plan rates
  • AlohaCare — Medicare: $205.06
  • HMSA — Medicaid: $923.73
  • HMSA — Medicare: $205.06
  • Kaiser — Commercial: $574.17
  • Kaiser — Medicare Advantage: $205.06
  • Ohana Care — Medicare: $205.06
  • Seven Corners — Commercial: $379.36
  • United Healthcare — Medicaid: $1,062.29
  • United Healthcare — Medicare: $205.06
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY OF CHEST; 2 VIEWS $367 $256.90 $23.07 – $286.47
Chest X-ray, 2 views: 10 of 20 insurance plan rates
  • AlohaCare — Medicare: $102.31
  • Hawaii Community Health Alliance — Commercial: $33.75
  • Hawaii Laborers — Commercial: $61.25
  • Hawaii Mainland Administrators — NonTrust Local: $61.11
  • Hawaii Mainland Administrators — UFCW: $33.75
  • HMSA — Commercial: $41.09
  • HMSA — Medicaid: $23.07
  • HMSA — Medicare: $102.31
  • HMSA — PHC Commercial: $41.09
  • Kaiser — Commercial: $286.47
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GZ In the file: X-RAY OF CHEST; 2 VIEWS $367 $256.90 $102.31 – $286.47
Chest X-ray, 2 views: 10 of 16 insurance plan rates
  • AlohaCare — Medicare: $102.31
  • HMSA — Medicare: $102.31
  • Kaiser — Commercial: $286.47
  • Kaiser — Medicare Advantage: $102.31
  • Ohana Care — Medicare: $102.31
  • Seven Corners — Commercial: $189.27
  • United Healthcare — Medicare: $102.31
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
  • Hawaii Community Health Alliance — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Hawaii Laborers — Commercial: 80% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: X-RAY OF CHEST; 2 VIEWS $367 $256.90 $102.31 – $286.47
Chest X-ray, 2 views: 10 of 16 insurance plan rates
  • AlohaCare — Medicare: $102.31
  • HMSA — Medicare: $102.31
  • Kaiser — Commercial: $286.47
  • Kaiser — Medicare Advantage: $102.31
  • Ohana Care — Medicare: $102.31
  • Seven Corners — Commercial: $189.27
  • United Healthcare — Medicare: $102.31
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
  • Hawaii Community Health Alliance — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Hawaii Laborers — Commercial: 80% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS $631 $441.70 $33.97 – $344.09
X-ray of the lower spine, at least 4 views: 10 of 20 insurance plan rates
  • AlohaCare — Medicare: $122.89
  • Hawaii Community Health Alliance — Commercial: $54.93
  • Hawaii Laborers — Commercial: $99.69
  • Hawaii Mainland Administrators — NonTrust Local: $97.05
  • Hawaii Mainland Administrators — UFCW: $54.93
  • Hawaii Western Management Group — Commercial: $71.46
  • HMSA — Commercial: $60.53
  • HMSA — Medicaid: $33.97
  • HMSA — Medicare: $122.89
  • HMSA — PHC Commercial: $60.53
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS $631 $441.70 $33.97 – $344.09
X-ray of the lower spine, at least 4 views: 10 of 18 insurance plan rates
  • AlohaCare — Medicare: $122.89
  • HMSA — Medicaid: $33.97
  • HMSA — Medicare: $122.89
  • Kaiser — Commercial: $344.09
  • Kaiser — Medicare Advantage: $122.89
  • Ohana Care — Medicare: $122.89
  • Seven Corners — Commercial: $227.35
  • United Healthcare — Medicaid: $39.07
  • United Healthcare — Medicare: $122.89
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC_XU In the file: X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS $631 $441.70 $33.97 – $344.09
X-ray of the lower spine, at least 4 views: 10 of 18 insurance plan rates
  • AlohaCare — Medicare: $122.89
  • HMSA — Medicaid: $33.97
  • HMSA — Medicare: $122.89
  • Kaiser — Commercial: $344.09
  • Kaiser — Medicare Advantage: $122.89
  • Ohana Care — Medicare: $122.89
  • Seven Corners — Commercial: $227.35
  • United Healthcare — Medicaid: $39.07
  • United Healthcare — Medicare: $122.89
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST $2,188 $1,531.60 $223.26 – $1,319.13
MRI of the lower back (lumbar spine), without contrast: 10 of 20 insurance plan rates
  • AlohaCare — Medicare: $280.49
  • Hawaii Community Health Alliance — Commercial: $223.26
  • Hawaii Laborers — Commercial: $405.18
  • Hawaii Mainland Administrators — NonTrust Local: $1,319.13
  • Hawaii Mainland Administrators — UFCW: $223.26
  • Hawaii Western Management Group — Commercial: $324.06
  • HMSA — Commercial: $817.65
  • HMSA — Medicaid: $461.70
  • HMSA — Medicare: $280.49
  • HMSA — PHC Commercial: $817.65
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LUMBAR SPINE W/O DYE $2,472 $1,730.40 $223.26 – $1,319.13
MRI of the lower back (lumbar spine), without contrast: 10 of 20 insurance plan rates
  • AlohaCare — Medicare: $280.49
  • Hawaii Community Health Alliance — Commercial: $223.26
  • Hawaii Laborers — Commercial: $405.18
  • Hawaii Mainland Administrators — NonTrust Local: $1,319.13
  • Hawaii Mainland Administrators — UFCW: $223.26
  • Hawaii Western Management Group — Commercial: $324.06
  • HMSA — Commercial: $817.65
  • HMSA — Medicaid: $461.70
  • HMSA — Medicare: $280.49
  • HMSA — PHC Commercial: $817.65
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST $2,188 $1,531.60 $280.49 – $785.37
MRI of the lower back (lumbar spine), without contrast: 10 of 18 insurance plan rates
  • AlohaCare — Medicare: $280.49
  • HMSA — Medicaid: $461.70
  • HMSA — Medicare: $280.49
  • Kaiser — Commercial: $785.37
  • Kaiser — Medicare Advantage: $280.49
  • Ohana Care — Medicare: $280.49
  • Seven Corners — Commercial: $518.91
  • United Healthcare — Medicaid: $530.96
  • United Healthcare — Medicare: $280.49
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SCAN OF PELVIS WITH CONTRAST $2,045 $1,431.50 $206.19 – $676.44
CT scan of the pelvis, with contrast: 10 of 20 insurance plan rates
  • AlohaCare — Medicare: $206.19
  • Hawaii Community Health Alliance — Commercial: $281.23
  • Hawaii Laborers — Commercial: $510.38
  • Hawaii Mainland Administrators — NonTrust Local: $676.44
  • Hawaii Mainland Administrators — UFCW: $281.23
  • Hawaii Western Management Group — Commercial: $368.28
  • HMSA — Commercial: $450.46
  • HMSA — Medicaid: $245.18
  • HMSA — Medicare: $206.19
  • HMSA — PHC Commercial: $450.46
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT SCAN OF PELVIS WITH CONTRAST $2,045 $1,431.50 $206.19 – $577.33
CT scan of the pelvis, with contrast: 10 of 18 insurance plan rates
  • AlohaCare — Medicare: $206.19
  • HMSA — Medicaid: $245.18
  • HMSA — Medicare: $206.19
  • Kaiser — Commercial: $577.33
  • Kaiser — Medicare Advantage: $206.19
  • Ohana Care — Medicare: $206.19
  • Seven Corners — Commercial: $381.45
  • United Healthcare — Medicaid: $281.96
  • United Healthcare — Medicare: $206.19
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SCAN OF LEG JOINT WITHOUT CONTRAST $2,148 $1,503.60 $251.44 – $1,188.30
MRI of a leg joint (such as the knee), without contrast: 10 of 20 insurance plan rates
  • AlohaCare — Medicare: $280.49
  • Hawaii Community Health Alliance — Commercial: $251.44
  • Hawaii Laborers — Commercial: $456.31
  • Hawaii Mainland Administrators — NonTrust Local: $1,188.30
  • Hawaii Mainland Administrators — UFCW: $251.44
  • Hawaii Western Management Group — Commercial: $367.48
  • HMSA — Commercial: $729.02
  • HMSA — Medicaid: $415.91
  • HMSA — Medicare: $280.49
  • HMSA — PHC Commercial: $729.02
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50_TC In the file: MRI SCAN OF LEG JOINT WITHOUT CONTRAST $4,296 $3,007.20 $415.91 – $1,732.84
MRI of a leg joint (such as the knee), without contrast: 10 of 18 insurance plan rates
  • AlohaCare — Medicare: $618.87
  • HMSA — Medicaid: $415.91
  • HMSA — Medicare: $618.87
  • Kaiser — Commercial: $1,732.84
  • Kaiser — Medicare Advantage: $618.87
  • Ohana Care — Medicare: $618.87
  • Seven Corners — Commercial: $1,144.91
  • United Healthcare — Medicaid: $478.30
  • United Healthcare — Medicare: $618.87
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT_TC In the file: MRI SCAN OF LEG JOINT WITHOUT CONTRAST $2,148 $1,503.60 $280.49 – $785.37
MRI of a leg joint (such as the knee), without contrast: 10 of 18 insurance plan rates
  • AlohaCare — Medicare: $280.49
  • HMSA — Medicaid: $415.91
  • HMSA — Medicare: $280.49
  • Kaiser — Commercial: $785.37
  • Kaiser — Medicare Advantage: $280.49
  • Ohana Care — Medicare: $280.49
  • Seven Corners — Commercial: $518.91
  • United Healthcare — Medicaid: $478.30
  • United Healthcare — Medicare: $280.49
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST $3,319 $2,323.30 $368.50 – $1,148.34
CT scan of the abdomen and pelvis, with contrast: 10 of 20 insurance plan rates
  • AlohaCare — Medicare: $410.12
  • Hawaii Community Health Alliance — Commercial: $368.50
  • Hawaii Laborers — Commercial: $668.75
  • Hawaii Mainland Administrators — NonTrust Local: $541.86
  • Hawaii Mainland Administrators — UFCW: $368.50
  • Hawaii Western Management Group — Commercial: $483.53
  • HMSA — Commercial: $900.93
  • HMSA — Medicaid: $490.36
  • HMSA — Medicare: $410.12
  • HMSA — PHC Commercial: $900.93
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD & PELVIS W/CONTRAST $3,750 $2,625 $368.50 – $1,148.34
CT scan of the abdomen and pelvis, with contrast: 10 of 20 insurance plan rates
  • AlohaCare — Medicare: $410.12
  • Hawaii Community Health Alliance — Commercial: $368.50
  • Hawaii Laborers — Commercial: $668.75
  • Hawaii Mainland Administrators — NonTrust Local: $541.86
  • Hawaii Mainland Administrators — UFCW: $368.50
  • Hawaii Western Management Group — Commercial: $483.53
  • HMSA — Commercial: $900.93
  • HMSA — Medicaid: $490.36
  • HMSA — Medicare: $410.12
  • HMSA — PHC Commercial: $900.93
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier Q1_TC In the file: CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST $3,319 $2,323.30 $410.12 – $1,148.34
CT scan of the abdomen and pelvis, with contrast: 10 of 18 insurance plan rates
  • AlohaCare — Medicare: $410.12
  • HMSA — Medicaid: $490.36
  • HMSA — Medicare: $410.12
  • Kaiser — Commercial: $1,148.34
  • Kaiser — Medicare Advantage: $410.12
  • Ohana Care — Medicare: $410.12
  • Seven Corners — Commercial: $758.72
  • United Healthcare — Medicaid: $563.91
  • United Healthcare — Medicare: $410.12
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE ULTRASOUND SCAN OF ABDOMEN $798 $558.60 $70.56 – $344.09
Ultrasound of the abdomen, complete: 10 of 20 insurance plan rates
  • AlohaCare — Medicare: $122.89
  • Hawaii Community Health Alliance — Commercial: $128.51
  • Hawaii Laborers — Commercial: $233.22
  • Hawaii Mainland Administrators — NonTrust Local: $194.82
  • Hawaii Mainland Administrators — UFCW: $128.51
  • Hawaii Western Management Group — Commercial: $182.76
  • HMSA — Commercial: $131.92
  • HMSA — Medicaid: $70.56
  • HMSA — Medicare: $122.89
  • HMSA — PHC Commercial: $131.92
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: COMPLETE ULTRASOUND SCAN OF ABDOMEN $798 $558.60 $70.56 – $344.09
Ultrasound of the abdomen, complete: 10 of 18 insurance plan rates
  • AlohaCare — Medicare: $122.89
  • HMSA — Medicaid: $70.56
  • HMSA — Medicare: $122.89
  • Kaiser — Commercial: $344.09
  • Kaiser — Medicare Advantage: $122.89
  • Ohana Care — Medicare: $122.89
  • Seven Corners — Commercial: $227.35
  • United Healthcare — Medicaid: $81.14
  • United Healthcare — Medicare: $122.89
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC_XE In the file: COMPLETE ULTRASOUND SCAN OF ABDOMEN $798 $558.60 $70.56 – $344.09
Ultrasound of the abdomen, complete: 10 of 18 insurance plan rates
  • AlohaCare — Medicare: $122.89
  • HMSA — Medicaid: $70.56
  • HMSA — Medicare: $122.89
  • Kaiser — Commercial: $344.09
  • Kaiser — Medicare Advantage: $122.89
  • Ohana Care — Medicare: $122.89
  • Seven Corners — Commercial: $227.35
  • United Healthcare — Medicaid: $81.14
  • United Healthcare — Medicare: $122.89
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULTRASOUND SCAN OF PREGNANT UTERUS (14 WEEKS OR MORE); SINGLE OR FIRST FETUS $861 $602.70 $75.32 – $344.09
Pregnancy ultrasound (after the first trimester): 10 of 20 insurance plan rates
  • AlohaCare — Medicare: $122.89
  • Hawaii Community Health Alliance — Commercial: $141.33
  • Hawaii Laborers — Commercial: $256.49
  • Hawaii Mainland Administrators — NonTrust Local: $183.69
  • Hawaii Mainland Administrators — UFCW: $141.33
  • Hawaii Western Management Group — Commercial: $203.30
  • HMSA — Commercial: $138.41
  • HMSA — Medicaid: $75.32
  • HMSA — Medicare: $122.89
  • HMSA — PHC Commercial: $138.41
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: ULTRASOUND SCAN OF PREGNANT UTERUS (14 WEEKS OR MORE); SINGLE OR FIRST FETUS $861 $602.70 $75.32 – $344.09
Pregnancy ultrasound (after the first trimester): 10 of 18 insurance plan rates
  • AlohaCare — Medicare: $122.89
  • HMSA — Medicaid: $75.32
  • HMSA — Medicare: $122.89
  • Kaiser — Commercial: $344.09
  • Kaiser — Medicare Advantage: $122.89
  • Ohana Care — Medicare: $122.89
  • Seven Corners — Commercial: $227.35
  • United Healthcare — Medicaid: $86.62
  • United Healthcare — Medicare: $122.89
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA $648 $453.60 $54.65 – $344.09
Transvaginal ultrasound: 10 of 20 insurance plan rates
  • AlohaCare — Medicare: $122.89
  • Hawaii Community Health Alliance — Commercial: $138.54
  • Hawaii Laborers — Commercial: $251.42
  • Hawaii Mainland Administrators — NonTrust Local: $151.05
  • Hawaii Mainland Administrators — UFCW: $138.54
  • Hawaii Western Management Group — Commercial: $193.82
  • HMSA — Commercial: $113.61
  • HMSA — Medicaid: $54.65
  • HMSA — Medicare: $122.89
  • HMSA — PHC Commercial: $113.61
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA $648 $453.60 $54.65 – $344.09
Transvaginal ultrasound: 10 of 18 insurance plan rates
  • AlohaCare — Medicare: $122.89
  • HMSA — Medicaid: $54.65
  • HMSA — Medicare: $122.89
  • Kaiser — Commercial: $344.09
  • Kaiser — Medicare Advantage: $122.89
  • Ohana Care — Medicare: $122.89
  • Seven Corners — Commercial: $227.35
  • United Healthcare — Medicaid: $62.85
  • United Healthcare — Medicare: $122.89
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC_XU In the file: ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA $648 $453.60 $54.65 – $344.09
Transvaginal ultrasound: 10 of 18 insurance plan rates
  • AlohaCare — Medicare: $122.89
  • HMSA — Medicaid: $54.65
  • HMSA — Medicare: $122.89
  • Kaiser — Commercial: $344.09
  • Kaiser — Medicare Advantage: $122.89
  • Ohana Care — Medicare: $122.89
  • Seven Corners — Commercial: $227.35
  • United Healthcare — Medicaid: $62.85
  • United Healthcare — Medicare: $122.89
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST $481 $336.70 $38.37 – $271.77
Diagnostic mammogram, one breast: 10 of 20 insurance plan rates
  • AlohaCare — Medicare: $38.37
  • Hawaii Community Health Alliance — Commercial: $145.79
  • Hawaii Laborers — Commercial: $264.58
  • Hawaii Mainland Administrators — NonTrust Local: $271.77
  • Hawaii Mainland Administrators — UFCW: $145.79
  • HMSA — Commercial: $134.38
  • HMSA — Medicaid: $85.82
  • HMSA — Medicare: $38.37
  • HMSA — PHC Commercial: $134.38
  • Kaiser — Commercial: $107.44
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52 In the file: DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST $481 $336.70 $38.37 – $107.44
Diagnostic mammogram, one breast: 10 of 16 insurance plan rates
  • AlohaCare — Medicare: $38.37
  • HMSA — Medicare: $38.37
  • Kaiser — Commercial: $107.44
  • Kaiser — Medicare Advantage: $38.37
  • Ohana Care — Medicare: $38.37
  • Seven Corners — Commercial: $70.98
  • United Healthcare — Medicare: $38.37
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
  • Hawaii Community Health Alliance — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Hawaii Laborers — Commercial: 80% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52_TC In the file: DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST $481 $336.70 $38.37 – $107.44
Diagnostic mammogram, one breast: 10 of 16 insurance plan rates
  • AlohaCare — Medicare: $38.37
  • HMSA — Medicare: $38.37
  • Kaiser — Commercial: $107.44
  • Kaiser — Medicare Advantage: $38.37
  • Ohana Care — Medicare: $38.37
  • Seven Corners — Commercial: $70.98
  • United Healthcare — Medicare: $38.37
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
  • Hawaii Community Health Alliance — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Hawaii Laborers — Commercial: 80% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS $697 $487.90 $47.19 – $339.45
Diagnostic mammogram, both breasts: 10 of 20 insurance plan rates
  • AlohaCare — Medicare: $47.19
  • Hawaii Community Health Alliance — Commercial: $185.92
  • Hawaii Laborers — Commercial: $337.41
  • Hawaii Mainland Administrators — NonTrust Local: $339.45
  • Hawaii Mainland Administrators — UFCW: $185.92
  • HMSA — Commercial: $165.66
  • HMSA — Medicaid: $104.42
  • HMSA — Medicare: $47.19
  • HMSA — PHC Commercial: $165.66
  • Kaiser — Commercial: $132.13
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52_TC In the file: DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS $697 $487.90 $47.19 – $132.13
Diagnostic mammogram, both breasts: 10 of 16 insurance plan rates
  • AlohaCare — Medicare: $47.19
  • HMSA — Medicare: $47.19
  • Kaiser — Commercial: $132.13
  • Kaiser — Medicare Advantage: $47.19
  • Ohana Care — Medicare: $47.19
  • Seven Corners — Commercial: $87.30
  • United Healthcare — Medicare: $47.19
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
  • Hawaii Community Health Alliance — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Hawaii Laborers — Commercial: 80% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS $697 $487.90 $47.19 – $132.13
Diagnostic mammogram, both breasts: 10 of 16 insurance plan rates
  • AlohaCare — Medicare: $47.19
  • HMSA — Medicare: $47.19
  • Kaiser — Commercial: $132.13
  • Kaiser — Medicare Advantage: $47.19
  • Ohana Care — Medicare: $47.19
  • Seven Corners — Commercial: $87.30
  • United Healthcare — Medicare: $47.19
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
  • Hawaii Community Health Alliance — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Hawaii Laborers — Commercial: 80% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCREENING MAMMOGRAPHY $381 $266.70 $35.75 – $279.74
Screening mammogram, both breasts: 10 of 20 insurance plan rates
  • AlohaCare — Medicare: $35.75
  • Hawaii Community Health Alliance — Commercial: $154.14
  • Hawaii Laborers — Commercial: $279.74
  • Hawaii Mainland Administrators — NonTrust Local: $279.27
  • Hawaii Mainland Administrators — UFCW: $154.14
  • HMSA — Commercial: $155.54
  • HMSA — Medicaid: $106.74
  • HMSA — Medicare: $35.75
  • HMSA — PHC Commercial: $155.54
  • Kaiser — Commercial: $100.10
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52 In the file: SCREENING MAMMOGRAPHY $381 $266.70 $35.75 – $100.10
Screening mammogram, both breasts: 10 of 16 insurance plan rates
  • AlohaCare — Medicare: $35.75
  • HMSA — Medicare: $35.75
  • Kaiser — Commercial: $100.10
  • Kaiser — Medicare Advantage: $35.75
  • Ohana Care — Medicare: $35.75
  • Seven Corners — Commercial: $66.14
  • United Healthcare — Medicare: $35.75
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
  • Hawaii Community Health Alliance — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Hawaii Laborers — Commercial: 80% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52_LT_TC In the file: SCREENING MAMMOGRAPHY $381 $266.70 $35.75 – $100.10
Screening mammogram, both breasts: 10 of 16 insurance plan rates
  • AlohaCare — Medicare: $35.75
  • HMSA — Medicare: $35.75
  • Kaiser — Commercial: $100.10
  • Kaiser — Medicare Advantage: $35.75
  • Ohana Care — Medicare: $35.75
  • Seven Corners — Commercial: $66.14
  • United Healthcare — Medicare: $35.75
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
  • Hawaii Community Health Alliance — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Hawaii Laborers — Commercial: 80% (a percentage in the contract, not a dollar amount)

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY $6,896 $4,827.20 $244.81 – $22,910
Left heart catheterization (diagnostic): 10 of 22 insurance plan rates
  • AlohaCare — Medicare: $3,811.07
  • Hawaii Laborers — Commercial: $22,910
  • HMSA — Commercial: $14,180
  • HMSA — Medicaid: $244.81
  • HMSA — Medicare: $3,811.07
  • HMSA — PHC Commercial: $14,180
  • Kaiser — Commercial: $10,671
  • Kaiser — Medicare Advantage: $3,811.07
  • MDX Hawaii — Commercial: $14,814
  • Ohana Care — Medicare: $3,811.07
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE EP EVALUATION $13,370 $9,359 $267.94 – $25,673.03
Heart rhythm study (electrophysiology evaluation): 10 of 21 insurance plan rates
  • AlohaCare — Medicare: $9,168.94
  • HMSA — Commercial: $14,180
  • HMSA — Medicaid: $267.94
  • HMSA — Medicare: $9,168.94
  • HMSA — PHC Commercial: $14,180
  • Kaiser — Commercial: $25,673.03
  • Kaiser — Medicare Advantage: $9,168.94
  • Ohana Care — Medicare: $9,168.94
  • Seven Corners — Commercial: $16,962.54
  • United Healthcare — Medicaid: $308.13
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE ELECTROPHYSIOLOGIC EVALUATION WITH CATHETER DESTRUCTION OF ABNORMALITY CAUSING ATRIAL FIBRILLATION (UNCOORDINATED CONTRACTION $35,553 $24,887.10 $944.58 – $86,034.26
Heart rhythm study with ablation for atrial fibrillation: 10 of 22 insurance plan rates
  • AlohaCare — Medicare: $30,726.52
  • HMSA — Commercial: $20,098
  • HMSA — Medicaid: $944.58
  • HMSA — Medicare: $30,726.52
  • HMSA — PHC Commercial: $20,098
  • Kaiser — Commercial: $86,034.26
  • Kaiser — Medicare Advantage: $30,726.52
  • MDX Hawaii — Commercial: $1,158.28
  • Ohana Care — Medicare: $30,726.52
  • Seven Corners — Commercial: $56,844.06
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier Q6 In the file: COMPREHENSIVE ELECTROPHYSIOLOGIC EVALUATION WITH CATHETER DESTRUCTION OF ABNORMALITY CAUSING ATRIAL FIBRILLATION (UNCOORDINATED CONTRACTION $35,553 $24,887.10 $1,887 – $86,034.26
Heart rhythm study with ablation for atrial fibrillation: 10 of 20 insurance plan rates
  • AlohaCare — Medicare: $30,726.52
  • HMSA — Commercial: $20,098
  • HMSA — Medicare: $30,726.52
  • HMSA — PHC Commercial: $20,098
  • Kaiser — Commercial: $86,034.26
  • Kaiser — Medicare Advantage: $30,726.52
  • Ohana Care — Medicare: $30,726.52
  • Seven Corners — Commercial: $56,844.06
  • United Healthcare — All Payer: $9,097
  • United Healthcare — Medicaid: $1,887
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SLEEP STUDY IN SLEEP LAB (6 YEARS OR OLDER) $3,723 $2,606.10 $587.63 – $2,826.60
Sleep study (overnight, in a sleep lab): 10 of 22 insurance plan rates
  • AlohaCare — Medicare: $1,009.50
  • HMSA — Commercial: $1,006.90
  • HMSA — Medicaid: $597.92
  • HMSA — Medicare: $1,009.50
  • HMSA — PHC Commercial: $1,006.90
  • Kaiser — Commercial: $2,826.60
  • Kaiser — Medicare Advantage: $1,009.50
  • MDX Hawaii — Commercial: $587.63
  • Ohana Care — Medicare: $1,009.50
  • Seven Corners — Commercial: $1,867.58
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOM 6/> YRS 4/> PARAM $3,909 $2,736.30 $587.63 – $2,826.60
Sleep study (overnight, in a sleep lab): 10 of 22 insurance plan rates
  • AlohaCare — Medicare: $1,009.50
  • HMSA — Commercial: $1,006.90
  • HMSA — Medicaid: $597.92
  • HMSA — Medicare: $1,009.50
  • HMSA — PHC Commercial: $1,006.90
  • Kaiser — Commercial: $2,826.60
  • Kaiser — Medicare Advantage: $1,009.50
  • MDX Hawaii — Commercial: $587.63
  • Ohana Care — Medicare: $1,009.50
  • Seven Corners — Commercial: $1,867.58
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: SLEEP STUDY IN SLEEP LAB (6 YEARS OR OLDER) $3,723 $2,606.10 $597.92 – $2,826.60
Sleep study (overnight, in a sleep lab): 10 of 19 insurance plan rates
  • AlohaCare — Medicare: $1,009.50
  • HMSA — Medicaid: $597.92
  • HMSA — Medicare: $1,009.50
  • Kaiser — Commercial: $2,826.60
  • Kaiser — Medicare Advantage: $1,009.50
  • Ohana Care — Medicare: $1,009.50
  • Seven Corners — Commercial: $1,867.58
  • United Healthcare — Medicaid: $687.61
  • United Healthcare — Medicare: $1,009.50
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERCISES $125 $87.50 $25.82 – $86.24
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 20 insurance plan rates
  • AlohaCare — Medicare: $30.80
  • HMSA — Commercial: $38.49
  • HMSA — Medicaid: $25.82
  • HMSA — Medicare: $30.80
  • HMSA — PHC Commercial: $38.49
  • Kaiser — Commercial: $86.24
  • Kaiser — Medicare Advantage: $30.80
  • MDX Hawaii — Commercial: $33.16
  • Ohana Care — Medicare: $30.80
  • Seven Corners — Commercial: $56.98
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPY PROCEDURE USING EXERCISE TO DEVELOP STRENGTH; ENDURANCE; RANGE OF MOTION; AND FLEXIBILITY; EACH 15 MINUTES $250 $175 $25.82 – $86.24
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 20 insurance plan rates
  • AlohaCare — Medicare: $30.80
  • HMSA — Commercial: $38.49
  • HMSA — Medicaid: $25.82
  • HMSA — Medicare: $30.80
  • HMSA — PHC Commercial: $38.49
  • Kaiser — Commercial: $86.24
  • Kaiser — Medicare Advantage: $30.80
  • MDX Hawaii — Commercial: $33.16
  • Ohana Care — Medicare: $30.80
  • Seven Corners — Commercial: $56.98
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 95_GP In the file: THERAPY PROCEDURE USING EXERCISE TO DEVELOP STRENGTH; ENDURANCE; RANGE OF MOTION; AND FLEXIBILITY; EACH 15 MINUTES $375 $262.50 $30.80 – $86.24
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 15 insurance plan rates
  • AlohaCare — Medicare: $30.80
  • HMSA — Medicare: $30.80
  • Kaiser — Commercial: $86.24
  • Kaiser — Medicare Advantage: $30.80
  • Ohana Care — Medicare: $30.80
  • Seven Corners — Commercial: $56.98
  • United Healthcare — Medicare: $30.80
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
  • Hawaii Community Health Alliance — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Hawaii Laborers — Commercial: 80% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 20 MINUTES $250 $175 $75.48 – $291.31
Physical therapy evaluation (low complexity): 10 of 20 insurance plan rates
  • AlohaCare — Medicare: $104.04
  • HMSA — Commercial: $92.75
  • HMSA — Medicaid: $75.48
  • HMSA — Medicare: $104.04
  • HMSA — PHC Commercial: $92.75
  • Kaiser — Commercial: $291.31
  • Kaiser — Medicare Advantage: $104.04
  • MDX Hawaii — Commercial: $90.97
  • Ohana Care — Medicare: $104.04
  • Seven Corners — Commercial: $192.47
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN $405 $283.50 $75.48 – $291.31
Physical therapy evaluation (low complexity): 10 of 20 insurance plan rates
  • AlohaCare — Medicare: $104.04
  • HMSA — Commercial: $92.75
  • HMSA — Medicaid: $75.48
  • HMSA — Medicare: $104.04
  • HMSA — PHC Commercial: $92.75
  • Kaiser — Commercial: $291.31
  • Kaiser — Medicare Advantage: $104.04
  • MDX Hawaii — Commercial: $90.97
  • Ohana Care — Medicare: $104.04
  • Seven Corners — Commercial: $192.47
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 20 MINUTES $250 $175 $104.04 – $291.31
Physical therapy evaluation (low complexity): 10 of 15 insurance plan rates
  • AlohaCare — Medicare: $104.04
  • HMSA — Medicare: $104.04
  • Kaiser — Commercial: $291.31
  • Kaiser — Medicare Advantage: $104.04
  • Ohana Care — Medicare: $104.04
  • Seven Corners — Commercial: $192.47
  • United Healthcare — Medicare: $104.04
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
  • Hawaii Community Health Alliance — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Hawaii Laborers — Commercial: 80% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 30 MINUTES $501 $350.70 $75.48 – $291.31
Physical therapy evaluation (moderate complexity): 10 of 20 insurance plan rates
  • AlohaCare — Medicare: $104.04
  • HMSA — Commercial: $92.75
  • HMSA — Medicaid: $75.48
  • HMSA — Medicare: $104.04
  • HMSA — PHC Commercial: $92.75
  • Kaiser — Commercial: $291.31
  • Kaiser — Medicare Advantage: $104.04
  • MDX Hawaii — Commercial: $90.97
  • Ohana Care — Medicare: $104.04
  • Seven Corners — Commercial: $192.47
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 30 MINUTES $501 $350.70 $104.04 – $291.31
Physical therapy evaluation (moderate complexity): 10 of 15 insurance plan rates
  • AlohaCare — Medicare: $104.04
  • HMSA — Medicare: $104.04
  • Kaiser — Commercial: $291.31
  • Kaiser — Medicare Advantage: $104.04
  • Ohana Care — Medicare: $104.04
  • Seven Corners — Commercial: $192.47
  • United Healthcare — Medicare: $104.04
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
  • Hawaii Community Health Alliance — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Hawaii Laborers — Commercial: 80% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP_KX In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 30 MINUTES $501 $350.70 $104.04 – $291.31
Physical therapy evaluation (moderate complexity): 10 of 15 insurance plan rates
  • AlohaCare — Medicare: $104.04
  • HMSA — Medicare: $104.04
  • Kaiser — Commercial: $291.31
  • Kaiser — Medicare Advantage: $104.04
  • Ohana Care — Medicare: $104.04
  • Seven Corners — Commercial: $192.47
  • United Healthcare — Medicare: $104.04
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
  • Hawaii Community Health Alliance — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Hawaii Laborers — Commercial: 80% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 45 MINUTES $501 $350.70 $75.48 – $291.31
Physical therapy evaluation (high complexity): 10 of 20 insurance plan rates
  • AlohaCare — Medicare: $104.04
  • HMSA — Commercial: $92.75
  • HMSA — Medicaid: $75.48
  • HMSA — Medicare: $104.04
  • HMSA — PHC Commercial: $92.75
  • Kaiser — Commercial: $291.31
  • Kaiser — Medicare Advantage: $104.04
  • MDX Hawaii — Commercial: $90.97
  • Ohana Care — Medicare: $104.04
  • Seven Corners — Commercial: $192.47
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 45 MINUTES $501 $350.70 $104.04 – $291.31
Physical therapy evaluation (high complexity): 10 of 15 insurance plan rates
  • AlohaCare — Medicare: $104.04
  • HMSA — Medicare: $104.04
  • Kaiser — Commercial: $291.31
  • Kaiser — Medicare Advantage: $104.04
  • Ohana Care — Medicare: $104.04
  • Seven Corners — Commercial: $192.47
  • United Healthcare — Medicare: $104.04
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
  • Hawaii Community Health Alliance — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Hawaii Laborers — Commercial: 80% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP_KX In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 45 MINUTES $501 $350.70 $104.04 – $291.31
Physical therapy evaluation (high complexity): 10 of 15 insurance plan rates
  • AlohaCare — Medicare: $104.04
  • HMSA — Medicare: $104.04
  • Kaiser — Commercial: $291.31
  • Kaiser — Medicare Advantage: $104.04
  • Ohana Care — Medicare: $104.04
  • Seven Corners — Commercial: $192.47
  • United Healthcare — Medicare: $104.04
  • First Health — Commercial: 80% (a percentage in the contract, not a dollar amount)
  • Hawaii Community Health Alliance — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Hawaii Laborers — Commercial: 80% (a percentage in the contract, not a dollar amount)
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYCHOTHERAPY; 30 MINUTES $281 $196.70 $23.83 – $909
Psychotherapy, 30 minutes: 10 of 22 insurance plan rates
  • AlohaCare — Medicare: $208.65
  • HMSA — Commercial: $909
  • HMSA — Medicaid: $23.83
  • HMSA — Medicare: $208.65
  • HMSA — PHC Commercial: $909
  • Kaiser — Commercial: $584.22
  • Kaiser — Medicare Advantage: $208.65
  • MDX Hawaii — Commercial: $64.23
  • Ohana Care — Medicare: $208.65
  • Seven Corners — Commercial: $386
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYTX W PT 30 MINUTES $571 $399.70 $23.83 – $909
Psychotherapy, 30 minutes: 10 of 22 insurance plan rates
  • AlohaCare — Medicare: $208.65
  • HMSA — Commercial: $909
  • HMSA — Medicaid: $23.83
  • HMSA — Medicare: $208.65
  • HMSA — PHC Commercial: $909
  • Kaiser — Commercial: $584.22
  • Kaiser — Medicare Advantage: $208.65
  • MDX Hawaii — Commercial: $64.23
  • Ohana Care — Medicare: $208.65
  • Seven Corners — Commercial: $386
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 95 In the file: PSYCHOTHERAPY; 30 MINUTES $281 $196.70 $23.83 – $909
Psychotherapy, 30 minutes: 10 of 20 insurance plan rates
  • AlohaCare — Medicare: $208.65
  • HMSA — Commercial: $909
  • HMSA — Medicaid: $23.83
  • HMSA — Medicare: $208.65
  • HMSA — PHC Commercial: $909
  • Kaiser — Commercial: $584.22
  • Kaiser — Medicare Advantage: $208.65
  • Ohana Care — Medicare: $208.65
  • Seven Corners — Commercial: $386
  • United Healthcare — Medicare: $208.65
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYCHOTHERAPY; 45 MINUTES $374 $261.80 $23.83 – $909
Psychotherapy, 45 minutes: 10 of 22 insurance plan rates
  • AlohaCare — Medicare: $208.65
  • HMSA — Commercial: $909
  • HMSA — Medicaid: $23.83
  • HMSA — Medicare: $208.65
  • HMSA — PHC Commercial: $909
  • Kaiser — Commercial: $584.22
  • Kaiser — Medicare Advantage: $208.65
  • MDX Hawaii — Commercial: $85.58
  • Ohana Care — Medicare: $208.65
  • Seven Corners — Commercial: $386
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYTX W PT 45 MINUTES $571 $399.70 $23.83 – $909
Psychotherapy, 45 minutes: 10 of 22 insurance plan rates
  • AlohaCare — Medicare: $208.65
  • HMSA — Commercial: $909
  • HMSA — Medicaid: $23.83
  • HMSA — Medicare: $208.65
  • HMSA — PHC Commercial: $909
  • Kaiser — Commercial: $584.22
  • Kaiser — Medicare Advantage: $208.65
  • MDX Hawaii — Commercial: $85.58
  • Ohana Care — Medicare: $208.65
  • Seven Corners — Commercial: $386
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 95 In the file: PSYCHOTHERAPY; 45 MINUTES $374 $261.80 $23.83 – $909
Psychotherapy, 45 minutes: 10 of 20 insurance plan rates
  • AlohaCare — Medicare: $208.65
  • HMSA — Commercial: $909
  • HMSA — Medicaid: $23.83
  • HMSA — Medicare: $208.65
  • HMSA — PHC Commercial: $909
  • Kaiser — Commercial: $584.22
  • Kaiser — Medicare Advantage: $208.65
  • Ohana Care — Medicare: $208.65
  • Seven Corners — Commercial: $386
  • United Healthcare — Medicare: $208.65
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYCHOTHERAPY; 1 HOUR $374 $261.80 $23.83 – $909
Psychotherapy, 60 minutes: 10 of 22 insurance plan rates
  • AlohaCare — Medicare: $208.65
  • HMSA — Commercial: $909
  • HMSA — Medicaid: $23.83
  • HMSA — Medicare: $208.65
  • HMSA — PHC Commercial: $909
  • Kaiser — Commercial: $584.22
  • Kaiser — Medicare Advantage: $208.65
  • MDX Hawaii — Commercial: $128.69
  • Ohana Care — Medicare: $208.65
  • Seven Corners — Commercial: $386
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYTX W PT 60 MINUTES $571 $399.70 $23.83 – $909
Psychotherapy, 60 minutes: 10 of 22 insurance plan rates
  • AlohaCare — Medicare: $208.65
  • HMSA — Commercial: $909
  • HMSA — Medicaid: $23.83
  • HMSA — Medicare: $208.65
  • HMSA — PHC Commercial: $909
  • Kaiser — Commercial: $584.22
  • Kaiser — Medicare Advantage: $208.65
  • MDX Hawaii — Commercial: $128.69
  • Ohana Care — Medicare: $208.65
  • Seven Corners — Commercial: $386
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 95 In the file: PSYCHOTHERAPY; 1 HOUR $374 $261.80 $23.83 – $909
Psychotherapy, 60 minutes: 10 of 20 insurance plan rates
  • AlohaCare — Medicare: $208.65
  • HMSA — Commercial: $909
  • HMSA — Medicaid: $23.83
  • HMSA — Medicare: $208.65
  • HMSA — PHC Commercial: $909
  • Kaiser — Commercial: $584.22
  • Kaiser — Medicare Advantage: $208.65
  • Ohana Care — Medicare: $208.65
  • Seven Corners — Commercial: $386
  • United Healthcare — Medicare: $208.65
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: FAMILY PSYCHOTHERAPY WITHOUT PATIENT; 50 MINUTES $571 $399.70 $23.83 – $909
Family psychotherapy, without the patient: 10 of 22 insurance plan rates
  • AlohaCare — Medicare: $208.65
  • HMSA — Commercial: $909
  • HMSA — Medicaid: $23.83
  • HMSA — Medicare: $208.65
  • HMSA — PHC Commercial: $909
  • Kaiser — Commercial: $584.22
  • Kaiser — Medicare Advantage: $208.65
  • MDX Hawaii — Commercial: $103.74
  • Ohana Care — Medicare: $208.65
  • Seven Corners — Commercial: $386
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: FAMILY PSYCHOTHERAPY WITH PATIENT; 50 MINUTES $284 $198.80 $23.83 – $909
Family psychotherapy, with the patient: 10 of 22 insurance plan rates
  • AlohaCare — Medicare: $208.65
  • HMSA — Commercial: $909
  • HMSA — Medicaid: $23.83
  • HMSA — Medicare: $208.65
  • HMSA — PHC Commercial: $909
  • Kaiser — Commercial: $584.22
  • Kaiser — Medicare Advantage: $208.65
  • MDX Hawaii — Commercial: $108.17
  • Ohana Care — Medicare: $208.65
  • Seven Corners — Commercial: $386
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: FAMILY PSYTX W/PT 50 MIN $571 $399.70 $23.83 – $909
Family psychotherapy, with the patient: 10 of 22 insurance plan rates
  • AlohaCare — Medicare: $208.65
  • HMSA — Commercial: $909
  • HMSA — Medicaid: $23.83
  • HMSA — Medicare: $208.65
  • HMSA — PHC Commercial: $909
  • Kaiser — Commercial: $584.22
  • Kaiser — Medicare Advantage: $208.65
  • MDX Hawaii — Commercial: $108.17
  • Ohana Care — Medicare: $208.65
  • Seven Corners — Commercial: $386
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: GROUP PSYCHOTHERAPY $140 $98 $23.83 – $909
Group psychotherapy: 10 of 22 insurance plan rates
  • AlohaCare — Medicare: $119.42
  • HMSA — Commercial: $909
  • HMSA — Medicaid: $23.83
  • HMSA — Medicare: $119.42
  • HMSA — PHC Commercial: $909
  • Kaiser — Commercial: $334.38
  • Kaiser — Medicare Advantage: $119.42
  • MDX Hawaii — Commercial: $25.42
  • Ohana Care — Medicare: $119.42
  • Seven Corners — Commercial: $220.93
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 95 In the file: GROUP PSYCHOTHERAPY $420 $294 $23.83 – $909
Group psychotherapy: 10 of 20 insurance plan rates
  • AlohaCare — Medicare: $119.42
  • HMSA — Commercial: $909
  • HMSA — Medicaid: $23.83
  • HMSA — Medicare: $119.42
  • HMSA — PHC Commercial: $909
  • Kaiser — Commercial: $334.38
  • Kaiser — Medicare Advantage: $119.42
  • Ohana Care — Medicare: $119.42
  • Seven Corners — Commercial: $220.93
  • United Healthcare — Medicare: $119.42
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 95_GT In the file: GROUP PSYCHOTHERAPY $420 $294 $23.83 – $909
Group psychotherapy: 10 of 20 insurance plan rates
  • AlohaCare — Medicare: $119.42
  • HMSA — Commercial: $909
  • HMSA — Medicaid: $23.83
  • HMSA — Medicare: $119.42
  • HMSA — PHC Commercial: $909
  • Kaiser — Commercial: $334.38
  • Kaiser — Medicare Advantage: $119.42
  • Ohana Care — Medicare: $119.42
  • Seven Corners — Commercial: $220.93
  • United Healthcare — Medicare: $119.42

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE $36,377 $25,463.90 $1,550 – $12,887.90
Removal of breast growth (open surgery): 10 of 21 insurance plan rates
  • AlohaCare — Medicare: $4,602.82
  • Hawaii Community Health Alliance — Commercial: $3,632
  • Hawaii Laborers — Commercial: $4,536
  • Hawaii Mainland Administrators — NonTrust Local: $3,923
  • Hawaii Mainland Administrators — UFCW: $3,632
  • Hawaii Western Management Group — Commercial: $3,632
  • HMSA — Commercial: $4,723
  • HMSA — Medicare: $4,602.82
  • HMSA — PHC Commercial: $4,723
  • Kaiser — Commercial: $12,887.90
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE $13,532 $9,472.40 $1,550 – $12,887.90
Removal of breast growth (open surgery): 10 of 21 insurance plan rates
  • AlohaCare — Medicare: $4,602.82
  • Hawaii Community Health Alliance — Commercial: $3,632
  • Hawaii Laborers — Commercial: $4,536
  • Hawaii Mainland Administrators — NonTrust Local: $3,923
  • Hawaii Mainland Administrators — UFCW: $3,632
  • Hawaii Western Management Group — Commercial: $3,632
  • HMSA — Commercial: $4,723
  • HMSA — Medicare: $4,602.82
  • HMSA — PHC Commercial: $4,723
  • Kaiser — Commercial: $12,887.90
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $0.70 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $1,550 – $12,887.90
Removal of breast growth (open surgery): 10 of 21 insurance plan rates
  • AlohaCare — Medicare: $4,602.82
  • Hawaii Community Health Alliance — Commercial: $3,632
  • Hawaii Laborers — Commercial: $4,536
  • Hawaii Mainland Administrators — NonTrust Local: $3,923
  • Hawaii Mainland Administrators — UFCW: $3,632
  • Hawaii Western Management Group — Commercial: $3,632
  • HMSA — Commercial: $4,723
  • HMSA — Medicare: $4,602.82
  • HMSA — PHC Commercial: $4,723
  • Kaiser — Commercial: $12,887.90
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PO In the file: REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS $28,228 $19,759.60 $1,887 – $42,259.25
Total hip replacement: 10 of 21 insurance plan rates
  • AlohaCare — Medicare: $15,092.59
  • HMSA — Commercial: $17,037
  • HMSA — Medicare: $15,092.59
  • HMSA — PHC Commercial: $17,037
  • Kaiser — Commercial: $42,259.25
  • Kaiser — Medicare Advantage: $15,092.59
  • Ohana Care — Medicare: $15,092.59
  • Seven Corners — Commercial: $27,921.29
  • United Healthcare — All Payer: $9,366
  • United Healthcare — Medicaid: $1,887
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS $44,307 $31,014.90 $1,887 – $42,259.25
Total hip replacement: 10 of 21 insurance plan rates
  • AlohaCare — Medicare: $15,092.59
  • HMSA — Commercial: $17,037
  • HMSA — Medicare: $15,092.59
  • HMSA — PHC Commercial: $17,037
  • Kaiser — Commercial: $42,259.25
  • Kaiser — Medicare Advantage: $15,092.59
  • Ohana Care — Medicare: $15,092.59
  • Seven Corners — Commercial: $27,921.29
  • United Healthcare — All Payer: $9,366
  • United Healthcare — Medicaid: $1,887
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS $21,963 $15,374.10 $1,887 – $42,259.25
Total hip replacement: 10 of 21 insurance plan rates
  • AlohaCare — Medicare: $15,092.59
  • HMSA — Commercial: $17,037
  • HMSA — Medicare: $15,092.59
  • HMSA — PHC Commercial: $17,037
  • Kaiser — Commercial: $42,259.25
  • Kaiser — Medicare Advantage: $15,092.59
  • Ohana Care — Medicare: $15,092.59
  • Seven Corners — Commercial: $27,921.29
  • United Healthcare — All Payer: $9,366
  • United Healthcare — Medicaid: $1,887
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE $36,183 $25,328.10 $1,567.21 – $42,259.25
Total knee replacement: 10 of 22 insurance plan rates
  • AlohaCare — Medicare: $15,092.59
  • HMSA — Commercial: $14,180
  • HMSA — Medicaid: $1,567.21
  • HMSA — Medicare: $15,092.59
  • HMSA — PHC Commercial: $14,180
  • Kaiser — Commercial: $42,259.25
  • Kaiser — Medicare Advantage: $15,092.59
  • Ohana Care — Medicare: $15,092.59
  • Seven Corners — Commercial: $27,921.29
  • United Healthcare — All Payer: $9,366
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE $40,563.50 $28,394.45 $1,887 – $42,259.25
Total knee replacement: 10 of 21 insurance plan rates
  • AlohaCare — Medicare: $15,092.59
  • HMSA — Commercial: $14,180
  • HMSA — Medicare: $15,092.59
  • HMSA — PHC Commercial: $14,180
  • Kaiser — Commercial: $42,259.25
  • Kaiser — Medicare Advantage: $15,092.59
  • Ohana Care — Medicare: $15,092.59
  • Seven Corners — Commercial: $27,921.29
  • United Healthcare — All Payer: $9,366
  • United Healthcare — Medicaid: $1,887
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PO In the file: REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE $39,647 $27,752.90 $1,887 – $42,259.25
Total knee replacement: 10 of 21 insurance plan rates
  • AlohaCare — Medicare: $15,092.59
  • HMSA — Commercial: $14,180
  • HMSA — Medicare: $15,092.59
  • HMSA — PHC Commercial: $14,180
  • Kaiser — Commercial: $42,259.25
  • Kaiser — Medicare Advantage: $15,092.59
  • Ohana Care — Medicare: $15,092.59
  • Seven Corners — Commercial: $27,921.29
  • United Healthcare — All Payer: $9,366
  • United Healthcare — Medicaid: $1,887
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $0.70 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $143.64 – $4,817
Shoulder arthroscopy: shaving of shoulder bone: 10 of 22 insurance plan rates
  • AlohaCare — Medicare: $143.64
  • Hawaii Community Health Alliance — Commercial: $3,632
  • Hawaii Laborers — Commercial: $4,536
  • Hawaii Mainland Administrators — NonTrust Local: $3,923
  • Hawaii Mainland Administrators — UFCW: $3,632
  • Hawaii Western Management Group — Commercial: $3,632
  • HMSA — Commercial: $291.77
  • HMSA — Medicaid: $345.65
  • HMSA — Medicare: $143.64
  • HMSA — PHC Commercial: $291.77
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $0.70 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $143.64 – $4,817
Shoulder arthroscopy: shaving of shoulder bone: 10 of 19 insurance plan rates
  • AlohaCare — Medicare: $143.64
  • Hawaii Community Health Alliance — Commercial: $3,632
  • Hawaii Laborers — Commercial: $4,536
  • Hawaii Mainland Administrators — NonTrust Local: $3,923
  • Hawaii Mainland Administrators — UFCW: $3,632
  • Hawaii Western Management Group — Commercial: $3,632
  • HMSA — Medicare: $143.64
  • Kaiser — Commercial: $402.19
  • Kaiser — Medicare Advantage: $143.64
  • MDX Hawaii — Commercial: $4,817
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PO_RT In the file: SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $0.70 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $143.64 – $4,817
Shoulder arthroscopy: shaving of shoulder bone: 10 of 19 insurance plan rates
  • AlohaCare — Medicare: $143.64
  • Hawaii Community Health Alliance — Commercial: $3,632
  • Hawaii Laborers — Commercial: $4,536
  • Hawaii Mainland Administrators — NonTrust Local: $3,923
  • Hawaii Mainland Administrators — UFCW: $3,632
  • Hawaii Western Management Group — Commercial: $3,632
  • HMSA — Medicare: $143.64
  • Kaiser — Commercial: $402.19
  • Kaiser — Medicare Advantage: $143.64
  • MDX Hawaii — Commercial: $4,817
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT_PO In the file: REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE $10,328 $7,229.60 $1,550 – $10,769.98
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 21 insurance plan rates
  • AlohaCare — Medicare: $3,846.42
  • Hawaii Community Health Alliance — Commercial: $4,699
  • Hawaii Laborers — Commercial: $5,869
  • Hawaii Mainland Administrators — NonTrust Local: $5,075
  • Hawaii Mainland Administrators — UFCW: $4,699
  • Hawaii Western Management Group — Commercial: $4,699
  • HMSA — Commercial: $7,576
  • HMSA — Medicare: $3,846.42
  • HMSA — PHC Commercial: $7,576
  • Kaiser — Commercial: $10,769.98
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT_XS In the file: REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $0.70 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $1,550 – $10,769.98
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 21 insurance plan rates
  • AlohaCare — Medicare: $3,846.42
  • Hawaii Community Health Alliance — Commercial: $4,699
  • Hawaii Laborers — Commercial: $5,869
  • Hawaii Mainland Administrators — NonTrust Local: $5,075
  • Hawaii Mainland Administrators — UFCW: $4,699
  • Hawaii Western Management Group — Commercial: $4,699
  • HMSA — Commercial: $7,576
  • HMSA — Medicare: $3,846.42
  • HMSA — PHC Commercial: $7,576
  • Kaiser — Commercial: $10,769.98
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE $7,679 $5,375.30 $1,550 – $10,769.98
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 21 insurance plan rates
  • AlohaCare — Medicare: $3,846.42
  • Hawaii Community Health Alliance — Commercial: $4,699
  • Hawaii Laborers — Commercial: $5,869
  • Hawaii Mainland Administrators — NonTrust Local: $5,075
  • Hawaii Mainland Administrators — UFCW: $4,699
  • Hawaii Western Management Group — Commercial: $4,699
  • HMSA — Commercial: $7,576
  • HMSA — Medicare: $3,846.42
  • HMSA — PHC Commercial: $7,576
  • Kaiser — Commercial: $10,769.98
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF TONSILS AND ADENOID GLANDS (YOUNGER THAN 12 YEARS) $5,708 $3,995.60 $290.32 – $19,485.45
Removal of tonsils and adenoids (under age 12): 10 of 22 insurance plan rates
  • AlohaCare — Medicare: $6,959.09
  • Hawaii Community Health Alliance — Commercial: $3,632
  • Hawaii Laborers — Commercial: $4,536
  • Hawaii Mainland Administrators — NonTrust Local: $3,923
  • Hawaii Mainland Administrators — UFCW: $3,632
  • Hawaii Western Management Group — Commercial: $3,632
  • HMSA — Commercial: $4,723
  • HMSA — Medicaid: $290.32
  • HMSA — Medicare: $6,959.09
  • HMSA — PHC Commercial: $4,723
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH $2,634 $1,843.80 $197.74 – $4,277
Upper GI endoscopy (diagnostic): 10 of 22 insurance plan rates
  • AlohaCare — Medicare: $1,066.21
  • Hawaii Community Health Alliance — Commercial: $2,351
  • Hawaii Laborers — Commercial: $3,145
  • Hawaii Mainland Administrators — NonTrust Local: $2,539
  • Hawaii Mainland Administrators — UFCW: $2,351
  • Hawaii Western Management Group — Commercial: $2,351
  • HMSA — Commercial: $2,520
  • HMSA — Medicaid: $197.74
  • HMSA — Medicare: $1,066.21
  • HMSA — PHC Commercial: $2,520
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE $4,822 $3,375.40 $197.74 – $4,277
Upper GI endoscopy (diagnostic): 10 of 22 insurance plan rates
  • AlohaCare — Medicare: $1,066.21
  • Hawaii Community Health Alliance — Commercial: $2,351
  • Hawaii Laborers — Commercial: $3,145
  • Hawaii Mainland Administrators — NonTrust Local: $2,539
  • Hawaii Mainland Administrators — UFCW: $2,351
  • Hawaii Western Management Group — Commercial: $2,351
  • HMSA — Commercial: $2,520
  • HMSA — Medicaid: $197.74
  • HMSA — Medicare: $1,066.21
  • HMSA — PHC Commercial: $2,520
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PO In the file: DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE $3,969 $2,778.30 $1,066.21 – $4,277
Upper GI endoscopy (diagnostic): 10 of 21 insurance plan rates
  • AlohaCare — Medicare: $1,066.21
  • Hawaii Community Health Alliance — Commercial: $2,351
  • Hawaii Laborers — Commercial: $3,145
  • Hawaii Mainland Administrators — NonTrust Local: $2,539
  • Hawaii Mainland Administrators — UFCW: $2,351
  • Hawaii Western Management Group — Commercial: $2,351
  • HMSA — Commercial: $2,520
  • HMSA — Medicare: $1,066.21
  • HMSA — PHC Commercial: $2,520
  • Kaiser — Commercial: $2,985.39
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $0.70 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $208.29 – $4,723
Upper GI endoscopy with biopsy: 10 of 22 insurance plan rates
  • AlohaCare — Medicare: $1,066.21
  • Hawaii Community Health Alliance — Commercial: $3,312
  • Hawaii Laborers — Commercial: $4,138
  • Hawaii Mainland Administrators — NonTrust Local: $3,577
  • Hawaii Mainland Administrators — UFCW: $3,312
  • Hawaii Western Management Group — Commercial: $3,312
  • HMSA — Commercial: $4,723
  • HMSA — Medicaid: $208.29
  • HMSA — Medicare: $1,066.21
  • HMSA — PHC Commercial: $4,723
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE $2,674 $1,871.80 $208.29 – $4,723
Upper GI endoscopy with biopsy: 10 of 22 insurance plan rates
  • AlohaCare — Medicare: $1,066.21
  • Hawaii Community Health Alliance — Commercial: $3,312
  • Hawaii Laborers — Commercial: $4,138
  • Hawaii Mainland Administrators — NonTrust Local: $3,577
  • Hawaii Mainland Administrators — UFCW: $3,312
  • Hawaii Western Management Group — Commercial: $3,312
  • HMSA — Commercial: $4,723
  • HMSA — Medicaid: $208.29
  • HMSA — Medicare: $1,066.21
  • HMSA — PHC Commercial: $4,723
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PO_XU In the file: BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $0.70 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $1,066.21 – $4,723
Upper GI endoscopy with biopsy: 10 of 21 insurance plan rates
  • AlohaCare — Medicare: $1,066.21
  • Hawaii Community Health Alliance — Commercial: $3,312
  • Hawaii Laborers — Commercial: $4,138
  • Hawaii Mainland Administrators — NonTrust Local: $3,577
  • Hawaii Mainland Administrators — UFCW: $3,312
  • Hawaii Western Management Group — Commercial: $3,312
  • HMSA — Commercial: $4,723
  • HMSA — Medicare: $1,066.21
  • HMSA — PHC Commercial: $4,723
  • Kaiser — Commercial: $2,985.39
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY $2,121 $1,484.70 $322.89 – $3,577
Colonoscopy (diagnostic): 10 of 22 insurance plan rates
  • AlohaCare — Medicare: $1,093.22
  • Hawaii Community Health Alliance — Commercial: $3,312
  • Hawaii Mainland Administrators — NonTrust Local: $3,577
  • Hawaii Mainland Administrators — UFCW: $3,312
  • Hawaii Western Management Group — Commercial: $3,312
  • HMSA — Commercial: $1,419
  • HMSA — Medicaid: $877
  • HMSA — Medicare: $1,093.22
  • HMSA — PHC Commercial: $1,419
  • Kaiser — Commercial: $3,061.02
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $2,516.50 $1,761.55 $280.77 – $4,723
Colonoscopy (diagnostic): 10 of 22 insurance plan rates
  • AlohaCare — Medicare: $1,093.22
  • Hawaii Community Health Alliance — Commercial: $3,312
  • Hawaii Laborers — Commercial: $4,138
  • Hawaii Mainland Administrators — NonTrust Local: $3,577
  • Hawaii Mainland Administrators — UFCW: $3,312
  • Hawaii Western Management Group — Commercial: $3,312
  • HMSA — Commercial: $4,723
  • HMSA — Medicaid: $280.77
  • HMSA — Medicare: $1,093.22
  • HMSA — PHC Commercial: $4,723
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 33 In the file: DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $5,166 $3,616.20 $1,093.22 – $4,723
Colonoscopy (diagnostic): 10 of 21 insurance plan rates
  • AlohaCare — Medicare: $1,093.22
  • Hawaii Community Health Alliance — Commercial: $3,312
  • Hawaii Laborers — Commercial: $4,138
  • Hawaii Mainland Administrators — NonTrust Local: $3,577
  • Hawaii Mainland Administrators — UFCW: $3,312
  • Hawaii Western Management Group — Commercial: $3,312
  • HMSA — Commercial: $4,723
  • HMSA — Medicare: $1,093.22
  • HMSA — PHC Commercial: $4,723
  • Kaiser — Commercial: $3,061.02
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $9,154 $6,407.80 $304.62 – $4,723
Colonoscopy with biopsy: 10 of 22 insurance plan rates
  • AlohaCare — Medicare: $1,406.72
  • Hawaii Community Health Alliance — Commercial: $3,312
  • Hawaii Laborers — Commercial: $4,138
  • Hawaii Mainland Administrators — NonTrust Local: $3,577
  • Hawaii Mainland Administrators — UFCW: $3,312
  • Hawaii Western Management Group — Commercial: $3,312
  • HMSA — Commercial: $4,723
  • HMSA — Medicaid: $304.62
  • HMSA — Medicare: $1,406.72
  • HMSA — PHC Commercial: $4,723
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74_PT_XS In the file: BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $0.70 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $1,406.72 – $4,723
Colonoscopy with biopsy: 10 of 21 insurance plan rates
  • AlohaCare — Medicare: $1,406.72
  • Hawaii Community Health Alliance — Commercial: $3,312
  • Hawaii Laborers — Commercial: $4,138
  • Hawaii Mainland Administrators — NonTrust Local: $3,577
  • Hawaii Mainland Administrators — UFCW: $3,312
  • Hawaii Western Management Group — Commercial: $3,312
  • HMSA — Commercial: $4,723
  • HMSA — Medicare: $1,406.72
  • HMSA — PHC Commercial: $4,723
  • Kaiser — Commercial: $3,938.82
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PO_XS In the file: BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $0.70 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $1,406.72 – $4,723
Colonoscopy with biopsy: 10 of 21 insurance plan rates
  • AlohaCare — Medicare: $1,406.72
  • Hawaii Community Health Alliance — Commercial: $3,312
  • Hawaii Laborers — Commercial: $4,138
  • Hawaii Mainland Administrators — NonTrust Local: $3,577
  • Hawaii Mainland Administrators — UFCW: $3,312
  • Hawaii Western Management Group — Commercial: $3,312
  • HMSA — Commercial: $4,723
  • HMSA — Medicare: $1,406.72
  • HMSA — PHC Commercial: $4,723
  • Kaiser — Commercial: $3,938.82
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE $5,696 $3,987.20 $388.14 – $4,723
Colonoscopy with removal of polyps (snare): 10 of 22 insurance plan rates
  • AlohaCare — Medicare: $1,406.72
  • Hawaii Community Health Alliance — Commercial: $3,312
  • Hawaii Laborers — Commercial: $4,138
  • Hawaii Mainland Administrators — NonTrust Local: $3,577
  • Hawaii Mainland Administrators — UFCW: $3,312
  • Hawaii Western Management Group — Commercial: $3,312
  • HMSA — Commercial: $4,723
  • HMSA — Medicaid: $388.14
  • HMSA — Medicare: $1,406.72
  • HMSA — PHC Commercial: $4,723
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74 In the file: REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE $8,356 $5,849.20 $1,406.72 – $4,723
Colonoscopy with removal of polyps (snare): 10 of 21 insurance plan rates
  • AlohaCare — Medicare: $1,406.72
  • Hawaii Community Health Alliance — Commercial: $3,312
  • Hawaii Laborers — Commercial: $4,138
  • Hawaii Mainland Administrators — NonTrust Local: $3,577
  • Hawaii Mainland Administrators — UFCW: $3,312
  • Hawaii Western Management Group — Commercial: $3,312
  • HMSA — Commercial: $4,723
  • HMSA — Medicare: $1,406.72
  • HMSA — PHC Commercial: $4,723
  • Kaiser — Commercial: $3,938.82
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74_XS In the file: REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $0.70 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $1,406.72 – $4,723
Colonoscopy with removal of polyps (snare): 10 of 21 insurance plan rates
  • AlohaCare — Medicare: $1,406.72
  • Hawaii Community Health Alliance — Commercial: $3,312
  • Hawaii Laborers — Commercial: $4,138
  • Hawaii Mainland Administrators — NonTrust Local: $3,577
  • Hawaii Mainland Administrators — UFCW: $3,312
  • Hawaii Western Management Group — Commercial: $3,312
  • HMSA — Commercial: $4,723
  • HMSA — Medicare: $1,406.72
  • HMSA — PHC Commercial: $4,723
  • Kaiser — Commercial: $3,938.82
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULTRASOUND EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $12,746 $8,922.20 $283.56 – $4,723
Ultrasound of the lower bowel by endoscope: 10 of 22 insurance plan rates
  • AlohaCare — Medicare: $1,406.72
  • Hawaii Community Health Alliance — Commercial: $3,312
  • Hawaii Laborers — Commercial: $4,138
  • Hawaii Mainland Administrators — NonTrust Local: $3,577
  • Hawaii Mainland Administrators — UFCW: $3,312
  • Hawaii Western Management Group — Commercial: $3,312
  • HMSA — Commercial: $4,723
  • HMSA — Medicaid: $283.56
  • HMSA — Medicare: $1,406.72
  • HMSA — PHC Commercial: $4,723
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PT In the file: ULTRASOUND EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $8,224 $5,756.80 $1,406.72 – $4,723
Ultrasound of the lower bowel by endoscope: 10 of 21 insurance plan rates
  • AlohaCare — Medicare: $1,406.72
  • Hawaii Community Health Alliance — Commercial: $3,312
  • Hawaii Laborers — Commercial: $4,138
  • Hawaii Mainland Administrators — NonTrust Local: $3,577
  • Hawaii Mainland Administrators — UFCW: $3,312
  • Hawaii Western Management Group — Commercial: $3,312
  • HMSA — Commercial: $4,723
  • HMSA — Medicare: $1,406.72
  • HMSA — PHC Commercial: $4,723
  • Kaiser — Commercial: $3,938.82
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 $9,377 $6,563.90 $280.77 – $4,723
Screening colonoscopy (not high risk): 10 of 22 insurance plan rates
  • AlohaCare — Medicare: $1,093.22
  • Hawaii Community Health Alliance — Commercial: $3,312
  • Hawaii Laborers — Commercial: $4,138
  • Hawaii Mainland Administrators — NonTrust Local: $3,577
  • Hawaii Mainland Administrators — UFCW: $3,312
  • Hawaii Western Management Group — Commercial: $3,312
  • HMSA — Commercial: $4,723
  • HMSA — Medicaid: $280.77
  • HMSA — Medicare: $1,093.22
  • HMSA — PHC Commercial: $4,723
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 73 In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK $5,432 $3,802.40 $546.61 – $4,723
Screening colonoscopy (not high risk): 10 of 21 insurance plan rates
  • AlohaCare — Medicare: $546.61
  • Hawaii Community Health Alliance — Commercial: $3,312
  • Hawaii Laborers — Commercial: $4,138
  • Hawaii Mainland Administrators — NonTrust Local: $3,577
  • Hawaii Mainland Administrators — UFCW: $3,312
  • Hawaii Western Management Group — Commercial: $3,312
  • HMSA — Commercial: $4,723
  • HMSA — Medicare: $546.61
  • HMSA — PHC Commercial: $4,723
  • Kaiser — Commercial: $1,530.51
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74 In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK $4,767 $3,336.90 $996 – $4,723
Screening colonoscopy (not high risk): 10 of 21 insurance plan rates
  • AlohaCare — Medicare: $1,093.22
  • Hawaii Community Health Alliance — Commercial: $3,312
  • Hawaii Laborers — Commercial: $4,138
  • Hawaii Mainland Administrators — NonTrust Local: $3,577
  • Hawaii Mainland Administrators — UFCW: $3,312
  • Hawaii Western Management Group — Commercial: $3,312
  • HMSA — Commercial: $4,723
  • HMSA — Medicare: $1,093.22
  • HMSA — PHC Commercial: $4,723
  • Kaiser — Commercial: $3,061.02
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF GALLBLADDER USING AN ENDOSCOPE $25,324 $17,726.80 $676.10 – $19,899.18
Gallbladder removal by laparoscope: 10 of 22 insurance plan rates
  • AlohaCare — Medicare: $7,106.85
  • HMSA — Commercial: $14,180
  • HMSA — Medicaid: $676.10
  • HMSA — Medicare: $7,106.85
  • HMSA — PHC Commercial: $14,180
  • Kaiser — Commercial: $19,899.18
  • Kaiser — Medicare Advantage: $7,106.85
  • Ohana Care — Medicare: $7,106.85
  • Seven Corners — Commercial: $13,147.67
  • United Healthcare — All Payer: $7,726
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PO In the file: REMOVAL OF GALLBLADDER USING AN ENDOSCOPE $29,766 $20,836.20 $1,700 – $19,899.18
Gallbladder removal by laparoscope: 10 of 21 insurance plan rates
  • AlohaCare — Medicare: $7,106.85
  • HMSA — Commercial: $14,180
  • HMSA — Medicare: $7,106.85
  • HMSA — PHC Commercial: $14,180
  • Kaiser — Commercial: $19,899.18
  • Kaiser — Medicare Advantage: $7,106.85
  • Ohana Care — Medicare: $7,106.85
  • Seven Corners — Commercial: $13,147.67
  • United Healthcare — All Payer: $7,726
  • United Healthcare — Medicaid: $1,700
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REPAIR OF GROIN HERNIA (5 YEARS OR OLDER) $12,594 $8,815.80 $467.65 – $11,785.09
Groin (inguinal) hernia repair, age 5 or older: 10 of 22 insurance plan rates
  • AlohaCare — Medicare: $4,208.96
  • Hawaii Community Health Alliance — Commercial: $4,699
  • Hawaii Laborers — Commercial: $5,869
  • Hawaii Mainland Administrators — NonTrust Local: $5,075
  • Hawaii Mainland Administrators — UFCW: $4,699
  • Hawaii Western Management Group — Commercial: $4,699
  • HMSA — Commercial: $7,576
  • HMSA — Medicaid: $467.65
  • HMSA — Medicare: $4,208.96
  • HMSA — PHC Commercial: $7,576
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: REPAIR OF GROIN HERNIA (5 YEARS OR OLDER) $26,530 $18,571 $1,550 – $19,982.70
Groin (inguinal) hernia repair, age 5 or older: 10 of 21 insurance plan rates
  • AlohaCare — Medicare: $7,136.68
  • Hawaii Community Health Alliance — Commercial: $4,699
  • Hawaii Laborers — Commercial: $5,869
  • Hawaii Mainland Administrators — NonTrust Local: $5,075
  • Hawaii Mainland Administrators — UFCW: $4,699
  • Hawaii Western Management Group — Commercial: $4,699
  • HMSA — Commercial: $7,576
  • HMSA — Medicare: $7,136.68
  • HMSA — PHC Commercial: $7,576
  • Kaiser — Commercial: $19,982.70
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50_PO In the file: REPAIR OF GROIN HERNIA (5 YEARS OR OLDER) $19,007 $13,304.90 $1,550 – $19,982.70
Groin (inguinal) hernia repair, age 5 or older: 10 of 21 insurance plan rates
  • AlohaCare — Medicare: $7,136.68
  • Hawaii Community Health Alliance — Commercial: $4,699
  • Hawaii Laborers — Commercial: $5,869
  • Hawaii Mainland Administrators — NonTrust Local: $5,075
  • Hawaii Mainland Administrators — UFCW: $4,699
  • Hawaii Western Management Group — Commercial: $4,699
  • HMSA — Commercial: $7,576
  • HMSA — Medicare: $7,136.68
  • HMSA — PHC Commercial: $7,576
  • Kaiser — Commercial: $19,982.70
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE GLAND $7,384 $5,168.80 $193.96 – $4,723
Prostate biopsy: 10 of 15 insurance plan rates
  • Hawaii Community Health Alliance — Commercial: $3,312
  • Hawaii Laborers — Commercial: $4,138
  • Hawaii Mainland Administrators — NonTrust Local: $3,577
  • Hawaii Mainland Administrators — UFCW: $3,312
  • Hawaii Western Management Group — Commercial: $3,312
  • HMSA — Commercial: $4,723
  • HMSA — Medicaid: $193.96
  • HMSA — PHC Commercial: $4,723
  • MDX Hawaii — Commercial: $4,277
  • United Healthcare — All Payer: $4,277
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SURGICAL REMOVAL OF PROSTATE AND SURROUNDING LYMPH NODES USING AN ENDOSCOPE $26,872.99 $18,811.09 $1,690.10 – $34,988.72
Prostate removal by laparoscope (radical prostatectomy): 10 of 22 insurance plan rates
  • AlohaCare — Medicare: $12,495.97
  • HMSA — Commercial: $14,180
  • HMSA — Medicaid: $1,690.10
  • HMSA — Medicare: $12,495.97
  • HMSA — PHC Commercial: $14,180
  • Kaiser — Commercial: $34,988.72
  • Kaiser — Medicare Advantage: $12,495.97
  • Ohana Care — Medicare: $12,495.97
  • Seven Corners — Commercial: $23,117.54
  • United Healthcare — All Payer: $9,366
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF LINING OF UTERUS AND/OR REMOVAL OF POLYP USING AN ENDOSCOPE $4,664 $3,264.80 $283.21 – $10,655.18
Hysteroscopy with biopsy of the uterus lining: 10 of 22 insurance plan rates
  • AlohaCare — Medicare: $3,805.42
  • Hawaii Community Health Alliance — Commercial: $3,632
  • Hawaii Laborers — Commercial: $4,536
  • Hawaii Mainland Administrators — NonTrust Local: $3,923
  • Hawaii Mainland Administrators — UFCW: $3,632
  • Hawaii Western Management Group — Commercial: $3,632
  • HMSA — Commercial: $7,576
  • HMSA — Medicaid: $283.21
  • HMSA — Medicare: $3,805.42
  • HMSA — PHC Commercial: $7,576
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PO In the file: BIOPSY OF LINING OF UTERUS AND/OR REMOVAL OF POLYP USING AN ENDOSCOPE $7,189 $5,032.30 $1,550 – $10,655.18
Hysteroscopy with biopsy of the uterus lining: 10 of 21 insurance plan rates
  • AlohaCare — Medicare: $3,805.42
  • Hawaii Community Health Alliance — Commercial: $3,632
  • Hawaii Laborers — Commercial: $4,536
  • Hawaii Mainland Administrators — NonTrust Local: $3,923
  • Hawaii Mainland Administrators — UFCW: $3,632
  • Hawaii Western Management Group — Commercial: $3,632
  • HMSA — Commercial: $7,576
  • HMSA — Medicare: $3,805.42
  • HMSA — PHC Commercial: $7,576
  • Kaiser — Commercial: $10,655.18
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE $872 $610.40 $100.65 – $3,131
Spinal injection, lower back (epidural), with imaging guidance: 10 of 22 insurance plan rates
  • AlohaCare — Medicare: $829.80
  • HMSA — Commercial: $2,520
  • HMSA — Medicaid: $100.65
  • HMSA — Medicare: $829.80
  • HMSA — PHC Commercial: $2,520
  • Kaiser — Commercial: $2,323.44
  • Kaiser — Medicare Advantage: $829.80
  • Ohana Care — Medicare: $829.80
  • Seven Corners — Commercial: $1,535.13
  • United Healthcare — All Payer: $3,131
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GZ In the file: INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE $1,368 $957.60 $829.80 – $3,131
Spinal injection, lower back (epidural), with imaging guidance: 10 of 21 insurance plan rates
  • AlohaCare — Medicare: $829.80
  • HMSA — Commercial: $2,520
  • HMSA — Medicare: $829.80
  • HMSA — PHC Commercial: $2,520
  • Kaiser — Commercial: $2,323.44
  • Kaiser — Medicare Advantage: $829.80
  • Ohana Care — Medicare: $829.80
  • Seven Corners — Commercial: $1,535.13
  • United Healthcare — All Payer: $3,131
  • United Healthcare — Medicaid: $996
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE $1,368 $957.60 $829.80 – $3,131
Spinal injection, lower back (epidural), with imaging guidance: 10 of 21 insurance plan rates
  • AlohaCare — Medicare: $829.80
  • HMSA — Commercial: $2,520
  • HMSA — Medicare: $829.80
  • HMSA — PHC Commercial: $2,520
  • Kaiser — Commercial: $2,323.44
  • Kaiser — Medicare Advantage: $829.80
  • Ohana Care — Medicare: $829.80
  • Seven Corners — Commercial: $1,535.13
  • United Healthcare — All Payer: $3,131
  • United Healthcare — Medicaid: $996
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL $2,372 $1,660.40 $198.54 – $2,911.30
Nerve root injection, lower back, with imaging guidance: 10 of 22 insurance plan rates
  • AlohaCare — Medicare: $1,039.75
  • Hawaii Community Health Alliance — Commercial: $2,351
  • Hawaii Mainland Administrators — NonTrust Local: $2,539
  • Hawaii Mainland Administrators — UFCW: $2,351
  • Hawaii Western Management Group — Commercial: $2,351
  • HMSA — Commercial: $198.54
  • HMSA — Medicaid: $294.35
  • HMSA — Medicare: $1,039.75
  • HMSA — PHC Commercial: $198.54
  • Kaiser — Commercial: $2,911.30
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL $4,744 $3,320.80 $1,559.62 – $4,366.94
Nerve root injection, lower back, with imaging guidance: 10 of 21 insurance plan rates
  • AlohaCare — Medicare: $1,559.62
  • Hawaii Community Health Alliance — Commercial: $2,351
  • Hawaii Mainland Administrators — NonTrust Local: $2,539
  • Hawaii Mainland Administrators — UFCW: $2,351
  • Hawaii Western Management Group — Commercial: $2,351
  • HMSA — Commercial: $2,520
  • HMSA — Medicare: $1,559.62
  • HMSA — PHC Commercial: $2,520
  • Kaiser — Commercial: $4,366.94
  • Kaiser — Medicare Advantage: $1,559.62
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT_RT In the file: INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL $4,744 $3,320.80 $1,039.75 – $2,911.30
Nerve root injection, lower back, with imaging guidance: 10 of 21 insurance plan rates
  • AlohaCare — Medicare: $1,039.75
  • Hawaii Community Health Alliance — Commercial: $2,351
  • Hawaii Mainland Administrators — NonTrust Local: $2,539
  • Hawaii Mainland Administrators — UFCW: $2,351
  • Hawaii Western Management Group — Commercial: $2,351
  • HMSA — Commercial: $2,520
  • HMSA — Medicare: $1,039.75
  • HMSA — PHC Commercial: $2,520
  • Kaiser — Commercial: $2,911.30
  • Kaiser — Medicare Advantage: $1,039.75
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: RELEASE AND/OR RELOCATION OF HAND NERVE $9,970 $6,979 $1,550 – $6,427.51
Carpal tunnel release: 10 of 21 insurance plan rates
  • AlohaCare — Medicare: $2,295.54
  • Hawaii Community Health Alliance — Commercial: $3,312
  • Hawaii Laborers — Commercial: $4,138
  • Hawaii Mainland Administrators — NonTrust Local: $3,577
  • Hawaii Mainland Administrators — UFCW: $3,312
  • Hawaii Western Management Group — Commercial: $3,312
  • HMSA — Commercial: $4,723
  • HMSA — Medicare: $2,295.54
  • HMSA — PHC Commercial: $4,723
  • Kaiser — Commercial: $6,427.51
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT_PO_XU In the file: RELEASE AND/OR RELOCATION OF HAND NERVE $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $0.70 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $1,550 – $6,427.51
Carpal tunnel release: 10 of 21 insurance plan rates
  • AlohaCare — Medicare: $2,295.54
  • Hawaii Community Health Alliance — Commercial: $3,312
  • Hawaii Laborers — Commercial: $4,138
  • Hawaii Mainland Administrators — NonTrust Local: $3,577
  • Hawaii Mainland Administrators — UFCW: $3,312
  • Hawaii Western Management Group — Commercial: $3,312
  • HMSA — Commercial: $4,723
  • HMSA — Medicare: $2,295.54
  • HMSA — PHC Commercial: $4,723
  • Kaiser — Commercial: $6,427.51
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT_XS In the file: RELEASE AND/OR RELOCATION OF HAND NERVE $9,170.66 $6,419.46 $1,550 – $6,427.51
Carpal tunnel release: 10 of 21 insurance plan rates
  • AlohaCare — Medicare: $2,295.54
  • Hawaii Community Health Alliance — Commercial: $3,312
  • Hawaii Laborers — Commercial: $4,138
  • Hawaii Mainland Administrators — NonTrust Local: $3,577
  • Hawaii Mainland Administrators — UFCW: $3,312
  • Hawaii Western Management Group — Commercial: $3,312
  • HMSA — Commercial: $4,723
  • HMSA — Medicare: $2,295.54
  • HMSA — PHC Commercial: $4,723
  • Kaiser — Commercial: $6,427.51
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF RECURRING CATARACT IN LENS CAPSULE USING A LASER $3,344 $2,340.80 $243.44 – $4,277
Laser treatment of clouding after cataract surgery: 10 of 22 insurance plan rates
  • AlohaCare — Medicare: $646.56
  • Hawaii Community Health Alliance — Commercial: $3,312
  • Hawaii Laborers — Commercial: $4,138
  • Hawaii Mainland Administrators — NonTrust Local: $3,577
  • Hawaii Mainland Administrators — UFCW: $3,312
  • Hawaii Western Management Group — Commercial: $3,312
  • HMSA — Commercial: $2,520
  • HMSA — Medicaid: $243.44
  • HMSA — Medicare: $646.56
  • HMSA — PHC Commercial: $2,520
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REMOVAL OF RECURRING CATARACT IN LENS CAPSULE USING A LASER $3,344 $2,340.80 $646.56 – $4,277
Laser treatment of clouding after cataract surgery: 10 of 21 insurance plan rates
  • AlohaCare — Medicare: $646.56
  • Hawaii Community Health Alliance — Commercial: $3,312
  • Hawaii Laborers — Commercial: $4,138
  • Hawaii Mainland Administrators — NonTrust Local: $3,577
  • Hawaii Mainland Administrators — UFCW: $3,312
  • Hawaii Western Management Group — Commercial: $3,312
  • HMSA — Commercial: $2,520
  • HMSA — Medicare: $646.56
  • HMSA — PHC Commercial: $2,520
  • Kaiser — Commercial: $1,810.37
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: REMOVAL OF RECURRING CATARACT IN LENS CAPSULE USING A LASER $3,344 $2,340.80 $646.56 – $4,277
Laser treatment of clouding after cataract surgery: 10 of 21 insurance plan rates
  • AlohaCare — Medicare: $646.56
  • Hawaii Community Health Alliance — Commercial: $3,312
  • Hawaii Laborers — Commercial: $4,138
  • Hawaii Mainland Administrators — NonTrust Local: $3,577
  • Hawaii Mainland Administrators — UFCW: $3,312
  • Hawaii Western Management Group — Commercial: $3,312
  • HMSA — Commercial: $2,520
  • HMSA — Medicare: $646.56
  • HMSA — PHC Commercial: $2,520
  • Kaiser — Commercial: $1,810.37
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS $5,852 $4,096.40 $1,550 – $9,097
Cataract removal with lens implant: 10 of 21 insurance plan rates
  • AlohaCare — Medicare: $2,712.98
  • Hawaii Community Health Alliance — Commercial: $7,265
  • Hawaii Laborers — Commercial: $9,071
  • Hawaii Mainland Administrators — NonTrust Local: $7,846
  • Hawaii Mainland Administrators — UFCW: $7,265
  • Hawaii Western Management Group — Commercial: $7,265
  • HMSA — Commercial: $7,576
  • HMSA — Medicare: $2,712.98
  • HMSA — PHC Commercial: $7,576
  • Kaiser — Commercial: $7,596.34
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT_PO In the file: REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS $9,376 $6,563.20 $1,550 – $9,097
Cataract removal with lens implant: 10 of 21 insurance plan rates
  • AlohaCare — Medicare: $2,712.98
  • Hawaii Community Health Alliance — Commercial: $7,265
  • Hawaii Laborers — Commercial: $9,071
  • Hawaii Mainland Administrators — NonTrust Local: $7,846
  • Hawaii Mainland Administrators — UFCW: $7,265
  • Hawaii Western Management Group — Commercial: $7,265
  • HMSA — Commercial: $7,576
  • HMSA — Medicare: $2,712.98
  • HMSA — PHC Commercial: $7,576
  • Kaiser — Commercial: $7,596.34
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS $6,080 $4,256 $1,550 – $9,097
Cataract removal with lens implant: 10 of 21 insurance plan rates
  • AlohaCare — Medicare: $2,712.98
  • Hawaii Community Health Alliance — Commercial: $7,265
  • Hawaii Laborers — Commercial: $9,071
  • Hawaii Mainland Administrators — NonTrust Local: $7,846
  • Hawaii Mainland Administrators — UFCW: $7,265
  • Hawaii Western Management Group — Commercial: $7,265
  • HMSA — Commercial: $7,576
  • HMSA — Medicare: $2,712.98
  • HMSA — PHC Commercial: $7,576
  • Kaiser — Commercial: $7,596.34

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance 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 & OTH MAJ CARDIOTHORACIC PROC WITH CARD CATH WITH COMORBITY Not listed in the file Not listed in the file $100,047.66 – $275,131.06
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 13 insurance plan rates
  • AlohaCare — Medicare: $100,047.66
  • HMSA — Commercial: $222,416.40
  • HMSA — Medicare: $100,047.66
  • HMSA — PHC Commercial: $200,174.76
  • Kaiser — Commercial: $275,131.06
  • Kaiser — Medicare Advantage: $100,047.66
  • Ohana Care — Medicare: $100,047.66
  • Seven Corners — Commercial: $185,088.17
  • United Behavioral Health — Medicare: $100,047.66
  • United Healthcare — Medicare: $100,047.66
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 COMORBITY Not listed in the file Not listed in the file $19,977.89 – $54,939.20
Hip or knee replacement (major joint of the leg), without major complications: 10 of 13 insurance plan rates
  • AlohaCare — Medicare: $19,977.89
  • HMSA — Commercial: $31,985.50
  • HMSA — Medicare: $19,977.89
  • HMSA — PHC Commercial: $28,786.95
  • Kaiser — Commercial: $54,939.20
  • Kaiser — Medicare Advantage: $19,977.89
  • Ohana Care — Medicare: $19,977.89
  • Seven Corners — Commercial: $36,959.10
  • United Behavioral Health — Medicare: $19,977.89
  • United Healthcare — Medicare: $19,977.89
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT COMPLICATION/COMORBITY Not listed in the file Not listed in the file $25,201.76 – $69,304.84
Neck (cervical) spinal fusion, without complications: 10 of 13 insurance plan rates
  • AlohaCare — Medicare: $25,201.76
  • HMSA — Commercial: $52,910.80
  • HMSA — Medicare: $25,201.76
  • HMSA — PHC Commercial: $47,619.72
  • Kaiser — Commercial: $69,304.84
  • Kaiser — Medicare Advantage: $25,201.76
  • Ohana Care — Medicare: $25,201.76
  • Seven Corners — Commercial: $46,623.26
  • United Behavioral Health — Medicare: $25,201.76
  • United Healthcare — Medicare: $25,201.76
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITHOUT COMPLICATION/COMORBITY Not listed in the file Not listed in the file $12,961.74 – $35,644.79
Uterus and ovary surgery (not for cancer), without complications: 10 of 13 insurance plan rates
  • AlohaCare — Medicare: $12,961.74
  • HMSA — Commercial: $23,034.97
  • HMSA — Medicare: $12,961.74
  • HMSA — PHC Commercial: $20,731.48
  • Kaiser — Commercial: $35,644.79
  • Kaiser — Medicare Advantage: $12,961.74
  • Ohana Care — Medicare: $12,961.74
  • Seven Corners — Commercial: $23,979.22
  • United Behavioral Health — Medicare: $12,961.74
  • United Healthcare — Medicare: $12,961.74

Source: The Queens Medical Center’s standard charges file (queens.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 11, 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 typeAcute Care Hospital
Address1301 Punchbowl St, Honolulu, HI 96813
CountyHonolulu County
StateHawaii
Phone(808) 538‑9011
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating3 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number120001
Name in Medicare recordsTHE QUEENS MEDICAL CENTER
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(808) 691‑1000[4]
Official websitequeens.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. The Queen's Medical Center — queens.org
  2. The Queen's Medical Center Services — queens.org
  3. Emergency and Trauma — queens.org
  4. Patients & Visitors — queens.org
  5. Comprehensive Stroke Center – The Queen′s Health Systems — queens.org
  6. Parking and Directions – The Queen’s Medical Center – The Queen′s Health Systems — queens.org
  7. Patient Services & Amenities at The Queen’s Medical Center – The Queen′s Health Systems — queens.org
  8. Women’s Health Center – The Queen′s Health Systems — queens.org
  9. Breast & Cervical Cancer Control Program at The Queen’s Medical Center – The Queen′s Health Systems — queens.org
  10. Become a Women’s Health Patient – The Queen′s Health Systems — queens.org
  11. Women’s Health – Contact Us – The Queen′s Health Systems — queens.org
  12. Cancer Center at The Queen’s Medical Center – The Queen′s Health Systems — queens.org
  13. Becoming a Patient at the Queen’s Medical Center Cancer Center – The Queen′s Health Systems — queens.org
  14. Cancer Patient Support – The Queen′s Health Systems — queens.org
  15. Queen’s Heart Institute – The Queen′s Health Systems — queens.org
  16. Echocardiograms – The Queen′s Health Systems — queens.org
  17. Electrocardiology – The Queen′s Health Systems — queens.org