CASTLE MEDICAL CENTER
640 Ulukahiki St, Kailua, HI · Adventisthealth · · NPI 1316937691
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $39.36 | $123.00 | $24.54 – $215.25 | 12 |
| 17-hydroxypregnenolone CPT 84143 | $22.08 | $69.00 | $15.74 – $120.75 | 12 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | $73.28 | $229.00 | $29.27 – $229.00 | 14 |
| 1st inpatient critical care pr day age 28 days/less than 99468 CPT 99468 | $528.96 | $1,653.00 | $29.27 – $1,753.92 | 14 |
| 2nd order venous cath CPT 36012 | $1,146.56 | $3,583.00 | $147.49 – $4,000.50 | 8 |
| 3d recon without postprocess indpndt CPT 76376 | $100.16 | $313.00 | $13.63 – $537.25 | 10 |
| 5% dextrose and 0.45% saline HCPCS S5010 | $15.52 | $48.49 | $48.49 – $84.86 | 2 |
| 5' nucleotidase - sendout CPT 83915 | $59.52 | $186.00 | $9.35 – $325.50 | 12 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $101.76 | $318.00 | $9.97 – $525.00 | 10 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | $53.76 | $168.00 | $29.27 – $92.75 | 7 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | $27.52 | $86.00 | $29.27 – $120.75 | 7 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | $57.60 | $180.00 | $29.27 – $155.50 | 9 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | $35.84 | $112.00 | $29.27 – $128.83 | 8 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | $39.68 | $124.00 | $29.27 – $137.28 | 8 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | $39.36 | $123.00 | $29.27 – $136.76 | 8 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | $42.88 | $134.00 | $29.27 – $149.47 | 8 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | $34.56 | $108.00 | $29.27 – $175.12 | 8 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | $2,328.32 | $7,276.00 | $29.27 – $6,250.84 | 13 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $23.04 | $72.00 | $4.44 – $64.75 | 12 |
| Abd aorta w/runoff s&i CPT 75630 | $1,557.12 | $4,866.00 | $29.27 – $668.03 | 14 |
| Abd/low ext cath 1st CPT 36245 | $788.80 | $2,465.00 | $29.27 – $1,595.46 | 16 |
| Abd/low ext cath 2nd CPT 36246 | $788.80 | $2,465.00 | $29.27 – $1,050.74 | 16 |
| Abd/low ext cath 3rd CPT 36247 | $862.40 | $2,695.00 | $29.27 – $1,821.15 | 16 |
| Abd/low ext cath addl CPT 36248 | $508.80 | $1,590.00 | $40.37 – $2,782.50 | 10 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $838.72 | $2,621.00 | $207.21 – $4,586.75 | 9 |
| Abdominal CT scan (with contrast) CPT 74160 | $733.76 | $2,293.00 | $207.21 – $4,012.75 | 9 |
| Abdominal CT scan (without contrast) CPT 74150 | $696.96 | $2,178.00 | $123.50 – $2,859.50 | 9 |
| Abdominal MRI (with and without contrast) CPT 74183 | $1,145.60 | $3,580.00 | $412.14 – $6,265.00 | 9 |
| Abdominal MRI (with contrast) CPT 74182 | $913.92 | $2,856.00 | $383.16 – $4,998.00 | 9 |
| Abdominal MRI (without contrast) CPT 74181 | $802.24 | $2,507.00 | $281.87 – $4,387.25 | 9 |
| Abdominal paracentesis w/image guidance CPT 49083 | $857.28 | $2,679.00 | $66.52 – $2,831.50 | 8 |
| Abdominal Ultrasound (complete) CPT 76700 | $276.80 | $865.00 | $54.58 – $1,513.75 | 10 |
| Abdominal Ultrasound (limited) CPT 76705 | $212.80 | $665.00 | $39.94 – $1,163.75 | 10 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $888.96 | $2,778.00 | $29.27 – $275.83 | 15 |
| Abl1 gene CPT 81170 | $474.24 | $1,482.00 | $197.71 – $4,446.00 | 10 |
| Ablate arrhythmia add on CPT 93655 | $6,258.88 | $19,559.00 | $29.27 – $715.00 | 13 |
| Ablate heart dysrhythm focus CPT 93650 | $4,748.80 | $14,840.00 | $29.27 – $1,362.00 | 15 |
| Ablate inf turbinate submuc 30802 CPT 30802 | $171.52 | $536.00 | $29.27 – $536.00 | 16 |
| Ablate inf turbinate superf 30801 CPT 30801 | $127.36 | $398.00 | $29.27 – $398.00 | 16 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $250.88 | $784.00 | $98.60 – $668.50 | 7 |
| Ablation cryo abd perit om CPT 49999 | $763.52 | $2,386.00 | $695.22 – $4,175.50 | 7 |
| Abscess drain retroperitoneal surg code CPT 49406 | $1,085.44 | $3,392.00 | $189.19 – $5,936.00 | 7 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $42.24 | $132.00 | $29.27 – $231.71 | 12 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $15.68 | $49.01 | $0.05 – $85.76 | 6 |
| Acetaminophen level CPT 80143 | $19.84 | $62.00 | $11.18 – $108.50 | 12 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $57.35 | $179.22 | $19.19 – $313.63 | 6 |
| Acetone qualitative CPT 82009 | $31.04 | $97.00 | $3.75 – $145.25 | 12 |
| Acetylcholinesterase assay CPT 82013 | $10.88 | $34.00 | $4.18 – $59.50 | 12 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $54.91 | $171.58 | $0.28 – $300.26 | 6 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | $136.96 | $428.00 | $29.27 – $253.75 | 12 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | $108.16 | $338.00 | $29.27 – $166.99 | 12 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $11.52 | $36.00 | $5.20 – $63.00 | 9 |
| Acute hepatitis panel CPT 80074 | $221.76 | $693.00 | $47.63 – $1,212.75 | 12 |
| Acyclovir 400 mg tablet HCPCS J8499 | $23.70 | $74.07 | $15.00 – $26.25 | 3 |
| #acylcarnitineprfl CPT 82017 | $15.36 | $48.00 | $8.10 – $84.00 | 12 |
| Adapter b 8 channel 10cm HCPCS C1883 | $1,097.28 | $3,429.00 | $729.00 – $3,001.25 | 6 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $10.19 | $31.85 | $0.40 – $55.74 | 6 |
| Adenovirus antibody,serum - quest CPT 86603 | $26.24 | $82.00 | $4.63 – $63.00 | 12 |
| Adh-sendout CPT 84588 | $170.88 | $534.00 | $30.55 – $157.50 | 12 |
| Adj gastric band via subq port CPT 43999 | $106.72 | $333.50 | $29.27 – $333.50 | 3 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | $623.36 | $1,948.00 | $29.27 – $1,948.00 | 16 |
| Adjustment gastric band HCPCS S2083 | $46.40 | $145.00 | $29.27 – $225.00 | 4 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $10.57 | $33.02 | $1.29 – $16.87 | 5 |
| Admin ecg contrast agent CPT 93352 | $42.24 | $132.00 | $29.27 – $132.00 | 13 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $65.60 | $205.00 | $38.31 – $288.75 | 10 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $85.12 | $266.00 | $55.33 – $404.25 | 9 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $308.80 | $965.00 | $113.96 – $1,688.75 | 10 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $156.48 | $489.00 | $80.60 – $714.00 | 10 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $108.16 | $338.00 | $30.04 – $295.19 | 10 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $129.60 | $405.00 | $34.54 – $575.75 | 8 |
| Administration immunization 1 vaccine CPT 90471 | $40.64 | $127.00 | $4.00 – $74.00 | 16 |
| Administration immunization each additional vaccine CPT 90472 | $39.04 | $122.00 | $4.00 – $22.75 | 9 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $11.20 | $35.00 | $24.86 – $89.31 | 9 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $5.44 | $17.00 | $9.27 – $29.75 | 9 |
| Administration vaccine hepatitis b HCPCS G0010 | $11.20 | $35.00 | $35.00 – $61.25 | 7 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $5,147.57 | $16,086.17 | $31.64 – $15,080.80 | 10 |
| Adrenal cortex & medulla img CPT 78075 | $729.28 | $2,279.00 | $178.75 – $3,988.25 | 9 |
| _afb id by dna probe rflx ast CPT 87149 | $19.84 | $62.00 | $12.43 – $108.50 | 12 |
| #afb mycobacteria suscep. #1 CPT 87190 | $47.04 | $147.00 | $7.31 – $147.00 | 17 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $105.60 | $330.00 | $115.36 – $451.50 | 12 |
| Air conduction bilat CPT 92552 | $106.56 | $333.00 | $15.10 – $582.75 | 7 |
| Albumin body fluid quantitative each specimen CPT 82042 | $48.96 | $153.00 | $4.43 – $99.75 | 12 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $193.61 | $605.04 | $39.81 – $647.50 | 9 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $114.49 | $357.80 | $39.81 – $345.10 | 9 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $44.80 | $140.00 | $0.29 – $12.43 | 12 |
| Albumin serum plasma or whole blood CPT 82040 | $43.52 | $136.00 | $1.09 – $38.50 | 12 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $11.20 | $35.00 | $6.04 – $61.25 | 12 |
| Alcohols biomarkers 3/more CPT 80322 | $89.60 | $280.00 | $23.19 – $490.00 | 4 |
| Alkaline phosphatase CPT 84075 | $44.16 | $138.00 | $3.26 – $110.25 | 12 |
| Allergen alpha lactalbumin ige CPT 86008 | $25.28 | $79.00 | $7.53 – $73.50 | 12 |
| Allergen egg white ige CPT 86003 | $74.24 | $232.00 | $1.57 – $52.50 | 12 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $16.96 | $53.00 | $1.73 – $92.75 | 12 |
| Allergy injections; 2 or more 95117 CPT 95117 | $18.88 | $59.00 | $16.72 – $103.25 | 9 |
| Allergy injection; single 95115 CPT 95115 | $18.24 | $57.00 | $12.97 – $99.75 | 7 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $64.00 | $200.00 | $62.99 – $350.00 | 12 |
| Alpha-fetoprotein tumor marker CPT 82105 | $53.76 | $168.00 | $3.64 – $37.94 | 12 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $199.09 | $622.17 | $70.37 – $1,088.80 | 10 |
| Alt/sgpt CPT 84460 | $45.44 | $142.00 | $0.85 – $28.00 | 12 |
| Aluminum - quest CPT 82108 | $99.20 | $310.00 | $21.73 – $542.50 | 12 |
| Amantadine (symmetrel)-sendout CPT 80375 | $40.32 | $126.00 | $34.93 – $220.50 | 4 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.