Emg 3 ext w-w/o paraspinal area 95863 at CASTLE MEDICAL CENTER

640 Ulukahiki St, Kailua, HI · Adventisthealth · · NPI 1316937691

Source: hospital's published price file ↗ · Published Jul 29, 2026 · Ingested Sep 16, 2026

$152.64

Cash price

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Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

Full explanation →

What you pay up front if you don't use insurance.

$477.00

Gross charge

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Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$31.20 with UHC QUEST - ALL OTHER PLANS vs $834.75 with STATE OF HI NONPROFIT - ALL PLANS — same scan, same building. Share

Negotiated rates by payer
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Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
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Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
UHC QUEST - ALL OTHER PLANS UHC QUEST - ALL OTHER PLANS $31.20 ↓ -80%
ALOHACARE QUEST MCAID - ALL OTHER PLANS ALOHACARE QUEST MCAID - ALL OTHER PLANS $119.11 ↓ -22%
HMSA PPO - ALL OTHER PLANS HMSA PPO - ALL OTHER PLANS $149.97 ↓ -2%
HMSA HMO HMSA HMO $149.97 ↓ -2%
CHOICECARE MEDICARE - ALL PLANS CHOICECARE MEDICARE - ALL PLANS $152.01 ↓ -0%
KFH MCR ADV KFH MCR ADV $152.01 ↓ -0%
OHANA HEALTH PLAN - ALL PLANS OHANA HEALTH PLAN - ALL PLANS $155.05 ↑ +2%
DEVOTED HLTH MCR ADV - ALL PLANS DEVOTED HLTH MCR ADV - ALL PLANS $159.61 ↑ +5%
PACIFIC ADMIN PPO - ALL PLANS PACIFIC ADMIN PPO - ALL PLANS $303.37 ↑ +99%
HWMG/HMAA - ALL PLANS HWMG/HMAA - ALL PLANS $351.07 ↑ +130%
MDX HAWAII PPO - ALL PLANS MDX HAWAII PPO - ALL PLANS $380.79 ↑ +149%
COMM HEALTH ALLIANCE - ALL PLANS COMM HEALTH ALLIANCE - ALL PLANS $381.60 ↑ +150%
KFH - ALL OTHER PLANS KFH - ALL OTHER PLANS $405.45 ↑ +166%
UNI HEALTH ALLIANCE - ALL PLANS UNI HEALTH ALLIANCE - ALL PLANS $445.04 ↑ +192%
FIRST HEALTH PPO - ALL PLANS FIRST HEALTH PPO - ALL PLANS $448.38 ↑ +194%
KFH MEDICAID KFH MEDICAID $477.00 ↑ +213%
STATE OF HI NONPROFIT - ALL PLANS STATE OF HI NONPROFIT - ALL PLANS $834.75 ↑ +447%

Visitor-reported prices

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Emg 3 ext w-w/o paraspinal area 95863 at other Hawaii hospitals

Hospital City Cash price Negotiated range
Moanalua Medical Center HONOLULU $710.25 not published

All Hawaii hospitals for this procedure →