Exc snhfg mal+mrg 1.1-2 11622 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

$400.32

Cash price

?

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.

$1,251.00

Gross charge

?

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.

$106.25 with UHC QUEST - ALL OTHER PLANS vs $2,783.00 with MULTIPLAN HMN - ALL PLANS — same scan, same building. Share

Negotiated rates by payer
?

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
?

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
?

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 $106.25 ↓ -73%
HMSA PPO - ALL OTHER PLANS HMSA PPO - ALL OTHER PLANS $304.32 ↓ -24%
HMSA HMO HMSA HMO $304.32 ↓ -24%
ALOHACARE QUEST MCAID - ALL OTHER PLANS ALOHACARE QUEST MCAID - ALL OTHER PLANS $312.37 ↓ -22%
MDX HAWAII PPO - ALL PLANS MDX HAWAII PPO - ALL PLANS $626.38 ↑ +56%
PACIFIC ADMIN PPO - ALL PLANS PACIFIC ADMIN PPO - ALL PLANS $795.64 ↑ +99%
KFH MCR ADV KFH MCR ADV $836.55 ↑ +109%
CHOICECARE MEDICARE - ALL PLANS CHOICECARE MEDICARE - ALL PLANS $836.55 ↑ +109%
OHANA HEALTH PLAN - ALL PLANS OHANA HEALTH PLAN - ALL PLANS $853.28 ↑ +113%
DEVOTED HLTH MCR ADV - ALL PLANS DEVOTED HLTH MCR ADV - ALL PLANS $878.38 ↑ +119%
HWMG/HMAA - ALL PLANS HWMG/HMAA - ALL PLANS $920.74 ↑ +130%
COMM HEALTH ALLIANCE - ALL PLANS COMM HEALTH ALLIANCE - ALL PLANS $1,000.80 ↑ +150%
KFH - ALL OTHER PLANS KFH - ALL OTHER PLANS $1,063.35 ↑ +166%
UNI HEALTH ALLIANCE - ALL PLANS UNI HEALTH ALLIANCE - ALL PLANS $1,167.18 ↑ +192%
FIRST HEALTH PPO - ALL PLANS FIRST HEALTH PPO - ALL PLANS $1,175.94 ↑ +194%
KFH MEDICAID KFH MEDICAID $1,251.00 ↑ +213%
STATE OF HI NONPROFIT - ALL PLANS STATE OF HI NONPROFIT - ALL PLANS $2,189.25 ↑ +447%
MULTIPLAN HMN - ALL PLANS MULTIPLAN HMN - ALL PLANS $2,783.00 ↑ +595%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Exc snhfg mal+mrg 1.1-2 11622 at other Hawaii hospitals

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

All Hawaii hospitals for this procedure →