Mayo methadone definitive assay confirmation urine 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

$54.72

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.

$171.00

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.

$33.63 with HMSA HMO vs $299.25 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
HMSA HMO HMSA HMO $33.63 ↓ -39%
HMSA PPO - ALL OTHER PLANS HMSA PPO - ALL OTHER PLANS $33.63 ↓ -39%
ALOHACARE QUEST MCAID - ALL OTHER PLANS ALOHACARE QUEST MCAID - ALL OTHER PLANS $42.70 ↓ -22%
PACIFIC ADMIN PPO - ALL PLANS PACIFIC ADMIN PPO - ALL PLANS $108.76 ↑ +99%
HWMG/HMAA - ALL PLANS HWMG/HMAA - ALL PLANS $125.86 ↑ +130%
MDX HAWAII PPO - ALL PLANS MDX HAWAII PPO - ALL PLANS $136.51 ↑ +149%
COMM HEALTH ALLIANCE - ALL PLANS COMM HEALTH ALLIANCE - ALL PLANS $136.80 ↑ +150%
KFH - ALL OTHER PLANS KFH - ALL OTHER PLANS $145.35 ↑ +166%
UNI HEALTH ALLIANCE - ALL PLANS UNI HEALTH ALLIANCE - ALL PLANS $159.54 ↑ +192%
FIRST HEALTH PPO - ALL PLANS FIRST HEALTH PPO - ALL PLANS $160.74 ↑ +194%
KFH MEDICAID KFH MEDICAID $171.00 ↑ +213%
STATE OF HI NONPROFIT - ALL PLANS STATE OF HI NONPROFIT - ALL PLANS $299.25 ↑ +447%

Visitor-reported prices

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Mayo methadone definitive assay confirmation urine at other Hawaii hospitals

Hospital City Cash price Negotiated range
Moanalua Medical Center HONOLULU $96.75 $27.00 – $27.00

All Hawaii hospitals for this procedure →