Psytx pt w/e&m 16-37 min at CASTLE MEDICAL CENTER
640 Ulukahiki St, Kailua, HI · Adventisthealth · · NPI 1316937691
$50.56
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.
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What you pay up front if you don't use insurance.
$158.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$29.27 with PACIFIC ADMIN PPO - ALL PLANS vs $158.00 with OHANA HEALTH PLAN - 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 →
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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 ?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 |
|---|---|---|---|
| PACIFIC ADMIN PPO - ALL PLANS | PACIFIC ADMIN PPO - ALL PLANS | $29.27 | ↓ -42% |
| UHC UBH MCR ADV PROFEE ONLY | UHC UBH MCR ADV PROFEE ONLY | $49.50 | ↓ -2% |
| CHOICECARE MEDICARE - ALL PLANS | CHOICECARE MEDICARE - ALL PLANS | $65.68 | ↑ +30% |
| ALOHACARE QUEST MCAID - ALL OTHER PLANS | ALOHACARE QUEST MCAID - ALL OTHER PLANS | $65.68 | ↑ +30% |
| UHC QUEST - ALL OTHER PLANS | UHC QUEST - ALL OTHER PLANS | $65.68 | ↑ +30% |
| KFH MCR ADV | KFH MCR ADV | $65.68 | ↑ +30% |
| DEVOTED HLTH MCR ADV - ALL PLANS | DEVOTED HLTH MCR ADV - ALL PLANS | $67.65 | ↑ +34% |
| ALOHACARE MCR ADV PROFEE ONLY | ALOHACARE MCR ADV PROFEE ONLY | $68.96 | ↑ +36% |
| COMM HEALTH ALLIANCE - ALL PLANS | COMM HEALTH ALLIANCE - ALL PLANS | $74.22 | ↑ +47% |
| UHC UBH COMM PROFEE ONLY | UHC UBH COMM PROFEE ONLY | $76.03 | ↑ +50% |
| MDX HAWAII PPO - ALL PLANS | MDX HAWAII PPO - ALL PLANS | $93.23 | ↑ +84% |
| MULTIPLAN HMN - ALL PLANS | MULTIPLAN HMN - ALL PLANS | $110.60 | ↑ +119% |
| STATE OF HI NONPROFIT - ALL PLANS | STATE OF HI NONPROFIT - ALL PLANS | $147.78 | ↑ +192% |
| FIRST HEALTH PPO - ALL PLANS | FIRST HEALTH PPO - ALL PLANS | $148.52 | ↑ +194% |
| KFH MEDICAID | KFH MEDICAID | $158.00 | ↑ +213% |
| OHANA HEALTH PLAN - ALL PLANS | OHANA HEALTH PLAN - ALL PLANS | $158.00 | ↑ +213% |