X-ray surgical specimen at CASTLE MEDICAL CENTER
640 Ulukahiki St, Kailua, HI · Adventisthealth · · NPI 1316937691
$273.28
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.
$854.00
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.
$16.47 with UHC QUEST - ALL OTHER PLANS vs $1,494.50 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 →
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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 |
|---|---|---|---|
| UHC QUEST - ALL OTHER PLANS | UHC QUEST - ALL OTHER PLANS | $16.47 | ↓ -94% |
| MULTIPLAN HMN - ALL PLANS | MULTIPLAN HMN - ALL PLANS | $21.39 | ↓ -92% |
| HMSA HMO | HMSA HMO | $27.84 | ↓ -90% |
| HMSA PPO - ALL OTHER PLANS | HMSA PPO - ALL OTHER PLANS | $27.84 | ↓ -90% |
| ALOHACARE QUEST MCAID - ALL OTHER PLANS | ALOHACARE QUEST MCAID - ALL OTHER PLANS | $213.24 | ↓ -22% |
| PACIFIC ADMIN PPO - ALL PLANS | PACIFIC ADMIN PPO - ALL PLANS | $543.14 | ↑ +99% |
| HWMG/HMAA - ALL PLANS | HWMG/HMAA - ALL PLANS | $628.54 | ↑ +130% |
| KFH MCR ADV | KFH MCR ADV | $645.51 | ↑ +136% |
| CHOICECARE MEDICARE - ALL PLANS | CHOICECARE MEDICARE - ALL PLANS | $645.51 | ↑ +136% |
| OHANA HEALTH PLAN - ALL PLANS | OHANA HEALTH PLAN - ALL PLANS | $658.42 | ↑ +141% |
| DEVOTED HLTH MCR ADV - ALL PLANS | DEVOTED HLTH MCR ADV - ALL PLANS | $677.78 | ↑ +148% |
| MDX HAWAII PPO - ALL PLANS | MDX HAWAII PPO - ALL PLANS | $681.75 | ↑ +149% |
| COMM HEALTH ALLIANCE - ALL PLANS | COMM HEALTH ALLIANCE - ALL PLANS | $683.20 | ↑ +150% |
| KFH - ALL OTHER PLANS | KFH - ALL OTHER PLANS | $725.90 | ↑ +166% |
| UNI HEALTH ALLIANCE - ALL PLANS | UNI HEALTH ALLIANCE - ALL PLANS | $796.78 | ↑ +192% |
| FIRST HEALTH PPO - ALL PLANS | FIRST HEALTH PPO - ALL PLANS | $802.76 | ↑ +194% |
| KFH MEDICAID | KFH MEDICAID | $854.00 | ↑ +213% |
| STATE OF HI NONPROFIT - ALL PLANS | STATE OF HI NONPROFIT - ALL PLANS | $1,494.50 | ↑ +447% |
Visitor-reported prices
Comments
X-ray surgical specimen at other Hawaii hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Moanalua Medical Center | HONOLULU | $1,374.75 | $565.00 – $565.00 |