CASTLE MEDICAL CENTER
640 Ulukahiki St, Kailua, HI · Adventisthealth · · NPI 1316937691
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Diabetes (HbA1c) Test CPT 83036 | $61.76 | $193.00 | $3.20 – $57.75 | 12 |
| Diab manage trn ind/group HCPCS G0109 | $14.72 | $46.00 | $16.90 – $80.50 | 7 |
| Diag laparo separate proc 49320 CPT 49320 | $260.48 | $814.00 | $29.27 – $814.00 | 13 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $79.36 | $248.00 | $20.92 – $154.14 | 16 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $41.28 | $129.00 | $129.00 – $225.75 | 4 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $41.28 | $129.00 | $129.00 – $225.75 | 4 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $110.40 | $345.00 | $30.26 – $603.75 | 9 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $174.08 | $544.00 | $29.27 – $176.00 | 16 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $228.16 | $713.00 | $67.48 – $1,247.75 | 10 |
| Diagnostic Mammogram (one breast) CPT 77065 | $173.44 | $542.00 | $54.87 – $948.50 | 10 |
| Diagnostic radio unlisted proc CPT 76499 | $34.88 | $109.00 | $66.48 – $190.75 | 7 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $469.76 | $1,468.00 | $168.88 – $2,569.00 | 10 |
| Dialysis one evaluation CPT 90945 | $406.08 | $1,269.00 | $63.76 – $2,220.75 | 7 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $39.50 | $123.44 | $5.02 – $216.01 | 6 |
| Dicyclomine injection HCPCS J0500 | $34.95 | $109.22 | $8.50 – $191.14 | 6 |
| Diffusing capacity CPT 94729 | $186.56 | $583.00 | $11.90 – $1,020.25 | 10 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $12.16 | $38.00 | $7.18 – $66.50 | 6 |
| Digoxin total therapeutic drug level CPT 80162 | $72.64 | $227.00 | $13.28 – $255.50 | 12 |
| Dilate urethra stricture CPT 53600 | $49.60 | $155.00 | $29.27 – $155.00 | 16 |
| Dilation/female urethra/initial 53660 CPT 53660 | $33.28 | $104.00 | $25.92 – $104.00 | 16 |
| Dilator fascial 10fx20cm HCPCS C2627 | $1,016.96 | $3,178.00 | $477.00 – $834.75 | 2 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $12.05 | $37.66 | $0.02 – $65.90 | 4 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $14.52 | $45.36 | $0.53 – $66.50 | 6 |
| Disability dlco CPT 94727 | $170.24 | $532.00 | $15.33 – $931.00 | 10 |
| Disaccharidases CPT 82657 | $214.40 | $670.00 | $12.42 – $98.00 | 12 |
| Discography cerv/thor spine CPT 72285 | $759.68 | $2,374.00 | $84.40 – $4,154.50 | 10 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | $301.12 | $941.00 | $29.27 – $1,608.82 | 13 |
| Division of fallopian tube 58605 CPT 58605 | $272.96 | $853.00 | $29.27 – $853.00 | 13 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $100.48 | $314.00 | $29.27 – $554.45 | 12 |
| Dmd dup/delet analysis CPT 81161 | $272.00 | $850.00 | $167.40 – $2,371.50 | 10 |
| Dna antibody native/double stranded CPT 86225 | $13.44 | $42.00 | $5.77 – $73.50 | 12 |
| Dna gardnerella CPT 87510 | $18.24 | $57.00 | $11.43 – $99.75 | 12 |
| Dna trichomonas CPT 87660 | $28.48 | $89.00 | $11.03 – $96.25 | 12 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $52.15 | $162.98 | $6.02 – $285.22 | 6 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $4.46 | $13.95 | $0.49 – $24.41 | 6 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $18.54 | $57.95 | $0.60 – $101.41 | 6 |
| Doppler echo complete CPT 93320 | $305.28 | $954.00 | $17.87 – $101.71 | 17 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $305.28 | $954.00 | $29.27 – $289.49 | 16 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $213.76 | $668.00 | $102.27 – $1,169.00 | 9 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $145.28 | $454.00 | $68.30 – $596.75 | 9 |
| Dornhoffer fixed part w/window HCPCS L8614 | $3,429.76 | $10,718.00 | $10,718.00 – $13,083.35 | 2 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $43.52 | $136.01 | $2.09 – $91.36 | 6 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $27.19 | $84.98 | $0.08 – $148.71 | 6 |
| Dpyd gene common variants CPT 81232 | $139.20 | $435.00 | $104.89 – $761.25 | 12 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $274.88 | $859.00 | $29.27 – $315.00 | 16 |
| Drainage external ear complex 69005 CPT 69005 | $921.92 | $2,881.00 | $29.27 – $354.00 | 16 |
| Drainage external ear simple 69000 CPT 69000 | $400.32 | $1,251.00 | $69.68 – $2,189.25 | 9 |
| Drainage of kidney lesion CPT 50390 | $614.72 | $1,921.00 | $90.69 – $3,361.75 | 7 |
| Drainage of mouth lesion CPT 41018 | $281.92 | $881.00 | $29.27 – $881.00 | 16 |
| Drainage of pelvis lesion 26990 CPT 26990 | $565.44 | $1,767.00 | $29.27 – $1,767.00 | 13 |
| Drainage of prostate abscess CPT 52700 | $422.08 | $1,319.00 | $29.27 – $1,319.00 | 13 |
| Drainage of throat abscess CPT 42725 | $647.36 | $2,023.00 | $29.27 – $2,023.00 | 13 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $1,085.44 | $3,392.00 | $199.39 – $5,936.00 | 9 |
| Drain cath image guided visceral pq CPT 49405 | $1,565.12 | $4,891.00 | $189.19 – $8,559.25 | 7 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $393.92 | $1,231.00 | $65.87 – $2,154.25 | 7 |
| Drain finger abscess;simple 26010 CPT 26010 | $119.04 | $372.00 | $29.27 – $450.20 | 16 |
| Drain neck/chest lesion 21501 CPT 21501 | $280.32 | $876.00 | $29.27 – $876.00 | 15 |
| Drain ovarn cyst abd CPT 58805 | $1,809.28 | $5,654.00 | $29.27 – $1,090.00 | 13 |
| Drain penis lesion CPT 54015 | $241.92 | $756.00 | $29.27 – $756.00 | 14 |
| Drain shoulder lesion CPT 23030 | $199.04 | $622.00 | $29.27 – $622.00 | 16 |
| Drain thigh/knee lesion 27301 CPT 27301 | $417.28 | $1,304.00 | $29.27 – $1,112.27 | 16 |
| Drng of finger abscess comp 26011 CPT 26011 | $154.56 | $483.00 | $29.27 – $628.79 | 16 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | $257.92 | $806.00 | $29.27 – $806.00 | 15 |
| Drng of scrotum abscess 55100 CPT 55100 | $137.60 | $430.00 | $29.27 – $430.00 | 16 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | $850.56 | $2,658.00 | $29.27 – $2,658.00 | 13 |
| Drng peritoneal abscess open 49020 CPT 49020 | $1,237.12 | $3,866.00 | $29.27 – $3,866.00 | 13 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $15.69 | $49.04 | $4.20 – $85.82 | 6 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $2,255.36 | $7,048.00 | $240.00 – $3,640.00 | 6 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $9,828.16 | $30,713.00 | $71.67 – $53,747.75 | 11 |
| Drug admin & hemodynmic meas CPT 93463 | $547.52 | $1,711.00 | $65.51 – $2,994.25 | 7 |
| Drug assay caffeine CPT 80155 | $25.92 | $81.00 | $11.58 – $141.75 | 12 |
| Drug assay vedolizumab CPT 80280 | $24.96 | $78.00 | $23.14 – $136.50 | 10 |
| Drug of abuse screen urine CPT 80305 | $11.84 | $37.00 | $4.66 – $64.75 | 10 |
| Drug screening tapentadol CPT 80372 | $6.88 | $21.51 | $21.51 – $41.29 | 4 |
| Drug screen quant tiagabine CPT 80199 | $27.84 | $87.00 | $14.64 – $94.50 | 12 |
| Drug test prsmv instrmnt CPT 80306 | $65.92 | $206.00 | $11.97 – $140.00 | 10 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $320.64 | $1,002.00 | $21.13 – $152.64 | 12 |
| Drvvt confirm - quest CPT 85597 | $17.28 | $54.00 | $9.71 – $94.50 | 12 |
| Ductogram sgl duct CPT 77053 | $134.72 | $421.00 | $24.32 – $736.75 | 10 |
| Duplex scan bilateral study 93985 CPT 93985 | $271.36 | $848.00 | $51.98 – $1,484.00 | 8 |
| Duplex scan unilateral study 93986 CPT 93986 | $135.68 | $424.00 | $32.40 – $742.00 | 8 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $170.88 | $534.00 | $102.96 – $934.50 | 9 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $427.52 | $1,336.00 | $121.51 – $2,338.00 | 9 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $342.72 | $1,071.00 | $138.35 – $1,874.25 | 9 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $2,704.61 | $8,451.90 | $64.70 – $14,790.83 | 10 |
| Dx bronchoscope/wash 31622 CPT 31622 | $1,825.28 | $5,704.00 | $29.27 – $327.23 | 16 |
| Dx laryngoscopy w/oper scope CPT 31526 | $124.80 | $390.00 | $29.27 – $304.70 | 13 |
| Ear and throat examination CPT 92502 | $77.76 | $243.00 | $29.27 – $243.00 | 14 |
| Ear canal biopsy 69105 CPT 69105 | $842.88 | $2,634.00 | $29.27 – $189.70 | 16 |
| Ecg 12 lead tracing only CPT 93005 | $135.68 | $424.00 | $9.68 – $288.75 | 10 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $27.20 | $85.00 | $4.93 – $148.75 | 10 |
| Ecg external < 48 hours recording CPT 93225 | $359.68 | $1,124.00 | $25.24 – $225.75 | 10 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $256.32 | $801.00 | $48.82 – $350.00 | 10 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $33.92 | $106.00 | $13.57 – $185.50 | 10 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $93.12 | $291.00 | $13.57 – $509.25 | 10 |
| Ecg record/review CPT 93268 | $155.52 | $486.00 | $29.27 – $486.00 | 14 |
| Ecg/review interpret only CPT 93272 | $18.88 | $59.00 | $24.26 – $59.00 | 14 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $614.40 | $1,920.00 | $29.27 – $282.66 | 15 |
| Echocardiography doppler color flow mapping CPT 93325 | $305.28 | $954.00 | $3.48 – $91.09 | 17 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $76.16 | $238.00 | $29.27 – $238.00 | 3 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.