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 |
|---|---|---|---|---|
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $1,137.02 | $3,553.20 | $54.46 – $6,218.10 | 10 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $79.21 | $247.53 | $6.87 – $433.17 | 6 |
| ER Visit (level 1, minor) CPT 99281 | $164.16 | $513.00 | $10.83 – $616.00 | 20 |
| ER Visit (level 2) CPT 99282 | $275.20 | $860.00 | $23.95 – $616.00 | 20 |
| ER Visit (level 3) CPT 99283 | $6,999.68 | $21,874.00 | $29.27 – $616.00 | 20 |
| ER Visit (level 4) CPT 99284 | $7,305.60 | $22,830.00 | $29.27 – $1,457.68 | 20 |
| ER Visit (level 5, high severity) CPT 99285 | $7,713.28 | $24,104.00 | $29.27 – $3,130.00 | 20 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $12.16 | $38.00 | $15.12 – $102.51 | 6 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $116.29 | $363.40 | $0.16 – $74.89 | 6 |
| Esophageal dilat s&i CPT 74360 | $328.96 | $1,028.00 | $42.44 – $1,799.00 | 6 |
| Esophagoscopy balloon <30mm CPT 43220 | $93.44 | $292.00 | $29.27 – $1,170.61 | 15 |
| Esophagoscopy flex biopsy CPT 43202 | $81.92 | $256.00 | $29.27 – $467.56 | 16 |
| Esophagoscopy flex remove fb CPT 43215 | $110.72 | $346.00 | $29.27 – $512.15 | 15 |
| Esophagus endoscopy/ligation CPT 43205 | $110.40 | $345.00 | $29.27 – $345.00 | 13 |
| Esophagus motility study CPT 91010 | $51.20 | $160.00 | $29.27 – $291.20 | 14 |
| Esoph egd dilation <30 mm CPT 43249 | $120.96 | $378.00 | $29.27 – $1,399.30 | 15 |
| Esoph fundoplasty lap 43327 CPT 43327 | $526.08 | $1,644.00 | $29.27 – $1,744.70 | 11 |
| Esoph imped function test CPT 91037 | $38.40 | $120.00 | $29.27 – $222.70 | 13 |
| Esoph imped funct test > 1hr CPT 91038 | $44.16 | $138.00 | $29.27 – $530.39 | 13 |
| Esphg tot w/thrcm CPT 43112 | $1,232.96 | $3,853.00 | $29.27 – $6,921.88 | 13 |
| Established Patient Office Visit (level 1) CPT 99211 | $71.36 | $223.00 | $7.72 – $43.00 | 15 |
| Established Patient Office Visit (level 2) CPT 99212 | $26.24 | $82.00 | $26.98 – $73.58 | 12 |
| Established Patient Office Visit (level 3) CPT 99213 | $41.92 | $131.00 | $29.27 – $131.00 | 12 |
| Established Patient Office Visit (level 4) CPT 99214 | $61.76 | $193.00 | $29.27 – $193.00 | 12 |
| Established Patient Office Visit (level 5) CPT 99215 | $91.84 | $287.00 | $29.27 – $287.00 | 12 |
| Estradiol total CPT 82670 | $127.36 | $398.00 | $27.94 – $696.50 | 12 |
| Estrogens total-sendout CPT 82672 | $30.72 | $96.00 | $20.83 – $168.00 | 12 |
| Ethylene glycol -sendout CPT 82693 | $44.48 | $139.00 | $14.90 – $243.25 | 12 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $1.85 | $5.79 | $0.78 – $9.92 | 6 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $169.60 | $530.00 | $88.11 – $927.50 | 9 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $78.72 | $246.00 | $90.64 – $330.75 | 12 |
| Evaluation heart device CPT 93640 | $508.80 | $1,590.00 | $210.95 – $2,782.50 | 6 |
| Evaluation of speech fluency 92521 CPT 92521 | $81.28 | $254.00 | $140.32 – $444.50 | 9 |
| Evaluation psychiatric diagnostic CPT 90791 | $116.80 | $365.00 | $29.27 – $365.00 | 14 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $906.24 | $2,832.00 | $29.27 – $2,832.00 | 12 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | $1,346.24 | $4,207.00 | $29.27 – $4,207.00 | 12 |
| Evoked oa emissions ltd CPT 92587 | $120.96 | $378.00 | $43.74 – $661.50 | 9 |
| Evoked potentials upper limbs CPT 95925 | $292.48 | $914.00 | $30.26 – $1,599.50 | 9 |
| Evoked potential visual not glaucoma CPT 95930 | $213.12 | $666.00 | $53.23 – $1,165.50 | 9 |
| Evok oa screening qual CPT 92558 | $67.84 | $212.00 | $5.51 – $371.00 | 3 |
| Exam of vagina w/scope 57420 CPT 57420 | $60.16 | $188.00 | $29.27 – $188.00 | 16 |
| Exam pelvic add-on CPT 99459 | $17.60 | $55.00 | $19.75 – $55.00 | 11 |
| Exam plvc w/anes othr thn lcl CPT 57410 | $84.80 | $265.00 | $29.27 – $265.00 | 14 |
| Exc abd les sc 3 cm/> CPT 22903 | $352.96 | $1,103.00 | $29.27 – $1,103.00 | 13 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | $328.64 | $1,027.00 | $29.27 – $1,027.00 | 12 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | $272.00 | $850.00 | $29.27 – $850.00 | 16 |
| Exc back les sbq <3 cm 21930 CPT 21930 | $296.96 | $928.00 | $29.27 – $928.00 | 16 |
| Exc back tum deep 5 cm/> CPT 21933 | $587.20 | $1,835.00 | $29.27 – $1,835.00 | 13 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $148.80 | $465.00 | $29.27 – $465.00 | 16 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $288.00 | $900.00 | $29.27 – $223.00 | 16 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $288.00 | $900.00 | $29.27 – $285.00 | 16 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $304.00 | $950.00 | $29.27 – $384.00 | 16 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | $122.56 | $383.00 | $29.27 – $383.00 | 16 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $288.00 | $900.00 | $29.27 – $283.00 | 16 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $768.00 | $2,400.00 | $29.27 – $431.00 | 16 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $216.96 | $678.00 | $29.27 – $558.41 | 16 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $227.20 | $710.00 | $29.27 – $277.00 | 16 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $400.32 | $1,251.00 | $29.27 – $390.00 | 16 |
| Exc ext ear/partial/simple repair 69110 CPT 69110 | $348.80 | $1,090.00 | $29.27 – $1,090.00 | 16 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | $304.00 | $950.00 | $29.27 – $313.00 | 16 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | $640.00 | $2,000.00 | $29.27 – $575.00 | 16 |
| Exc forearm les sc 3 cm/> CPT 25071 | $345.92 | $1,081.00 | $29.27 – $1,081.00 | 12 |
| Exc forearm tum deep 3 cm/> CPT 25073 | $440.96 | $1,378.00 | $29.27 – $1,378.00 | 12 |
| Exc hand tum deep 1.5 cm/> CPT 26113 | $454.40 | $1,420.00 | $29.27 – $1,420.00 | 13 |
| Exchange biliary drg cath CPT 47536 | $3,383.36 | $10,573.00 | $29.27 – $943.80 | 15 |
| Exchange drainage catheter CPT 49423 | $1,085.44 | $3,392.00 | $67.13 – $5,936.00 | 7 |
| Exchange nephrostomy cath CPT 50435 | $2,196.16 | $6,863.00 | $98.94 – $8,006.25 | 7 |
| Exc hidradenitis ing simpl 11462 CPT 11462 | $207.04 | $647.00 | $29.27 – $647.00 | 16 |
| Exc hidradenitis peri/umb comp 11471 CPT 11471 | $199.04 | $622.00 | $29.27 – $760.82 | 16 |
| Exc intracard tumor/resect/bypass 33120 CPT 33120 | $737.92 | $2,306.00 | $29.27 – $4,219.25 | 13 |
| Excise parotid gland/lesion CPT 42410 | $507.84 | $1,587.00 | $29.27 – $1,587.00 | 13 |
| Excise parotid gland/lesion CPT 42415 | $853.44 | $2,667.00 | $29.27 – $2,667.00 | 13 |
| Excise parotid gland/lesion CPT 42420 | $952.96 | $2,978.00 | $29.27 – $2,978.00 | 13 |
| Excise pharynx lesion CPT 42808 | $1,267.20 | $3,960.00 | $148.11 – $6,930.00 | 9 |
| Excise/repair mouth lesion CPT 40812 | $578.88 | $1,809.00 | $118.76 – $3,165.75 | 9 |
| Excise sublingual gland CPT 42450 | $231.36 | $723.00 | $29.27 – $767.27 | 15 |
| Excise submaxillary gland CPT 42440 | $359.04 | $1,122.00 | $29.27 – $1,122.00 | 13 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | $110.72 | $346.00 | $29.27 – $346.00 | 16 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $640.00 | $2,000.00 | $29.27 – $355.00 | 16 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $288.00 | $900.00 | $29.27 – $301.00 | 16 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $201.60 | $630.00 | $29.27 – $630.00 | 16 |
| Excision breast lesion CPT 19125 | $369.28 | $1,154.00 | $29.27 – $1,154.00 | 16 |
| Excision nasal polyp(s) simple 30110 CPT 30110 | $842.88 | $2,634.00 | $79.46 – $4,609.50 | 9 |
| Excision of anal lesion(s) CPT 46922 | $120.32 | $376.00 | $29.27 – $411.99 | 16 |
| Excision of esophagus lesion CPT 43101 | $364.48 | $1,139.00 | $29.27 – $2,130.95 | 13 |
| Excision of lesion of mesentery 44820 CPT 44820 | $660.80 | $2,065.00 | $29.27 – $2,065.00 | 13 |
| Excision of meckels diverticulum 44800 CPT 44800 | $608.00 | $1,900.00 | $29.27 – $1,900.00 | 13 |
| Excision of penis lesion(s) 54060 CPT 54060 | $108.16 | $338.00 | $29.27 – $338.00 | 16 |
| Excision of salivary cyst CPT 42408 | $290.24 | $907.00 | $29.27 – $907.00 | 15 |
| Excision of umbilicus 49250 CPT 49250 | $472.96 | $1,478.00 | $29.27 – $1,478.00 | 13 |
| Excision olecranon bursa CPT 24105 | $261.12 | $816.00 | $29.27 – $846.56 | 13 |
| Excision tongue lesion without closure 41110 CPT 41110 | $1,267.20 | $3,960.00 | $86.77 – $6,930.00 | 7 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | $376.64 | $1,177.00 | $29.27 – $1,177.00 | 13 |
| Exc les/mucos/sub/ves mouth/no rpr 40810 CPT 40810 | $1,267.20 | $3,960.00 | $76.90 – $6,930.00 | 7 |
| Excl laa opn oth px any meth 33268 CPT 33268 | $94.40 | $295.00 | $111.14 – $295.00 | 10 |
| Exc malig feenl <0.5cm 11640 CPT 11640 | $288.00 | $900.00 | $74.58 – $1,575.00 | 9 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | $400.32 | $1,251.00 | $29.27 – $462.00 | 16 |
| Exc malig snhfg 0.5cm or less 11620 CPT 11620 | $640.00 | $2,000.00 | $64.34 – $3,500.00 | 9 |
| Exc malig snhfg 0.6-1.0 cm 11621 CPT 11621 | $288.00 | $900.00 | $88.59 – $1,575.00 | 9 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | $640.00 | $2,000.00 | $130.14 – $3,500.00 | 7 |
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.