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 |
|---|---|---|---|---|
| Fluoroscopy up to 1 hour CPT 76000 | $184.00 | $575.00 | $22.22 – $1,006.25 | 10 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $42.76 | $133.61 | $1.46 – $87.26 | 6 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $29.27 | $91.46 | $4.65 – $160.06 | 6 |
| Folic acid CPT 82746 | $46.08 | $144.00 | $14.70 – $222.25 | 12 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $1.22 | $3.80 | $0.04 – $6.65 | 6 |
| Follow-up angiography CPT 75898 | $1,791.04 | $5,597.00 | $34.94 – $9,794.75 | 10 |
| Foot X-ray CPT 73630 | $188.80 | $590.00 | $11.65 – $411.25 | 10 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $59.67 | $186.48 | $0.08 – $326.34 | 6 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $61.96 | $193.63 | $0.67 – $114.99 | 10 |
| Fragmenting of kidney stone CPT 50590 | $459.52 | $1,436.00 | $29.27 – $1,436.00 | 15 |
| Freeing of bowel adhesion 44005 CPT 44005 | $843.52 | $2,636.00 | $29.27 – $2,636.00 | 13 |
| Frenotomy 40806 CPT 40806 | $24.96 | $78.00 | $22.01 – $137.03 | 16 |
| Frenulotomy of penis CPT 54164 | $160.32 | $501.00 | $29.27 – $501.00 | 13 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $50.88 | $159.00 | $55.33 – $278.25 | 7 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $91.84 | $287.00 | $59.50 – $287.00 | 7 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | $694.72 | $2,171.00 | $29.27 – $2,171.00 | 15 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $11.00 | $34.37 | $0.02 – $47.52 | 6 |
| Fuse bile ducts and bowel 47785 CPT 47785 | $2,452.16 | $7,663.00 | $29.27 – $7,663.00 | 13 |
| Fusion of big toe joint CPT 28750 | $439.68 | $1,374.00 | $29.27 – $1,374.00 | 16 |
| G6pc gene CPT 81250 | $191.36 | $598.00 | $43.87 – $1,046.50 | 12 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $26.24 | $82.00 | $15.60 – $143.50 | 3 |
| Gabapentin non-blood CPT 80355 | $10.24 | $32.00 | $13.08 – $28.08 | 4 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $14.17 | $44.28 | $0.21 – $77.49 | 5 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $10.37 | $32.40 | $1.10 – $56.70 | 5 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $13.13 | $41.04 | $11.06 – $71.82 | 5 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $518.08 | $1,619.00 | $29.27 – $1,399.59 | 13 |
| Gammaglobulin iga CPT 82784 | $74.24 | $232.00 | $2.05 – $22.00 | 17 |
| Gammaglobulin ige CPT 82785 | $42.57 | $133.03 | $16.46 – $227.50 | 12 |
| Gamma glutamyltransferase CPT 82977 | $45.76 | $143.00 | $1.51 – $36.75 | 12 |
| Gastric emptying imag study CPT 78265 | $176.32 | $551.00 | $243.06 – $964.25 | 9 |
| Gastric emptying imag study CPT 78266 | $306.24 | $957.00 | $276.61 – $1,674.75 | 9 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | $1,041.28 | $3,254.00 | $29.27 – $3,254.00 | 13 |
| Gastroplasty duodenal switch CPT 43845 | $1,507.52 | $4,711.00 | $29.27 – $4,711.00 | 12 |
| Gated heart multiple CPT 78473 | $725.76 | $2,268.00 | $271.64 – $3,969.00 | 9 |
| Gba gene CPT 81251 | $272.00 | $850.00 | $35.44 – $1,487.50 | 12 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $66.10 | $206.57 | $2.69 – $80.05 | 6 |
| General health panel CPT 80050 | $119.04 | $372.00 | $41.19 – $525.00 | 5 |
| Generator barostim neo2 2014 HCPCS C1767 | $47,967.68 | $149,899.00 | $7,463.00 – $18,402.05 | 6 |
| Generator emblem MRI sicd subq HCPCS C1722 | $44,000.00 | $137,500.00 | $17,098.00 – $64,309.00 | 6 |
| Genetic tstg severe inh cond CPT 81443 | $1,739.84 | $5,437.00 | $1,469.14 – $122,428.00 | 12 |
| Gen, neuro, clo loop, rechg HCPCS C1826 | $32,000.00 | $100,000.00 | $100,000.00 – $175,000.00 | 2 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $12.16 | $38.00 | $1.63 – $31.06 | 6 |
| Gentamicin peak therapeutic drug level CPT 80170 | $72.32 | $226.00 | $16.22 – $173.25 | 12 |
| Ghs abscess perianal iandd CPT 46050 | $83.84 | $262.00 | $29.27 – $313.89 | 16 |
| Ghs abscess postoperative iandd complex CPT 10180 | $144.96 | $453.00 | $29.27 – $453.00 | 16 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $7.04 | $22.00 | $2.16 – $38.50 | 12 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $26.56 | $83.00 | $9.75 – $99.75 | 12 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $383.36 | $1,198.00 | $76.70 – $546.00 | 12 |
| Ghs antibodies (torch) igm CPT 86694 | $81.60 | $255.00 | $14.39 – $446.25 | 12 |
| Ghs bladder cath - complex-foley CPT 51703 | $140.16 | $438.00 | $29.27 – $192.91 | 16 |
| Ghs bleeding time (ivy) CPT 85002 | $46.40 | $145.00 | $3.42 – $124.25 | 12 |
| Ghs change cysto/gastrost CPT 43762 | $28.48 | $89.00 | $23.39 – $297.14 | 15 |
| Ghs chemo >8 hrs CPT 96416 | $468.48 | $1,464.00 | $122.71 – $2,562.00 | 9 |
| Ghs chemo IV push, ea addtl CPT 96411 | $91.52 | $286.00 | $46.33 – $404.25 | 10 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $32.00 | $100.00 | $29.42 – $175.00 | 12 |
| Ghs community re-entry 15 minutes CPT 97537 | $42.56 | $133.00 | $18.95 – $232.75 | 9 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $15.04 | $47.00 | $7.15 – $82.25 | 12 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $407.04 | $1,272.00 | $102.24 – $2,226.00 | 9 |
| Ghs fish cytogen CPT 88271 | $400.32 | $1,251.00 | $13.41 – $109.57 | 12 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $122.88 | $384.00 | $51.19 – $205.43 | 12 |
| Ghs gastric intub aspiration lavage CPT 43753 | $211.52 | $661.00 | $12.77 – $1,156.75 | 9 |
| Ghs hcv amplificaiton CPT 87521 | $477.12 | $1,491.00 | $35.09 – $2,609.25 | 12 |
| Ghs histoplasma antigen CPT 87385 | $14.08 | $44.00 | $5.83 – $77.00 | 12 |
| Ghs HIV antibody CPT 86703 | $15.68 | $49.00 | $4.52 – $57.75 | 12 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $171.84 | $537.00 | $29.27 – $537.00 | 14 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $349.44 | $1,092.00 | $29.27 – $1,092.00 | 16 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $173.76 | $543.00 | $29.27 – $543.00 | 16 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $400.32 | $1,251.00 | $29.27 – $330.29 | 16 |
| Ghs inf midline insertion CPT 36140 | $978.24 | $3,057.00 | $29.27 – $654.01 | 16 |
| Ghs inhibitor screen CPT 85335 | $67.20 | $210.00 | $4.89 – $66.50 | 12 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $719.36 | $2,248.00 | $115.08 – $3,934.00 | 7 |
| Ghs inj tendon origin/insertion CPT 20551 | $168.00 | $525.00 | $43.41 – $918.75 | 9 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $407.04 | $1,272.00 | $78.80 – $2,226.00 | 7 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $224.64 | $702.00 | $29.27 – $702.00 | 16 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $101.76 | $318.00 | $7.48 – $556.50 | 5 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $104.64 | $327.00 | $29.27 – $327.00 | 16 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $51.84 | $162.00 | $12.00 – $192.50 | 9 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $301.76 | $943.00 | $265.85 – $1,650.25 | 9 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $160.00 | $500.00 | $29.27 – $345.55 | 16 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $153.60 | $480.00 | $29.27 – $480.00 | 16 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $160.00 | $500.00 | $29.27 – $434.00 | 16 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $160.32 | $501.00 | $29.27 – $501.00 | 16 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $176.32 | $551.00 | $29.27 – $523.00 | 16 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $173.76 | $543.00 | $29.27 – $543.00 | 16 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $254.40 | $795.00 | $29.27 – $795.00 | 16 |
| Ghs low level laser therapy CPT 97039 | $40.64 | $127.00 | $10.37 – $222.25 | 5 |
| Ghs mbp CPT 83873 | $96.64 | $302.00 | $14.42 – $528.50 | 12 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $246.08 | $769.00 | $15.78 – $1,345.75 | 7 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $246.08 | $769.00 | $61.13 – $1,345.75 | 7 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $246.08 | $769.00 | $53.36 – $1,160.25 | 7 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $148.16 | $463.00 | $13.00 – $269.50 | 7 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $49.28 | $154.00 | $53.19 – $269.50 | 7 |
| Ghs musc test done w/n test comp CPT 95886 | $76.48 | $239.00 | $27.72 – $418.25 | 9 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $76.48 | $239.00 | $26.30 – $418.25 | 9 |
| Ghs ng placement w fluoro guidance CPT 43752 | $266.88 | $834.00 | $36.91 – $1,459.50 | 7 |
| Ghs o2 saturation CPT 82810 | $11.52 | $36.00 | $3.42 – $61.25 | 12 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $13.44 | $42.00 | $22.01 – $73.50 | 7 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | $13.44 | $42.00 | $25.51 – $73.50 | 7 |
| Ghs ot prosthetic training/15 min CPT 97761 | $47.36 | $148.00 | $17.70 – $259.00 | 7 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $40.64 | $127.00 | $17.81 – $222.25 | 9 |
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.