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 |
|---|---|---|---|---|
| Ghs ot work hardening-additional hours CPT 97546 | $110.40 | $345.00 | $74.81 – $603.75 | 4 |
| Ghs pacing - transcutaneous CPT 92953 | $250.88 | $784.00 | $1.13 – $1,372.00 | 8 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $27.20 | $85.00 | $22.89 – $112.00 | 8 |
| Ghs peritonsillar abscess i andd CPT 42700 | $113.60 | $355.00 | $29.27 – $300.44 | 16 |
| Ghs ppd (tb intradermal) CPT 86580 | $13.44 | $42.00 | $6.68 – $61.25 | 10 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $8.64 | $27.00 | $2.61 – $47.25 | 12 |
| Ghs protein, misc fluid CPT 84160 | $3.52 | $11.00 | $0.62 – $19.25 | 12 |
| Ghs protoporphyrins fract CPT 84202 | $74.24 | $232.00 | $14.35 – $406.00 | 12 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $220.48 | $689.00 | $149.51 – $1,205.75 | 4 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $439.68 | $1,374.00 | $29.27 – $1,445.60 | 13 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | $413.76 | $1,293.00 | $29.27 – $1,293.00 | 13 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $39.36 | $123.00 | $10.81 – $215.25 | 12 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $43.84 | $137.00 | $13.91 – $239.75 | 12 |
| Ghs sedimentation rate CPT 85651 | $25.60 | $80.00 | $1.96 – $80.50 | 12 |
| Ghs sensitivity (per antimicro) CPT 87184 | $41.92 | $131.00 | $7.48 – $229.25 | 12 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $176.64 | $552.00 | $29.27 – $233.00 | 16 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $153.60 | $480.00 | $175.13 – $840.00 | 9 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $129.28 | $404.00 | $106.74 – $707.00 | 9 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $102.72 | $321.00 | $98.58 – $561.75 | 9 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $140.80 | $440.00 | $29.27 – $255.00 | 16 |
| Ghs somatosensory testing lower extremit CPT 95926 | $292.48 | $914.00 | $30.26 – $1,599.50 | 9 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $220.48 | $689.00 | $174.36 – $1,205.75 | 9 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $59.52 | $186.00 | $17.26 – $325.50 | 7 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $100.80 | $315.00 | $47.70 – $551.25 | 7 |
| Ghs st - eval for alt comm CPT 92567 | $17.60 | $55.00 | $17.78 – $96.25 | 7 |
| Ghs strapping shoulder - 29240 CPT 29240 | $135.68 | $424.00 | $27.92 – $742.00 | 9 |
| Ghs st - re-eval for alt comm CPT 92597 | $169.60 | $530.00 | $49.72 – $927.50 | 9 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $115.84 | $362.00 | $29.27 – $362.00 | 16 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $243.52 | $761.00 | $29.27 – $761.00 | 13 |
| Ghs trypsin (fecal) CPT 84488 | $7.36 | $23.00 | $1.68 – $40.25 | 12 |
| Ghs urine, porphyrins quant CPT 84120 | $89.60 | $280.00 | $14.71 – $490.00 | 12 |
| Ghs vaginal delivery only CPT 59409 | $606.40 | $1,895.00 | $29.27 – $1,895.00 | 13 |
| Giardia ag if CPT 87269 | $25.60 | $80.00 | $10.89 – $140.00 | 12 |
| Giardia lamblia antibody CPT 86674 | $13.44 | $42.00 | $6.18 – $73.50 | 12 |
| Gi inhouse confirmation CPT 87045 | $36.80 | $115.00 | $2.27 – $42.00 | 12 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $89.60 | $280.00 | $29.27 – $1,128.55 | 14 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $271.68 | $849.00 | $107.44 – $1,485.75 | 10 |
| Glucagon plasma - sendout CPT 82943 | $13.12 | $41.00 | $5.86 – $71.75 | 12 |
| Glucose 1 hr post dose CPT 82950 | $21.76 | $68.00 | $2.71 – $99.75 | 12 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $43.20 | $135.00 | $0.36 – $19.25 | 12 |
| Glucose blood quantitative CPT 82947 | $44.80 | $140.00 | $1.81 – $80.50 | 12 |
| Glucose body fluid CPT 82945 | $43.20 | $135.00 | $3.89 – $173.25 | 12 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $53.76 | $168.00 | $12.87 – $294.00 | 12 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $6.40 | $20.00 | $0.78 – $35.00 | 12 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $12.16 | $38.00 | $0.29 – $62.61 | 6 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $1,612.15 | $5,037.96 | $8.72 – $8,816.43 | 10 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $84.16 | $263.00 | $18.58 – $460.25 | 12 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $83.52 | $261.00 | $18.52 – $456.75 | 12 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $927.93 | $2,899.79 | $583.13 – $5,074.63 | 6 |
| Graft axiofill 1000mg HCPCS J3590 | $49.73 | $155.40 | $155.40 – $271.95 | 3 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $4,128.00 | $12,900.00 | $37.67 – $22,575.00 | 9 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $23,911.04 | $74,722.00 | $1,028.00 – $1,799.00 | 6 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $21,838.40 | $68,245.00 | $687.00 – $1,215.88 | 6 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $3,417.60 | $10,680.00 | $27.12 – $18,690.00 | 9 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $15,679.04 | $48,997.00 | $171.00 – $506.24 | 6 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $5,398.72 | $16,871.00 | $343.00 – $600.25 | 6 |
| Granisetron hcl injection HCPCS J1626 | $320.72 | $1,002.24 | $0.11 – $85.75 | 6 |
| Group mnt 2 or more 30 mins HCPCS G0271 | $11.52 | $36.00 | $9.27 – $63.00 | 7 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | $1,476.80 | $4,615.00 | $29.27 – $4,615.00 | 13 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | $1,276.80 | $3,990.00 | $29.27 – $3,990.00 | 13 |
| G-tube reposition CPT 43761 | $78.72 | $246.00 | $29.27 – $246.00 | 15 |
| Gu dilat ureter/urethra s&i CPT 74485 | $784.64 | $2,452.00 | $57.99 – $4,291.00 | 10 |
| Guided cath fluid drainage 10030 CPT 10030 | $795.52 | $2,486.00 | $132.13 – $4,350.50 | 8 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $9,799.36 | $30,623.00 | $343.00 – $419.05 | 2 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $2,227.20 | $6,960.00 | $73.00 – $182.00 | 6 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $1,070.72 | $3,346.00 | $43.00 – $1,893.50 | 6 |
| Guid loc target vol rad tx CPT 77387 | $233.92 | $731.00 | $27.31 – $1,279.25 | 9 |
| Gw stiffened micro access kit HCPCS C1894 | $2,121.60 | $6,630.00 | $44.00 – $173.25 | 6 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $39.43 | $123.21 | $2.96 – $215.62 | 6 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $11.94 | $37.31 | $0.55 – $65.29 | 6 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | $8.00 | $25.00 | $25.00 – $43.75 | 2 |
| Hand X-ray CPT 73130 | $195.84 | $612.00 | $12.74 – $411.25 | 10 |
| Haptoglobin quantitative CPT 83010 | $71.36 | $223.00 | $12.58 – $390.25 | 12 |
| Hast w/oxygen titrate CPT 94453 | $158.08 | $494.00 | $24.21 – $864.50 | 10 |
| Hba1/hba2 full gene sequence CPT 81259 | $299.20 | $935.00 | $360.00 – $5,610.00 | 12 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $168.32 | $526.00 | $121.44 – $1,064.62 | 12 |
| Hbb full gene sequence CPT 81364 | $576.00 | $1,800.00 | $194.75 – $1,940.99 | 12 |
| Hbb gene com variants CPT 81361 | $272.00 | $850.00 | $104.89 – $1,487.50 | 12 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $444.48 | $1,389.00 | $42.98 – $2,430.75 | 10 |
| Hcg free betachain test CPT 84704 | $9.92 | $31.00 | $4.74 – $54.25 | 12 |
| Hcg qualitative CPT 84703 | $43.84 | $137.00 | $1.50 – $35.00 | 12 |
| Hcg quantitative CPT 84702 | $71.36 | $223.00 | $5.27 – $61.25 | 12 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $47.36 | $148.00 | $20.80 – $259.00 | 3 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | $367.04 | $1,147.00 | $172.26 – $2,007.25 | 9 |
| Hc nm kidney imaging with flow CPT 78701 | $412.16 | $1,288.00 | $116.98 – $2,254.00 | 9 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $514.88 | $1,609.00 | $172.26 – $2,815.75 | 9 |
| Head CT scan (with and without contrast) CPT 70470 | $738.56 | $2,308.00 | $207.21 – $4,039.00 | 9 |
| Head CT scan (with contrast) CPT 70460 | $600.96 | $1,878.00 | $186.48 – $3,286.50 | 9 |
| Head CT scan (without contrast) CPT 70450 | $501.76 | $1,568.00 | $123.50 – $2,744.00 | 9 |
| Heart infarct image CPT 78466 | $430.08 | $1,344.00 | $86.28 – $2,352.00 | 9 |
| Helicobacter pylori antibody igm CPT 86677 | $51.84 | $162.00 | $6.07 – $63.00 | 12 |
| Hematocrit CPT 85014 | $9.60 | $30.00 | $0.59 – $43.75 | 12 |
| Hemodialysis one evaluation CPT 90935 | $883.20 | $2,760.00 | $62.86 – $4,830.00 | 9 |
| Hemoglobin CPT 85018 | $33.92 | $106.00 | $0.19 – $14.00 | 12 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $12.80 | $40.00 | $2.05 – $43.75 | 12 |
| Hemoglobin plasma CPT 83051 | $6.72 | $21.00 | $1.54 – $36.75 | 12 |
| Hemoglobin urine CPT 83069 | $2.24 | $7.00 | $0.28 – $12.25 | 12 |
| Hemolysins/agglutinins auto CPT 86940 | $8.00 | $25.00 | $2.19 – $43.75 | 12 |
| Hemolysins and agglutinins incubated CPT 86941 | $11.84 | $37.00 | $4.48 – $64.75 | 12 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $160.00 | $500.00 | $29.27 – $500.00 | 16 |
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.