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 |
|---|---|---|---|---|
| Lap paraesophag hern repair CPT 43281 | $1,175.36 | $3,673.00 | $29.27 – $3,673.00 | 12 |
| Lap part colectomy w/stoma 44206 CPT 44206 | $1,344.32 | $4,201.00 | $29.27 – $4,201.00 | 12 |
| Lap revision perm ip cath CPT 49325 | $320.00 | $1,000.00 | $29.27 – $1,000.00 | 13 |
| Lap rmvl gastr adj all parts CPT 43774 | $746.56 | $2,333.00 | $29.27 – $2,333.00 | 12 |
| Lap rmvl gastr adj device CPT 43772 | $736.96 | $2,303.00 | $29.27 – $2,303.00 | 12 |
| Laps abltj uterine fibroids CPT 58674 | $494.72 | $1,546.00 | $29.27 – $1,600.70 | 11 |
| Laps esophgl sphnctr agmntj 43284 CPT 43284 | $512.64 | $1,602.00 | $29.27 – $1,602.00 | 11 |
| Lap sleeve gastrectomy CPT 43775 | $834.56 | $2,608.00 | $29.27 – $2,608.00 | 13 |
| Laps surg prst8ect rpbic rad CPT 55866 | $939.52 | $2,936.00 | $29.27 – $2,936.00 | 13 |
| Laps surg prst8ect smpl stot CPT 55867 | $826.56 | $2,583.00 | $942.53 – $2,583.00 | 10 |
| Lap tot proctocolectomy 44210 CPT 44210 | $1,382.72 | $4,321.00 | $29.27 – $4,321.00 | 12 |
| Largsc w/njx augmentation CPT 31574 | $119.36 | $373.00 | $29.27 – $1,225.13 | 14 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | $106.56 | $333.00 | $29.27 – $354.34 | 16 |
| Laryngoscope w/vc inj CPT 31570 | $180.16 | $563.00 | $29.27 – $563.00 | 16 |
| Laryngoscop w/vc inj + scope CPT 31571 | $210.24 | $657.00 | $29.27 – $657.00 | 13 |
| Laryngoscopy w/biopsy CPT 31535 | $150.40 | $470.00 | $29.27 – $470.00 | 13 |
| Laryngoscopy w/bx & op scope CPT 31536 | $166.72 | $521.00 | $29.27 – $521.00 | 13 |
| Laser surgery of prostate CPT 52648 | $551.04 | $1,722.00 | $29.27 – $2,061.89 | 15 |
| Lb with mastopexy 15839 CPT 15839 | $599.36 | $1,873.00 | $29.27 – $1,873.00 | 16 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $4,390.40 | $13,720.00 | $3,220.00 – $12,005.00 | 6 |
| Lead capillary CPT 83655 | $57.60 | $180.00 | $1.82 – $26.25 | 12 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $1,646.40 | $5,145.00 | $343.00 – $600.25 | 6 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $8,640.00 | $27,000.00 | $343.00 – $3,196.77 | 6 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $342.72 | $1,071.00 | $139.85 – $1,874.25 | 9 |
| Lens, intraocular (new tech) HCPCS C1780 | $380.16 | $1,188.00 | $200.00 – $600.25 | 6 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $2,388.16 | $7,463.00 | $145.73 – $343.00 | 7 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $219.84 | $687.00 | $145.73 – $343.00 | 7 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $109.04 | $340.76 | $2.88 – $124.32 | 6 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $5,192.31 | $16,225.98 | $128.09 – $3,604.49 | 10 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $42.62 | $133.20 | $0.03 – $34.13 | 6 |
| Levetiracetam therapeutic drug level CPT 80177 | $54.40 | $170.00 | $4.90 – $64.75 | 12 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $15.42 | $48.19 | $1.62 – $66.50 | 6 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $129.41 | $404.41 | $4.49 – $707.72 | 6 |
| Liberta rc ipg HCPCS C1820 | $40,404.80 | $126,265.00 | $14,250.00 – $24,937.50 | 6 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $16.76 | $52.37 | $11.45 – $20.04 | 3 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $13.76 | $43.00 | $0.01 – $75.25 | 5 |
| Lidocaine therapeutic drug level CPT 80176 | $13.44 | $42.00 | $6.17 – $73.50 | 12 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | $58.24 | $182.00 | $29.27 – $182.00 | 13 |
| Lig/band angioaccess av fistula CPT 37607 | $285.76 | $893.00 | $29.27 – $893.00 | 13 |
| Liletta, 52 mg HCPCS J7297 | $715.52 | $2,236.00 | $1,002.72 – $3,913.00 | 5 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $27.00 | $84.36 | $2.06 – $147.63 | 6 |
| Lipase CPT 83690 | $43.52 | $136.00 | $5.86 – $148.75 | 12 |
| Lipoprotein blood high res frac & quant CPT 83701 | $22.72 | $71.00 | $24.04 – $124.25 | 12 |
| Lipoprotein blood quant CPT 83704 | $28.48 | $89.00 | $10.94 – $67.12 | 12 |
| Lipoprotein direct measurement hdl CPT 83718 | $40.96 | $128.00 | $4.01 – $85.75 | 12 |
| Lipoprotein direct measurement ldl CPT 83721 | $13.76 | $43.00 | $4.52 – $75.25 | 12 |
| Lithium therapeutic drug level CPT 80178 | $59.20 | $185.00 | $4.63 – $122.50 | 12 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $2,628.16 | $8,213.00 | $121.81 – $351.00 | 13 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | $1,119.04 | $3,497.00 | $29.27 – $3,497.00 | 13 |
| Liver Function Test CPT 80076 | $104.00 | $325.00 | $8.17 – $337.75 | 12 |
| Liver imaging CPT 78201 | $814.40 | $2,545.00 | $77.93 – $4,453.75 | 9 |
| Liver imag w/vasclr flow CPT 78202 | $729.28 | $2,279.00 | $94.70 – $3,988.25 | 9 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $481.92 | $1,506.00 | $114.48 – $2,635.50 | 9 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $1.47 | $4.58 | $1.81 – $8.02 | 6 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $13.54 | $42.31 | $1.06 – $8.19 | 6 |
| Low back disk surgery CPT 63030 | $729.60 | $2,280.00 | $29.27 – $2,280.00 | 13 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $831.04 | $2,597.00 | $29.27 – $712.46 | 16 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $758.08 | $2,369.00 | $232.90 – $4,145.75 | 9 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $718.08 | $2,244.00 | $123.50 – $3,927.00 | 9 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $1,125.12 | $3,516.00 | $412.14 – $6,153.00 | 9 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $846.08 | $2,644.00 | $412.14 – $4,627.00 | 9 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $775.36 | $2,423.00 | $281.87 – $3,179.75 | 9 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $145.60 | $455.00 | $15.74 – $474.25 | 10 |
| Lsh uterus above 250 g CPT 58543 | $510.40 | $1,595.00 | $29.27 – $1,651.48 | 13 |
| Lsh w/t/o ut 250 g or less CPT 58542 | $662.08 | $2,069.00 | $29.27 – $2,069.00 | 13 |
| Lsh w/t/o uterus above 250 g CPT 58544 | $720.00 | $2,250.00 | $29.27 – $1,784.72 | 13 |
| Lumbar diskogram s&i CPT 72295 | $1,168.32 | $3,651.00 | $59.35 – $6,389.25 | 10 |
| Lung function test (mbc/mvv) CPT 94200 | $127.36 | $398.00 | $3.25 – $696.50 | 10 |
| Lung Function Test (Spirometry) CPT 94010 | $161.28 | $504.00 | $10.59 – $378.00 | 10 |
| Lung perfusion imaging CPT 78580 | $450.56 | $1,408.00 | $112.92 – $2,464.00 | 9 |
| Lymphatics/lymph node imaging CPT 78195 | $463.36 | $1,448.00 | $162.90 – $2,534.00 | 9 |
| Lysis penil circumic lesion CPT 54162 | $161.92 | $506.00 | $29.27 – $506.00 | 15 |
| Macro exam dissect molec study ea CPT 88387 | $111.04 | $347.00 | $4.27 – $607.25 | 10 |
| Macroscopic exam arthropod CPT 87168 | $6.40 | $20.00 | $0.85 – $35.00 | 12 |
| Macroscopic exam parasite CPT 87169 | $6.40 | $20.00 | $0.52 – $21.00 | 12 |
| Magnesium CPT 83735 | $43.52 | $136.00 | $1.27 – $33.25 | 12 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $18.23 | $56.98 | $0.31 – $33.25 | 6 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $105.28 | $329.00 | $16.41 – $575.75 | 7 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $105.28 | $329.00 | $20.34 – $575.75 | 9 |
| Mapping io sentinel lymph node CPT 38900 | $104.32 | $326.00 | $29.27 – $326.00 | 12 |
| Map tachycard site(s) CPT 93609 | $737.92 | $2,306.00 | $89.91 – $4,035.50 | 6 |
| Marker biop eviva buckle ss HCPCS A4648 | $2,332.80 | $7,290.00 | $541.00 – $946.75 | 2 |
| Mastectomy partial CPT 19301 | $520.96 | $1,628.00 | $29.27 – $1,628.00 | 13 |
| Mast mod rad CPT 19307 | $923.84 | $2,887.00 | $29.27 – $2,887.00 | 13 |
| Mastoids complete CPT 70130 | $203.52 | $636.00 | $23.38 – $742.00 | 10 |
| Mast radical CPT 19305 | $897.60 | $2,805.00 | $29.27 – $2,805.00 | 12 |
| Mast simple complete CPT 19303 | $752.64 | $2,352.00 | $29.27 – $2,352.00 | 13 |
| M.avium-intra dna dir prob CPT 87560 | $52.16 | $163.00 | $27.29 – $285.25 | 12 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $83.52 | $261.00 | $14.46 – $456.75 | 12 |
| Mayo aathr protein s free CPT 85306 | $20.16 | $63.00 | $9.65 – $110.25 | 12 |
| Mayo activated protein c resistance assay CPT 85307 | $20.16 | $63.00 | $9.65 – $110.25 | 12 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $134.72 | $421.00 | $23.14 – $140.00 | 10 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $78.40 | $245.00 | $11.94 – $23.19 | 4 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $95.04 | $297.00 | $23.19 – $78.75 | 4 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $57.60 | $180.00 | $14.78 – $315.00 | 12 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $104.32 | $326.00 | $50.78 – $108.50 | 4 |
| Mayo alpha 1 antitrypsin CPT 82103 | $71.36 | $223.00 | $13.44 – $390.25 | 12 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $70.40 | $220.00 | $15.08 – $385.00 | 12 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $14.08 | $44.00 | $33.31 – $77.00 | 4 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $54.72 | $171.00 | $28.08 – $299.25 | 4 |
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.