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 |
|---|---|---|---|---|
| Postpartum Care Only CPT 59430 | $135.68 | $424.00 | $29.27 – $341.84 | 13 |
| Potassium 24 hour urine CPT 84133 | $43.84 | $137.00 | $3.26 – $120.75 | 12 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $26.54 | $82.94 | $0.09 – $66.10 | 6 |
| Potassium serum/plasma/whole blood CPT 84132 | $44.48 | $139.00 | $3.38 – $124.25 | 12 |
| Pq biliary strict dil s&i CPT 74363 | $775.04 | $2,422.00 | $54.95 – $4,238.50 | 6 |
| Pq dr cath chg w cont s&i CPT 75984 | $559.68 | $1,749.00 | $53.38 – $3,060.75 | 10 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $3,304.32 | $10,326.00 | $473.36 – $18,070.50 | 7 |
| Pq thr inj ext pse CPT 36002 | $615.36 | $1,923.00 | $116.30 – $3,365.25 | 9 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $1,187.20 | $3,710.00 | $174.95 – $6,492.50 | 9 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $1,780.80 | $5,565.00 | $429.02 – $9,738.75 | 9 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $1,780.80 | $5,565.00 | $404.73 – $9,738.75 | 7 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $601.92 | $1,881.00 | $29.27 – $1,881.00 | 13 |
| Pr application of long arm splint CPT 29105 | $32.00 | $100.00 | $29.27 – $110.78 | 16 |
| Pr application splint static short arm CPT 29125 | $112.00 | $350.00 | $24.61 – $104.00 | 16 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | $23.72 | $74.12 | $5.16 – $129.70 | 9 |
| Pr biopsy skin punch single lesion CPT 11104 | $462.40 | $1,445.00 | $29.27 – $164.05 | 15 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $17.92 | $56.00 | $9.63 – $29.27 | 15 |
| Prcrd drg 6+yr without anomly CPT 33017 | $407.04 | $1,272.00 | $29.27 – $576.00 | 12 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $121.92 | $381.00 | $29.27 – $495.48 | 16 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $112.96 | $353.00 | $29.27 – $133.08 | 16 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | $64.96 | $203.00 | $29.27 – $203.00 | 16 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | $91.52 | $286.00 | $29.27 – $286.00 | 16 |
| Prealbumin CPT 84134 | $28.80 | $90.00 | $13.13 – $157.50 | 12 |
| Pr ecg 12 lead report only CPT 93010 | $8.96 | $28.00 | $8.53 – $29.27 | 14 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | $14.72 | $46.00 | $18.20 – $46.00 | 14 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $7.60 | $23.76 | $0.69 – $41.58 | 6 |
| Prednisone 1 mg tablet HCPCS J7512 | $1.57 | $4.92 | $0.01 – $3.87 | 6 |
| Pregabalin - sendout CPT 80366 | $1.28 | $4.00 | $4.00 – $28.08 | 4 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $155.84 | $487.00 | $29.27 – $487.00 | 13 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $278.40 | $870.00 | $29.27 – $193.73 | 16 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $247.68 | $774.00 | $29.27 – $167.39 | 16 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | $63.04 | $197.00 | $29.27 – $175.12 | 9 |
| Prenatal Care Only (4-6 visits) CPT 59425 | $328.32 | $1,026.00 | $29.27 – $690.53 | 13 |
| Prenatal Care Only (7+ visits) CPT 59426 | $602.56 | $1,883.00 | $29.27 – $1,261.98 | 14 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $149.12 | $466.00 | $29.27 – $466.00 | 16 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | $29.44 | $92.00 | $29.27 – $92.00 | 15 |
| Pressure max expiratory/inspiratory CPT 94799 | $156.16 | $488.00 | $20.00 – $854.00 | 7 |
| Pressure velocity wire add ves CPT 93572 | $158.08 | $494.00 | $29.27 – $162.25 | 16 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $147.84 | $462.00 | $130.55 – $808.50 | 7 |
| Pretreat rbc absorption reference CPT 86978 | $114.24 | $357.00 | $45.20 – $103.25 | 7 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $114.24 | $357.00 | $45.20 – $624.75 | 7 |
| Pretreat rbc w enzyme reference CPT 86971 | $114.24 | $357.00 | $40.00 – $211.33 | 7 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $134.08 | $419.00 | $29.27 – $419.00 | 14 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $104.64 | $327.00 | $29.27 – $258.32 | 11 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $640.00 | $2,000.00 | $29.27 – $186.00 | 16 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $136.00 | $425.00 | $29.27 – $425.00 | 16 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $227.20 | $710.00 | $90.97 – $1,242.50 | 9 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | $1,051.52 | $3,286.00 | $29.27 – $3,286.00 | 13 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $72.96 | $228.00 | $13.38 – $87.83 | 17 |
| Prgrmg dev eval scrms ip CPT 93285 | $19.84 | $62.00 | $25.78 – $77.93 | 13 |
| Prgrmg eval implantable dfb CPT 93282 | $72.96 | $228.00 | $16.40 – $103.10 | 17 |
| Prgrmg eval implantable dfb CPT 93283 | $72.96 | $228.00 | $18.67 – $126.15 | 17 |
| Prgrmg eval implantable dfb CPT 93284 | $72.96 | $228.00 | $21.18 – $137.00 | 17 |
| Prgr stim/pace a/iv drug CPT 93623 | $753.60 | $2,355.00 | $29.27 – $746.17 | 15 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $136.96 | $428.00 | $29.27 – $352.13 | 16 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $103.04 | $322.00 | $29.27 – $290.48 | 16 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $64.96 | $203.00 | $29.27 – $203.00 | 16 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $93.76 | $293.00 | $29.27 – $290.48 | 16 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $62.40 | $195.00 | $29.27 – $195.00 | 16 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $39.04 | $122.00 | $27.32 – $122.00 | 16 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $10,148.16 | $31,713.00 | $326.07 – $55,497.75 | 8 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $2,780.16 | $8,688.00 | $118.97 – $15,204.00 | 10 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $272.00 | $850.00 | $29.27 – $478.00 | 14 |
| Pr incision & drainage abscess simple/single CPT 10060 | $212.16 | $663.00 | $29.27 – $239.49 | 16 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $173.12 | $541.00 | $29.27 – $332.00 | 14 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $227.20 | $710.00 | $29.27 – $278.00 | 16 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $151.68 | $474.00 | $29.27 – $376.45 | 12 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $111.68 | $349.00 | $29.27 – $291.00 | 12 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $246.08 | $769.00 | $10.83 – $67.46 | 13 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $503.04 | $1,572.00 | $29.27 – $1,572.00 | 13 |
| Procalcitonin CPT 84145 | $57.92 | $181.00 | $20.69 – $133.00 | 12 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $12.16 | $38.00 | $1.89 – $66.50 | 6 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | $1,423.04 | $4,447.00 | $29.27 – $4,447.00 | 13 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | $87.04 | $272.00 | $29.27 – $284.10 | 16 |
| Progesterone CPT 84144 | $105.60 | $330.00 | $20.86 – $577.50 | 12 |
| Prolactin CPT 84146 | $71.36 | $223.00 | $19.38 – $390.25 | 12 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | $26.88 | $84.00 | $26.06 – $159.60 | 8 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $6.08 | $19.00 | $19.00 – $38.14 | 6 |
| Prolong service without contact CPT 99358 | $59.20 | $185.00 | $29.27 – $245.00 | 7 |
| Prolong serv without contact add CPT 99359 | $21.76 | $68.00 | $24.30 – $119.00 | 3 |
| Promethazine hcl injection HCPCS J2550 | $12.16 | $38.00 | $2.98 – $66.50 | 6 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $42.61 | $133.16 | $0.07 – $63.54 | 6 |
| _propoxygc/msur CPT 80367 | $23.36 | $73.00 | $28.08 – $127.75 | 4 |
| Prostate ca screening; dre HCPCS G0102 | $7.68 | $24.00 | $7.72 – $42.00 | 8 |
| Prostatectomy (turp) CPT 52601 | $577.92 | $1,806.00 | $29.27 – $1,806.00 | 13 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | $219.84 | $687.00 | $51.59 – $687.00 | 7 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $21.99 | $68.73 | $1.18 – $120.28 | 6 |
| Protein c activity CPT 85303 | $18.88 | $59.00 | $8.17 – $103.25 | 12 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $22.08 | $69.00 | $4.94 – $80.50 | 12 |
| Protein s total CPT 85305 | $145.92 | $456.00 | $11.61 – $798.00 | 12 |
| Protein total 24 hour urine CPT 84156 | $22.08 | $69.00 | $0.13 – $7.83 | 12 |
| Protein total body fluid CPT 84157 | $16.32 | $51.00 | $1.08 – $47.25 | 12 |
| Protein total serum plasma whole blood CPT 84155 | $44.48 | $139.00 | $1.69 – $80.50 | 12 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $4.48 | $14.00 | $0.55 – $24.50 | 12 |
| Prp i/hern init block >5 yr CPT 49507 | $464.32 | $1,451.00 | $29.27 – $1,451.00 | 13 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $60.16 | $188.00 | $29.27 – $188.00 | 13 |
| Prq card revasc mi 1 vsl CPT 92941 | $5,868.16 | $18,338.00 | $29.27 – $1,531.00 | 13 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $6,784.00 | $21,200.00 | $18,338.00 – $32,091.50 | 2 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $5,868.16 | $18,338.00 | $29.27 – $1,363.00 | 13 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $8,083.84 | $25,262.00 | $29.27 – $1,364.00 | 14 |
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.