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 |
|---|---|---|---|---|
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $1,085.22 | $3,391.31 | $9.08 – $5,934.79 | 10 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $15.69 | $49.02 | $0.04 – $72.08 | 6 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $745.60 | $2,330.00 | $139.19 – $4,077.50 | 9 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $1,272.00 | $3,975.00 | $293.63 – $6,956.25 | 7 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $1,441.60 | $4,505.00 | $557.25 – $7,883.75 | 7 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $833.28 | $2,604.00 | $52.10 – $4,557.00 | 7 |
| Rpl tun-cvad w subq port CPT 36582 | $2,141.12 | $6,691.00 | $235.88 – $11,709.25 | 8 |
| Rpl tun cvc wo subq port CPT 36581 | $2,984.00 | $9,325.00 | $29.27 – $992.85 | 16 |
| Rpm tx mgmt 1st 20 min CPT 99457 | $23.68 | $74.00 | $26.46 – $74.00 | 12 |
| Rpm tx mgmt ea addl 20 min CPT 99458 | $23.68 | $74.00 | $26.46 – $74.00 | 14 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | $777.92 | $2,431.00 | $893.43 – $2,431.00 | 10 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | $585.92 | $1,831.00 | $674.07 – $1,831.00 | 10 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | $567.36 | $1,773.00 | $651.53 – $1,773.00 | 10 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | $436.80 | $1,365.00 | $502.59 – $1,365.00 | 10 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | $261.12 | $816.00 | $304.52 – $816.00 | 10 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | $362.88 | $1,134.00 | $418.73 – $1,134.00 | 10 |
| Rpr aa hrn rcr > 10 rdc CPT 49617 | $674.24 | $2,107.00 | $772.97 – $2,107.00 | 10 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | $652.80 | $2,040.00 | $747.57 – $2,040.00 | 10 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | $487.04 | $1,522.00 | $558.49 – $1,522.00 | 10 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | $323.20 | $1,010.00 | $372.40 – $1,010.00 | 10 |
| Rpr diaphragm lac/any approach 39501 CPT 39501 | $313.92 | $981.00 | $29.27 – $1,792.98 | 13 |
| Rpr fem hernia init blocked CPT 49553 | $497.92 | $1,556.00 | $29.27 – $1,556.00 | 13 |
| Rpr parastomal hernia rdc 49621 CPT 49621 | $572.16 | $1,788.00 | $656.98 – $1,788.00 | 10 |
| Rpr parastomal hrna ncr/strn 49622 CPT 49622 | $709.12 | $2,216.00 | $813.62 – $2,216.00 | 10 |
| Rpr rem hernia init reduce CPT 49550 | $455.04 | $1,422.00 | $29.27 – $1,422.00 | 13 |
| Rsv assay w/optic CPT 87807 | $14.40 | $45.00 | $5.90 – $78.75 | 12 |
| Rubella antibody igg CPT 86762 | $26.24 | $82.00 | $11.80 – $143.50 | 12 |
| Rubeola antibody igg CPT 86765 | $117.12 | $366.00 | $2.70 – $36.75 | 12 |
| Russell viper venom diluted CPT 85613 | $19.20 | $60.00 | $2.11 – $38.50 | 12 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $2,116.43 | $6,613.83 | $27.74 – $11,574.20 | 10 |
| Salivary gland imaging CPT 78230 | $298.56 | $933.00 | $72.00 – $1,632.75 | 9 |
| Salmonella antibody CPT 86768 | $17.92 | $56.00 | $7.39 – $98.00 | 12 |
| Same day nb discharge 99463 CPT 99463 | $86.08 | $269.00 | $29.27 – $269.00 | 14 |
| Sbsq ic vlbw inf<1,500 gm CPT 99478 | $103.36 | $323.00 | $29.27 – $323.00 | 14 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | $60.48 | $189.00 | $29.27 – $189.00 | 16 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | $87.04 | $272.00 | $29.27 – $272.00 | 16 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $413.12 | $1,291.00 | $185.92 – $2,259.25 | 9 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $352.64 | $1,102.00 | $106.34 – $1,928.50 | 9 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $382.08 | $1,194.00 | $130.61 – $2,089.50 | 9 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $212.80 | $665.00 | $86.67 – $1,163.75 | 9 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $323.20 | $1,010.00 | $89.14 – $1,767.50 | 9 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $258.88 | $809.00 | $93.10 – $1,415.75 | 9 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $498.56 | $1,558.00 | $173.10 – $2,726.50 | 9 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $287.36 | $898.00 | $103.46 – $1,571.50 | 9 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $252.48 | $789.00 | $90.01 – $1,380.75 | 9 |
| Scan proc cranial extra CPT 61782 | $134.72 | $421.00 | $29.27 – $421.00 | 11 |
| Scan proc cranial intra 61781 CPT 61781 | $174.72 | $546.00 | $29.27 – $546.00 | 12 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $3,024.00 | $9,450.00 | $1,350.00 – $2,362.50 | 2 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $144.96 | $453.00 | $29.27 – $453.00 | 15 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $144.96 | $453.00 | $29.27 – $713.46 | 16 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $28.80 | $90.00 | $13.54 – $119.00 | 10 |
| Screening Mammogram CPT 77067 | $162.24 | $507.00 | $51.11 – $665.00 | 10 |
| Screening prostate cancer PSA HCPCS G0103 | $33.60 | $105.00 | $19.31 – $43.75 | 10 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $25.60 | $80.00 | $2.51 – $616.00 | 7 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $16,648.64 | $52,027.00 | $2.40 – $254.25 | 6 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $814.08 | $2,544.00 | $178.40 – $4,452.00 | 9 |
| Sedimentation rate erythrocyte automated CPT 85652 | $15.04 | $47.00 | $1.27 – $82.25 | 12 |
| Segmentectomy 32484 CPT 32484 | $511.68 | $1,599.00 | $29.27 – $2,946.26 | 13 |
| Semen analysis presence/motility CPT 89321 | $2.28 | $7.14 | $0.86 – $25.85 | 12 |
| Set radiation therapy field CPT 77280 | $455.68 | $1,424.00 | $122.62 – $2,492.00 | 9 |
| Set radiation therapy field CPT 77290 | $754.24 | $2,357.00 | $214.62 – $4,124.75 | 9 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | $6.52 | $20.37 | $20.37 – $35.64 | 3 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $112.96 | $353.00 | $31.44 – $617.75 | 9 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $112.96 | $353.00 | $44.16 – $617.75 | 9 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $77.12 | $241.00 | $27.37 – $421.75 | 9 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $77.12 | $241.00 | $40.09 – $421.75 | 9 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $87.36 | $273.00 | $47.15 – $477.75 | 9 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $155.20 | $485.00 | $22.28 – $848.75 | 9 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $77.12 | $241.00 | $35.53 – $421.75 | 9 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $88.64 | $277.00 | $44.16 – $484.75 | 9 |
| Sho arthrs srg bicp tenodsis CPT 29828 | $739.84 | $2,312.00 | $29.27 – $2,312.00 | 13 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | $862.72 | $2,696.00 | $29.27 – $2,696.00 | 13 |
| Shoulder MRI (with and without contrast) CPT 73223 | $1,148.48 | $3,589.00 | $412.14 – $6,280.75 | 9 |
| Shoulder MRI (with contrast) CPT 73222 | $1,102.08 | $3,444.00 | $382.28 – $6,027.00 | 9 |
| Shoulder MRI (without contrast) CPT 73221 | $1,382.08 | $4,319.00 | $281.87 – $3,778.25 | 9 |
| Shoulder prosthesis removal CPT 23334 | $786.88 | $2,459.00 | $29.27 – $2,459.00 | 11 |
| Shoulder X-ray CPT 73030 | $188.80 | $590.00 | $13.21 – $411.25 | 10 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $3,456.00 | $10,800.00 | $1,850.00 – $4,544.75 | 6 |
| Sialography s&i CPT 70390 | $203.52 | $636.00 | $25.28 – $1,113.00 | 10 |
| Sialolithotomy 42330 CPT 42330 | $128.32 | $401.00 | $29.27 – $401.00 | 16 |
| Sickling rbc CPT 85660 | $15.04 | $47.00 | $1.10 – $35.00 | 12 |
| Sigmoidoscopy and biopsy CPT 45331 | $352.00 | $1,100.00 | $29.27 – $380.04 | 16 |
| Sigmoidoscopy for bleeding CPT 45334 | $72.96 | $228.00 | $29.27 – $643.34 | 15 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | $53.76 | $168.00 | $29.27 – $387.14 | 16 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | $82.88 | $259.00 | $29.27 – $364.89 | 16 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $95.04 | $297.00 | $29.27 – $392.85 | 16 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | $73.92 | $231.00 | $29.27 – $431.65 | 16 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $133.47 | $417.08 | $82.60 – $729.89 | 6 |
| Sinus CT scan (with and without contrast) CPT 70488 | $991.68 | $3,099.00 | $207.21 – $5,423.25 | 9 |
| Sinus CT scan (with contrast) CPT 70487 | $671.36 | $2,098.00 | $186.48 – $3,671.50 | 9 |
| Sinus CT scan (without contrast) CPT 70486 | $503.68 | $1,574.00 | $123.50 – $2,066.75 | 9 |
| Sipuleucel-t - su HCPCS Q2043 | $39,843.84 | $124,512.00 | $40,803.08 – $217,896.00 | 10 |
| Skel musc relaxant 3 or more CPT 80370 | $1.92 | $6.00 | $6.00 – $37.79 | 4 |
| Skin Biopsy CPT 11102 | $112.96 | $353.00 | $25.15 – $132.11 | 15 |
| Skyla, 13.5 mg HCPCS J7301 | $776.32 | $2,426.00 | $1,088.44 – $4,245.50 | 5 |
| Sling suprapubic suburetheral HCPCS C1771 | $5,487.68 | $17,149.00 | $1,614.00 – $6,000.75 | 6 |
| Slitting of prepuce CPT 54001 | $97.28 | $304.00 | $29.27 – $304.00 | 16 |
| Slp pure tone screening CPT 92551 | $5.44 | $17.00 | $10.13 – $29.75 | 5 |
| Slp ther svc non-spch gen CPT 92606 | $42.56 | $133.00 | $45.54 – $232.75 | 3 |
| Sm-153 lexidron ther HCPCS A9604 | $6,115.20 | $19,110.00 | $2,369.85 – $33,442.50 | 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.