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 |
|---|---|---|---|---|
| Small bowel endoscopy CPT 44360 | $103.36 | $323.00 | $29.27 – $323.00 | 13 |
| Small bowel endoscopy CPT 44366 | $186.24 | $582.00 | $29.27 – $582.00 | 13 |
| Small bowel endoscopy/biopsy CPT 44361 | $124.16 | $388.00 | $29.27 – $388.00 | 13 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $158.72 | $496.00 | $1.08 – $20.00 | 17 |
| Smear gram stain CPT 87205 | $158.72 | $496.00 | $3.12 – $127.75 | 12 |
| Smear nasal eosinophil CPT 89190 | $6.08 | $19.00 | $1.10 – $33.25 | 12 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $13.44 | $42.00 | $2.10 – $61.25 | 12 |
| Smear wet mount CPT 87210 | $32.32 | $101.00 | $1.51 – $45.50 | 12 |
| Sodium 24 hour urine CPT 84300 | $43.20 | $135.00 | $3.34 – $115.50 | 12 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $13.76 | $43.00 | $1.49 – $35.00 | 6 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $13.76 | $43.00 | $0.97 – $74.58 | 6 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $13.69 | $42.77 | $0.50 – $18.03 | 6 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $14.39 | $44.98 | $0.09 – $75.25 | 5 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $45.18 | $141.19 | $1.66 – $247.08 | 6 |
| Sodium serum/plasma/whole blood CPT 84295 | $44.80 | $140.00 | $2.79 – $101.50 | 12 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $107.74 | $336.68 | $0.66 – $589.18 | 8 |
| Sp bone algrft morsel add-on CPT 20930 | $429.76 | $1,343.00 | $29.27 – $1,343.00 | 5 |
| Special physics consult CPT 77370 | $131.84 | $412.00 | $123.30 – $721.00 | 9 |
| Special radiation treatment CPT 77470 | $504.64 | $1,577.00 | $393.73 – $2,759.75 | 9 |
| Special supplies phys/qhp CPT 99070 | $19.84 | $62.00 | $9.54 – $16.70 | 2 |
| Special teletx port plan CPT 77321 | $464.96 | $1,453.00 | $153.52 – $2,542.75 | 9 |
| Specific gravity body fluid CPT 84315 | $4.48 | $14.00 | $0.46 – $24.50 | 12 |
| Specimen fat stain CPT 89125 | $105.60 | $330.00 | $5.88 – $577.50 | 12 |
| Speech recep thresh CPT 92555 | $27.20 | $85.00 | $12.92 – $148.75 | 7 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $761.92 | $2,381.00 | $84.48 – $4,166.75 | 7 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $364.80 | $1,140.00 | $10.63 – $449.64 | 17 |
| Splint finger 4 prong foam sm HCPCS A4570 | $64.64 | $202.00 | $10.40 – $105.00 | 3 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $442.56 | $1,383.00 | $29.27 – $1,402.81 | 16 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | $2,181.12 | $6,816.00 | $892.46 – $11,928.00 | 7 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $130.56 | $408.00 | $114.94 – $714.00 | 9 |
| Staph a dna amp probe CPT 87640 | $33.28 | $104.00 | $35.09 – $182.00 | 12 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $156.16 | $488.00 | $41.65 – $854.00 | 7 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $40,000.00 | $125,000.00 | $786.00 – $4,800.25 | 6 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $6,593.92 | $20,606.00 | $108.00 – $561.75 | 6 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $18,867.20 | $58,960.00 | $1,008.00 – $1,764.00 | 6 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $4,512.00 | $14,100.00 | $2,422.15 – $19,167.75 | 6 |
| Sterile water/saline, 10 ml HCPCS A4216 | $12.16 | $38.00 | $0.60 – $7.52 | 7 |
| Sterile water/saline, 500 ml HCPCS A4217 | $16.00 | $50.00 | $2.43 – $50.00 | 7 |
| St evaluate speech sound production CPT 92522 | $120.32 | $376.00 | $116.85 – $658.00 | 9 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $145.92 | $456.00 | $239.72 – $798.00 | 9 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $182.40 | $570.00 | $88.36 – $997.50 | 9 |
| St evaluation swallow function CPT 92610 | $178.88 | $559.00 | $59.56 – $978.25 | 9 |
| Stimulants synthetic CPT 80371 | $40.32 | $126.00 | $7.00 – $28.08 | 4 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $86.40 | $270.00 | $20.58 – $472.50 | 9 |
| Strapping of elbow or wrist 29260 CPT 29260 | $86.40 | $270.00 | $21.56 – $148.75 | 9 |
| Strapping of hand or finger CPT 29280 | $86.40 | $270.00 | $20.29 – $472.50 | 9 |
| Strapping of knee CPT 29530 | $86.40 | $270.00 | $24.67 – $472.50 | 9 |
| Strapping of toes 29550 CPT 29550 | $23.68 | $74.00 | $18.91 – $129.50 | 9 |
| Strep a dna dir probe CPT 87650 | $25.92 | $81.00 | $16.24 – $141.75 | 12 |
| Strep b dna amp probe CPT 87653 | $67.84 | $212.00 | $35.09 – $189.00 | 12 |
| Stress test pulmonary CPT 94618 | $170.24 | $532.00 | $28.94 – $931.00 | 8 |
| Stress tte complete CPT 93351 | $635.52 | $1,986.00 | $29.27 – $369.41 | 17 |
| St treatment speech individual CPT 92507 | $80.96 | $253.00 | $21.05 – $442.75 | 9 |
| St treatment swallow dysfunction/oral CPT 92526 | $117.12 | $366.00 | $22.46 – $640.50 | 9 |
| Subq i/p critical care pr day age 28 days/less than 99469 CPT 99469 | $235.84 | $737.00 | $29.27 – $758.93 | 14 |
| Subsequent intensive care infant 1500-2500 grams 99479 CPT 99479 | $93.76 | $293.00 | $29.27 – $293.00 | 14 |
| Subsequent intensive care infant 2501-5000 grams 99480 CPT 99480 | $91.84 | $287.00 | $29.27 – $287.00 | 14 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $6.08 | $19.00 | $0.18 – $33.25 | 5 |
| Sugars single quant CPT 84378 | $10.24 | $32.00 | $3.69 – $56.00 | 12 |
| Sulfonylurea screen qn-sendout CPT 80377 | $59.84 | $187.00 | $28.08 – $91.00 | 4 |
| Surg dx exam anorectal CPT 45990 | $83.20 | $260.00 | $29.27 – $260.00 | 13 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | $636.16 | $1,988.00 | $29.27 – $1,988.00 | 13 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | $635.84 | $1,987.00 | $29.27 – $1,987.00 | 13 |
| Surgical pathology level 1 gross examination only CPT 88300 | $30.08 | $94.00 | $6.70 – $80.50 | 10 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $63.04 | $197.00 | $6.81 – $94.00 | 15 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $88.96 | $278.00 | $16.26 – $206.50 | 10 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $129.28 | $404.00 | $29.27 – $120.00 | 15 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $220.16 | $688.00 | $118.35 – $864.50 | 10 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $440.96 | $1,378.00 | $165.80 – $2,275.00 | 10 |
| Susceptibility agar dilution per agent CPT 87181 | $19.52 | $61.00 | $2.57 – $106.75 | 12 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $7.67 | $23.96 | $0.57 – $21.00 | 12 |
| Susceptibility mic per plate CPT 87186 | $47.36 | $148.00 | $8.22 – $166.25 | 12 |
| Suscept studies macrobroth dilution ea CPT 87188 | $24.00 | $75.00 | $4.98 – $131.25 | 12 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | $813.44 | $2,542.00 | $29.27 – $2,542.00 | 13 |
| Svc venogram s&i CPT 75827 | $616.96 | $1,928.00 | $74.80 – $3,374.00 | 10 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $35.20 | $110.00 | $4.40 – $192.50 | 12 |
| System pacing micra av HCPCS C1786 | $23,200.00 | $72,500.00 | $6,206.00 – $21,000.00 | 6 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $10,400.00 | $32,500.00 | $3,876.00 – $21,000.00 | 6 |
| T3 (triiodothyronine) free CPT 84481 | $91.84 | $287.00 | $16.94 – $502.25 | 12 |
| T3 (triiodothyronine) total CPT 84480 | $88.00 | $275.00 | $14.18 – $481.25 | 12 |
| T4 (thyroxine) free CPT 84439 | $39.36 | $123.00 | $8.84 – $171.50 | 12 |
| T4 (thyroxine) total CPT 84436 | $57.60 | $180.00 | $6.87 – $315.00 | 12 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $6.28 | $19.62 | $0.15 – $12.88 | 6 |
| Tacrolimus therapeutic drug level CPT 80197 | $142.40 | $445.00 | $13.73 – $778.75 | 12 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | $7.30 | $22.80 | $22.80 – $39.90 | 2 |
| Target gsa panel hmtlmph neop CPT 81450 | $96.00 | $300.00 | $300.00 – $2,278.59 | 10 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $1,868.16 | $5,838.00 | $1,964.13 – $57,344.74 | 10 |
| Target gsa panel organ neop CPT 81445 | $384.00 | $1,200.00 | $448.43 – $7,174.92 | 10 |
| Tbp gene detc abnor alleles CPT 81344 | $72.25 | $225.79 | $82.20 – $395.13 | 12 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $85.76 | $268.00 | $87.22 – $280.00 | 12 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $128.96 | $403.00 | $51.95 – $280.00 | 12 |
| Tc-99m diag per dose HCPCS A4641 | $47.36 | $148.00 | $148.00 – $259.00 | 2 |
| Tc-99m disofenin HCPCS A9510 | $29.76 | $93.00 | $79.17 – $162.75 | 3 |
| Tc-99m exametazime diag HCPCS A9521 | $384.64 | $1,202.00 | $231.44 – $2,103.50 | 3 |
| Tc-99m gluceptate HCPCS A9550 | $32.64 | $102.00 | $14.56 – $178.50 | 3 |
| Tc-99m labeled rbc HCPCS A9560 | $57.60 | $180.00 | $55.00 – $315.00 | 3 |
| Tc-99m maa HCPCS A9540 | $989.12 | $3,091.00 | $3,091.00 – $5,409.25 | 2 |
| Tc-99m mebrofenin HCPCS A9537 | $49.60 | $155.00 | $155.00 – $271.25 | 2 |
| Tc-99m medronate HCPCS A9503 | $54.72 | $171.00 | $31.20 – $299.25 | 3 |
| Tc-99m mertiatide HCPCS A9562 | $162.88 | $509.00 | $509.00 – $890.75 | 2 |
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.