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 |
|---|---|---|---|---|
| Unlisted transfusion med px CPT 86999 | $128.00 | $400.00 | $21.15 – $700.00 | 7 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $982.08 | $3,069.00 | $525.89 – $5,370.75 | 7 |
| Upgrade pm system CPT 33214 | $5,291.52 | $16,536.00 | $418.41 – $28,938.00 | 7 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $1,122.56 | $3,508.00 | $412.14 – $6,139.00 | 9 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $928.00 | $2,900.00 | $412.14 – $5,075.00 | 9 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $843.52 | $2,636.00 | $281.87 – $4,613.00 | 9 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $96.96 | $303.00 | $29.27 – $377.74 | 16 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $109.44 | $342.00 | $29.27 – $491.60 | 16 |
| Uppr gi scope w/submuc inj CPT 43236 | $109.44 | $342.00 | $29.27 – $524.13 | 16 |
| Urea nitrogen CPT 84520 | $43.20 | $135.00 | $0.43 – $19.25 | 12 |
| Urea nitrogen 24 hour urine CPT 84540 | $21.44 | $67.00 | $0.31 – $10.19 | 12 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $301.12 | $941.00 | $22.35 – $1,646.75 | 10 |
| Urethrocystography void s&i CPT 74455 | $327.04 | $1,022.00 | $22.89 – $1,788.50 | 10 |
| Uric acid blood CPT 84550 | $50.24 | $157.00 | $2.94 – $113.75 | 12 |
| Uric acid urine CPT 84560 | $43.20 | $135.00 | $0.76 – $26.25 | 12 |
| Urinalysis microscopic only CPT 81015 | $10.24 | $32.00 | $0.98 – $56.00 | 12 |
| Urinalysis (with microscopy) CPT 81001 | $34.88 | $109.00 | $1.39 – $77.00 | 12 |
| Urinalysis (without microscopy) CPT 81003 | $24.00 | $75.00 | $0.18 – $14.00 | 12 |
| Urine Culture Test CPT 87086 | $36.80 | $115.00 | $8.07 – $201.25 | 12 |
| Urine pregnancy test CPT 81025 | $22.72 | $71.00 | $2.15 – $43.75 | 12 |
| Vaccine dtap < 7 years im CPT 90700 | $14.40 | $45.00 | $4.00 – $66.50 | 3 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $92.80 | $290.00 | $4.00 – $507.50 | 3 |
| Vaccine dtap-ipv/hib im CPT 90698 | $250.88 | $784.00 | $4.00 – $66.50 | 3 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $45.76 | $143.00 | $4.00 – $63.00 | 3 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $22.12 | $69.12 | $4.00 – $66.50 | 3 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $44.16 | $138.00 | $4.00 – $241.50 | 3 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $41.57 | $129.92 | $4.00 – $63.00 | 3 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $125.44 | $392.00 | $38.00 – $66.50 | 2 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $21.76 | $68.00 | $4.00 – $119.00 | 3 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $112.31 | $350.96 | $4.00 – $614.18 | 3 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $28.04 | $87.64 | $4.00 – $61.25 | 3 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | $16.00 | $50.00 | $4.00 – $63.00 | 3 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | $10.24 | $32.00 | $4.00 – $56.00 | 3 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $12.16 | $38.00 | $4.00 – $56.00 | 3 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $67.84 | $212.00 | $4.00 – $66.50 | 3 |
| Vaccine mmr live subcutaneous CPT 90707 | $66.75 | $208.60 | $4.00 – $66.50 | 3 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $95.36 | $298.00 | $4.00 – $521.50 | 3 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $212.80 | $665.00 | $4.00 – $66.50 | 3 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $15.36 | $48.00 | $4.00 – $66.50 | 3 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $54.40 | $170.00 | $4.00 – $66.50 | 3 |
| Vaccine tdap >=7 years im CPT 90715 | $69.28 | $216.51 | $4.00 – $66.50 | 3 |
| Vaccine varicella live subcutaneous CPT 90716 | $78.80 | $246.24 | $4.00 – $66.50 | 3 |
| Vag hyst including t/o CPT 58262 | $738.56 | $2,308.00 | $29.27 – $2,308.00 | 13 |
| Vaginal Delivery (full care) CPT 59400 | $1,895.68 | $5,924.00 | $29.27 – $5,924.00 | 13 |
| Vaginal hysterectomy CPT 58260 | $670.08 | $2,094.00 | $29.27 – $1,655.08 | 13 |
| Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr HCPCS J3379 | $12.58 | $39.31 | $39.31 – $68.79 | 3 |
| Valproic acid total therapeutic drug level CPT 80164 | $76.48 | $239.00 | $5.42 – $70.00 | 12 |
| Valvuloplasty aortic CPT 92986 | $5,378.88 | $16,809.00 | $1,018.07 – $29,415.75 | 8 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | $863.04 | $2,697.00 | $29.27 – $4,928.63 | 13 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $42.63 | $133.23 | $0.02 – $83.98 | 4 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $28.56 | $89.24 | $0.08 – $156.17 | 4 |
| Vancomycin peak therapeutic drug level CPT 80202 | $64.32 | $201.00 | $13.54 – $334.25 | 12 |
| Varicella zoster antibody igg CPT 86787 | $71.36 | $223.00 | $12.88 – $390.25 | 12 |
| Vasectomy CPT 55250 | $189.12 | $591.00 | $29.27 – $591.00 | 16 |
| Vbac delivery 59610 CPT 59610 | $1,968.96 | $6,153.00 | $29.27 – $6,153.00 | 13 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $6,720.00 | $21,000.00 | $16.03 – $36,750.00 | 10 |
| Veeg unmon 12-26 hrs CPT 95714 | $813.76 | $2,543.00 | $285.93 – $4,450.25 | 7 |
| Veeg unmon 2-12 hrs CPT 95711 | $208.32 | $651.00 | $165.45 – $1,139.25 | 7 |
| Vein bypass grft fem-popliteal 35583 CPT 35583 | $1,054.72 | $3,296.00 | $29.27 – $3,296.00 | 13 |
| Vein x-ray kidney CPT 75831 | $1,227.84 | $3,837.00 | $71.80 – $6,714.75 | 10 |
| Vein x-ray liver CPT 75891 | $1,227.84 | $3,837.00 | $72.87 – $6,714.75 | 10 |
| Vein x-ray liver w/hemodynam CPT 75885 | $1,227.84 | $3,837.00 | $91.09 – $6,714.75 | 10 |
| Vein x-ray liver w/hemodynam CPT 75889 | $1,377.60 | $4,305.00 | $72.33 – $7,533.75 | 10 |
| Vein x-ray liver without hemodyn CPT 75887 | $1,791.04 | $5,597.00 | $91.09 – $9,794.75 | 10 |
| Vein x-ray spleen/liver CPT 75810 | $1,791.04 | $5,597.00 | $66.91 – $9,794.75 | 10 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $8.64 | $27.00 | $7.48 – $47.25 | 10 |
| Venogram ext bil s&i CPT 75822 | $593.60 | $1,855.00 | $48.85 – $3,246.25 | 10 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $1,437.12 | $4,491.00 | $31.51 – $3,906.00 | 10 |
| Venous mech thrombectomy CPT 37187 | $6,452.80 | $20,165.00 | $303.32 – $35,288.75 | 7 |
| Venous m-thrombectomy add-on CPT 37188 | $1,899.52 | $5,936.00 | $219.50 – $10,388.00 | 9 |
| Venous sampling s&i CPT 75893 | $2,117.12 | $6,616.00 | $37.29 – $11,578.00 | 10 |
| Ven thrombosis images bilat CPT 78458 | $412.16 | $1,288.00 | $132.39 – $2,254.00 | 9 |
| Ventilator each subsequent day CPT 94003 | $1,210.88 | $3,784.00 | $43.79 – $6,622.00 | 9 |
| Ventilator initial day CPT 94002 | $1,424.64 | $4,452.00 | $59.64 – $7,791.00 | 7 |
| Version cephalic external CPT 59412 | $384.00 | $1,200.00 | $86.93 – $4,015.37 | 7 |
| Very long chain fatty acids CPT 82726 | $5.14 | $16.05 | $3.17 – $38.73 | 12 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | $25.92 | $81.00 | $6.11 – $141.75 | 6 |
| Virus isolation addl studies ea CPT 87253 | $87.68 | $274.00 | $12.39 – $479.50 | 12 |
| Visc & infraren abd 1 prosth CPT 34845 | $573.76 | $1,793.00 | $29.27 – $1,793.00 | 4 |
| Vital capacity test CPT 94150 | $102.72 | $321.00 | $7.54 – $378.00 | 9 |
| Vitamin b-12 CPT 82607 | $45.12 | $141.00 | $3.63 – $42.18 | 12 |
| Vitamin D Test CPT 82306 | $65.28 | $204.00 | $17.76 – $105.00 | 12 |
| Vkorc1 gene CPT 81355 | $32.00 | $100.00 | $66.15 – $175.00 | 12 |
| Volume measurement urine timed CPT 81050 | $11.52 | $36.00 | $1.09 – $52.50 | 12 |
| Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr HCPCS J3465 | $49.73 | $155.40 | $0.56 – $271.95 | 6 |
| Vulvectomy simple partial CPT 56620 | $487.04 | $1,522.00 | $29.27 – $1,522.00 | 13 |
| Warde 1003990 aldosterone CPT 82088 | $191.04 | $597.00 | $40.75 – $1,044.75 | 12 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $46.40 | $145.00 | $27.80 – $253.75 | 12 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $111.04 | $347.00 | $12.90 – $607.25 | 12 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $148.16 | $463.00 | $25.25 – $810.25 | 12 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $83.52 | $261.00 | $6.82 – $77.00 | 12 |
| Warde 1015200 kappa light chain free CPT 83521 | $85.44 | $267.00 | $5.97 – $60.45 | 12 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $10.24 | $32.00 | $2.57 – $56.00 | 12 |
| Warde 3008005 oligoclonal bands CPT 83916 | $146.56 | $458.00 | $27.39 – $801.50 | 12 |
| Warde 3016000 west nile virus antibody CPT 86788 | $124.16 | $388.00 | $16.85 – $679.00 | 12 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $124.16 | $388.00 | $14.39 – $679.00 | 12 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $117.12 | $366.00 | $12.25 – $640.50 | 12 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $39.68 | $124.00 | $7.39 – $145.25 | 12 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $33.28 | $104.00 | $13.31 – $129.50 | 12 |
| Warde 3400683 amplification rna markers infectious disease bacterial vaginosis CPT 81513 | $85.76 | $268.00 | $106.97 – $269.98 | 12 |
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.