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 |
|---|---|---|---|---|
| X-ray exam si joints CPT 72200 | $88.32 | $276.00 | $12.20 – $483.00 | 10 |
| X-ray exam thorac spine4/>vw CPT 72074 | $79.04 | $247.00 | $16.63 – $432.25 | 10 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $135.68 | $424.00 | $12.67 – $742.00 | 10 |
| X-ray facial bones complete > 3 views CPT 70150 | $203.52 | $636.00 | $18.19 – $1,113.00 | 10 |
| X-ray femur >=2 views (both sides) CPT 73552 | $188.80 | $590.00 | $12.67 – $411.25 | 10 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $143.04 | $447.00 | $9.74 – $285.25 | 10 |
| X-ray foot 2 views (both sides) CPT 73620 | $152.32 | $476.00 | $11.18 – $299.25 | 10 |
| X-ray forearm 2 views (both sides) CPT 73090 | $160.32 | $501.00 | $11.18 – $411.25 | 10 |
| X-ray hand 2 views (both sides) CPT 73120 | $165.12 | $516.00 | $11.73 – $241.50 | 10 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $147.52 | $461.00 | $11.18 – $185.50 | 10 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $169.60 | $530.00 | $19.49 – $927.50 | 10 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $111.36 | $348.00 | $15.74 – $397.25 | 10 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $139.52 | $436.00 | $20.45 – $397.25 | 10 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $266.24 | $832.00 | $21.39 – $455.00 | 10 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $111.68 | $349.00 | $13.21 – $330.75 | 10 |
| X-ray humerus >= 2 views left CPT 73060 | $160.32 | $501.00 | $11.73 – $411.25 | 10 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $161.28 | $504.00 | $11.73 – $330.75 | 10 |
| X-ray knee 3 views (both sides) CPT 73562 | $192.00 | $600.00 | $13.76 – $411.25 | 10 |
| X-ray knee ap standing bilateral CPT 73565 | $118.08 | $369.00 | $12.27 – $316.75 | 10 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $139.52 | $436.00 | $11.18 – $344.75 | 10 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $157.44 | $492.00 | $15.74 – $498.75 | 10 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $202.24 | $632.00 | $18.46 – $649.25 | 10 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $224.00 | $700.00 | $20.92 – $861.00 | 10 |
| X-ray mandible complete > 4 views CPT 70110 | $203.52 | $636.00 | $17.17 – $742.00 | 10 |
| X-ray nasal bones complete > 3 views CPT 70160 | $135.68 | $424.00 | $12.20 – $556.50 | 10 |
| X-ray neck soft tissue CPT 70360 | $135.68 | $424.00 | $12.67 – $742.00 | 10 |
| X-ray nose to rectum for foreign body child CPT 76010 | $101.76 | $318.00 | $12.13 – $556.50 | 10 |
| X-ray of mammary ducts CPT 77054 | $201.60 | $630.00 | $30.53 – $1,102.50 | 10 |
| X-ray optic foramina CPT 70190 | $203.52 | $636.00 | $15.26 – $742.00 | 10 |
| X-ray pelvis 1-2 views CPT 72170 | $111.36 | $348.00 | $12.20 – $316.75 | 10 |
| X-ray pelvis complete > 3 views CPT 72190 | $202.24 | $632.00 | $17.99 – $649.25 | 10 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $332.80 | $1,040.00 | $25.40 – $172.65 | 16 |
| X-ray ribs 2 views left CPT 71100 | $125.76 | $393.00 | $15.20 – $418.25 | 10 |
| X-ray ribs 3 views bilateral CPT 71110 | $189.12 | $591.00 | $19.62 – $521.50 | 10 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $146.24 | $457.00 | $18.40 – $418.25 | 10 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $217.28 | $679.00 | $21.88 – $521.50 | 10 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $159.04 | $497.00 | $15.13 – $518.00 | 10 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $145.60 | $455.00 | $12.20 – $474.25 | 10 |
| X-ray scapula complete (both sides) CPT 73010 | $218.56 | $683.00 | $13.28 – $500.50 | 10 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $154.24 | $482.00 | $10.70 – $330.75 | 10 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $155.84 | $487.00 | $15.20 – $742.00 | 10 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $315.52 | $986.00 | $34.56 – $1,725.50 | 10 |
| X-ray skull < 4 views CPT 70250 | $203.52 | $636.00 | $12.67 – $1,113.00 | 10 |
| X-ray skull > 4 views complete CPT 70260 | $223.04 | $697.00 | $19.15 – $1,113.00 | 10 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $171.20 | $535.00 | $39.45 – $936.25 | 10 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $264.32 | $826.00 | $42.98 – $1,445.50 | 10 |
| X-ray small intestine follow-through study CPT 74248 | $317.76 | $993.00 | $46.62 – $1,737.75 | 8 |
| X-ray spine single view CPT 72020 | $116.80 | $365.00 | $11.18 – $288.75 | 10 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $187.52 | $586.00 | $15.20 – $495.25 | 10 |
| X-ray sternum > 2 views CPT 71120 | $133.12 | $416.00 | $13.63 – $390.25 | 10 |
| X-ray surgical specimen CPT 76098 | $273.28 | $854.00 | $16.47 – $1,494.50 | 10 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $333.76 | $1,043.00 | $35.98 – $1,825.25 | 10 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $271.36 | $848.00 | $16.69 – $1,484.00 | 10 |
| X-ray thoracic spine 2 views CPT 72070 | $145.60 | $455.00 | $14.17 – $474.25 | 10 |
| X-ray thoracic spine 3 views CPT 72072 | $159.68 | $499.00 | $15.13 – $474.25 | 10 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $145.60 | $455.00 | $14.71 – $474.25 | 10 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $67.84 | $212.00 | $18.46 – $371.00 | 10 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $139.52 | $436.00 | $21.94 – $763.00 | 10 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $160.32 | $501.00 | $11.18 – $411.25 | 10 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $142.08 | $444.00 | $9.19 – $285.25 | 10 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $227.20 | $710.00 | $54.40 – $1,242.50 | 10 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $225.92 | $706.00 | $48.23 – $1,235.50 | 10 |
| X-ray wrist 2 views (both sides) CPT 73100 | $166.72 | $521.00 | $12.27 – $185.50 | 10 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $233.92 | $731.00 | $39.30 – $1,279.25 | 10 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | $230.72 | $721.00 | $29.27 – $721.00 | 12 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | $63.04 | $197.00 | $29.27 – $197.00 | 14 |
| Yersinia antibody CPT 86793 | $14.08 | $44.00 | $5.80 – $77.00 | 12 |
| Zika virus dna/rna amp probe CPT 87662 | $42.56 | $133.00 | $38.01 – $232.75 | 12 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $46.59 | $145.59 | $6.86 – $254.78 | 6 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $376.32 | $1,176.00 | $3.81 – $469.44 | 6 |
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.