Supplies, drugs & other prices at Adventist Health Castle

Kailua, HI · every code in this section with a posted price and a Medicare benchmark.

48 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
2d tte w or w/o fol w/con,fu (C8924) $27.52 $86 0.1×
Admin hepatitis b vaccine (G0010) $11.20 $35 0.2×
Brief alcohol misuse counsel (G0443) $17.60 $55 0.1×
Brief chkin by md/qhp, 11-20 (G2252) $19.84 $62 0.7×
Ca screen;pelvic/breast exam (G0101) $28.64 $89.50 0.2×
Catheterize for urine spec (P9612) $25.28 $79 2.7×
Colon ca scrn not hi rsk ind (G0121) $144.96 $453 0.1×
Colorectal scrn; hi risk ind (G0105) $144.96 $453 0.1×
Diab manage trn per indiv (G0108) $20.48 $64 0.4×
Diab manage trn ind/group (G0109) $14.72 $46 0.9×
Direct refer hospital observ (G0379) $77.76 $243 0.1×
Fecal blood scrn immunoassay (G0328) $25.28 $79 1.4×
Group mnt 2 or more 30 mins (G0271) $11.52 $36 0.7×
Iliac Atherectomy (0238T)
unusually low: confirm this is the full procedure
$10,217.28 $1,568 0.5×
Initial preventive exam (G0402) $87.52 $273.50 0.6×
Mnt subs tx for change dx (G0270) $11.52 $36 0.4×
Mra w/cont, lwr ext (C8912) $814.08 $2,544 2.0×
Mra w/cont, pelvis (C8918) $814.08 $2,544 2.0×
Mra w/o cont, lwr ext (C8913) $722.56 $2,258 2.6×
Mra w/o cont, pelvis (C8919) $722.56 $2,258 2.6×
Mra w/o fol w/cont, lwr ext (C8914) $909.12 $2,841 2.2×
Mra w/o fol w/cont, pelvis (C8920) $909.12 $2,841 2.2×
Mra, w/o&w/dye, spinal canal (C8933) $881.92 $2,756 2.1×
Neuro csf prion prtn qual (0035U) $346.24 $1,082 0.6×
Obtaining screen pap smear (Q0091) $11.52 $36 0.3×
Onc Merkel Cll Carc Srm Quan (0058U) $158.62 $495.69 0.5×
Perc d-e cor revasc chro sin (C9607) $10,862.40 $33,945 0.5×
Perc d-e cor revasc t cabg s (C9604) $9,811.20 $30,660 0.7×
Perc d-e cor stent ather s (C9602) $12,750.40 $39,845 0.6×
Perc drug-el cor stent sing (C9600) $8,454.08 $26,419 0.6×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T)
unusually low: confirm this is the full procedure
$5,536 $17,300 0.4×
Ppps, initial visit (G0438) $91.68 $286.50 0.5×
Ppps, subseq visit (G0439) $69.28 $216.50 0.5×
Psa screening (G0103) $28.96 $90.50 1.5×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $153.60 $480 0.2×
Revasc intra lithotrip-ather (C9766) $15,560.86 $48,627.70 0.7×
Revasc intra lithotrip-stent (C9765) $15,379.52 $48,061 0.7×
Revasc intravasc lithotripsy (C9764)
unusually low: confirm this is the full procedure
$4,480 $14,000 0.3×
Revasc lithotr-ather tib/per (C9774) $17,028.80 $53,215 0.8×
Revasc lithotrip tibi/perone (C9772) $10,417.92 $32,556 0.8×
Revasc lithotrip-stent-ather (C9767) $16,610.56 $51,908 0.8×
Tomosynthesis, mammo (G0279) $41.28 $129 3.3×
Trauma respons w/hosp criti (G0390) $2,392.96 $7,478 1.5×
Trim nail(s) (G0127) $77.12 $241 1.1×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T)
unusually low: confirm this is the full procedure
$6,444.80 $20,140 0.5×
Tte w or wo fol wcon,doppler (C8929) $76.16 $238 0.1×
Twin zygosity, genomic targeted sequence analysis of cromosome 2, using circulating cell-free fetal DNA in maternal… (0060U) $224 $700 0.3×
Unsched dialysis esrd pt hos (G0257) $982.08 $3,069 1.2×