Visits & medical services prices at Hilo Benioff Medical Center
Hilo, HI · every code in this section with a posted price and a Medicare benchmark.
155 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $97.20 | $162 | 2.0× |
| Airway Inhalation Treatment (94640) | $655.20 | $1,092 | 2.5× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $40.80 | $68 | 2.8× |
| Application on-body injector (96377) | $143.40 | $239 | 2.6× |
| Assessment of aphasia per hr (96105) | $272.40 | $454 | 2.8× |
| Behavral qualit analys voice (92524) | $313.20 | $522 | 2.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $743.40 | $1,239 | 1.7× |
| Car seat/bed test 60 min (94780) | $91.80 | $153 | 2.1× |
| Cardiac Stress Tst,Tracing Only (93017) | $929.40 | $1,549 | 3.6× |
| Cardiopulmonary resuscitation (92950) | $929.40 | $1,549 | 3.6× |
| Cardioversion (92960) | $1,953 | $3,255 | 2.5× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $71.40 | $119 | 1.6× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $64.80 | $108 | 2.5× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $9,600 | $16,000 | 2.5× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $9,600 | $16,000 | 2.5× |
| Cbt 1st hour (94644) | $415.80 | $693 | 2.6× |
| Chemo Anti-Neopl Sq/Im (96401) | $169.80 | $283 | 2.0× |
| Chemo Hormon Antineopl Sq/Im (96402) | $169.80 | $283 | 2.0× |
| Chemo IV infusion addl hr (96415) | $169.80 | $283 | 2.0× |
| Chemo IV push addl drug (96411) | $169.80 | $283 | 2.0× |
| Chemother Prolong Infuse W/Pump (96416) | $792 | $1,320 | 2.0× |
| Chemotherapy Into Cns (96450) | $792 | $1,320 | 2.0× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $169.80 | $283 | 2.0× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $792 | $1,320 | 2.0× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $792 | $1,320 | 2.0× |
| Chest Wall Manipulation (94668) | $415.80 | $693 | 2.6× |
| Color/duplex Doppler, complete (93975) | $577.20 | $962 | 2.0× |
| Color/duplex Doppler, limited (93976) | $253.80 | $423 | 2.1× |
| Continuous Pulse Ox (94762) | $190.20 | $317 | 1.3× |
| Coronary Art/Grft Angio S&I (93455) | $9,600 | $16,000 | 2.5× |
| Coronary Artery Angio S&I (93454) | $9,600 | $16,000 | 2.5× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $655.20 | $1,092 | 2.5× |
| Cpt initial (94667) | $415.80 | $693 | 2.6× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$3,754.20–$4,129.80 | $6,257–$6,883 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) | $474.60 | $791 | 2.0× |
| Dialysis One Evaluation (90945) | $1,017 | $1,695 | 2.1× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $253.80 | $423 | 2.1× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $577.20 | $962 | 2.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $253.80 | $423 | 2.1× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $577.20 | $962 | 2.0× |
| Dup-scan xtr veins unilateral/limited study (93971) | $253.80 | $423 | 2.1× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $1,154.40 | $1,924 | 4.1× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $253.80 | $423 | 2.1× |
| Duplex Scan Hemodialysis Access (93990) | $253.80 | $423 | 2.1× |
| Duplex up extrem art bilat (93930) | $577.20 | $962 | 2.0× |
| Duplex up extrem art unilat/ltd (93931) | $253.80 | $423 | 2.1× |
| Echo Congenital Complete (93303) | $1,636.80 | $2,728 | 2.5× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$577.20–$721.80 | $962–$1,203 | varies |
| Echo r-t 2d w/probe placement only (93313) | $1,282.20 | $2,137 | 2.0× |
| Echo transesophageal (93312) | $1,636.80 | $2,728 | 2.5× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $1,636.80 | $2,728 | 2.5× |
| Eeg 41-60 Minutes (95812) | $743.40 | $1,239 | 2.9× |
| EEG extended monitoring 61-119 minutes (95813) | $743.40 | $1,239 | 2.9× |
| Electrical Stimulation Ea 15 Min (97032) | $40.80 | $68 | 2.8× |
| Electrocardiogram Tracing (93005) | $141.60 | $236 | 2.0× |
| Emergency Dept Visit Level 2 (99282) | $792.60 | $1,321 | 4.4× |
| Emergency Dept Visit Level 3 (99283) | $1,084.20 | $1,807 | 3.4× |
| Emergency Dept Visit Level 4 (99284) | $1,842.60 | $3,071 | 3.7× |
| Er level 1 (99281) | $457.20 | $762 | 4.6× |
| Er level v (99285) range across 2 matching MRF lines |
$2,136.60–$2,927.40 | $3,561–$4,879 | varies |
| Evaluate pt use of inhaler (94664) | $655.20 | $1,092 | 2.5× |
| Evaluate Speech Production (92522) | $319.20 | $532 | 2.9× |
| Evaluate Swallowing Function (92610) | $196.80 | $328 | 2.3× |
| Evaluation of speech fluency (92521) | $383.40 | $639 | 2.9× |
| Evoked Auditory Test,Limited (92587) | $743.40 | $1,239 | 2.9× |
| External ECG rec>48hr<7d recording (93242) | $91.80 | $153 | 2.1× |
| External ECG rec>7d<15d recording (93246) | $91.80 | $153 | 2.1× |
| Extracranial Bilat Study (93880) | $577.20 | $962 | 2.0× |
| Extracranial Uni/Ltd Study (93882) | $253.80 | $423 | 2.1× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $1,636.80 | $2,728 | 2.5× |
| Flexible endoscopic eval swallow c/v rec (92612) | $184.80 | $308 | 0.9× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $9,600 | $16,000 | 2.5× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $1,671 | $2,785 | 2.1× |
| Icd Device Interrogate (93289) | $111 | $185 | 2.5× |
| Icd device progr eval dual (93283) | $111 | $185 | 2.5× |
| Icd Device Progr Eval Mult (93284) | $111 | $185 | 2.5× |
| Ilr Device Eval Progr (93285) | $111 | $185 | 2.5× |
| Ilr Device Interrogate (93291) | $72.60 | $121 | 2.1× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $166.20 | $277 | 2.0× |
| Immunization administration (90471) | $169.80 | $283 | 2.0× |
| Interrogate Subq Defib (93261) | $111 | $185 | 2.5× |
| Interrogation eval in person wr defibrillator (93292) | $111 | $185 | 2.5× |
| Irrig Drug Delivery Device (96523) | $141.60 | $236 | 2.0× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$110.40–$143.40 | $184–$239 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$502.80–$653.40 | $838–$1,089 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$169.80–$220.80 | $283–$368 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$110.40–$143.40 | $184–$239 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$502.80–$653.40 | $838–$1,089 | varies |
| L Hrt Art/Grft Angio (93459) | $9,600 | $16,000 | 2.5× |
| Methacholine challenge (94070) | $743.40 | $1,239 | 1.7× |
| Motion Fluoroscopy/Swallow (92611) | $261.60 | $436 | 2.9× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $1,170 | $1,950 | 2.4× |
| Neuromuscular Reeducation (97112) | $97.80 | $163 | 3.0× |
| Oral Function Therapy (92526) | $245.40 | $409 | 2.9× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $157.20 | $262 | 3.1× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $141.60 | $236 | 3.1× |
| Ot eval high complexity (97167) | $294 | $490 | 2.9× |
| Ot Eval Low Complex (97165) | $294 | $490 | 2.9× |
| Ot Eval Moderate Complexity (97166) | $294 | $490 | 2.9× |
| Ot manual therapy 15 min (97140) | $78.60 | $131 | 2.8× |
| Ot Prosthetic Training, Each 15 Min (97761) | $123 | $205 | 3.0× |
| Ot Re-Eval Est Plan Care (97168) | $205.20 | $342 | 3.0× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) | $37,869.60 | $63,116 | 1.7× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $17,017.80 | $28,363 | 2.5× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $33,848.40 | $56,414 | 2.5× |
| Phlebotomy therapeutic (99195) | $400.20 | $667 | 2.5× |
| Plethysmography (94726) | $743.40 | $1,239 | 1.7× |
| Pm device eval in person (93288) | $111 | $185 | 2.5× |
| Pm device progr eval dual (93280) | $111 | $185 | 2.5× |
| Pm device progr eval multi (93281) | $111 | $185 | 2.5× |
| Pm Device Progr Eval Sngl (93279) | $111 | $185 | 2.5× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $111 | $185 | 2.5× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $111 | $185 | 2.5× |
| Prq Card Angio/Athrect 1 Art (92924) | $33,848.40 | $56,414 | 2.5× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $26,514.60 | $44,191 | 1.9× |
| Pt Eval High Complex (97163) | $291.60 | $486 | 3.0× |
| Pt eval low complex 20 min (97161) | $291.60 | $486 | 3.0× |
| Pt Eval Mod Complex (97162) | $291.60 | $486 | 3.0× |
| Pt gait training 15 min (97116) | $85.20 | $142 | 2.9× |
| Pt Re-Eval Est Plan Care (97164) | $203.40 | $339 | 3.0× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $71.40 | $119 | 1.6× |
| Pulm function test by gas (94727) | $373.80 | $623 | 1.5× |
| Pulmonary Stress Testing (94618) | $307.80 | $513 | 2.0× |
| R hrt coronary artery angio (93456) | $9,600 | $16,000 | 2.5× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $9,600 | $16,000 | 2.5× |
| Refill/Maint Portable Pump (96521) | $502.80 | $838 | 2.0× |
| Refill/Maint Pump/Resvr Syst (96522) | $502.80 | $838 | 2.0× |
| Respiratory flow volume loop (94375) | $727.80 | $1,213 | 2.9× |
| Right Heart Cath (93451) | $9,600 | $16,000 | 2.5× |
| Self Care Mngment Training (97535) | $95.40 | $159 | 2.9× |
| Sensory Integration Ea 15 Min (97533) | $135.60 | $226 | 2.2× |
| Slp caregiver training 1st 30 min (97550) | $142.80 | $238 | 2.7× |
| Speech sound lang comprehen (92523) | $657 | $1,095 | 2.9× |
| Spirometry (94010) | $373.80 | $623 | 1.5× |
| Standardized Cognitive Performance Testing (96125) | $294 | $490 | 2.9× |
| Stress Tte Only (93350) | $1,636.80 | $2,728 | 2.5× |
| Surfactant Admin Thru Tube (94610) | $475.80 | $793 | 1.8× |
| Temp transcutaneous pacing (92953) | $1,562.40 | $2,604 | 2.0× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $61.80 | $103 | 2.8× |
| Ther Ivntj Ea Addl 15 Min (97130) | $59.40 | $99 | 2.8× |
| Ther/Proph/Diag Inj Ia (96373) | $502.80 | $838 | 2.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$169.80–$220.80 | $283–$368 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$502.80–$653.40 | $838–$1,089 | varies |
| Therapeutic Activities (97530) | $108.60 | $181 | 3.1× |
| Tte w/doppler, complete (93306) | $2,358 | $3,930 | 3.7× |
| Tte W/O Doppler Complete (93307) | $252.60 | $421 | 0.9× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $219.60 | $366 | 2.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$110.40–$143.40 | $184–$239 | varies |
| Unlisted cardiovascular service/procedure (93799) | $467.40 | $779 | 3.1× |
| Upr/L Xtremity Art 2 Levels (93922) | $307.80 | $513 | 2.0× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $373.80 | $623 | 1.5× |
| Vent Mgmt Inpat Init Day (94002) | $2,131.20 | $3,552 | 2.9× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $2,131.20 | $3,552 | 2.9× |
| Vital capacity, total (94150) | $373.80 | $623 | 2.5× |
| Wheelchair Mgmt Ea 15 Min (97542) | $92.40 | $154 | 3.0× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.