Home › Hospitals › Kapiʻolani Medical Center for Women & Children Posts prices for 33 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-28.
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Procedure Cash price Gross charge × Medicare
Upper GI endoscopy (EGD), diagnostic (43235) $745.20
$1,242
0.7×
CT head/brain without contrast (70450) $1,194.60
$1,991
9.7×
MRI brain without contrast (70551) $1,474.80
$2,458
5.2×
MRI brain with contrast (70552) $1,696.20
$2,827
4.1×
MRI brain without and with contrast (70553) $2,142.60
$3,571
5.2×
X-ray lower spine, 4+ views (72110) $334.80
$558
2.7×
MRI lumbar spine without contrast (72148) $1,630.80
$2,718
5.8×
CT pelvis with contrast (72193) $1,435.80
$2,393
6.9×
MRI lower-extremity joint without contrast (73721) $1,719.60
$2,866
6.1×
CT abdomen and pelvis with contrast (74177) $2,207.40
$3,679
5.4×
Ultrasound, abdomen complete (76700) $570.60
$951
4.6×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $551.40
$919
4.5×
Ultrasound, transvaginal (76830) $324.90
$541.50
2.6×
Mammography, one breast (diagnostic) (77065) $299.40
$499
3.5×
Mammography, both breasts (diagnostic) (77066) $417
$695
3.8×
Mammography, screening (bilateral) (77067) $238.20
$397
2.6×
Basic metabolic panel (80048) $54
$90
6.4×
Comprehensive metabolic panel (80053) $66.90
$111.50
6.3×
Obstetric panel (80055) $393
$655
8.2×
Lipid panel (80061) $62.70
$104.50
4.7×
Renal function panel (80069) $54.60
$91
6.3×
Hepatic function panel (80076) $54
$90
6.6×
Urinalysis, non-automated, with microscopy (81000) $19.20
$32
4.8×
Urinalysis, non-automated, without microscopy (81002) $43.80
$73
12.6×
PSA, total (84153) $66.60
$111
3.6×
Thyroid stimulating hormone (TSH) (84443) $81
$135
4.8×
CBC with automated differential (85025) $42.60
$71
5.5×
CBC, automated (85027) $36.60
$61
5.7×
Prothrombin time (PT) (85610) $30.90
$51.50
7.2×
Partial thromboplastin time (PTT) (85730) $32.10
$53.50
5.3×
Left heart catheterization (93452) $5,845.80
$9,743
1.5×
Sleep study (attended polysomnography) (95810) $2,082
$3,470
2.1×
Physical therapy, therapeutic exercise (per 15 min) (97110) $95.40
$159
3.3×
Children's hospital — Medicare is an adult program, so the Medicare benchmarks on this page are a general yardstick, not rates this hospital typically bills.
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