Supplies, drugs & other prices at Kapiʻolani Medical Center for Women & Children

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

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

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ProcedureCash priceGross charge× Medicare
Admin influenza virus vac (G0008) $90 $150 1.6×
Admin pneumococcal vaccine (G0009) $90 $150 1.6×
Alcohol/sub misuse assess (G2011) $40.80 $68 1.2×
Alcohol/subs interv 15-30mn (G0396) $48.60 $81 1.1×
Alcohol/subs interv >30 min (G0397) $237.60 $396 1.1×
Catheterize for urine spec (P9612) $229.20 $382 24.5×
Chemo extend iv infus w/pump (G0498) $831.60 $1,386 2.1×
Covid-19 lab test non-cdc (U0002) $84 $140 1.6×
Direct refer hospital observ (G0379) $77.40 $129 0.1×
Drug test def 1-7 classes (G0480) $142.50 $237.50 1.2×
Drug test def 8-14 classes (G0481) $168.90 $281.50 1.1×
Elec stim other than wound (G0283) $97.50 $162.50 7.7×
Hospital outpt clinic visit (G0463) $328.50 $547.50 2.1×
Hpv combo assay ca screen (G0476) $74.10 $123.50 2.1×
Mra w/cont, abd (C8900) $1,826.40 $3,044 4.4×
Mra w/cont, chest (C8909) $1,801.20 $3,002 4.4×
Mra w/cont, lwr ext (C8912) $1,842.60 $3,071 4.5×
Mra w/cont, pelvis (C8918) $1,826.40 $3,044 4.4×
Mra w/o cont, abd (C8901) $1,705.80 $2,843 6.1×
Mra w/o cont, chest (C8910) $1,705.80 $2,843 6.1×
Mra w/o cont, lwr ext (C8913) $1,716.60 $2,861 6.1×
Mra w/o cont, pelvis (C8919) $1,716.60 $2,861 6.1×
Mra w/o fol w/cont, abd (C8902) $1,979.40 $3,299 4.8×
Mra w/o fol w/cont, chest (C8911) $1,947.60 $3,246 4.7×
Mra w/o fol w/cont, lwr ext (C8914) $1,979.40 $3,299 4.8×
Mra w/o fol w/cont, pelvis (C8920) $1,979.40 $3,299 4.8×
Mra, w/dye, spinal canal (C8931) $1,854.60 $3,091 4.5×
Mra, w/dye, upper extremity (C8934) $1,539.60 $2,566 3.7×
Mra, w/o dye, spinal canal (C8932) $1,716.60 $2,861 6.1×
Mra, w/o dye, upper extr (C8935) $1,443.60 $2,406 5.1×
Mra, w/o&w/dye, spinal canal (C8933) $1,948.80 $3,248 4.7×
Mra, w/o&w/dye, upper extr (C8936) $1,678.80 $2,798 4.1×
Mri w/o fol w/cont, breast, (C8908) $2,461.20 $4,102 6.0×
Mri w/o fol w/cont, brst, un (C8905) $1,757.40 $2,929 4.3×
Neuro csf prion prtn qual (0035U) $789 $1,315 1.5×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T)
unusually low: confirm this is the full procedure
$6,475.20 $10,792 0.5×
Prostate biopsy, any mthd (G0416) $301.80 $503 0.7×
Psa screening (G0103) $66.60 $111 3.4×
Scr c/v cyto,thinlayer,rescr (G0145) $134.40 $224 5.1×
Screen cerv/vag thin layer (G0123) $66.60 $111 3.3×
Screen pap by tech w md supv (P3000) $24.60 $41 1.3×
Tomosynthesis, mammo (G0279) $39 $65 3.1×
Unsched dialysis esrd pt hos (G0257) $592.88 $988.13 0.7×