Supplies, drugs & other prices at Kuakini Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Admin hepatitis b vaccine (G0010) $137.70 $153 2.5×
Admin influenza virus vac (G0008) $137.70 $153 2.5×
Admin pneumococcal vaccine (G0009) $137.70 $153 2.5×
Ca screen;flexi sigmoidscope (G0104) $991.35 $1,101.50 0.9×
Catheterize for urine spec (P9612) $252.45 $280.50 27.0×
Colon ca scrn not hi rsk ind (G0121) $1,657.80 $1,842 1.5×
Colorectal scrn; hi risk ind (G0105) $1,657.80 $1,842 1.5×
Drug test def 1-7 classes (G0480) $266.22 $295.80 2.3×
Drug test def 22+ classes (G0483) $398.52 $442.80 1.6×
Endo defect closure gi tract (C9901) $7,662.60 $8,514 0.6×
Home sleep test/type 3 porta (G0399) $1,335.15 $1,483.50 5.2×
Hospital outpt clinic visit (G0463) $182.25 $202.50 1.2×
Inj for sacroiliac jt anesth (G0260) $1,227.15 $1,363.50 1.5×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T)
unusually low: confirm this is the full procedure
$16,046.10 $17,829 0.4×
Mra w/cont, abd (C8900) $2,186.10 $2,429 5.3×
Mra w/cont, chest (C8909) $2,186.10 $2,429 5.3×
Mra w/cont, lwr ext (C8912) $2,186.10 $2,429 5.3×
Mra w/cont, pelvis (C8918) $2,186.10 $2,429 5.3×
Mra w/o cont, abd (C8901) $2,186.10 $2,429 7.8×
Mra w/o cont, chest (C8910) $2,186.10 $2,429 7.8×
Mra w/o cont, lwr ext (C8913) $2,186.10 $2,429 7.8×
Mra w/o cont, pelvis (C8919) $2,186.10 $2,429 7.8×
Mra w/o fol w/cont, abd (C8902) $3,721.95 $4,135.50 9.0×
Mra w/o fol w/cont, chest (C8911) $3,721.95 $4,135.50 9.0×
Mra w/o fol w/cont, lwr ext (C8914) $3,721.95 $4,135.50 9.0×
Mra w/o fol w/cont, pelvis (C8920) $3,721.95 $4,135.50 9.0×
Perc d-e cor revasc chro sin (C9607) $11,637.90 $12,931 0.5×
Perc d-e cor revasc t cabg s (C9604) $11,637.90 $12,931 0.9×
Perc d-e cor stent ather s (C9602) $11,637.90 $12,931 0.5×
Perc drug-el cor stent sing (C9600) $11,637.90 $12,931 0.9×
Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0627T) $8,742.60 $9,714 0.6×
Perq Sacral Augmt Bilat Inj (0201T)
likely a partial charge, not the full procedure
$2,540.70 $2,823 0.3×
Perq Sacral Augmt Unilat Inj (0200T)
likely a partial charge, not the full procedure
$2,141.55 $2,379.50 0.2×
Prostate biopsy, any mthd (G0416) $605.25 $672.50 1.4×
Tomosynthesis, mammo (G0279) $48.15 $53.50 3.8×
Unsched dialysis esrd pt hos (G0257) $2,130.30 $2,367 2.6×