Supplies, drugs & other prices at Maui Memorial Medical Center

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

27 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,co (C8923) $2,206.01 $3,739 2.4×
2d tte w or w/o fol w/con,fu (C8924) $2,046.12 $3,468 5.0×
3d anat seg imaging preop (C8001) $87.32 $148 0.6×
Imp extar knee shck absrb (C8003) $18,206.81 $30,859 0.9×
Mra w/cont, abd (C8900) $1,411.87 $2,393 3.4×
Mra w/o cont, abd (C8901) $1,270.86 $2,154 4.5×
Mra w/o cont, chest (C8910) $1,270.86 $2,154 4.5×
Mra w/o cont, pelvis (C8919) $1,270.86 $2,154 4.5×
Mra w/o fol w/cont, abd (C8902) $1,764.69 $2,991 4.3×
Mra w/o fol w/cont, chest (C8911) $1,764.69 $2,991 4.3×
Mri w/cont, breast, bi (C8906) $2,118.10 $3,590 5.1×
Mri w/cont, breast, uni (C8903) $1,411.87 $2,393 6.8×
Mri w/o fol w/cont, breast, (C8908) $1,976.50 $3,350 4.8×
Mri w/o fol w/cont, brst, un (C8905) $1,764.69 $2,991 4.3×
Perc d-e cor revasc chro sin (C9607) $20,081.24 $34,036 0.9×
Perc d-e cor revasc t cabg s (C9604) $18,924.84 $32,076 1.4×
Perc d-e cor stent ather s (C9602) $21,122 $35,800 1.0×
Perc drug-el cor stent sing (C9600) $16,924.74 $28,686 1.2×
Prep skin cell susp, automtd (C8002) $6,187.92 $10,488 0.7×
Prolonged iv inf, req pump (C8957) $1,218.94 $2,066 4.9×
Revasc lith-sten-ath tib/per (C9775) $39,651.54 $67,206 1.8×
Revasc lithotr-ather tib/per (C9774) $39,651.54 $67,206 1.8×
Revasc lithotr-stent tib/per (C9773) $39,651.54 $67,206 1.8×
Revasc lithotrip tibi/perone (C9772) $24,790.03 $42,017 1.8×
Revasc lithotrip-stent-ather (C9767) $56,605.19 $95,941 2.6×
Tte w or w/o fol w/con,stres (C8928) $2,206.01 $3,739 2.4×
Tte w or wo fol wcon,doppler (C8929) $1,470.87 $2,493 1.6×