Molokai General Hospital
Kaunakakai, HI · Critical Access Hospital
Posts prices for 32 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-28.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Upper GI endoscopy (EGD), diagnostic (43235) | $777.70 | $1,111 | 0.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) | $777.70 | $1,111 | 0.7× |
| Diagnostic colonoscopy (45378) | $756.70 | $1,081 | 0.7× |
| Colonoscopy with biopsy (45380) | $978.60 | $1,398 | 0.7× |
| Colonoscopy with lesion removal (45385) | $978.60 | $1,398 | 0.7× |
| CT head/brain without contrast (70450) range across 2 matching MRF lines |
$1,409.80–$1,480.50 | $2,014–$2,115 | varies |
| X-ray lower spine, 4+ views (72110) range across 2 matching MRF lines |
$476–$490 | $680–$700 | varies |
| CT pelvis with contrast (72193) range across 2 matching MRF lines |
$1,724.10–$1,896.30 | $2,463–$2,709 | varies |
| CT abdomen and pelvis with contrast (74177) range across 2 matching MRF lines |
$2,795.80–$2,935.80 | $3,994–$4,194 | varies |
| Ultrasound, abdomen complete (76700) range across 2 matching MRF lines |
$730.80–$752.50 | $1,044–$1,075 | varies |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) range across 2 matching MRF lines |
$568.40–$625.10 | $812–$893 | varies |
| Ultrasound, transvaginal (76830) | $506.80 | $724 | 4.1× |
| Mammography, one breast (diagnostic) (77065) | $283.50 | $405 | 3.3× |
| Mammography, both breasts (diagnostic) (77066) | $415.10 | $593 | 3.8× |
| Mammography, screening (bilateral) (77067) range across 2 matching MRF lines |
$279.30–$287.70 | $399–$411 | varies |
| Basic metabolic panel (80048) range across 2 matching MRF lines |
$88.90–$177.80 | $127–$254 | varies |
| Comprehensive metabolic panel (80053) | $105 | $150 | 9.9× |
| Lipid panel (80061) range across 2 matching MRF lines |
$102.20–$107.10 | $146–$153 | varies |
| Renal function panel (80069) | $84 | $120 | 9.7× |
| Hepatic function panel (80076) range across 2 matching MRF lines |
$119–$125.30 | $170–$179 | varies |
| Urinalysis, non-automated, with microscopy (81000) | $28.70 | $41 | 7.1× |
| Urinalysis, non-automated, without microscopy (81002) | $18.90 | $27 | 5.4× |
| PSA, total (84153) range across 2 matching MRF lines |
$105–$140 | $150–$200 | varies |
| Thyroid stimulating hormone (TSH) (84443) range across 2 matching MRF lines |
$147–$192.50 | $210–$275 | varies |
| CBC with automated differential (85025) range across 4 matching MRF lines |
$81.20–$217 | $116–$310 | varies |
| CBC, automated (85027) range across 3 matching MRF lines |
$107.10–$112.70 | $153–$161 | varies |
| Prothrombin time (PT) (85610) range across 2 matching MRF lines |
$51.10–$53.90 | $73–$77 | varies |
| Partial thromboplastin time (PTT) (85730) range across 2 matching MRF lines |
$60.20–$63 | $86–$90 | varies |
| Physical therapy, therapeutic exercise (per 15 min) (97110) range across 4 matching MRF lines |
$123.90–$495.60 | $177–$708 | varies |
| Office visit, new patient (low complexity, ~30 min) (99203) | $350.70 | $501 | 2.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) | $238.70 | $341 | 1.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) | $267.40 | $382 | 1.7× |
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.
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
More prices at this hospital
- Imaging: 180 codes with posted prices and Medicare benchmarks
- Lab & pathology: 251 codes with posted prices and Medicare benchmarks
- Visits & medical services: 94 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 308 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 11 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 20.3 MB) ↓ — captured 2026-08-28
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.