Visits & medical services prices at Molokai General Hospital
Kaunakakai, HI · every code in this section with a posted price and a Medicare benchmark.
94 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $103.60 | $148 | 2.2× |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$536.90–$553 | $767–$790 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$82.60–$85.40 | $118–$122 | varies |
| Bioimpedance Cv Analysis (93701) | $320.60 | $458 | 2.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $258.30 | $369 | 0.6× |
| Canalith repositioning proc (95992) | $129.50 | $185 | 3.2× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,140.30 | $1,629 | 4.5× |
| Cardiopulmonary resuscitation (92950) | $986.30 | $1,409 | 3.9× |
| Cardioversion (92960) | $914.90 | $1,307 | 1.2× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) range across 2 matching MRF lines |
$51.10–$56 | $73–$80 | varies |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$400.40–$420.70 | $572–$601 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$259–$284.90 | $370–$407 | varies |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$259–$272.30 | $370–$389 | varies |
| Chemo IV push addl drug (96411) | $350 | $500 | 4.1× |
| Chemother Prolong Infuse W/Pump (96416) | $753.20 | $1,076 | 1.9× |
| Chemotherapy Unspecified (96549) | $38.50 | $55 | 0.7× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 2 matching MRF lines |
$350.70–$385.70 | $501–$551 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$1,274–$1,337.70 | $1,820–$1,911 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $826 | $1,180 | 2.1× |
| Color/duplex Doppler, complete (93975) | $986.30 | $1,409 | 3.5× |
| Color/duplex Doppler, limited (93976) | $403.20 | $576 | 3.3× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $123.20 | $176 | 3.8× |
| Continuous Pulse Ox (94762) | $129.50 | $185 | 0.9× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$726.60–$799.40 | $1,038–$1,142 | varies |
| Cpt initial (94667) | $517.30 | $739 | 3.3× |
| Critical care first hour (99291) | $4,480 | $6,400 | 4.6× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$726.60–$763 | $1,038–$1,090 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $490.70 | $701 | 1.7× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $417.90 | $597 | 3.4× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $998.90 | $1,427 | 8.1× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $576.80 | $824 | 2.0× |
| Dup-scan xtr veins unilateral/limited study (93971) | $443.80 | $634 | 3.6× |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$86.80–$89.60 | $124–$128 | varies |
| Electrocardiogram Tracing (93005) range across 3 matching MRF lines |
$247.10–$741.30 | $353–$1,059 | varies |
| Emergency Dept Visit Level 2 (99282) range across 3 matching MRF lines |
$834.40–$859.60 | $1,192–$1,228 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$1,629.60–$1,678.60 | $2,328–$2,398 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$2,371.60–$2,443 | $3,388–$3,490 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$464.10–$478.10 | $663–$683 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$2,650.20–$2,915.50 | $3,786–$4,165 | varies |
| Evaluate pt use of inhaler (94664) | $168.70 | $241 | 0.7× |
| External ECG rec>7d<15d recording (93246) range across 2 matching MRF lines |
$269.50–$282.80 | $385–$404 | varies |
| Group Therapeutic Procedures (97150) | $209.30 | $299 | 11.6× |
| Holter monitor recording (93225) | $534.80 | $764 | 3.4× |
| Immunization administration (90471) | $177.10 | $253 | 2.1× |
| Iontophoresis 15 min (97033) | $137.90 | $197 | 7.2× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$220.50–$242.90 | $315–$347 | varies |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$211.40–$1,230.60 | $302–$1,758 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$613.90–$632.10 | $877–$903 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$266.70–$518 | $381–$740 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 3 matching MRF lines |
$271.60–$2,987.60 | $388–$4,268 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$791–$814.80 | $1,130–$1,164 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $851.20 | $1,216 | 1.8× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $567.70 | $811 | 1.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $583.80 | $834 | 2.5× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $1,725.50 | $2,465 | 3.6× |
| Neuromuscular Reeducation (97112) range across 3 matching MRF lines |
$135.10–$392.70 | $193–$561 | varies |
| Newborn resuscitation (99465) | $1,300.60 | $1,858 | 1.7× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 2 matching MRF lines |
$95.90–$105.70 | $137–$151 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $156.80 | $224 | 3.4× |
| Ot Contrast Bath Ea 15 Min (97034) | $74.90 | $107 | 5.3× |
| Ot manual therapy 15 min (97140) range across 5 matching MRF lines |
$146.30–$585.20 | $209–$836 | varies |
| Ot paraffin bath (97018) | $46.20 | $66 | 7.7× |
| Ot Prosthetic Training, Each 15 Min (97761) | $136.50 | $195 | 3.4× |
| Phlebotomy therapeutic (99195) | $898.80 | $1,284 | 5.7× |
| Physical Performance Test (97750) | $136.50 | $195 | 4.0× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $144.20 | $206 | 3.8× |
| Pt Eval High Complex (97163) range across 2 matching MRF lines |
$291.90–$321.30 | $417–$459 | varies |
| Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$245.70–$260.40 | $351–$372 | varies |
| Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$259.70–$275.10 | $371–$393 | varies |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$109.90–$113.40 | $157–$162 | varies |
| Pt mechanical traction (97012) range across 2 matching MRF lines |
$84.70–$87.50 | $121–$125 | varies |
| Pt Re-Eval Est Plan Care (97164) range across 2 matching MRF lines |
$207.90–$214.20 | $297–$306 | varies |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) range across 2 matching MRF lines |
$56–$153.30 | $80–$219 | varies |
| Pulmonary service/procedure (94799) | $129.50 | $185 | 0.9× |
| Pure Tone Audiometry Air (92552) | $490 | $700 | 3.1× |
| Remote 30 Day Ecg Rev/Report (93270) | $73.50 | $105 | 1.7× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $98.70 | $141 | 1.4× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$693.70–$763 | $991–$1,090 | varies |
| Self Care Mngment Training (97535) | $151.20 | $216 | 4.7× |
| Sensory Integration Ea 15 Min (97533) | $118.30 | $169 | 1.9× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $329.70 | $471 | 1.3× |
| Spirometry (94010) | $408.80 | $584 | 1.6× |
| Temp transcutaneous pacing (92953) | $1,436.40 | $2,052 | 1.8× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 2 matching MRF lines |
$238–$648.90 | $340–$927 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $107.80 | $154 | 3.6× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $161.70 | $231 | 2.9× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$194.60–$389.20 | $278–$556 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$791–$814.80 | $1,130–$1,164 | varies |
| Therapeutic Activities (97530) range across 5 matching MRF lines |
$137.20–$411.60 | $196–$588 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 4 matching MRF lines |
$209.30–$418.60 | $299–$598 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $460.60 | $658 | 2.9× |
| Vasopneumatic device (97016) | $82.60 | $118 | 6.9× |
| Vital capacity, total (94150) | $129.50 | $185 | 0.9× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$123.90–$338.10 | $177–$483 | varies |
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.