Supplies, drugs & other prices at Queen's North Hawaiʻi Community Hospital

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

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

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ProcedureCash priceGross charge× Medicare
2019-ncov diagnostic p (U0001) $122.50 $175 3.4×
2d tee w or w/o fol w/con,in (C8925) $1,975.40 $2,822 2.1×
2d tte w or w/o fol w/con,co (C8923) $1,432.90 $2,047 1.5×
Admin hepatitis b vaccine (G0010) $158.20 $226 2.9×
Admin influenza virus vac (G0008) $113.40 $162 2.0×
Alcohol/subs interv 15-30mn (G0396) $121.10 $173 2.7×
Alcohol/subs interv >30 min (G0397) $217 $310 1.0×
Ca screen;pelvic/breast exam (G0101) $158.90 $227 1.3×
Chemo extend iv infus w/pump (G0498) $1,190 $1,700 3.0×
Colon ca scrn not hi rsk ind (G0121) $6,861.40 $9,802 6.2×
Colorectal scrn; hi risk ind (G0105) $7,852.60 $11,218 7.1×
Covid-19 lab test non-cdc (U0002) $122.50 $175 2.4×
Cysto impl 4 or more (C9740) $6,588.40 $9,412 0.6×
Cystoscopy prostatic imp 1-3 (C9739) $5,652.50 $8,075 0.9×
Depression screen annual (G0444) $56 $80 1.3×
Diab manage trn per indiv (G0108) $165.90 $237 3.0×
Diab manage trn ind/group (G0109) $79.10 $113 4.9×
Drug test def 1-7 classes (G0480) $466.90 $667 4.1×
Elec stim other than wound (G0283) $80.50 $115 6.3×
Elec stim unattend for press (G0281) $53.90 $77 4.6×
Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) $10,383.80 $14,834 0.8×
Fern test (Q0114) $41.30 $59 4.2×
Hbot, full body chamber, 30m (G0277) $411.60 $588 2.5×
Home sleep test/type 3 porta (G0399) $879.90 $1,257 3.4×
Hospital outpt clinic visit (G0463) $240.45 $343.50 1.5×
Iliac Atherectomy (0238T) $34,159.30 $48,799 1.6×
Inj for sacroiliac jt anesth (G0260) $2,269.40 $3,242 2.7×
Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) $1,772.40 $2,532 1.7×
Mra w/o cont, abd (C8901) $2,205 $3,150 7.8×
Mra w/o cont, pelvis (C8919) $2,579.50 $3,685 9.2×
Mra w/o fol w/cont, chest (C8911) $2,326.10 $3,323 5.6×
Mri w/o fol w/cont, breast, (C8908) $2,289.70 $3,271 5.6×
Neuro csf prion prtn qual (0035U) $1,264.20 $1,806 2.3×
Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) $1,772.40 $2,532 1.7×
Njx pltlt plasma w/img harvest/preparation (0232T) $546 $780 1.0×
Oth resp proc, indiv (G0238) $222.60 $318 6.5×
Pathogen test for platelets (P9100) $40.60 $58 0.6×
Perc d-e cor revasc chro sin (C9607) $13,577.20 $19,396 0.6×
Perc d-e cor revasc t cabg s (C9604) $13,577.20 $19,396 1.0×
Perc d-e cor stent ather s (C9602) $15,215.90 $21,737 0.7×
Perc drug-el cor stent sing (C9600) $13,577.20 $19,396 1.0×
Ppps, subseq visit (G0439) $210.70 $301 1.5×
Prolonged iv inf, req pump (C8957) $638.40 $912 2.5×
Prostate biopsy, any mthd (G0416) $415.80 $594 1.0×
Revasc intravasc lithotripsy (C9764) $21,242.20 $30,346 1.6×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $11,766.30 $16,809 1.7×
Tomosynthesis, mammo (G0279) $107.10 $153 8.4×
Tpmt nudt15 gene analysis common variants (0034U) $1,388.80 $1,984 3.0×
Trauma respons w/hosp criti (G0390) $25,176.20 $35,966 16.0×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) $12,089 $17,270 0.9×
Tte w or w/o contr, cont ecg (C8930) $1,512.70 $2,161 1.6×
Tte w or w/o fol w/con,stres (C8928) $1,512.70 $2,161 1.6×
Tte w or wo fol wcon,doppler (C8929) $1,512.70 $2,161 1.6×