Visits & medical services prices at Queen's North Hawaiʻi Community Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $9,787.40 $13,982 1.1×
Advance care planning first 30 mins (99497) $158.90 $227 1.3×
Airway inhalation treatment (94640) $317.10 $453 1.2×
Ambulatory Bp Analysis (93788) $237.30 $339 1.5×
Ambulatory Bp Recording (93786) $245 $350 1.6×
Analyze neurostim complex (95972) $280 $400 2.5×
Analyze neurostim no prog (95970) $254.10 $363 1.6×
Analyze neurostim simple (95971) $280 $400 2.5×
Anogenital examination, magnified, in childhood for suspected trauma, including image recording when performed Facility (99170) $175.70 $251 0.7×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $77 $110 5.4×
Application Modality 1/> Areas Infrared (97026) $13.30 $19 2.0×
Application on-body injector (96377) $279.30 $399 5.0×
Assessment of aphasia per hr (96105) $256.90 $367 2.6×
Bedside Swallowing Eval (92610) $275.10 $393 3.2×
Behavioral and qualitative analysis of voice and resonance (92524) $312.20 $446 2.8×
Breathing response to hypoxia (94450) $326.20 $466 2.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $377.30 $539 0.9×
C motor evoked upr&lwr limbs (95939) $1,945.30 $2,779 1.9×
Canalith Repositioning Procedure (95992) $137.20 $196 3.4×
Car seat/bed test 60 min (94780) $83.30 $119 1.9×
Cardiac Stress Tst,Tracing Only (93017) $945 $1,350 3.7×
Cardiopulmonary exercise testing (94621) $958.30 $1,369 2.2×
Cardiopulmonary resuscitation (92950) $804.30 $1,149 3.2×
Cardioversion (92960) $1,134 $1,620 1.5×
Cardioversion elective internal (92961) $721.70 $1,031 0.9×
Caregiver hlth risk assmt score doc stnd instrm (96161) $51.45 $73.50 1.2×
Cath Perc Clos,Cong Interatrial Commun W/Impl (93580) $15,745.80 $22,494 0.7×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $6,899.90 $9,857 1.8×
Cbt 1st hour (94644) $226.10 $323 1.4×
Chemo Hormon Antineopl Sq/Im (96402) $159.60 $228 1.9×
Chemo IV push addl drug (96411) $434 $620 5.1×
Chemo prolong 8+ hrs infuse w/pump (96416) $1,033.90 $1,477 2.6×
Chemother, IV infusion, 1 hr (96413) $693 $990 1.8×
Chemother, IV infusion, ea add hr (96415) $758.10 $1,083 8.9×
Chemother,Ia Push Technique (96420) $250.60 $358 0.6×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $327.60 $468 3.9×
Chemotherapy into cns (96450) $863.10 $1,233 2.2×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $189.70 $271 2.2×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $527.80 $754 1.4×
Color/duplex Doppler, complete (93975) $832.30 $1,189 3.0×
Color/duplex Doppler, limited (93976) $675.50 $965 5.5×
Continuous Glucose Monitoring (95250) $398.30 $569 2.5×
Coronary art/grft angio s&i (93455) $7,611.80 $10,874 2.0×
Coronary artery angio s&i (93454) $6,488.30 $9,269 1.7×
Cpap/bipap (94660) $501.90 $717 1.9×
Cpt initial (94667) $455 $650 2.9×
Critical care (99291) $4,525.15 $6,464.50 4.6×
Ctr Motor Ep Std Transcrnl Motor Stimj Upr Limbs (95928) $1,945.30 $2,779 1.9×
Debridement Open Wound 20 Sq Cm< (97597) $980 $1,400 4.1×
Distort Product Evoked Otoacoustic Emisns Limitd (92587) $256.90 $367 1.0×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $508.20 $726 1.8×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $749 $1,070 2.7×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $598.50 $855 4.8×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $826 $1,180 2.9×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $566.30 $809 4.6×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $701.40 $1,002 2.5×
Dup-scan xtr veins unilateral/limited study (93971) $539.70 $771 4.4×
Duplex scan extracranial art compl bi study (93880) $718.90 $1,027 2.6×
Duplex Scan Hemodialysis Access (93990) $312.20 $446 2.5×
Echo Heart Xthoracic,Limited (93308) $783.30 $1,119 2.8×
Echo transesophageal (93312) $1,421.70 $2,031 2.2×
Echo Transesophageal - Congenital Tee Complete (93315) $1,688.40 $2,412 2.6×
Echo Transthoracic - Congenital Tte Complete (93303) $2,025.80 $2,894 3.1×
Echo Transthoracic - Congenital Tte Limited (93304) $1,443.40 $2,062 2.2×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,424.50 $2,035 2.2×
Ecog implanted brain npgt w/rec i&r <30 days (95836) $88.90 $127 2.0×
EEG awake and asleep (95819) $828.10 $1,183 3.2×
EEG awake drowsy (95816) $836.50 $1,195 3.3×
EEG cerebral death evaluation (95824) $1,070.30 $1,529 2.4×
EEG greater than 1 hour (95813) $857.50 $1,225 3.4×
EKG rhythm strip (93041) $255.50 $365 3.7×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $88.90 $127 0.8×
Elec alys implt cplx cn npgt prgrmg (95977) $261.80 $374 2.3×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $88.90 $127 2.0×
Electrocardiogram Tracing (93005) $263.90 $377 3.8×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $560 $800 2.2×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $5,582.50 $7,975 0.6×
Endomyocardial biopsy (93505) $3,396.40 $4,852 0.9×
Ep & ablate supravent arrhyt (93653) $17,879.40 $25,542 0.6×
Ep & ablate ventric tachy (93654) $17,879.40 $25,542 0.6×
Ep Analyze Pacer Sys (93724) $847 $1,210 2.3×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $6,731.20 $9,616 0.7×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $5,333.30 $7,619 0.6×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $3,301.20 $4,716 2.3×
Er level 1 (99281) $389.20 $556 3.9×
Er level ii (99282) $674.80 $964 3.7×
Er level iii (99283) $1,497.30 $2,139 4.6×
Er level IV (99284) $3,273.90 $4,677 6.6×
Er level v (99285) $14,702.10 $21,003 20.9×
Eval speech sound production (92522) $326.90 $467 2.9×
Eval to use/fit voice prosth (92597) $259 $370 3.6×
Evaluate Pt Use Of Inhaler (94664) $413.70 $591 1.6×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $450.80 $644 3.7×
Evaluation of speech fluency (92521) $341.60 $488 2.6×
Exercise tst brncspsm (94617) $238.70 $341 1.5×
Exhaled Air Analysis (94690) $444.50 $635 6.4×
Exhaled air analysis o2 (94680) $356.30 $509 2.3×
External ECG rec>48hr<7d recording (93242) $247.80 $354 5.6×
External ECG rec>7d<15d recording (93246) $471.80 $674 10.7×
External Ecg Scanning Analysis Report (93226) $530.60 $758 7.6×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $924.70 $1,321 4.6×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $632.80 $904 2.8×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $725.90 $1,037 1.6×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,702.40 $2,432 1.7×
Gi tract capsule endoscopy (91110) $1,598.10 $2,283 1.5×
Group Therapeutic Procedures (97150) $159.60 $228 8.8×
Hemodialysis (90935) $1,337.70 $1,911 1.6×
High altitude simulation test (94452) $238.70 $341 1.5×
High altitude simulation test (94453) $238.70 $341 1.5×
Holter Monitor (93225) $595 $850 3.8×
Ilr Device Eval Progr (93285) $107.80 $154 2.4×
Imm admn sarscov2 vaccine single dose (90480) $77 $110 1.6×
Immunization Admin (90471) $132.30 $189 1.6×
Induction of arrhythmia by electrical pacing (93618) $2,457.70 $3,511 1.7×
Inhalation bronchial challenge testing (95070) $1,577.10 $2,253 3.6×
Inital newborn e/m (99460) $251.30 $359 1.6×
Injection intra arterial (96373) $453.60 $648 1.8×
Ins swan ganz bedside (93503) $1,314.60 $1,878 0.7×
Interrog dev eval scrms phys/qhp in person (93291) $37.10 $53 1.1×
Interrog device eval heart (93289) $234.15 $334.50 5.3×
Interrogate subq defib (93261) $72.80 $104 1.7×
Interrogation vad in person (93750) $129.50 $185 1.2×
Intra Atrial Recording (93602) $14,321.30 $20,459 1.6×
Intra-atrial pacing (93610) $5,582.50 $7,975 0.6×
Intraventricular pacing (93612) $5,333.30 $7,619 0.6×
Iontophoresis 15 min (97033) $109.90 $157 5.8×
Irrig drug delivery device (96523) $151.90 $217 2.2×
IV infusion hydration each additional hour (96361) $526.40 $752 9.5×
IV infusion hydration initial 31 min-1 hour (96360) $462.70 $661 1.8×
IV infusion ther proph addl sequential to 1 hr (96367) $198.80 $284 2.3×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $1,142.40 $1,632 4.5×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $1,052.80 $1,504 19.0×
IV push ea addl new drug (96375) $505.05 $721.50 9.1×
IV push initial (96374) $760.20 $1,086 3.0×
L hrt art/grft angio (93459) $8,379 $11,970 2.2×
L hrt cath chd nm/abn nt cnj (93595) $6,132 $8,760 1.6×
Laryngeal Function Studies (92520) $249.90 $357 1.6×
Liver Elastography W/O Imag W/I&R (91200) $354.90 $507 2.3×
Low frequency non-thermal us (97610) $380.80 $544 1.6×
Manual therapy 15 min (97140) $317.80 $454 11.5×
Massage 15 min (97124) $67.90 $97 2.3×
Maximum voluntary ventilation (94200) $249.90 $357 3.6×
Measurement of spirometric forced expiratory flows in an infant or child through 2 years of age Facility (94011) $295.40 $422 1.9×
Measurement of spirometric forced expiratory flows, before and after bronchodilator, in an infant or child through 2… (94012) $560 $800 2.2×
Mechanical traction (97012) $100.10 $143 7.0×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $21.70 $31 0.7×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $25.90 $37 0.7×
Methacholine challenge (94070) $924 $1,320 2.1×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $411.60 $588 4.5×
Multiple Sleep Latency Test (95805) $1,068.90 $1,527 1.1×
Nasopharyngoscopy (92511) $200.20 $286 0.8×
Neg press wound tx >50 cm (97608) $790.30 $1,129 1.6×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $674.80 $964 1.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $298.90 $427 1.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $668.50 $955 1.4×
Newborn resuscitation (99465) $1,332.10 $1,903 1.7×
Nitric oxide expired gas determination (95012) $69.30 $99 1.6×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $340.20 $486 2.2×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $265.30 $379 1.7×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $711.90 $1,017 1.6×
Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) $117.60 $168 1.7×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $117.60 $168 2.6×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $80.50 $115 2.5×
Ot Contrast Bath Ea 15 Min (97034) $48.30 $69 3.4×
Ot eval high complex 60 min (97167) $327.60 $468 3.3×
Ot eval low complex 30 min (97165) $175 $250 1.7×
Ot eval mod complex 45 min (97166) $327.60 $468 3.3×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $225.75 $322.50 4.5×
Ot Prosthetic Training, Each 15 Min (97761) $138.60 $198 3.4×
Ot Range Motion Measure,Each Extrem (95851) $42 $60 1.6×
Ot re-evaluation (97168) $210 $300 3.1×
Ot therapeutic activity 15 min (97530) $131.25 $187.50 3.7×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $170.80 $244 1.1×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $172.20 $246 1.1×
Paraffin bath pt (97018) $44.10 $63 7.3×
Patch/Application Test Specify Number Tests (95044) $695.10 $993 0.7×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $425.60 $608 1.6×
Peritoneal Dialysis (90945) $2,347.80 $3,354 4.8×
Perq transcath closure pda (93582) $22,757.70 $32,511 1.1×
Perq Transcath Cls Mitral (93590)
likely a partial charge, not the full procedure
$3,811.50 $5,445 0.2×
Perq transcath cls paravalvr leak 1 aortic valve (93591)
likely a partial charge, not the full procedure
$3,811.50 $5,445 0.2×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $8,745.80 $12,494 1.3×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $13,577.20 $19,396 1.0×
Phlebotomy therapeutic (99195) $396.90 $567 2.5×
Plethysmography (94726) $395.50 $565 0.9×
Pm device eval in person (93288) $185.50 $265 4.2×
Pm device progr eval dual (93280) $206.50 $295 4.7×
Pm device progr eval multi (93281) $92.40 $132 2.1×
Pm device progr eval sngl (93279) $217 $310 4.9×
Pm/Icd Remote Tech Serv (93296) $92.40 $132 2.1×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,702.30 $5,289 3.6×
Polysom <6 yrs 4/> paramtrs (95782) $1,437.80 $2,054 1.4×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $1,885.80 $2,694 1.9×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $92.40 $132 2.1×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93282) $263.90 $377 6.0×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) $318.50 $455 7.2×
Prq balloon valvuloplasty aortic valve (92986) $8,041.60 $11,488 1.2×
Prq Balloon Valvuloplasty Mitral Valve (92987) $10,388 $14,840 0.8×
Prq Card Stent W/Angio 1 Vsl (92928) $13,577.20 $19,396 1.0×
Prq Card Stent/Ath/Angio (92933) $15,215.90 $21,737 0.7×
Prq Revasc Byp Graft 1 Vsl (92937) $13,577.20 $19,396 1.0×
Prq tcat plmt ntrac st 2+les (92930) $37,898 $54,140 1.8×
Prq trl rvs ch occ ant&rtrgr (92945) $23,865.80 $34,094 1.7×
Prq trluml coronary angio/atherect one art/brnch (92924) $9,994.60 $14,278 0.7×
Pt Aquatic Therapy/Exercises (97113) $151.20 $216 4.1×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $121.80 $174 3.2×
Pt Electrical Stimulation (97032) $147 $210 10.0×
Pt eval high complex 45 min (97163) $350.70 $501 3.6×
Pt eval low complex 20 min (97161) $229.25 $327.50 2.3×
Pt eval mod complex 30 min (97162) $350.70 $501 3.6×
Pt gait training 15 min (97116) $87.50 $125 3.0×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $218.75 $312.50 6.7×
Pt Physical Performance Test (97750) $112 $160 3.3×
Pt re-evaluation (97164) $310.80 $444 4.6×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $87.50 $125 2.7×
Pt-focused hlth risk assmt (96160) $51.45 $73.50 1.2×
Pulm Funct Test Oscillometry (94728) $604.10 $863 4.0×
Pulm function test by gas (94727) $237.65 $339.50 0.9×
Pulmonary Service/Procedure (94799) $237.30 $339 1.6×
Pulmonary stress test simple (94618) $429.80 $614 2.7×
R & l hrt cath w/njx l ventriculog img s&i (93453) $5,481.70 $7,831 1.4×
R hrt art/grft angio (93457) $8,306.20 $11,866 2.2×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $6,148.80 $8,784 1.6×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $6,148.80 $8,784 1.6×
R hrt coronary artery angio (93456) $9,029.30 $12,899 2.4×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $9,532.60 $13,618 2.5×
R&l hrt art/ventricle angio (93460) $11,245.50 $16,065 2.9×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $6,148.80 $8,784 1.6×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $6,148.80 $8,784 1.6×
Refill/Maint Portable Pump (96521) $240.10 $343 1.0×
Refill/Maint Pump/Resvr Syst (96522) $553.70 $791 2.2×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $596.75 $852.50 13.5×
Respiratory flow volume loop (94375) $548.80 $784 2.2×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $417.90 $597 1.2×
Right heart cath (93451) $3,577.70 $5,111 0.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $616 $880 2.6×
Rt Chest Wall Manipulation,Subsequent (94668) $396.90 $567 2.5×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $101.50 $145 2.1×
Sensory Integration Ea 15 Min (97533) $100.10 $143 1.6×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $560 $800 2.2×
Short-latency somatosens ep std upr limbs (95925) $669.90 $957 2.6×
Sleep study attended (95807) $1,386 $1,980 3.1×
Sleep study unattended (95806) $879.90 $1,257 3.4×
Smoking cessation > 10 min (99407) $45.50 $65 1.0×
Speech sound lang comprehen (92523) $312.20 $446 1.4×
Spirometry (94010) $378 $540 1.5×
Ssep lower limbs (95926) $669.90 $957 2.6×
Standardized Cognitive Performance Testing (96125) $228.90 $327 2.2×
Stress echo (93350) $1,414.70 $2,021 2.2×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $464.80 $664 3.8×
Temp transcutaneous pacing (92953) $1,173.90 $1,677 1.5×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $74.90 $107 3.3×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $214.20 $306 10.2×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $255.50 $365 2.5×
Therapeutic prophylactic/dx injection subq/im (96372) $279.30 $399 3.3×
Tilt table evaluation (93660) $1,906.80 $2,724 4.3×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $44.80 $64 1.0×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $548.10 $783 1.9×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $193.90 $277 1.6×
Tte w/doppler, complete (93306) $869.40 $1,242 1.3×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $917.70 $1,311 3.3×
Tx atrial fib pulm vein isol (93656) $19,034.40 $27,192 0.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $170.80 $244 2.2×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $256.20 $366 3.0×
Unlisted Cardiovascular Service/Procedure (93799) $8,827 $12,610 58.1×
Upr/lxtr art stdy 3+ lvls (93923) $419.30 $599 1.6×
Valvuloplasty pulmonary valve (92990) $10,541.30 $15,059 0.8×
Vasc Duplex Scan Extracranial,Limited (93882) $745.50 $1,065 6.0×
Vasopneumatic device (97016) $54.60 $78 4.5×
Vent mgmt inpat init day (94002) $3,723.30 $5,319 5.1×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $3,196.90 $4,567 4.4×
Visual Evoked Potential Test (95930) $560 $800 2.2×
Vital capacity, total (94150) $202.30 $289 1.3×
Wada Activation Test Hemispheric Function W/Eeg (95958) $1,583.40 $2,262 1.6×
Wheelchair Mgmt Ea 15 Min (97542) $130.20 $186 4.2×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $117.60 $168 1.7×
Xtrnl mobile cv telemetry w/technical support (93229) $2,665.60 $3,808 6.0×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $421.40 $602 3.8×