Home › Hospitals › Shriners Children's Hawaiʻi Posts prices for 29 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-28.
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Procedure Cash price Gross charge × Medicare
Knee arthroscopy with meniscectomy (29881) $10,490.35
$10,490.35
2.7×
Epidural injection, lumbar/sacral (with imaging) (62322) $5,031.92
$5,031.92
4.8×
Transforaminal epidural injection, lumbar/sacral (64483) $4,816.52
$4,816.52
4.6×
CT head/brain without contrast (70450) $1,282.70
$1,282.70
10.4×
MRI brain without contrast (70551) $2,298.50
$2,298.50
8.2×
MRI brain with contrast (70552) $2,787.80
$2,787.80
6.8×
MRI brain without and with contrast (70553) $3,520.60
$3,520.60
8.5×
X-ray lower spine, 4+ views (72110) $494.70
$494.70
4.0×
MRI lumbar spine without contrast (72148) $6,406.40
$6,406.40
22.7×
CT pelvis with contrast (72193) $1,953.10
$1,953.10
9.4×
MRI lower-extremity joint without contrast (73721) $2,298.50
$2,298.50
8.2×
CT abdomen and pelvis with contrast (74177) $3,707.50
$3,707.50
9.0×
Ultrasound, abdomen complete (76700) $767.70
$767.70
6.2×
Basic metabolic panel (80048) $78.90
$78.90
9.3×
Comprehensive metabolic panel (80053) $98.70
$98.70
9.3×
Lipid panel (80061) $125.10
$125.10
9.3×
Renal function panel (80069) $81
$81
9.3×
Hepatic function panel (80076) $76.30
$76.30
9.3×
Urinalysis, non-automated, without microscopy (81002) $23.90
$23.90
6.9×
Thyroid stimulating hormone (TSH) (84443) $156.70
$156.70
9.3×
CBC with automated differential (85025) $72.50
$72.50
9.3×
CBC, automated (85027) $95.20
$95.20
14.7×
Prothrombin time (PT) (85610) $36.60
$36.60
8.5×
Partial thromboplastin time (PTT) (85730) $56
$56
9.3×
Physical therapy, therapeutic exercise (per 15 min) (97110) $181.50
$181.50
6.2×
Office visit, new patient (low complexity, ~30 min) (99203) $348
$348
2.2×
Office visit, new patient (moderate complexity, ~45 min) (99204) $442.80
$442.80
2.8×
Office visit, new patient (high complexity, ~60 min) (99205) $442.80
$442.80
2.8×
Office consultation (moderate complexity, ~40 min) (99244) $616.96
$616.96
3.9×
Children's hospital — Medicare is an adult program, so the Medicare benchmarks on this page are a general yardstick, not rates this hospital typically bills.
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