Visits & medical services prices at Shriners Children's Hawaiʻi

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

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

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ProcedureCash priceGross charge× Medicare
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $841.19 $841.19 5.5×
Airway inhalation treatment (94640) $180 $180 0.7×
Anrct mano rct sensation&rct balo expulsion test (91125) $2,154.77 $2,154.77 4.9×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $74.60 $74.60 5.2×
Application Modality 1/> Areas Infrared (97026) $32.80 $32.80 4.9×
Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes Facility (97036) $158.20 $158.20 4.6×
Assessment of aphasia per hr (96105) $433.80 $433.80 4.5×
Auditory Function, 60 Min (92620) $841.19 $841.19 5.5×
Bedside Swallowing Eval (92610) $683.70 $683.70 8.1×
Behavioral and qualitative analysis of voice and resonance (92524) $300.80 $300.80 2.7×
Biofeedback training any modality (90901) $79.40 $79.40 1.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $626.90 $626.90 1.4×
Canalith Repositioning Procedure (95992) $153 $153 3.8×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $98.20 $98.20 3.8×
Cbt 1st hour (94644) $687.90 $687.90 4.4×
Chemo prolong 8+ hrs infuse w/pump (96416) $1,823.79 $1,823.79 4.7×
Chemother, IV infusion, 1 hr (96413) $1,778.70 $1,778.70 4.6×
Chemother, IV infusion, ea add hr (96415) $334.20 $334.20 3.9×
Colon Motility 6 Hr Study (91117) $1,760.03 $1,760.03 6.9×
Color/duplex Doppler, complete (93975) $1,444.60 $1,444.60 5.1×
Color/duplex Doppler, limited (93976) $778.10 $778.10 6.3×
Comprehensive computer-based motion analysis by video-taping and 3D kinematics; Facility (96000) $2,886.36 $2,886.36 6.5×
Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure… (96001) $5,630.40 $5,630.40 5.6×
Comprehensive Hearing Test (92557) $841.19 $841.19 5.5×
Conditioning Play Audiometry (92582) $841.19 $841.19 5.5×
Cpt initial (94667) $215.80 $215.80 1.4×
Debridement Open Wound 20 Sq Cm< (97597) $1,049.38 $1,049.38 4.4×
Distort Product Evoked Otoacoustic Emisns Limitd (92587) $1,690.29 $1,690.29 6.6×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $1,690.29 $1,690.29 3.8×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $971.10 $971.10 3.4×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $609.30 $609.30 4.9×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $971.10 $971.10 3.4×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $609.30 $609.30 4.9×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $971.10 $971.10 3.4×
Dup-scan xtr veins unilateral/limited study (93971) $609.30 $609.30 4.9×
Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) $884.31 $884.31 5.8×
Dyn surf EMG,walking/func act,1-12 mus (96002) $1,690.29 $1,690.29 6.6×
Ear and throat examination (92502) $2,878.28 $2,878.28 4.5×
Electrocardiogram Tracing (93005) $174.90 $174.90 2.5×
EMG four extremities (95864) $169.50 $169.50 1.1×
EMG one extremity (95860) $687.90 $687.90 4.4×
EMG three extremities (95863) $812.70 $812.70 5.3×
EMG two extremities (95861) $624 $624 4.0×
Eval speech sound production (92522) $286.10 $286.10 2.6×
Eval to use/fit voice prosth (92597) $649.20 $649.20 9.1×
Evaluate Pt Use Of Inhaler (94664) $1,148.60 $1,148.60 4.4×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $982.70 $982.70 8.0×
Evaluation of speech fluency (92521) $352.50 $352.50 2.6×
Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) $275.60 $275.60 1.8×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $281.10 $281.10 1.4×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $414 $414 1.8×
Gastric motility studies (91020) $2,998.95 $2,998.95 6.8×
Gi wireless capsule measure (91112) $5,299.09 $5,299.09 4.9×
Group Therapeutic Procedures (97150) $111.50 $111.50 6.2×
Injection intra arterial (96373) $1,154.25 $1,154.25 4.6×
Intrapulmonary Surfactant Administj Phys/Qhp (94610) $323.70 $323.70 1.3×
Iontophoresis 15 min (97033) $148.50 $148.50 7.8×
Irrig drug delivery device (96523) $329.40 $329.40 4.7×
IV infusion hydration each additional hour (96361) $255.81 $255.81 4.6×
IV infusion hydration initial 31 min-1 hour (96360) $1,154.25 $1,154.25 4.6×
IV infusion ther proph addl sequential to 1 hr (96367) $379.36 $379.36 4.5×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $819.80 $819.80 3.3×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $324.60 $324.60 5.9×
IV push ea addl new drug (96375) $255.81 $255.81 4.6×
IV push initial (96374) $1,154.25 $1,154.25 4.6×
Laryngeal Function Studies (92520) $687.90 $687.90 4.4×
Low frequency non-thermal us (97610) $1,078.12 $1,078.12 4.5×
Manual therapy 15 min (97140) $165.10 $165.10 6.0×
Massage 15 min (97124) $143.50 $143.50 4.8×
Maximum voluntary ventilation (94200) $258 $258 3.7×
Mechanical traction (97012) $91.90 $91.90 6.4×
Motility study esophagus (91010) $2,998.95 $2,998.95 6.8×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $574.20 $574.20 6.3×
Nasopharyngoscopy (92511) $720.30 $720.30 3.1×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $169.50 $169.50 0.7×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $792.90 $792.90 3.1×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $687.90 $687.90 4.4×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $169.50 $169.50 0.7×
Needle Emg W/1 Fiber Electrode Quan Meas Jitter (95872) $169.50 $169.50 0.7×
Neg press wound tx >50 cm (97608) $2,009.20 $2,009.20 4.2×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $2,108.59 $2,108.59 4.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $2,108.59 $2,108.59 8.9×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $2,147.31 $2,147.31 4.5×
Nerve Conduction Studies 11-12 Studies (95912) $2,886.36 $2,886.36 6.5×
Nerve Conduction Studies 3-4 Studies (95908) $1,690.29 $1,690.29 6.6×
Nerve Conduction Studies 5-6 Studies (95909) $1,690.29 $1,690.29 6.6×
Nerve Conduction Studies 7-8 Studies (95910) $1,690.29 $1,690.29 3.8×
Nerve Conduction Studies 9-10 Studies (95911) $2,886.36 $2,886.36 6.5×
Nerve conduction studies; 1-2 studies (95907) $841.19 $841.19 3.3×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $841.19 $841.19 5.5×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $376.50 $376.50 0.9×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $842.80 $842.80 18.3×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $170.20 $170.20 5.3×
Ot Contrast Bath Ea 15 Min (97034) $92.30 $92.30 6.6×
Ot eval high complex 60 min (97167) $578.90 $578.90 5.8×
Ot eval low complex 30 min (97165) $289.50 $289.50 2.9×
Ot eval mod complex 45 min (97166) $434.20 $434.20 4.3×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $547.20 $547.20 10.9×
Ot Prosthetic Training, Each 15 Min (97761) $184.10 $184.10 4.6×
Ot Range Motion Measure,Each Extrem (95851) $118.20 $118.20 4.5×
Ot re-evaluation (97168) $347.50 $347.50 5.1×
Ot therapeutic activity 15 min (97530) $188 $188 5.4×
Paraffin bath pt (97018) $50 $50 8.3×
Plethysmography (94726) $357.90 $357.90 0.8×
Pt Aquatic Therapy/Exercises (97113) $210.40 $210.40 5.7×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $209.60 $209.60 5.6×
Pt diathermy (97024) $35.20 $35.20 4.8×
Pt Electrical Stimulation (97032) $104.50 $104.50 7.1×
Pt eval high complex 45 min (97163) $512.10 $512.10 5.2×
Pt eval low complex 20 min (97161) $227.70 $227.70 2.3×
Pt eval mod complex 30 min (97162) $341.30 $341.30 3.5×
Pt gait training 15 min (97116) $155.60 $155.60 5.4×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $185.20 $185.20 5.7×
Pt Physical Performance Test (97750) $250.70 $250.70 7.4×
Pt re-evaluation (97164) $285.50 $285.50 4.2×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $285.30 $285.30 8.8×
Pt ultraviolet (97028) $42.30 $42.30 5.1×
Pt Whirlpool Therapy (97022) $107.70 $107.70 6.9×
Pulm Funct Test Oscillometry (94728) $323.70 $323.70 2.1×
Pulm function test by gas (94727) $331.80 $331.80 1.3×
Pure Tone Audiometry Air & Bone (92553) $841.19 $841.19 5.5×
Pure Tone Audiometry Air Only (92552) $687.90 $687.90 4.4×
Rectal sensation tone&compliance study (91124) $1,246.83 $1,246.83 4.9×
Respiratory flow volume loop (94375) $323.70 $323.70 1.3×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $1,594.99 $1,594.99 4.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $724.56 $724.56 3.1×
Rom meas&reprt hand w/wo comparison normal sid (95852) $93.40 $93.40 4.4×
Rt Chest Wall Manipulation,Subsequent (94668) $180 $180 1.1×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $209 $209 4.4×
Sensory Integration Ea 15 Min (97533) $158.70 $158.70 2.6×
Slp caregiver training 1st 30 min (97550) $197.70 $197.70 3.7×
Speech Audiometry Complete (92556) $329.40 $329.40 4.7×
Speech audiometry threshold (92555) $329.40 $329.40 4.7×
Speech sound lang comprehen (92523) $594.60 $594.60 2.6×
Spirometry (94010) $376.50 $376.50 1.5×
Standardized Cognitive Performance Testing (96125) $466.50 $466.50 4.5×
Stenger Test Speech (92577) $2,886.36 $2,886.36 6.5×
Stenger Test, Pure Tone (92565) $329.40 $329.40 4.7×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $156 $156 7.0×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $151.40 $151.40 7.2×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $522.90 $522.90 5.1×
Therapeutic prophylactic/dx injection subq/im (96372) $379.36 $379.36 4.5×
Tinnitus assessment (92625) $841.19 $841.19 5.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $428.40 $428.40 5.6×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $190.30 $190.30 7.9×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $535.90 $535.90 6.4×
Tympanometry (92567) $215.96 $215.96 4.9×
Vasopneumatic device (97016) $95.30 $95.30 7.9×
Visual reinforcement audiometry (vra) (92579) $841.19 $841.19 3.3×
Vital capacity, total (94150) $264.50 $264.50 1.7×
Wheelchair Mgmt Ea 15 Min (97542) $181.50 $181.50 5.8×