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Pali Momi Medical Center

Aiea, HI · 116 beds · 99 procedures priced

Sourced from this hospital's machine-readable file, posted Thu Jun 04 2026 00:00:00 GMT+0000 (Coordinated Universal Time) · data quality 98/100 · source file ↗

99 of 99
Category
Procedure Negotiated iCash iGross i
Abdominal Hysterectomy
$1,075$1.1k$1.1k
ACL Reconstruction (Arthroscopic)
$8,807$8.5k$11k
Allergy Skin Testing
$1,206$3$1.4k
Anesthesia for Screening Colonoscopy
$23$23$24
Anesthesia for Upper Endoscopy
$23$23$24
Basic Metabolic Panel
$21$8$80
$54$90
Bone Marrow Biopsy
$1,921$76$4.2k
$1,493$2,488
Breast Biopsy (Ultrasound-guided)
$1,838$161$5.7k
$1,378$2,297
Bunion Correction Surgery
$3,923$3.8k$4.6k
Cardiac Ablation for Atrial Fibrillation
$28,147$926$35k
$21,110$35,184
Cardiac Catheterization (Left Heart)
$4,099$664$13k
$6,432$10,720
Cardiac Stress Test (Treadmill)
$83$80$149
Carpal Tunnel Release Surgery
$2,407$2.3k$5.1k
Cataract Surgery with Lens Implant
$2,758$2.7k$3.2k
Cervical Spinal Fusion (Anterior)
$15,252$1.7k$18k
Cesarean Delivery (Global Package)
$2,736$1.5k$2.8k
Chemotherapy Infusion (First Hour)
$423$90$1.0k
$708$1,180
Chest X-ray (2 Views)
$104$22$336
$237$395
Colonoscopy with Biopsy
$1,426$664$5.1k
Complete Abdominal Ultrasound
$132$65$710
$501$835
Complete Blood Count (CBC) with Differential
$16$8$63
$44$73
Comprehensive Metabolic Panel
$21$10$97
$67$112
Coronary Angioplasty with Stent
$16,973$571$24k
$16,869$28,115
Critical Care, First Hour
$3,152$780$5.3k
$3,713$6,189
CT Abdomen and Pelvis with Contrast
$2,374$181$3.4k
$2,354$3,923
CT Cardiac Calcium Scoring
$104$31$178
$125$209
CT Chest without Contrast
$809$93$1.8k
$1,162$1,937
CT Head without Contrast
$139$74$1.5k
$1,059$1,765
DEXA Bone Density Scan
$126$27$354
$250$416
Diagnostic Colonoscopy
$1,124$1.1k$5.1k
Diagnostic Mammogram (Both Breasts)
$216$104$591
$417$695
Ear Tube Placement (Tympanostomy)
$1,791$1.8k$2.1k
Echocardiogram (Complete with Doppler)
$1,587$133$2.8k
$1,270$2,116
EKG (Electrocardiogram, 12-lead)
$16$16$42
Emergency Room Visit (Level 3)
$968$328$1.6k
$1,029$1,715
Group Therapy Session
$110$25$132
Hemodialysis Treatment
$108$106$109
Hemoglobin A1c (Diabetes Test)
$24$10$72
$48$80
HIV Antibody Test
$13$9$80
$56$94
Holter Monitor (24-48 Hour Heart Monitor)
$85$82$141
Home Sleep Study
$185$114$231
Individual Therapy Session (45 Minutes)
$190$75$239
Inguinal Hernia Repair (Open)
$4,372$4.2k$8.1k
Initial Hospital Admission (Level 1)
$85$53$87
Initial Psychiatric Diagnostic Evaluation
$190$104$360
Initial Psychiatric Evaluation with Medication Management
$190$104$408
Intensity-modulated Radiation Therapy (IMRT) Treatment
$686$578$1.2k
IUD Insertion
$53$52$101
IUD Removal
$361$67$433
Knee Arthroscopy with Meniscectomy
$4,000$3.8k$7.6k
Laparoscopic Appendectomy
$6,916$621$8.3k
Laparoscopic Gallbladder Removal
$6,916$678$8.3k
Laparoscopic Tubal Ligation
$7,054$759$11k
Lipid Panel (Cholesterol Test)
$33$12$135
$63$105
Lumbar Epidural Steroid Injection
$821$104$4.2k
$679$1,132
Lumbar Puncture (Spinal Tap)
$944$63$4.2k
$1,187$1,979
Lumbar Spinal Fusion (Posterior)
$21,800$1.6k$26k
Lumpectomy (Partial Mastectomy)
$4,630$664$7.6k
MRI Abdomen with and without Contrast
$709$238$3.1k
$2,186$3,643
MRI Brain with and without Contrast
$642$223$2.8k
$1,967$3,279
MRI Brain with Contrast
$466$190$2.4k
$1,696$2,827
MRI Brain without Contrast
$383$137$2.1k
$1,481$2,469
MRI Cervical Spine (Neck) without Contrast
$367$133$2.0k
$1,423$2,372
MRI Knee without Contrast
$396$143$2.1k
$1,479$2,465
MRI Lower Back (Lumbar Spine) without Contrast
$364$134$2.1k
$1,510$2,517
MRI Thoracic Spine (Mid-back) without Contrast
$367$133$2.1k
$1,493$2,489
Newborn Circumcision
$2,477$2.4k$2.9k
Nuclear Cardiac Stress Test
$1,609$165$3.9k
$2,755$4,592
Office Visit, Established Patient (Level 3)
$120$30$367
$259$432
Office Visit, New Patient (Level 3)
$94$37$124
$81$136
Pacemaker Insertion (Dual Chamber)
$12,406$533$15k
$10,421$17,368
PET/CT Scan, Whole Body
$1,780$1.5k$3.1k
Pregnancy Ultrasound (Second or Third Trimester)
$132$61$781
$551$919
Prostate Biopsy
$2,525$2.4k$5.1k
PSA Prostate Cancer Screening
$37$18$94
$59$98
Pulmonary Function Test with Bronchodilator
$369$31$570
$232$387
Rotator Cuff Repair (Arthroscopic)
$8,807$8.5k$11k
Screening Mammogram
$176$85$354
$238$397
Septoplasty (Deviated Septum Repair)
$3,921$3.8k$4.6k
Sinus Surgery (Endoscopic, with Tissue Removal)
$8,370$8.2k$9.8k
Skin Biopsy (Tangential)
$495$40$664
$424$707
Skin Lesion Removal (Benign, up to 0.5 cm)
$1,921$90$2.3k
Sleep Study (In-lab Polysomnography)
$1,206$421$1.4k
Spinal Cord Stimulator Trial
$7,935$7.8k$9.3k
Spirometry (Breathing Test)
$193$16$375
$259$431
Tonsillectomy and Adenoidectomy (Age 12 and Over)
$3,921$3.8k$4.6k
Tonsillectomy and Adenoidectomy (Under Age 12)
$7,012$5.1k$8.4k
Total Hip Replacement
$15,252$1.3k$18k
Total Knee Replacement
$15,252$1.3k$18k
Total Mastectomy
$8,040$7.7k$9.3k
TSH Thyroid Function Test
$41$16$117
$79$132
TURP (Transurethral Prostate Resection)
$6,267$6.0k$8.9k
Upper GI Endoscopy (EGD)
$1,134$1.1k$1.3k
Urinalysis with Microscopy
$8$3$31
$20$33
Vaginal Birth After Cesarean (VBAC) Global Package
$2,577$1.1k$2.7k
Vaginal Delivery (Global Package)
$2,481$1.1k$2.6k
Vaginal Hysterectomy
$5,852$877$11k
Vasectomy
$2,428$457$2.9k
Vitamin D Blood Test
$59$29$265
$134$224

Median facility price per procedure. Negotiated shows the median across payers with the full range. Figures as reported in the hospital's file — not a quote.