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Molokai General Hospital

Kaunakakai, HI · 13 beds · 35 procedures priced

Sourced from this hospital's machine-readable file, posted Wed Jun 03 2026 00:00:00 GMT+0000 (Coordinated Universal Time) · data quality 100/100 · source file ↗

Category

Procedure ▲	Negotiated i	Cash i	Gross i
Basic Metabolic Panel	$20$20$21	$89	$127
Chemotherapy Infusion (First Hour)	$267	$1,306	$1,866
Chest X-ray (2 Views)	$47	$359	$513
Colonoscopy with Biopsy	$1,898$1.4k$3.3k	$979	$1,398
Complete Abdominal Ultrasound	$148$121$183	$742	$1,060
Complete Blood Count (CBC) with Differential	$18$18$19	$109	$155
Comprehensive Metabolic Panel	$25$24$26	$105	$150
Critical Care, First Hour	$1,137	$4,480	$6,400
CT Abdomen and Pelvis with Contrast	$752$484$1.0k	$2,866	$4,094
CT Cardiac Calcium Scoring	$85$64$106	$1,915	$2,735
CT Chest without Contrast	$331$265$440	$1,566	$2,237
CT Head without Contrast	$291$161$352	$1,410	$2,014
DEXA Bone Density Scan	$112$68$231	$452	$646
Diagnostic Colonoscopy	$1,898$1.4k$3.3k	$757	$1,081
Diagnostic Mammogram (Both Breasts)	$188	$415	$593
Emergency Room Visit (Level 3)	$1,137	$1,630	$2,328
Hemoglobin A1c (Diabetes Test)	$22$22$24	$119	$170
HIV Antibody Test	$21$21$22	$49	$70
Initial Hospital Admission (Level 1)	$893	$404	$577
IUD Removal	$1,137	$872	$1,246
Lipid Panel (Cholesterol Test)	$32$31$33	$102	$146
Lumbar Puncture (Spinal Tap)	$1,137	$1,355	$1,936
Newborn Circumcision	$4,190$3.3k$6.6k	$3,587	$5,124
Office Visit, Established Patient (Level 3)	$114	$301	$430
Office Visit, New Patient (Level 3)	$169	$351	$501
Pregnancy Ultrasound (Second or Third Trimester)	$153$129$203	$597	$853
PSA Prostate Cancer Screening	$44$43$45	$123	$175
Pulmonary Function Test with Bronchodilator	$102	$258	$369
Screening Mammogram	$176	$284	$405
Skin Biopsy (Tangential)	$77	$508	$725
Spirometry (Breathing Test)	$59	$409	$584
TSH Thyroid Function Test	$39$39$41	$170	$243
Upper GI Endoscopy (EGD)	$1,417$1.1k$1.8k	$778	$1,111
Urinalysis with Microscopy	$8$7$8	$53	$75
Vitamin D Blood Test	$68$68$72	$327	$467

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.