CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Pali Momi Medical Center

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$93
about 0.8× the $118 Medicare rate · typically $67–$137
modeled estimate · not a bill or quote
What this hospital charges insurers
$85
About the fair price
about $8 under the fair price · 0.7× Medicare
Medicare pays $118 Fair price $93 This hospital $85 Cash price $81 Hospital's list price $136

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

On the higher side — 7 of 8 other HI hospitals charge less.

Cheapest $71 Priciest $86

Black dot = this hospital, among the 9 HI hospitals with a price for this procedure. Full list below.

A fair price for a New patient office visit (30-44 min) is about $93 (about 0.8× the $118 Medicare rate). Pali Momi Medical Center charges insurers about $85, or about $81 in cash — about the fair price. Located in Aiea, HI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna✓ Kaiser Permanente Blue Cross Blue ShieldCignaHumana

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $36 - $69 31%
Aetnamajor $106 - $124 90%
Kaiser Permanentemajor $100 - $117 85%
+ 7 smaller / regional plans $37 - $117
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 98-1079 Moanalua Road, Aiea, HI 96701
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals