CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Pali Momi Medical Center

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$101
about 0.7× the $136 Medicare rate · typically $71–$154
modeled estimate · not a bill or quote
What this hospital charges insurers
$103
About the fair price
about $2 over the fair price · 0.8× Medicare
Medicare pays $136 Fair price $101 This hospital $103 Cash price $97 Hospital's list price $161

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

Highest price of the 9 HI hospitals we have prices for — worth calling around.

Cheapest $85 Priciest $103

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

A fair price for a Office visit, established patient (30-39 min) is about $101 (about 0.7× the $136 Medicare rate). Pali Momi Medical Center charges insurers about $103, or about $97 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 $40 - $56 29%
Aetnamajor $137 101%
Kaiser Permanentemajor $129 95%
+ 7 smaller / regional plans $45 - $229
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