How many shoppable procedure prices are published for Adventist Health Castle?

Adventist Health Castle in Kailua, HI currently has 104 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Adventist Health Castle's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Adventist Health Castle's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

What is Adventist Health Castle's CMS Care Compare overall star rating?

CMS Care Compare assigns Adventist Health Castle an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Church 142 Beds · rural Updated: 2026-07-29

Adventist Health Castle

640 Ulukahiki St, Kailua, HI 96734 · 104 Priced Procedures · 77% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Near Fair BaseRate Benchmark

1.04×vs. Fair Market Price

Typical commercial prices here are +4% above the fair benchmark (1.04×) even after accounting for local nurse/doctor wages and patient complexity.

80/100 · Corroborated

80/100Self-Pay Cash Beats Insurance 62% of the Time

File Completeness85

Price Logic69

Peer Alignment69

Clean Billing81

Real Cash Discount100

Regional Value Leader

4-Star CMS clinical quality rating paired with 1.04× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Adventist Health Castle prices shoppable and inpatient services (1.2× to 1.6× Medicare, divergence 1.33×) in alignment with regional hospital peers (1.04× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#10 of 20 in HI · 45th State Percentile#1,452 of 3,385 in U.S. · 42nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.91× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 62% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 77% patient recommendation (74/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (43.5% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.04× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Captive ER (1.3×) & laboratory (1.7×) services average 1.33× higher multiples than routine shoppable care (1.2×)
Upper-quartile procedures (Q75 1.39×) jump +24% above the median procedure ratio (Q50 1.12×)
Consolidated metro market (HHI 2,350) limits in-network hospital competition (Moderately Concentrated (1,500–2,500))

Front-Door ShoppableElective / Imaging

1.2× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.33× Divergence

1.6× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+24% Upper Tail

Q25 0.91× · Q50 1.12× · Q75 1.39×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.2× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.7× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.3× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.7× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.8× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

62% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 74/100Fair

Procedure Prices at Adventist Health Castle

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 104 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$15,639	$30,829	$19,087	1.6×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$27,402	$27,980	$17,936	1.6×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$20,324	$27,373	$19,432	1.4×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$7,085	$12,373	$8,223	1.5×
C-section delivery (full package) CPT Code: `59510`	$1,540	$2,418	$2,975	0.8×
Vaginal delivery (full package) CPT Code: `59400`	$1,896	$2,152	$2,680	0.8×
Trauma team activation HCPCS Code: `G0390`	$2,393	$1,606	$1,453	1.1×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,041	$880	$511	unverified
Total hip replacement CPT Code: `27130`	$755	$755	$13,413	0.1×
Total knee replacement CPT Code: `27447`	$754	$754	$13,523	0.1×
MRI, knee or other leg joint CPT Code: `73721`	$734	$729	$369	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$678	$629	$338	unverified
MRI, brain (no contrast) CPT Code: `70551`	$692	$574	$343	unverified
Blood transfusion CPT Code: `36430`	$310	$547	$498	1.1×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$471	$555	$3,372	0.2×
Inguinal hernia repair CPT Code: `49505`	$414	$511	$3,629	0.1×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$479	$479	$6,109	0.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,238	$433	$448	1.0×
Breast lump removal CPT Code: `19120`	$419	$419	$3,875	0.1×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$343	$282	$272	1.0×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,109	$296	$303	1.0×
CT scan, pelvis CPT Code: `72192`	$534	$292	$163	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$520	$259	$583	0.4×
CT scan, sinuses CPT Code: `70486`	$441	$233	$166	1.4×
CT scan, head (with and without contrast) CPT Code: `70470`	$739	$233	$258	0.9×
CT scan, head (with contrast) CPT Code: `70460`	$601	$218	$242	0.9×
Colonoscopy with biopsy CPT Code: `45380`	$157	$242	$1,256	0.2×
CT scan, chest (no contrast) CPT Code: `71250`	$579	$195	$167	1.2×
CT scan, neck (cervical spine) CPT Code: `72125`	$622	$195	$169	1.2×
Colonoscopy (diagnostic) CPT Code: `45378`	$145	$212	$981	0.2×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$228	$169	$148	1.1×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$718	$178	$168	1.1×
Screening mammogram (both breasts) CPT Code: `77067`	$142	$146	$123	1.2×
CT scan, head (no contrast) CPT Code: `70450`	$502	$139	$160	0.9×
Upper endoscopy with biopsy CPT Code: `43239`	$109	$161	$987	0.2×
X-ray, shoulder CPT Code: `73030`	$138	$105	$92	1.1×
X-ray, foot CPT Code: `73630`	$138	$105	$92	1.1×
X-ray, hand CPT Code: `73130`	$140	$105	$93	1.1×
X-ray, pelvis CPT Code: `72170`	$85	$124	$110	1.1×
X-ray, chest (single view) CPT Code: `71045`	$88	$103	$92	1.1×
X-ray, chest (two views) CPT Code: `71046`	$107	$103	$93	1.1×
X-ray, neck (cervical spine) CPT Code: `72040`	$103	$103	$93	1.1×
X-ray, hip CPT Code: `73502`	$117	$103	$93	1.1×
X-ray, lower back CPT Code: `72110`	$160	$124	$112	1.1×
Ultrasound, abdomen (complete) CPT Code: `76700`	$277	$128	$134	1.0×
Psychiatric evaluation (first visit) CPT Code: `90791`	$117	$151	$185	0.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$213	$111	$126	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$132	$132	$201	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$81	$80	$86	0.9×
Ultrasound, pelvis CPT Code: `76856`	$54	$105	$130	0.8×
New patient office visit (30-44 min) CPT Code: `99203`	$52	$80	$110	0.7×
Office visit, established patient (30-39 min) CPT Code: `99214`	$62	$85	$123	0.7×
Pneumococcal vaccine HCPCS Code: `90732`	$95	$263	$140	unverified
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$109	$109	$14	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$94	$70	$64	1.1×
Orthotic fitting and training CPT Code: `97760`	$72	$52	$51	1.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$42	$58	$87	0.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$123	$77	$132	0.6×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$72	$72	$203	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$65	$25	$14	1.8×
Blood test, vitamin D CPT Code: `82306`	$42	$45	$31	1.5×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$29	$17	$10	1.7×
Hepatitis C antibody test CPT Code: `86803`	$65	$25	$15	1.7×
Diagnostic procedure preparation HCPCS Code: `G0279`	$41	$42	$35	1.2×
Prosthetic fitting and training CPT Code: `97761`	$47	$44	$45	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$81	$40	$18	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$46	$46	$86	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$22	$10	$6	1.7×
Blood test, complete blood count (CBC) CPT Code: `85025`	$39	$12	$8	1.5×
Culture, blood CPT Code: `87040`	$69	$16	$11	1.5×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$53	$40	$40	1.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$58	$36	$38	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$50	$36	$38	0.9×
Blood test, calcium CPT Code: `82310`	$34	$7	$5	1.4×
Blood test, creatinine (kidney) CPT Code: `82565`	$15	$7	$5	1.4×
Blood test, potassium CPT Code: `84132`	$34	$7	$5	1.4×
Blood test, sodium CPT Code: `84295`	$32	$7	$5	1.4×
Blood test, PSA (prostate screen) CPT Code: `84153`	$33	$25	$19	1.3×
Blood test, vitamin B12 CPT Code: `82607`	$28	$21	$16	1.3×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$44	$44	$111	unverified
Blood test, liver function panel CPT Code: `80076`	$83	$16	$9	1.8×
Blood test, amylase CPT Code: `82150`	$32	$9	$7	1.3×
Blood test, lipase CPT Code: `83690`	$35	$9	$7	1.3×
Blood test, magnesium CPT Code: `83735`	$30	$9	$7	1.3×
Physical therapy (gait training) CPT Code: `97116`	$45	$32	$33	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$20	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$19	$5	$4	1.3×
Culture, bacterial CPT Code: `87070`	$26	$11	$9	1.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$49	$32	$35	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$59	$31	$34	0.9×
X-ray, ankle CPT Code: `73610`	$100	$34	$93	0.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$35	$3	$3	1.0×
Blood test, hemoglobin CPT Code: `85018`	$6	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$22	$5	$5	1.0×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$14	$22	$25	0.9×
Blood antibody screen CPT Code: `86850`	$63	$20	$46	0.4×
Colorectal cancer screening HCPCS Code: `G0010`	$11	$11	$49	0.2×
Blood test, basic metabolic panel CPT Code: `80048`	$90	$18	$9	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$97	$23	$11	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	$14	$14	$25	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$13	$13	$39	unverified
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$26	$26	$56	unverified
Hepatitis B vaccine HCPCS Code: `90744`	$20	$20	$37	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$29	$29	$20	unverified

Showing top 25 high-impact procedures of 104 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 43.5%

Audit a Bill or Quote at Adventist Health Castle (Zero PHI Required)

CMS CCN: 120006

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $15,639

Insurer Median $30,829

1. Amount on Your Bill or Quote ($) Pre-filled with Adventist Health Castle’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $21,264 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $21,264

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (43.5% of gross = $21,264).

Step 2 · Cash vs. Insurance Arbitrage Save $33,232 Paying Cash

Self-Pay Cash Rate ($15,639) Beats Your Bill

Adventist Health Castle's published 45 CFR § 180 self-pay cash rate is $15,639 (vs. $30,829 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$29,784 Above Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your bill ($48,871) is $29,784 above the denoised Fair BaseRate ($19,087) and 3.5× the $14,117 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (43.5% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall4/5 Stars (4/5)

Safety Composite74/100

Would Recommend77%

Rated 9 or 10 (HCAHPS)80%

Median ER Wait159 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.1%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Adventist Health Castle. Prior administrative notices do not necessarily reflect current compliance status.

2025-08-26·administrative_or_closure
Met Requirements
Recorded
2024-02-20·administrative_or_closure
Met Requirements
Recorded
2022-11-30·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (691 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Adventist Health Castle.

Price Index: 0.66× regional baseline

Quality: 74/100 CMS composite

Median Household Income$104,264U.S. Census ACS

Local Uninsured Share3.4%Regional ACS estimate

200% FPL (1 Person)$36,720Common free-care ceiling

400% FPL (Family of 4)$147,920Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 80/100 · Corroborated CMS CCN 120006

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 120006) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-07-29 · 292.92 MB

Validated Rate Rows2,617 (CMS v3.0.0)

File Integrity Digest4fa9c0639c8a2c533af8…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy