How many shoppable procedure prices are published for Kaiser Foundation Hospital?

Kaiser Foundation Hospital in Honolulu, HI currently has 103 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Kaiser Foundation Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Kaiser Foundation Hospital's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

What is Kaiser Foundation Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Kaiser Foundation Hospital 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 - Private 276 Beds · rural Updated: 4/1/2026

Kaiser Foundation Hospital

3288 Moanalua Rd, Honolulu, HI 96819 · 103 Priced Procedures · 80% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Above Fair Market · Negotiate

1.11×vs. Fair Market Price

Typical commercial prices here are +11% above the fair benchmark (1.11×) even after accounting for local nurse/doctor wages and patient complexity.

75/100 · Corroborated

75/100Self-Pay Cash Beats Insurance 26% of the Time

File Completeness90

Price Logic64

Peer Alignment67

Clean Billing59

Real Cash Discount100

High Quality · Fair Price

4-Star CMS clinical quality rating paired with 1.11× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Kaiser Foundation Hospital prices routine shoppable procedures near 1.2× Medicare (p50 1.04×) while skewing captive emergency, lab, and upper-quartile codes to 2.5× Medicare (p75 1.29×, +24% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#12 of 20 in HI · 55th State Percentile#1,708 of 3,385 in U.S. · 50th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.98× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 26% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 80% patient recommendation (76/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (23.6% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.11× 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 (0.6×) & laboratory (1.2×) services average 2.08× higher multiples than routine shoppable care (1.2×)
Upper-quartile procedures (Q75 1.29×) jump +24% above the median procedure ratio (Q50 1.04×)
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 & ER2.08× Divergence

2.5× Medicare

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

Quantile Tail Spread+24% Upper Tail

Q25 0.98× · Q50 1.04× · Q75 1.29×

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

0.8× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.2× MedicareGood

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

1.4× MedicareGood

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

26% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 76/100Fair

Procedure Prices at Kaiser Foundation Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 103 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Total hip replacement CPT Code: `27130`	$8,739	$8,739	$13,413	0.7×
Total knee replacement CPT Code: `27447`	$8,739	$8,739	$13,523	0.6×
Vaginal delivery (full package) CPT Code: `59400`	$6,060	$6,060	$2,680	2.3×
Rabies immune globulin HCPCS Code: `90375`	$4,876	$4,876	$322	15.1×
Breast lump removal CPT Code: `19120`	$4,868	$4,119	$3,875	1.1×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$3,832	$3,832	$6,109	0.6×
Inguinal hernia repair CPT Code: `49505`	—	$3,797	$3,629	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$3,491	$3,372	1.0×
Bunion correction surgery CPT Code: `28296`	—	$3,491	$3,446	1.0×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,750	$2,750	$1,021	2.7×
Cataract surgery with lens implant CPT Code: `66984`	$2,753	$2,454	$2,540	1.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,425	$1,425	$583	2.4×
Colonoscopy with biopsy CPT Code: `45380`	$2,466	$1,268	$1,256	1.0×
Hepatitis B immune globulin HCPCS Code: `90371`	$1,129	$1,129	$151	7.5×
Upper endoscopy with biopsy CPT Code: `43239`	$1,476	$1,008	$987	1.0×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,482	$981	$981	1.0×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$764	$764	$272	2.8×
Injection procedure for pain management HCPCS Code: `G0260`	$2,032	$745	$855	0.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,693	$486	$448	1.1×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,273	$486	$511	1.0×
Blood transfusion CPT Code: `36430`	$906	$470	$498	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	$408	$408	$185	2.2×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,400	$330	$303	1.1×
MRI, lower back (no contrast) CPT Code: `72148`	$1,748	$330	$338	1.0×
MRI, brain (no contrast) CPT Code: `70551`	$1,673	$330	$343	1.0×
MRI, knee or other leg joint CPT Code: `73721`	$1,748	$330	$369	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$293	$293	$64	4.6×
Office visit, established patient (30-39 min) CPT Code: `99214`	$239	$239	$123	1.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$230	$230	$201	1.1×
CT scan, head (with contrast) CPT Code: `70460`	$1,530	$243	$242	1.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,748	$243	$258	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$192	$192	$86	2.2×
Physical therapy (manual therapy) CPT Code: `97140`	$156	$156	$34	4.6×
Office visit, established patient (20-29 min) CPT Code: `99213`	$163	$163	$87	1.9×
CT scan, sinuses CPT Code: `70486`	$1,335	$173	$166	1.0×
X-ray, pelvis CPT Code: `72170`	$277	$144	$110	1.3×
CT scan, pelvis CPT Code: `72192`	$1,485	$162	$163	1.0×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,530	$165	$169	1.0×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,598	$164	$168	1.0×
CT scan, chest (no contrast) CPT Code: `71250`	$1,553	$163	$167	1.0×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$115	$115	$35	3.3×
Physical therapy (gait training) CPT Code: `97116`	$98	$98	$33	3.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$110	$110	$38	2.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$110	$110	$40	2.8×
Occupational therapy (self-care training) CPT Code: `97535`	$102	$102	$38	2.7×
Orthotic fitting and training CPT Code: `97760`	$126	$126	$51	2.5×
Hospital observation (per hour) HCPCS Code: `G0378`	$124	$124	$86	1.4×
X-ray, chest (single view) CPT Code: `71045`	$247	$120	$92	1.3×
X-ray, shoulder CPT Code: `73030`	$271	$120	$92	1.3×
X-ray, chest (two views) CPT Code: `71046`	$285	$120	$93	1.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$306	$120	$93	1.3×
X-ray, hip CPT Code: `73502`	$359	$120	$93	1.3×
X-ray, lower back CPT Code: `72110`	$437	$144	$112	1.3×
Ultrasound, abdomen (limited) CPT Code: `76705`	$600	$144	$126	1.1×
Ultrasound, pelvis CPT Code: `76856`	$600	$144	$130	1.1×
Ultrasound, thyroid and neck CPT Code: `76536`	$585	$144	$132	1.1×
Ultrasound, abdomen (complete) CPT Code: `76700`	$638	$144	$134	1.1×
Screening mammogram (both breasts) CPT Code: `77067`	$317	$120	$123	1.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$541	$144	$148	1.0×
CT scan, head (no contrast) CPT Code: `70450`	$1,380	$144	$160	0.9×
X-ray, hand CPT Code: `73130`	$338	$120	$93	unverified
X-ray, ankle CPT Code: `73610`	$284	$120	$93	unverified
X-ray, foot CPT Code: `73630`	$299	$120	$92	unverified
Typhoid vaccine HCPCS Code: `90675`	$1,020	$1,020	$347	2.9×
Drug screening test HCPCS Code: `G0480`	$502	$502	$116	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$452	$452	$203	2.2×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$225	$225	$111	2.0×
Blood test, vitamin D CPT Code: `82306`	$231	$231	$31	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$188	$188	$140	1.3×
Culture, blood CPT Code: `87040`	$161	$161	$11	14.6×
Hepatitis C antibody test CPT Code: `86803`	$156	$156	$15	unverified
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$121	$121	$14	8.6×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$90	$90	$11	8.2×
Blood test, thyroid (TSH) CPT Code: `84443`	$112	$112	$18	6.2×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$123	$123	$20	6.2×
Blood test, liver function panel CPT Code: `80076`	$73	$73	$9	8.1×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$90	$90	$27	3.3×
Blood test, vitamin B12 CPT Code: `82607`	$103	$103	$16	unverified
Blood test, lipase CPT Code: `83690`	$71	$71	$7	10.1×
Blood test, calcium CPT Code: `82310`	$41	$41	$5	8.2×
Blood test, complete blood count (CBC) CPT Code: `85025`	$64	$64	$8	8.0×
Blood test, amylase CPT Code: `82150`	$53	$53	$7	7.6×
Flu vaccine (high dose) HCPCS Code: `90656`	$65	$65	$25	2.6×
Blood test, ferritin (iron stores) CPT Code: `82728`	$87	$87	$14	unverified
Blood test, magnesium CPT Code: `83735`	$60	$60	$7	8.6×
Culture, bacterial CPT Code: `87070`	$74	$74	$9	8.2×
Flu vaccine injection HCPCS Code: `G0008`	$88	$88	$48	1.8×
Pneumonia vaccine injection HCPCS Code: `G0009`	$88	$88	$49	1.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$69	$69	$56	1.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$68	$68	$10	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$86	$86	$19	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$32	$32	$5	6.4×
Blood test, glucose (blood sugar) CPT Code: `82947`	$56	$56	$4	unverified
Blood test, basic metabolic panel CPT Code: `80048`	$83	$25	$9	2.8×
Blood antibody screen CPT Code: `86850`	$159	$29	$46	0.6×
Blood test, potassium CPT Code: `84132`	$50	$50	$5	unverified
Blood test, sodium CPT Code: `84295`	$49	$49	$5	unverified
Diagnostic procedure preparation HCPCS Code: `G0279`	$103	$21	$35	0.6×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$34	$9	$3	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$32	$32	$4	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$41	$41	$5	unverified
Blood test, hemoglobin CPT Code: `85018`	$29	$7	$3	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$51	$18	$6	unverified

Showing top 25 high-impact procedures of 103 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 23.6%

Audit a Bill or Quote at Kaiser Foundation Hospital (Zero PHI Required)

CMS CCN: 120011

CPT 27130

Select Procedure to Audit:

Fair BaseRate™ $13,413

Medicare Rate $13,117

Self-Pay Cash $8,739

Insurer Median $8,739

1. Amount on Your Bill or Quote ($) Pre-filled with Kaiser Foundation Hospital’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: $2,749 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $2,749

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (23.6% of gross = $2,749).

Step 2 · Cash vs. Insurance Arbitrage Save $2,913 Paying Cash

Self-Pay Cash Rate ($8,739) Beats Your Bill

Kaiser Foundation Hospital's published 45 CFR § 180 self-pay cash rate is $8,739 (vs. $8,739 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target Target: $13,413 Fair BaseRate

Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)

Your entered amount is at or below the modeled Fair BaseRate benchmark ($13,413).

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)

EIN: 941105628

Filing Period: 194906

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 (23.6% 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 Composite76/100

Would Recommend80%

Rated 9 or 10 (HCAHPS)80%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

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 Kaiser Foundation Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2026-04-21·warning_notice
Warning Notice
Recorded
2025-04-15·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (426 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 Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Kaiser Foundation Hospital.

Price Index: 1.11× regional baseline

Quality: 73/100 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 75/100 · Corroborated CMS CCN 120011 EIN 941105628

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 120011) ↗ Verify IRS Form 990 (EIN 941105628) ↗ CMS HCRIS Cost Reports ↗

Published MRF File941105628-moanalua-medical-center-standard-charges-hi-en.csv

Publication / Vintage4/1/2026 · 185.74 MB

Validated Rate Rows316 (CMS v3.0.1)

File Integrity Digest2a620ca98c430db3c115…

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