How many shoppable procedure prices are published for Kapiolani Medical Center for Women & Children?

Kapiolani Medical Center for Women & Children in Honolulu, HI currently has 127 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Kapiolani Medical Center for Women & Children's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Kapiolani Medical Center for Women & Children's median negotiated commercial rate is 1.2× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Children's Hospital Voluntary non-profit - Private 253 Beds · urban Updated: 2026-02-12

Kapiolani Medical Center for Women & Children

1319 Punahou Street, Honolulu, HI 96826 · 127 Priced Procedures

CMS Overall Rating No CMS Rating

Above Fair Market · Negotiate

1.24×vs. Fair Market Price

Typical commercial prices here are +24% above the fair benchmark (1.24×) even after accounting for local nurse/doctor wages and patient complexity.

84/100 · Corroborated

84/100Self-Pay Cash Beats Insurance 52% of the Time

File Completeness66

Price Logic95

Peer Alignment74

Clean Billing85

Real Cash Discount100

Regional Benchmark Tier

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

Kapiolani Medical Center for Women & Children maintains elevated commercial insurance contracts (1.24× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 52% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#16 of 20 in HI · 75th State Percentile#2,104 of 3,385 in U.S. · 62nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.96× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 52% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (54/100 safety score) with 72% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (42.6% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.1× markup over Medicare rates
Commercial insurance median sits at 1.16× Fair BaseRate (1.7× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.52×) jump +31% above the median procedure ratio (Q50 1.16×)
Consolidated metro market (HHI 2,350) limits in-network hospital competition (Moderately Concentrated (1,500–2,500))

Front-Door ShoppableElective / Imaging

1.7× Medicare

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

Back-Door Captive & ER0.82× Divergence

1.4× Medicare

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

Quantile Tail Spread+31% Upper Tail

Q25 0.96× · Q50 1.16× · Q75 1.52×

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

1.7× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.1× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.1× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

2.5× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

1.7× MedicareGood

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

1.6× MedicareGood

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

52% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at Kapiolani Medical Center for Women & Children

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 127 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$30,452	$30,775	1.0×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$19,434	$19,087	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$18,683	$19,432	1.0×
Total hip replacement CPT Code: `27130`	—	$12,609	$13,413	0.9×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$7,848	$8,223	1.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$5,718	$6,109	0.9×
Breast lump removal CPT Code: `19120`	—	$3,828	$3,875	1.0×
Inguinal hernia repair CPT Code: `49505`	—	$3,614	$3,629	1.0×
Rabies immune globulin HCPCS Code: `90375`	$5,097	$3,625	$322	unverified
Bunion correction surgery CPT Code: `28296`	—	$3,323	$3,446	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$3,323	$3,372	unverified
C-section delivery (full package) CPT Code: `59510`	—	$2,736	$2,975	0.9×
Cataract surgery with lens implant CPT Code: `66984`	—	$2,499	$2,540	1.0×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,481	$2,680	0.9×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,305	$1,256	1.0×
Trauma team activation HCPCS Code: `G0390`	—	$1,297	$1,453	0.9×
Hepatitis B immune globulin HCPCS Code: `90371`	$1,582	$1,125	$151	unverified
Upper endoscopy with biopsy CPT Code: `43239`	—	$1,038	$987	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,009	$981	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	—	$997	$1,021	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$1,967	$880	$511	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,270	$867	$583	unverified
Injection procedure for pain management HCPCS Code: `G0260`	$598	$809	$855	0.9×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$763	$763	$17,936	0.0×
Blood transfusion CPT Code: `36430`	$859	$645	$498	1.3×
MRI, lower back (no contrast) CPT Code: `72148`	$1,510	$440	$338	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,389	$445	$448	unverified
MRI, knee or other leg joint CPT Code: `73721`	$1,479	$396	$369	1.1×
Psychological testing by technician CPT Code: `96138`	—	$391	$395	1.0×
MRI, brain (no contrast) CPT Code: `70551`	$1,481	$411	$343	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,118	$410	$168	unverified
X-ray, hand CPT Code: `73130`	$271	$339	$93	unverified
X-ray, foot CPT Code: `73630`	$233	$292	$92	3.2×
Neurobehavioral status check CPT Code: `96116`	—	$305	$231	1.3×
X-ray, ankle CPT Code: `73610`	$259	$312	$93	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$1,162	$273	$167	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,996	$282	$303	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$596	$287	$272	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$202	$241	$201	1.2×
CT scan, head (with contrast) CPT Code: `70460`	$1,249	$222	$242	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,338	$233	$258	0.9×
CT scan, pelvis CPT Code: `72192`	$1,081	$195	$163	1.2×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,327	$195	$169	1.2×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$417	$206	$148	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$107	$134	$38	3.5×
X-ray, shoulder CPT Code: `73030`	$221	$146	$92	1.6×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$157	$166	0.9×
CT scan, sinuses CPT Code: `70486`	$1,047	$156	$166	0.9×
Family therapy session CPT Code: `90847`	—	$157	$173	0.9×
CT scan, head (no contrast) CPT Code: `70450`	$1,059	$139	$160	0.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$157	$181	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$157	$185	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$381	$162	$132	unverified
Physical therapy (therapeutic exercise) CPT Code: `97110`	$94	$117	$35	3.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$104	$131	$40	3.3×
Ultrasound, abdomen (complete) CPT Code: `76700`	$501	$129	$134	1.0×
Screening mammogram (both breasts) CPT Code: `77067`	$238	$152	$123	unverified
Prosthetic fitting and training CPT Code: `97761`	$92	$116	$45	2.6×
Orthotic fitting and training CPT Code: `97760`	$91	$114	$51	2.2×
Psychological testing evaluation CPT Code: `96136`	—	$126	$128	1.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$97	$121	$123	1.0×
Physical therapy (manual therapy) CPT Code: `97140`	$119	$136	$34	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$88	$110	$38	2.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$259	$102	$87	1.2×
X-ray, hip CPT Code: `73502`	$291	$88	$93	0.9×
X-ray, pelvis CPT Code: `72170`	$179	$104	$110	0.9×
Ultrasound, pelvis CPT Code: `76856`	$468	$120	$130	unverified
X-ray, chest (single view) CPT Code: `71045`	$205	$86	$92	0.9×
X-ray, lower back CPT Code: `72110`	$317	$104	$112	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$413	$118	$126	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$155	$85	$86	1.0×
Hospital observation (per hour) HCPCS Code: `G0378`	$67	$83	$86	1.0×
X-ray, chest (two views) CPT Code: `71046`	$237	$86	$93	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$250	$86	$93	0.9×
Group therapy session CPT Code: `90853`	—	$91	$100	0.9×
New patient office visit (30-44 min) CPT Code: `99203`	$88	$100	$110	0.9×
Typhoid vaccine HCPCS Code: `90675`	$979	$364	$347	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$293	$272	$111	unverified
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$145	$135	$56	unverified
Drug screening test HCPCS Code: `G0480`	$143	$117	$116	unverified
Diagnostic procedure preparation HCPCS Code: `G0279`	$39	$45	$35	1.3×
Blood antibody screen CPT Code: `86850`	$109	$55	$46	1.2×
Physical therapy (gait training) CPT Code: `97116`	$82	$39	$33	1.2×
Physical therapy (functional capacity test) CPT Code: `97750`	$83	$41	$38	1.1×
Colorectal cancer screening HCPCS Code: `G0010`	—	$45	$49	0.9×
Care planning with family CPT Code: `90887`	—	$52	$107	0.5×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$45	$42	$39	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$239	$58	$64	unverified
Flu vaccine injection HCPCS Code: `G0008`	$73	$60	$48	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	$73	$60	$49	unverified
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$134	$32	$27	1.2×
Blood test, vitamin D CPT Code: `82306`	$187	$43	$31	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$22	$5	$3	1.7×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$25	$6	$4	1.5×
Blood test, creatinine (kidney) CPT Code: `82565`	$25	$7	$5	1.4×
Blood test, liver function panel CPT Code: `80076`	$54	$12	$9	1.3×
Blood test, ferritin (iron stores) CPT Code: `82728`	$58	$17	$14	1.2×
Blood test, hemoglobin CPT Code: `85018`	$145	$3	$3	1.0×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$13	$14	0.9×
Speech therapy (group session) CPT Code: `92508`	—	$25	$27	0.9×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$20	$25	0.8×
Extended office visit (prolonged) HCPCS Code: `G2212`	$15	$20	$33	0.6×
Blood test, basic metabolic panel CPT Code: `80048`	$56	$12	$9	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$68	$15	$11	unverified
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$63	$31	$14	unverified
Pneumococcal vaccine HCPCS Code: `90732`	—	$4	$140	0.0×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$4	$203	0.0×
Blood test, amylase CPT Code: `82150`	$40	$10	$7	unverified
Blood test, calcium CPT Code: `82310`	$32	$7	$5	unverified
Blood test, vitamin B12 CPT Code: `82607`	$76	$22	$16	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$27	$6	$4	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$48	$14	$10	unverified
Blood test, lipase CPT Code: `83690`	$43	$10	$7	unverified
Blood test, magnesium CPT Code: `83735`	$42	$10	$7	unverified
Blood test, potassium CPT Code: `84132`	$145	$7	$5	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$67	$27	$19	unverified
Blood test, sodium CPT Code: `84295`	$145	$7	$5	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$81	$24	$18	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$44	$11	$8	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$31	$6	$5	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$37	$9	$6	unverified
Hepatitis C antibody test CPT Code: `86803`	$108	$21	$15	unverified
Culture, blood CPT Code: `87040`	$65	$15	$11	unverified
Culture, bacterial CPT Code: `87070`	$61	$12	$9	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	$31	$29	$25	unverified
Hepatitis B vaccine HCPCS Code: `90744`	—	$4	$37	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$67	$27	$20	unverified

Showing top 25 high-impact procedures of 127 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 42.6%

Audit a Bill or Quote at Kapiolani Medical Center for Women & Children (Zero PHI Required)

CMS CCN: 123300

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $30,452

1. Amount on Your Bill or Quote ($) Pre-filled with Kapiolani Medical Center for Women & Children’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: $31,134 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $31,134

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (42.6% of gross = $31,134).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Kapiolani Medical Center for Women & Children's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$42,310 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($73,085) is $42,310 above the denoised Fair BaseRate ($30,775) and 3.1× the $23,504 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 (42.6% 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 ↑

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 Kapiolani Medical Center for Women & Children.

Price Index: 1.22× regional baseline

Quality: 54/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

UnitedHealthcare

-44.7%

Kaiser Permanente

+68.7%

Aetna

+74.6%

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 84/100 · Corroborated CMS CCN 123300

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

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 123300) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-02-12

Validated Rate Rows4,632 (CMS v3.0.0)

File Integrity DigestVerified · CCN 123300

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