Hospital Profile Acute Care Hospitals Proprietary

Pali Momi Medical Center

98-1079 MOANALUA RD, Aiea, HI 96701

CMS Overall Rating ★★★★☆

How this hospital's prices compare 128 procedures scored

1.0×

the fair BaseRate, typically

about the fair price

Across 128 shoppable procedures, Pali Momi Medical Center typically charges about the fair BaseRate for the procedures it prices.

Where it's most above the fair price

Urinalysis (automated, with microscopy) fair $4 → $5 1.3×

How we calculate the BaseRate →

Pali Momi Medical Center publishes prices for 125 shoppable procedures in Aiea, HI. It's classified by CMS as Acute Care Hospitals (Proprietary). CMS rates it 4/5 stars, and 79% of patients would recommend it.

Facility Overview

Setting: rural Bed Count: 118 Beds Teaching Status: Teaching Hospital Annual Discharges: 6,117

Patient Experience

Recommendation Rate: 79% High Patient Rating: 76% ER Wait Time (Med): 160 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 125 codes Typical vs Fair BaseRate: 1.0× Price File In Index: Yes MRF Version: 3.0.0

Prices at Pali Momi Medical Center

Every shoppable procedure, ranked by how far its price sits above the fair BaseRate. Fair BaseRate is the modeled typical charge; vs Fair is how many times higher this hospital's price is.

Search Procedures & Codes

Procedure & Code	Cash Price	This Hospital	Fair BaseRate	vs Fair
Urinalysis (automated, with microscopy) CPT Code: `81001`	$20	$5	$4	1.3×
Neurobehavioral status check CPT Code: `96116`	—	$369	$308	1.2×
Psychological testing evaluation CPT Code: `96136`	—	$153	$128	1.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$239	$70	$61	1.1×
Screening mammogram (both breasts) CPT Code: `77067`	$238	$131	$114	1.1×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$25	$6	$5	1.1×
Group therapy session CPT Code: `90853`	—	$110	$97	1.1×
Blood test, glucose (blood sugar) CPT Code: `82947`	$27	$6	$5	1.1×
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$32,316	$28,884	1.1×
Psychological testing by technician CPT Code: `96138`	—	$473	$428	1.1×
Prosthetic fitting and training CPT Code: `97761`	$92	$52	$47	1.1×
Ultrasound, abdomen (limited) CPT Code: `76705`	$330	$126	$114	1.1×
Blood test, potassium CPT Code: `84132`	$31	$7	$6	1.1×
Breathing treatment (nebulizer) CPT Code: `94640`	$200	$251	$230	1.1×
Blood test, hemoglobin CPT Code: `85018`	$16	$3	$3	1.1×
Hospital observation (per hour) HCPCS Code: `G0378`	$93	$80	$74	1.1×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$31	$6	$6	1.1×
Pneumonia vaccine injection HCPCS Code: `G0009`	$73	$57	$53	1.1×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$16	$15	1.1×
Blood test, magnesium CPT Code: `83735`	$41	$10	$9	1.1×
Breast lump removal CPT Code: `19120`	—	$4,743	$4,466	1.1×
Inguinal hernia repair CPT Code: `49505`	—	$4,497	$4,237	1.1×
Blood test, sodium CPT Code: `84295`	$31	$7	$7	1.1×
Ultrasound, pelvis CPT Code: `76856`	$468	$126	$119	1.1×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,270	$676	$640	1.1×
Ultrasound, thyroid and neck CPT Code: `76536`	$381	$126	$119	1.1×
Orthotic fitting and training CPT Code: `97760`	$91	$60	$57	1.1×
Blood transfusion CPT Code: `36430`	$859	$539	$512	1.1×
Colorectal cancer screening HCPCS Code: `G0010`	—	$57	$54	1.1×
Blood test, vitamin D CPT Code: `82306`	$134	$42	$40	1.0×
Flu vaccine injection HCPCS Code: `G0008`	$73	$57	$54	1.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,338	$232	$221	1.0×
MRI, lower back (no contrast) CPT Code: `72148`	$1,510	$315	$301	1.0×
Blood test, lipase CPT Code: `83690`	$43	$10	$10	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$28	$9	$9	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$501	$129	$124	1.0×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,135	$1,094	1.0×
Physical therapy (functional capacity test) CPT Code: `97750`	$83	$43	$41	1.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,354	$442	$426	1.0×
MRI, brain (no contrast) CPT Code: `70551`	$1,481	$315	$304	1.0×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,461	$1,413	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$4,038	$3,907	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$63	$19	$18	1.0×
CT scan, head (no contrast) CPT Code: `70450`	$1,059	$139	$135	1.0×
Physical therapy (manual therapy) CPT Code: `97140`	$119	$35	$34	1.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$107	$41	$40	1.0×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,967	$292	$284	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$48	$14	$14	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$76	$21	$20	1.0×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$94	$37	$36	1.0×
Occupational therapy (self-care training) CPT Code: `97535`	$88	$41	$40	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$67	$26	$25	1.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$104	$43	$42	1.0×
Blood test, liver function panel CPT Code: `80076`	$54	$12	$12	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$79	$24	$24	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$190	$186	1.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,967	$466	$457	1.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$97	$103	$101	1.0×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$190	$187	1.0×
Culture, blood CPT Code: `87040`	$63	$15	$15	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$59	$26	$26	1.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$166	$69	$68	1.0×
CT scan, head (with contrast) CPT Code: `70460`	$1,249	$215	$213	1.0×
Total hip replacement CPT Code: `27130`	—	$15,252	$15,147	1.0×
C-section delivery (full package) CPT Code: `59510`	—	$2,736	$2,718	1.0×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$1,106	$1,099	1.0×
CT scan, chest (no contrast) CPT Code: `71250`	$1,162	$139	$138	1.0×
CT scan, pelvis CPT Code: `72192`	$1,081	$139	$139	1.0×
CT scan, sinuses CPT Code: `70486`	$1,047	$139	$139	1.0×
Injection procedure for pain management HCPCS Code: `G0260`	$598	$903	$900	1.0×
Total knee replacement CPT Code: `27447`	—	$15,252	$15,216	1.0×
Trauma team activation HCPCS Code: `G0390`	—	$1,631	$1,628	1.0×
Blood test, basic metabolic panel CPT Code: `80048`	$54	$12	$12	1.0×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$19,922	$19,901	1.0×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,118	$139	$139	1.0×
Family therapy session CPT Code: `90847`	—	$190	$190	1.0×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$20,723	$20,720	1.0×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,481	$2,481	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$8,369	$8,369	1.0×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$19,124	$19,130	1.0×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,327	$139	$139	1.0×
Bunion correction surgery CPT Code: `28296`	—	$4,019	$4,031	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$134	$30	$30	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	$155	$85	$85	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$44	$11	$11	1.0×
Physical therapy (gait training) CPT Code: `97116`	$82	$35	$35	1.0×
X-ray, hip CPT Code: `73502`	$291	$88	$89	1.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$6,916	$6,974	1.0×
Drug screening test HCPCS Code: `G0480`	$132	$120	$121	1.0×
MRI, knee or other leg joint CPT Code: `73721`	$1,479	$315	$318	1.0×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$190	$192	1.0×
Upper endoscopy with biopsy CPT Code: `43239`	—	$1,161	$1,176	1.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$417	$139	$141	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$67	$15	$15	1.0×
Cataract surgery with lens implant CPT Code: `66984`	—	$2,825	$2,872	1.0×
Hepatitis C antibody test CPT Code: `86803`	$97	$20	$20	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$25	$7	$7	1.0×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$596	$268	$275	1.0×
Blood test, calcium CPT Code: `82310`	$31	$7	$7	1.0×
Blood test, amylase CPT Code: `82150`	$40	$9	$9	1.0×
Typhoid vaccine HCPCS Code: `90675`	$979	$314	$323	1.0×
Culture, bacterial CPT Code: `87070`	$61	$12	$12	1.0×
Hepatitis B immune globulin HCPCS Code: `90371`	$1,582	$137	$145	0.9×
Rabies immune globulin HCPCS Code: `90375`	$5,097	$280	$297	0.9×
Speech therapy (group session) CPT Code: `92508`	—	$28	$30	0.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	$39	$32	$35	0.9×
New patient office visit (30-44 min) CPT Code: `99203`	$81	$85	$93	0.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$58	$16	$18	0.9×
Care planning with family CPT Code: `90887`	—	$69	$86	0.8×
X-ray, chest (two views) CPT Code: `71046`	$237	$67	$84	0.8×
X-ray, lower back CPT Code: `72110`	$317	$82	$108	0.8×
X-ray, neck (cervical spine) CPT Code: `72040`	$250	$54	$85	0.6×
X-ray, chest (single view) CPT Code: `71045`	$205	$50	$82	0.6×
X-ray, ankle CPT Code: `73610`	$299	$52	$85	0.6×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$16	$26	0.6×
X-ray, foot CPT Code: `73630`	$327	$49	$82	0.6×
X-ray, hand CPT Code: `73130`	$383	$51	$85	0.6×
Blood antibody screen CPT Code: `86850`	$113	$20	$34	0.6×
X-ray, shoulder CPT Code: `73030`	$221	$47	$85	0.6×
X-ray, pelvis CPT Code: `72170`	$179	$48	$99	0.5×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$145	—	$43	—
Extended office visit (prolonged) HCPCS Code: `G2212`	$15	—	$39	—
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$293	—	$93	—
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$45	—	$31	—
Flu vaccine (high dose) HCPCS Code: `90656`	$31	—	$25	—