How many shoppable procedure prices are published for Pali Momi Medical Center?

Pali Momi Medical Center in Aiea, HI currently has 127 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Pali Momi Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Pali Momi Medical Center's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

What is Pali Momi Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Pali Momi Medical Center 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 Proprietary 118 Beds · rural Updated: 2026-02-12

Pali Momi Medical Center

98-1079 Moanalua Road, Aiea, HI 96701 · 127 Priced Procedures · 79% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Above Fair Market · Negotiate

1.14×vs. Fair Market Price

Typical commercial prices here are +14% above the fair benchmark (1.14×) even after accounting for local nurse/doctor wages and patient complexity.

82/100 · Corroborated

82/100Self-Pay Cash Beats Insurance 49% of the Time

File Completeness60

Price Logic95

Peer Alignment74

Clean Billing83

Real Cash Discount100

High Quality · Fair Price

4-Star CMS clinical quality rating paired with 1.14× fair market pricing.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

Pali Momi Medical Center maintains elevated commercial insurance contracts (1.14× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 49% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#14 of 20 in HI · 65th State Percentile#1,831 of 3,385 in U.S. · 54th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.95× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 49% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 79% patient recommendation (78/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

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 1.09× Fair BaseRate (1.7× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.44×) jump +32% above the median procedure ratio (Q50 1.09×)
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+32% Upper Tail

Q25 0.95× · Q50 1.09× · Q75 1.44×

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

0.8× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.7× MedicareGood

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

0.7× MedicareGood

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

49% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 78/100Fair

Procedure Prices at Pali Momi Medical Center

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
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$3,323	$3,372	1.0×
Bunion correction surgery CPT Code: `28296`	—	$3,323	$3,446	1.0×
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	1.1×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,009	$981	1.0×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$997	$1,021	1.0×
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	unverified
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
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
MRI, knee or other leg joint CPT Code: `73721`	$1,479	$396	$369	unverified
X-ray, hand CPT Code: `73130`	$271	$339	$93	3.6×
X-ray, foot CPT Code: `73630`	$233	$292	$92	3.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$596	$287	$272	1.1×
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
Neurobehavioral status check CPT Code: `96116`	—	$305	$231	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$202	$241	$201	1.2×
CT scan, head (with contrast) CPT Code: `70460`	$1,249	$222	$242	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$1,338	$233	$258	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$1,327	$195	$169	unverified
CT scan, pelvis CPT Code: `72192`	$1,081	$195	$163	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$417	$206	$148	unverified
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
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×
Ultrasound, pelvis CPT Code: `76856`	$468	$120	$130	unverified
X-ray, hip CPT Code: `73502`	$291	$88	$93	0.9×
X-ray, pelvis CPT Code: `72170`	$179	$104	$110	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$413	$118	$126	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 (complete) CPT Code: `76700`	$501	$129	$134	unverified
Physical therapy (therapeutic exercise) CPT Code: `97110`	$94	$117	$35	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$107	$134	$38	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$119	$136	$34	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$104	$131	$40	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$259	$102	$87	1.2×
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×
Occupational therapy (self-care training) CPT Code: `97535`	$88	$110	$38	unverified
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×
Care planning with family CPT Code: `90887`	—	$52	$107	0.5×
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
Speech therapy (group session) CPT Code: `92508`	—	$25	$27	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	—	$45	$49	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, vitamin D CPT Code: `82306`	$187	$43	$31	unverified
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
Blood test, liver function panel CPT Code: `80076`	$54	$12	$9	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$22	$5	$3	unverified
Blood test, amylase CPT Code: `82150`	$40	$10	$7	unverified
Blood test, calcium CPT Code: `82310`	$32	$7	$5	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$25	$7	$5	unverified
Blood test, vitamin B12 CPT Code: `82607`	$76	$22	$16	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$58	$17	$14	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$67	$27	$19	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$45	$42	$39	unverified
Physical therapy (gait training) CPT Code: `97116`	$82	$39	$33	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	—	$13	$14	0.9×
Pneumococcal vaccine HCPCS Code: `90732`	—	$4	$140	0.0×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$4	$203	0.0×
Blood test, sodium CPT Code: `84295`	$145	$7	$5	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$81	$24	$18	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$25	$6	$4	unverified
Blood test, hemoglobin CPT Code: `85018`	$145	$3	$3	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
Physical therapy (functional capacity test) CPT Code: `97750`	$83	$41	$38	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
Hepatitis B vaccine HCPCS Code: `90744`	—	$4	$37	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$67	$27	$20	unverified
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$134	$32	$27	unverified

Showing top 25 high-impact procedures of 127 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Pali Momi Medical Center (Zero PHI Required)

CMS CCN: 120026

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 Pali Momi Medical Center’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 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Pali Momi Medical Center'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) For-Profit / Non-501(c)(3)

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

EIN: 990274038

Filing Period: 201101

Public IRS & CMS ownership records classify Pali Momi Medical Center as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

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 Composite78/100

Would Recommend79%

Rated 9 or 10 (HCAHPS)76%

Median ER Wait160 min

Left ER Before Seen0%

30-Day Mortality vs U.S.better

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

Source: CMS Hospital Care Compare (442 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 Pali Momi Medical Center.

Price Index: 0.99× regional baseline

Quality: 86/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

UnitedHealthcare

-59.1%

Kaiser Permanente

+72.2%

Aetna

+83.6%

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 82/100 · Corroborated CMS CCN 120026 EIN 990274038

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 120026) ↗ Verify IRS Form 990 (EIN 990274038) ↗ CMS HCRIS Cost Reports ↗

Published MRF File990274038_Pali-Momi-Medical-Center_standardcharges.csv

Publication / Vintage2026-02-12 · 317.75 MB

Validated Rate Rows4,042 (CMS v3.0.0)

File Integrity DigestVerified · CCN 120026

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