Rehabilitation Hospital of the Pacific
226 N Kuakini St, Honolulu, HI 96817 · 56 Priced Procedures
Typical commercial prices here are 9% below the fair benchmark (0.91×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Uniform Value Leader · Low-Cost Across Departments
Rehabilitation Hospital of the Pacific maintains low, disciplined commercial pricing across both routine shoppable procedures (0.9× Medicare, p50 0.98× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 1.04× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 9% below peer Fair BaseRate (0.91×)
- Self-pay cash beats commercial insurance on 96% 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 (33.1% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.1× markup over Medicare rates
- Captive ER (1.3×) & laboratory (1.7×) services average 1.11× higher multiples than routine shoppable care (0.9×)
- Specialty infusion drugs (J-codes) average 1.1× Medicare — verify per-unit billing on itemized statements
- Consolidated metro market (HHI 5,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Rehabilitation Hospital of the Pacific
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 56 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Blood transfusion CPT Code: 36430 | $385 | 0.8× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $225 | 0.8× |
| Psychiatric evaluation (first visit) CPT Code: 90791 | $197 | 1.1× |
| Psychotherapy session (60 minutes) CPT Code: 90837 | $189 | 1.0× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $138 | 1.0× |
| Psychotherapy session (45 minutes) CPT Code: 90834 | $129 | 0.8× |
| New patient office visit (30-44 min) CPT Code: 99203 | $136 | unverified |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $157 | unverified |
| Speech therapy (language evaluation) CPT Code: 92507 | $89 | 1.0× |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $111 | unverified |
| Blood test, vitamin D CPT Code: 82306 | $131 | 4.2× |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | $78 | 7.8× |
| Blood test, ferritin (iron stores) CPT Code: 82728 | $94 | 6.7× |
| Hepatitis C antibody test CPT Code: 86803 | $92 | 6.1× |
| Blood test, vitamin B12 CPT Code: 82607 | $94 | 5.9× |
| Blood test, thyroid (TSH) CPT Code: 84443 | $92 | 5.1× |
| Blood test, calcium CPT Code: 82310 | $60 | 12.0× |
| Blood test, lipase CPT Code: 83690 | $59 | 8.4× |
| Culture, bacterial CPT Code: 87070 | $62 | 6.9× |
| Blood test, amylase CPT Code: 82150 | $44 | 6.3× |
| Culture, blood CPT Code: 87040 | $63 | 5.7× |
| Blood test, PSA (prostate screen) CPT Code: 84153 | $54 | 2.8× |
| X-ray, hip CPT Code: 73502 | $60 | 0.6× |
| X-ray, lower back CPT Code: 72110 | $65 | 0.6× |
| Pneumococcal vaccine HCPCS Code: 90732 | $79 | 0.6× |
Audit a Bill or Quote at Rehabilitation Hospital of the Pacific (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $170
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (33.1% of gross = $170).
Self-Pay Cash Rate ($385) Beats Your Bill
Rehabilitation Hospital of the Pacific's published 45 CFR § 180 self-pay cash rate is $385 (vs. $385 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $498 Fair BaseRate ($451 Medicare)
Your bill ($513) is $15 above the denoised Fair BaseRate ($498) and 1.1× the $451 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (33.1% 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.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Rehabilitation Hospital of the Pacific.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.