All published prices at Pali Momi Medical Center
66 procedures, each showing what the hospital billed, what that care was actually paid for, and how the charge compares with the national middle for the same coded work.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
172 | $15,407 | $3,043 | -21% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
156 | $1,861 | $774 | -41% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
149 | $59,351 | $19,907 | -9% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
148 | $5,919 | $1,802 | -41% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
104 | $5,897 | $2,275 | -54% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
96 | $52,716 | $15,086 | +21% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
79 | $47,557 | $14,246 | about average |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
77 | $56,011 | $18,320 | about average |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
74 | $10,638 | $3,510 | -44% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
64 | $15,885 | $3,627 | -37% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
62 | $12,398 | $2,132 | +6% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
61 | $11,530 | $4,010 | -44% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
59 | $16,784 | $5,871 | -39% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
58 | $114,118 | $27,238 | -14% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
53 | $18,765 | $6,011 | -48% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
53 | $30,790 | $12,634 | -54% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
50 | $45,249 | $17,530 | -36% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
44 | $57,812 | $16,939 | -6% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
43 | $39,477 | $14,481 | -37% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
41 | $33,381 | $11,592 | -44% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
40 | $25,819 | $6,423 | -26% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
39 | $33,543 | $10,612 | -19% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
39 | $20,318 | $4,676 | about average |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
37 | $11,329 | $3,893 | -51% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
36 | $25,261 | $7,861 | -37% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
35 | $35,020 | $13,910 | -28% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
33 | $5,108 | $1,644 | -40% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
32 | $41,466 | $13,002 | -9% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
29 | $36,334 | $20,119 | -62% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
28 | $14,648 | $4,384 | -39% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
27 | $158,753 | $51,299 | -11% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
26 | $56,483 | $20,918 | -26% |
|
Level 3 Upper GI Procedures
APC 5303 · Hospital outpatient visit |
26 | $19,717 | $4,405 | -10% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
26 | $5,914 | $1,735 | -47% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
25 | $16,523 | $4,307 | -27% |
|
Complex GI Procedures
APC 5331 · Hospital outpatient visit |
25 | $26,898 | $6,137 | -10% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
22 | $119,636 | $30,539 | -17% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
22 | $11,021 | $3,039 | -38% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
21 | $36,142 | $12,072 | -11% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
20 | $78,712 | $23,657 | -23% |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
19 | $23,135 | $7,545 | -40% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
18 | $24,849 | $8,974 | -19% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
18 | $25,722 | $8,219 | -14% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
17 | $59,691 | $23,720 | -32% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
17 | $56,720 | $20,440 | -32% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
17 | $29,484 | $10,353 | -3% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
17 | $12,327 | $3,723 | -40% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
17 | $6,625 | $2,117 | -42% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
16 | $42,867 | $14,950 | -11% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
16 | $35,578 | $8,552 | +12% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
16 | $23,380 | $8,859 | -25% |
|
Endocrine Disorders with Major Complications
MS-DRG 643 · Inpatient stay |
16 | $33,686 | $16,096 | -49% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
16 | $26,902 | $7,127 | -32% |
|
Other Vascular Procedures with Major Complications
MS-DRG 252 · Inpatient stay |
15 | $85,120 | $34,477 | -41% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
15 | $10,986 | $6,574 | -68% |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
14 | $52,792 | $16,554 | -18% |
|
Other Cerebrovascular Disorders with Major Complications
MS-DRG 070 · Inpatient stay |
13 | $60,839 | $16,628 | -8% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
13 | $59,572 | $21,243 | -30% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
13 | $32,959 | $12,264 | -36% |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
12 | $152,174 | $48,580 | -15% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
11 | $31,168 | $10,223 | -26% |
|
Permanent Cardiac Pacemaker Implant with Major Complications
MS-DRG 242 · Inpatient stay |
11 | $104,389 | $38,666 | -25% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
11 | $29,317 | $8,784 | -4% |
|
Disorders of the Biliary Tract with Major Complications
MS-DRG 444 · Inpatient stay |
11 | $46,395 | $16,729 | -35% |
|
Disorders of the Biliary Tract with Complications
MS-DRG 445 · Inpatient stay |
11 | $50,078 | $12,651 | about average |
|
Level 6 Gynecologic Procedures
APC 5416 · Hospital outpatient visit |
11 | $32,202 | $8,047 | -21% |
These figures are averages across this hospital's Medicare patients in the most recent federal data year. They are not a quote and not your bill. For your own case, ask the hospital for a written good-faith estimate and check its published machine-readable price file.