Pali Momi Medical Center — price list
← Hospital overviewVerified from Pali Momi Medical Center’s published price file
Includes insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
1,500 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| ACUTE BRONCHITIS & RELATED SYMPTOMS Inpatient | 145-1 APR-DRG | — | — | $4,701 – $5,406 | — | |
| ACUTE BRONCHITIS & RELATED SYMPTOMS Inpatient | 145-1ADULT APR-DRG | — | — | $4,701 – $4,701 | — | |
| ACUTE BRONCHITIS & RELATED SYMPTOMS Inpatient | 145-1_A APR-DRG | — | — | $4,701 – $4,701 | — | |
| ACUTE BRONCHITIS & RELATED SYMPTOMS Inpatient | 145-1_ADULT APR-DRG | — | — | $4,701 – $4,701 | — | |
| ACUTE BRONCHITIS & RELATED SYMPTOMS Inpatient | 145-1_P APR-DRG | — | — | $5,406 – $5,406 | — | |
| ACUTE BRONCHITIS & RELATED SYMPTOMS Inpatient | 145-1_PEDIA APR-DRG | — | — | $5,406 – $5,406 | — | |
| ACUTE BRONCHITIS & RELATED SYMPTOMS Inpatient | 145-1_PEDIATRIC APR-DRG | — | — | $5,406 – $5,406 | — | |
| ACUTE BRONCHITIS & RELATED SYMPTOMS Inpatient | 145-2 APR-DRG | — | — | $5,721 – $6,579 | — | |
| ACUTE BRONCHITIS & RELATED SYMPTOMS Inpatient | 145-2ADULT APR-DRG | — | — | $5,721 – $5,721 | — | |
| ACUTE BRONCHITIS & RELATED SYMPTOMS Inpatient | 145-2_A APR-DRG | — | — | $5,721 – $5,721 | — | |
| ACUTE BRONCHITIS & RELATED SYMPTOMS Inpatient | 145-2_ADULT APR-DRG | — | — | $5,721 – $5,721 | — | |
| ACUTE BRONCHITIS & RELATED SYMPTOMS Inpatient | 145-2_P APR-DRG | — | — | $6,579 – $6,579 | — | |
| ACUTE BRONCHITIS & RELATED SYMPTOMS Inpatient | 145-2_PEDIA APR-DRG | — | — | $6,579 – $6,579 | — | |
| ACUTE BRONCHITIS & RELATED SYMPTOMS Inpatient | 145-2_PEDIATRIC APR-DRG | — | — | $6,579 – $6,579 | — | |
| ACUTE BRONCHITIS & RELATED SYMPTOMS Inpatient | 145-3 APR-DRG | — | — | $7,635 – $8,780 | — | |
| ACUTE BRONCHITIS & RELATED SYMPTOMS Inpatient | 145-3ADULT APR-DRG | — | — | $7,635 – $7,635 | — | |
| ACUTE BRONCHITIS & RELATED SYMPTOMS Inpatient | 145-3_A APR-DRG | — | — | $7,635 – $7,635 | — | |
| ACUTE BRONCHITIS & RELATED SYMPTOMS Inpatient | 145-3_ADULT APR-DRG | — | — | $7,635 – $7,635 | — | |
| ACUTE BRONCHITIS & RELATED SYMPTOMS Inpatient | 145-3_P APR-DRG | — | — | $8,780 – $8,780 | — | |
| ACUTE BRONCHITIS & RELATED SYMPTOMS Inpatient | 145-3_PEDIA APR-DRG | — | — | $8,780 – $8,780 | — | |
| ACUTE BRONCHITIS & RELATED SYMPTOMS Inpatient | 145-3_PEDIATRIC APR-DRG | — | — | $8,780 – $8,780 | — | |
| ACUTE BRONCHITIS & RELATED SYMPTOMS Inpatient | 145-4 APR-DRG | — | — | $12,471 – $14,342 | — | |
| ACUTE BRONCHITIS & RELATED SYMPTOMS Inpatient | 145-4ADULT APR-DRG | — | — | $12,471 – $12,471 | — | |
| ACUTE BRONCHITIS & RELATED SYMPTOMS Inpatient | 145-4_A APR-DRG | — | — | $12,471 – $12,471 | — | |
| ACUTE BRONCHITIS & RELATED SYMPTOMS Inpatient | 145-4_ADULT APR-DRG | — | — | $12,471 – $12,471 | — | |
| ACUTE BRONCHITIS & RELATED SYMPTOMS Inpatient | 145-4_P APR-DRG | — | — | $14,342 – $14,342 | — | |
| ACUTE BRONCHITIS & RELATED SYMPTOMS Inpatient | 145-4_PEDIA APR-DRG | — | — | $14,342 – $14,342 | — | |
| ACUTE BRONCHITIS & RELATED SYMPTOMS Inpatient | 145-4_PEDIATRIC APR-DRG | — | — | $14,342 – $14,342 | — | |
| ALLOGENEIC BONE MARROW TRANSPLANT Inpatient | 007-1 APR-DRG | — | — | $77,989 – $89,687 | — | |
| ALLOGENEIC BONE MARROW TRANSPLANT Inpatient | 007-1ADULT APR-DRG | — | — | $77,989 – $77,989 | — |