The Queen's Medical Center - Wahiawa — price list
← Hospital overviewVerified from The Queen's Medical Center - Wahiawa’s published price file
Includes cash prices, list prices, 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.
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.
186 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| 3D RADIOGRAPHIC PROCEDURE WITH COMPUTERIZED IMAGE POSTPROCESSING Outpatient | 76377 CPT | $356 | $249 | $38.91 – $308 | — | |
| Acetic Acid Outpatient | 51552005106 NDC | $46.75 | $32.73 | $258 – $258 | — | |
| ACETIC ACID (BULK) 3 % MISC LIQ Outpatient | 101429 CDM | $5.61 | $3.93 | $258 – $258 | — | |
| ADMINISTRATION OF ADDITIONAL NEW DRUG OR SUBSTANCE INTO VEIN USING PUSH TECHNIQUE Outpatient | 96411 CPT | $620 | $434 | $57.09 – $421 | — | |
| AGENT NOS ASSAY W/OPTIC Outpatient | 87899 CPT | $663 | $464 | $17.41 – $258 | — | |
| AMPLIFED DNA OR RNA PROBE DETECTION OF SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 (COVID-19) ANTIGEN Outpatient | 87635 CPT | $105 | $73.50 | $51.31 – $300 | — | |
| AMPUTATION OF TOE AT TOE JOINT Outpatient | 28825 CPT | $7,932 | $5,552 | $186 – $3,312 | — | |
| ANALGESICS NON-OPIOID 1 OR 2 Outpatient | 80329 CPT | $252 | $176 | $20.59 – $258 | — | |
| ANTIBODY EVALUATION; EACH ADDITIONAL SINGLE ANTIBODY STAIN PROCEDURE Outpatient | 88350 CPT | $288 | $202 | $39.00 – $258 | — | |
| APP MDLTY 1+IONTPHRSIS EA 15 Outpatient | 97033 CPT | $145 | $102 | $17.73 – $258 | — | |
| APPL MULTLAY COMPRS ARM/HAND Outpatient | 29584 CPT | $753 | $527 | $29.58 – $258 | — | |
| APPLICATION OF ELBOW TO FINGER CAST Outpatient | 29075 CPT | $806 | $564 | $95.04 – $258 | — | |
| APPLICATION OF LONG LEG CAST Outpatient | 29365 CPT | $983 | $688 | $126 – $258 | — | |
| ASPIRATE PLEURA W/O IMAGING Outpatient | 32554 CPT | $2,897 | $2,028 | $89.71 – $1,419 | — | |
| ASPIRATION AND/OR INJECTION OF CYST OF TENDON Outpatient | 20612 CPT | $1,130 | $791 | $55.08 – $1,419 | — | |
| ASSAY OF ANDROSTENEDIONE Outpatient | 82157 CPT | $448 | $314 | $42.48 – $258 | — | |
| ASSAY OF COPPER Outpatient | 82525 CPT | $156 | $109 | $18.01 – $258 | — | |
| ASSAY OF CRYOGLOBULIN Outpatient | 82595 CPT | $149 | $104 | $9.40 – $258 | — | |
| ASSAY OF METANEPHRINES Outpatient | 83835 CPT | $267 | $187 | $24.58 – $258 | — | |
| ASSAY OF VITAMIN B-1 Outpatient | 84425 CPT | $323 | $226 | $27.68 – $258 | — | |
| AUTOMATED DIFF WBC COUNT Outpatient | 85004 CPT | $86.00 | $60.20 | $9.49 – $258 | — | |
| BACTERIAL COLONY COUNT; URINE Outpatient | 87086 CPT | $198 | $139 | $11.72 – $258 | — | |
| BEHAV CHNG SMOKING > 10 MIN Outpatient | 99407 CPT | $123 | $86.10 | $25.18 – $258 | — | |
| CANDIDA DNA AMP PROBE Outpatient | 87481 CPT | $349 | $244 | $48.48 – $258 | — | |
| CARBOXYHEMOGLOBIN (PROTEIN) LEVEL Outpatient | 82375 CPT | $183 | $128 | $17.88 – $258 | — | |
| CCP ANTIBODY Outpatient | 86200 CPT | $187 | $131 | $17.88 – $258 | — | |
| CERVICOVAGINAL SECRETION OF PLACENTA PROTEIN Outpatient | 84112 CPT | $329 | $230 | $86.99 – $272 | — | |
| CHEM CAUT OF GRANLTJ TISSUE Outpatient | 17250 CPT | $498 | $349 | $58.24 – $996 | — | |
| CHLAMYDIA ANTIBODY Outpatient | 86631 CPT | $55.00 | $38.50 | $17.17 – $258 | — | |
| CHROMOSOME ANALYSIS 15-20 Outpatient | 88262 CPT | $1,078 | $755 | $172 – $372 | — |