The Queen's Medical Center West O'ahu — price list
← Hospital overviewVerified from The Queen's Medical Center West O'ahu’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.
167 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Acetaminophen Inpatient | A9270 HCPCS | $1.00 | $0.70 | $4,496 – $5,269 | — | |
| Albuterol Sulfate Inpatient | 378827093 NDC | $1.00 | $0.70 | $4,496 – $5,269 | — | |
| Albuterol Sulfate Inpatient | 487950101 NDC | $1.00 | $0.70 | $4,496 – $5,269 | — | |
| Albuterol Sulfate Inpatient | 60687039583 NDC | $1.00 | $0.70 | $4,496 – $5,269 | — | |
| Albuterol Sulfate Inpatient | 60687039579 NDC | $1.00 | $0.70 | $4,496 – $5,269 | — | |
| ALBUTEROL SULFATE 2.5 MG /3 ML (0.083 %) INHAL NEBU Inpatient | 3.90E+18 CDM | $1.00 | $0.70 | $4,496 – $5,269 | — | |
| ALfentanil HCl Inpatient | J0216 HCPCS | $29.04 | $20.33 | $4,496 – $5,269 | — | |
| Aromatic Cascara Inpatient | 54804816 NDC | $1.00 | $0.70 | $4,496 – $5,269 | — | |
| Atenolol Inpatient | A9270 HCPCS | $1.00 | $0.70 | $4,496 – $5,269 | — | |
| Bacitracin Inpatient | A9270 HCPCS | $1.00 | $0.70 | $4,496 – $5,269 | — | |
| BD Lactinex Inpatient | A9270 HCPCS | $22.56 | $15.79 | $4,496 – $5,269 | — | |
| Beyfortus Inpatient | 90380 CPT | $0.01 | $0.01 | $4,496 – $5,269 | — | |
| Beyfortus Inpatient | 90381 CPT | $0.01 | $0.01 | $4,496 – $5,269 | — | |
| Bio Glo Inpatient | 17238090099 NDC | $1.00 | $0.70 | $4,496 – $5,269 | — | |
| Carvedilol Inpatient | A9270 HCPCS | $1.00 | $0.70 | $4,496 – $5,269 | — | |
| Cefdinir Inpatient | A9270 HCPCS | $47.96 | $33.57 | $4,496 – $5,269 | — | |
| Cephalexin Inpatient | A9270 HCPCS | $1.00 | $0.70 | $4,496 – $5,269 | — | |
| Cephalexin AvPak Inpatient | A9270 HCPCS | $1.00 | $0.70 | $4,496 – $5,269 | — | |
| Children's Fever Reducer Inpatient | A9270 HCPCS | $1.00 | $0.70 | $4,496 – $5,269 | — | |
| CIPROFLOXACIN HCL 0.3 % OPHT DROP (MULTIDOSE) Inpatient | 2001580 CDM | $8.00 | $5.60 | $4,496 – $5,269 | — | |
| clonazePAM Inpatient | A9270 HCPCS | $1.00 | $0.70 | $4,496 – $5,269 | — | |
| cloNIDine HCl Inpatient | A9270 HCPCS | $1.00 | $0.70 | $4,496 – $5,269 | — | |
| Cyramza Inpatient | J9308 HCPCS | $3,428 | $2,399 | $4,496 – $5,269 | — | |
| diazePAM Inpatient | A9270 HCPCS | $1.00 | $0.70 | $4,496 – $5,269 | — | |
| Docusate Sodium Inpatient | A9270 HCPCS | $1.00 | $0.70 | $4,496 – $5,269 | — | |
| Docusate Sodium-Sennosides Inpatient | A9270 HCPCS | $1.00 | $0.70 | $4,496 – $5,269 | — | |
| Donepezil HCl Inpatient | A9270 HCPCS | $1.00 | $0.70 | $4,496 – $5,269 | — | |
| Engerix-B Inpatient | 90744 CPT | $0.01 | $0.01 | $4,496 – $5,269 | — | |
| ETHYL CHLORIDE 100 % TOP AERO.SPRAY Inpatient | 98615 CDM | $2.00 | $1.40 | $4,496 – $5,269 | — | |
| ETHYL CHLORIDE 100 % TOP AERO.SPRAY (OMNICELL DOSE CHARGE) Inpatient | 2001208 CDM | $2.00 | $1.40 | $4,496 – $5,269 | — |