Pali Momi Medical Center prices. From its own published file.

Pali Momi Medical Center in Aiea, HI publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

16,229prices published

Feb 2026file last updated

$1,965cash price for ct abdomen and pelvis with contrast (list $3,923)

Common services

Service	Cash price	List price	Insurers pay
Emergency visit, moderate (level 3) `99283`	$1,029	$1,715	$271–$1,573
Emergency visit, high (level 4) `99284`	$1,577	$2,628	$417–$2,294
Emergency visit, highest (level 5) `99285`	$2,261	$3,768	$601–$3,572
Comprehensive metabolic panel `80053`	$65.40	$112	$10.35–$96.90
Basic metabolic panel `80048`	$43.20	$90.00	$8.29–$79.90
Complete blood count (CBC) `85025`	$42.60	$71.00	$7.61–$62.90
Blood draw (venipuncture) `36415`	$9.00	$20.00	$3.00–$19.55
Urinalysis `81001`	$6.60	$33.00	$3.11–$31.45
Troponin (heart test) `84484`	$91.80	$153	$12.22–$142
EKG tracing `93005`	$16.80	$398	$7.28–$344
Chest X-ray, 2 views `71046`	$237	$395	$20.40–$336
CT head without contrast `70450`	$1,059	$1,765	$73.85–$1,500
CT abdomen and pelvis with contrast `74177`	$1,965	$3,923	$181–$3,384
MRI lower back without contrast `72148`	$1,510	$2,517	$134–$2,139
Ultrasound, abdomen `76700`	$501	$835	$64.94–$710
IV push, single drug `96374`	$217	$361	$25.20–$307
IV fluids, first hour `96360`	$418	$697	$22.29–$592
Ketorolac injection, 15 mg `J1885`	$17.15	$28.59	$0.23–$46.50
Ondansetron injection `J2405`	$17.15	$52.38	$0.07–$44.71
Colonoscopy, diagnostic `45378`	—	—	$470–$5,681
Upper GI endoscopy with biopsy `43239`	—	—	$470–$5,681
Knee arthroscopy `29881`	—	—	$664–$8,072
Vaginal delivery, routine care `59400`	—	—	$1,114–$2,553
Cesarean delivery, routine care `59510`	—	—	$1,500–$2,816

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: Pali Momi Medical Center price transparency page.

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Common billing problems to look for

Billed above the posted cash priceIf you're paying yourself, ask the hospital to apply its published cash price.
Panels billed inside panelsA basic metabolic panel (80048) billed with a comprehensive one (80053) on the same day.
Duplicate linesThe same service billed twice without explanation.
No itemized billYou can ask for every line with its code, date and amount.