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Samuel Mahelona Memorial Hospital prices. From its own published file.

Samuel Mahelona Memorial Hospital in Kapaa, 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.

5,623prices published
Jun 2026file last updated
$4,449cash price for cesarean delivery, routine care (list $6,845)

Common services

ServiceCash priceList priceInsurers pay
Emergency visit, moderate (level 3)
99283
$1,091$1,678$140–$1,628
Emergency visit, high (level 4)
99284
$1,957$3,010$140–$2,920
Emergency visit, highest (level 5)
99285
$3,020$4,646$140–$4,507
Comprehensive metabolic panel
80053
$91.65$141$10.56–$137
Basic metabolic panel
80048
$76.05$117$8.46–$113
Complete blood count (CBC)
85025
$74.10$114$7.77–$111
Blood draw (venipuncture)
36415
$6.50$10.00$3.00–$434
Urinalysis
81001
$36.40$56.00$3.17–$54.32
Troponin (heart test)
84484
$81.25$135$12.47–$156
EKG tracing
93005
$30.55$370$7.07–$434
Chest X-ray, 2 views
71046
$78.65$131$10.25–$434
CT head without contrast
70450
$101$155$40.08–$1,553
CT abdomen and pelvis with contrast
74177
$316$1,084$85.17–$9,899
Ultrasound, abdomen
76700
$94.90$158$38.17–$735
IV push, single drug
96374
$192$430$24.47–$1,600
IV fluids, first hour
96360
$239$657$21.64–$1,600
Ketorolac injection, 15 mg
J1885
$3.04$12.68$0.34–$44.81
Ondansetron injection
J2405
$2.01$6.34$0.09–$51.85
Colonoscopy, diagnostic
45378
$787$1,211$125–$1,042
Upper GI endoscopy with biopsy
43239
$820$1,330$125–$1,131
Knee arthroscopy
29881
$2,960$4,554$181–$3,871
Vaginal delivery, routine care
59400
$4,053$6,236$181–$5,301
Cesarean delivery, routine care
59510
$4,449$6,845$181–$5,818

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: Samuel Mahelona Memorial Hospital price transparency page.

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