The Queen's Medical Center - West Oahu
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The Queen's Medical Center - West Oahu. This page also lists hospital-published cash prices for services and billing-code line items.
Overview
- CCN120027
Procedures & prices
Hospital-published price lines. These are billing-code items from the hospital transparency file, not a personalized estimate. Cash is the self-pay price; gross is the pre-discount list price.
Price definitions
- Cash
- — self-pay price (no insurance)
- Gross
- — chargemaster list price; the pre-discount sticker rate, rarely what anyone pays
- Negotiated range
- — min–max of rates the hospital negotiated with insurers
- Payers
- — number of insurers with a published rate (“0” / “—” = none)
Available here:CashGross listInsurer-negotiated rates were not published for these rows.
- Injection, Azithromycin, 500 MgDrugHCPCS J0456Hospital-published line item$10cashGross $15
- Cromolyn Sodium, Inhalation Solution, Fda-Approved Final Product, Non-Compounded, Administered Through Dme, Unit Dose Form, Per 10 MilligramsDrugHCPCS J7631Hospital-published line item$10cashGross $15
- Ostomy Pouch, Drainable, High Output, For Use On A Barrier With Flange (2 Piece System), Without Filter, EachSupply / DMEHCPCS A4412Hospital-published line item$11cashGross $16
- Shoulder Orthosis, Figure Of Eight Design Abduction Restrainer, Prefabricated, Off-The-ShelfSupply / DMEHCPCS L3650Hospital-published line item$11cashGross $16
- Injection, Sterile Cefuroxime Sodium, Per 750 MgDrugHCPCS J0697Hospital-published line item$11cashGross $16
- Injection, Trimethobenzamide Hcl, Up To 200 MgDrugHCPCS J3250Hospital-published line item$11cashGross $16
- Injection, Haloperidol, Up To 5 MgDrugHCPCS J1630Hospital-published line item$12cashGross $16
- Ringers Lactate Infusion, Up To 1000 CcDrugHCPCS J7120Hospital-published line item$12cashGross $17
- 5% Dextrose In Lactated Ringers Infusion, Up To 1000 CcDrugHCPCS J7121Hospital-published line item$12cashGross $17
- Injection Levoleucovorin Nos 0.5mgDrugHCPCS J0641Hospital-published line item$13cashGross $18
| Service / code | Self-pay cash↑ | Gross list |
|---|---|---|
Injection, Azithromycin, 500 Mg DrugHCPCS J0456Hospital-published line item | $10 | $15 |
Cromolyn Sodium, Inhalation Solution, Fda-Approved Final Product, Non-Compounded, Administered Through Dme, Unit Dose Form, Per 10 Milligrams DrugHCPCS J7631Hospital-published line item | $10 | $15 |
Ostomy Pouch, Drainable, High Output, For Use On A Barrier With Flange (2 Piece System), Without Filter, Each Supply / DMEHCPCS A4412Hospital-published line item | $11 | $16 |
Shoulder Orthosis, Figure Of Eight Design Abduction Restrainer, Prefabricated, Off-The-Shelf Supply / DMEHCPCS L3650Hospital-published line item | $11 | $16 |
Injection, Sterile Cefuroxime Sodium, Per 750 Mg DrugHCPCS J0697Hospital-published line item | $11 | $16 |
Injection, Trimethobenzamide Hcl, Up To 200 Mg DrugHCPCS J3250Hospital-published line item | $11 | $16 |
Injection, Haloperidol, Up To 5 Mg DrugHCPCS J1630Hospital-published line item | $12 | $16 |
Ringers Lactate Infusion, Up To 1000 Cc DrugHCPCS J7120Hospital-published line item | $12 | $17 |
5% Dextrose In Lactated Ringers Infusion, Up To 1000 Cc DrugHCPCS J7121Hospital-published line item | $12 | $17 |
Injection Levoleucovorin Nos 0.5mg DrugHCPCS J0641Hospital-published line item | $13 | $18 |
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