KAHUKU MEDICAL CENTER — Hospital Ledger

45 CFR § 180 compliance

F · 55

This hospital published little of what § 180 requires.

●Machine-readable file published

○Gross / standard charges

○Discounted cash price

●Payer-specific negotiated rates

○Min / max negotiated charges

●Free, public, no login required

Procedures listed

15,235

Insurances with rates

CPT / HCPCS codes

13,386

Source MRF

csv ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
J2997	alteplase 100 mg IV [KMC]	$42,242	$27,457	—	—	16
74334603	leuprolide 22.5 mg/3 months Kit	$26,699	$17,354	—	—	16
G0378	OBS CARE BY FAC EA HR	$5,687	$3,697	—	—	17
2237711	galcanezumab 120 mg/mL Sol	$2,898	$1,884	—	—	15
69018921	palbociclib 125 mg Cap	$2,846	$1,850	—	—	15
36556	ED INSERT NON TUNNEL CV CATH 5+	$2,811	$1,827	—	—	15
99291	99291 - Critical Care	$2,801	$1,821	—	—	19
78056751	everolimus 10 mg Tab	$2,693	$1,750	—	—	16
74178	CT ABD AND PELVIS WOW CON	$2,320	$1,508	—	—	30
74177	CT Abdomen/Pelvis w/ Contrast	$2,320	$1,508	—	—	19
74174	CT Angiography Abdomen/Pelvis	$2,320	$1,508	—	—	38
73201	CT UPP XTR W CON	$2,320	$1,508	—	—	19
72132	CT LUMBAR SPINE W CON	$2,209	$1,436	—	—	22
5197102	pneumococcal 13-valent conjugate vaccine - Sus	$2,173	$1,412	—	—	15
781325089	glatiramer 40 mg/mL Sol	$2,098	$1,364	—	—	16
0111	ROOM/BED: Swing	$2,069	$1,345	—	—	19
169413602	semaglutide 2 mg/1.5 mL Sol	$2,044	$1,329	—	—	15
99285	ER VISIT LEVEL 5	$2,011	$1,307	—	—	19
27810	CLOSD TRT BIMALL ANK W MAN	$1,886	$1,226	—	—	15
25605	CLTX DS RD FX INC ULN ST W MAN	$1,886	$1,226	—	—	15
78066815	trametinib 2 mg Tab	$1,812	$1,178	—	—	15
87633	Respiratory Panel by FilmArray DLS	$1,632	$1,061	—	—	18
73202	CT UPP XTR WO W CON FS	$1,617	$1,051	—	—	19
74170	CT ABD WO W CON FS	$1,617	$1,051	—	—	29
32551	ED TUBE THRCSTMY INC WATR SEAL SEP	$1,606	$1,044	—	—	15
173087306	umeclidinium 62.5 mcg (0.0625 mg)/inh Pow	$1,556	$1,011	—	—	15
92960	ED CARDIOVERSION EXTERNAL	$1,461	$950	—	—	15
74176	CT Abdomen/Pelvis w/o Contrast	$1,451	$943	—	—	19
73701	CT LOW XTR W CON	$1,427	$928	—	—	71
70481	CT ORB SLLREAR W CON	$1,427	$928	—	—	22
72193	CT PELVIS W CON	$1,427	$928	—	—	29
70491	CT SOFT TISSUE NECK W CON	$1,427	$928	—	—	33
74160	CT ABD W CON	$1,359	$883	—	—	29
70487	CT MAX FAC W CON	$1,359	$883	—	—	33
2143480	dulaglutide 1.5 mg/0.5 mL Sol	$1,356	$881	—	—	15
70450	CT Head or Brain w/o Contrast	$1,355	$881	—	—	19
70460	CT HEAD BRAIN W CON	$1,350	$878	—	—	33
99284	99284 - Level 4	$1,296	$842	—	—	38
76604	US CHEST	$1,262	$820	—	—	33
36430	BLOOD COMP DERIV ADMIN PER DAY	$1,258	$818	—	—	15
10120	INCIS REMOV FB SUBQ SIMP	$1,213	$788	—	—	15
597002402	albuterol-ipratropium CFC free 100 mcg-20 mcg/inh Aer [KMC]	$1,149	$747	—	—	15
186091612	budesonide 180 mcg/inh Pow	$1,135	$738	—	—	15
71275	CT PE Chest w/ Contrast	$1,125	$731	—	—	19
70496	CT Angiography Head w/ Contrast	$1,125	$731	—	—	19
6483703	PNEUMOVAX 23 Vaccine[KMC]	$1,124	$731	—	—	16
12005	REP SMP SCP-NCK-AX-GN-TRNK-XTRM 12.6CM-20.0CM	$1,090	$709	—	—	15
12013	REP SMP FACE 2.6 TO 5.0 CM	$1,077	$700	—	—	15
0351	CT Angiography Head/Neck w/ Contrast	$1,071	$696	—	—	15
6496300	zoster vaccine live - REC	$1,071	$696	—	—	15

Showing top 50 of 15,235 priced procedures, sorted by gross charge.

Data straight from this hospital's federally-mandated machine-readable file (45 CFR § 180). The compliance grade reflects how completely the hospital published the six required data elements, not the quality of care.