Aiea, HI
1 known revision on file.
| Revision date | Added | Payer-specific rates |
|---|---|---|
| Feb 12, 2026 | Oct 16, 2026 | Yes |
Search by billing code or procedure name (CPT, HCPCS, MS-DRG and more) to see Pali Momi Medical Center’s price for it.
The codes Pali Momi Medical Center has the most pricing samples for.
| Procedure | ||||||
|---|---|---|---|---|---|---|
| Septicemia Or Severe Sepsis Without Mv >96 Hours With MccMS-DRG 871 | $19.4k | $16.3k | $14.2k | 3–30 | $1.2k | $49.1k |
| Heart Failure And Shock With MccMS-DRG 291 | $13.0k | $11.7k | $9.2k | 2–20 | $1.2k | $32.7k |
| Simple Pneumonia And Pleurisy With MccMS-DRG 193 | $13.1k | $11.5k | $8.7k | 2–20 | $1.2k | $33.5k |
| Pulmonary Edema And Respiratory FailureMS-DRG 189 | $12.3k | $12.6k | $12.5k | 2–20 | $1.2k | $51.6k |
| Cellulitis Without MccMS-DRG 603 | $8.8k | $8.4k | $5.3k | 2–20 | $1.2k | $22.4k |
| Other Kidney And Urinary Tract Diagnoses With MccMS-DRG 698 | $16.7k | $13.3k | $10.3k | 2–20 | $1.2k | $41.9k |
| Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With MccMS-DRG 640 | $13.2k | $11.2k | $8.2k | 1–10 | $1.2k | $34.0k |
| Infectious And Parasitic Diseases With O.R. Procedures With MccMS-DRG 853 | $49.2k | $46.9k | $46.7k | 1–10 | $1.7k | $174.2k |
| Kidney And Urinary Tract Infections Without MccMS-DRG 690 | $8.1k | $7.9k | $4.8k | 1–10 | $1.2k | $20.9k |
| Acute Myocardial Infarction, Discharged Alive With MccMS-DRG 280 | $16.3k | $13.9k | $11.5k | 1–10 | $1.2k | $40.7k |
EIN: 990274038
Last updated: Feb 12, 2026
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Hospital ID: 7620b2dfb0b3392f9b2278f01d2bdea83cb5302cf64bbca708e48290397ecbd1