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Based on public Medicaid payment data.

Pali Momi Medical Center

Medicaid Provider in Aiea, HI

Type

Organization

Address

98-1079 Moanalua Rd

Aiea, HI 967014713

Phone

8084866000

NPI

1013961408

Procedures

20

Total Claims

365.5K

Patients Served

318K

About these costs

All amounts reflect Medicaid reimbursement rates, which are typically much lower than private insurance or cash prices. These figures show what state Medicaid programs actually paid this provider per claim.

Procedures & Average Costs

Procedure Avg. Paid Claims Patients
Blood Work & Lab Tests $0.21 107,079 86,452
Emergency Room Visit $503.44 76,720 69,658
X-Ray $6.05 32,618 30,233
Urinalysis & Urine Tests $0.02 27,628 25,823
Prescription Medications $0.02 26,191 21,048
EKG / ECG (Electrocardiogram) $1.24 25,090 21,666
Ultrasound $46.56 20,594 19,105
CT Scan (Computed Tomography) $280.62 13,568 12,717
Mammogram $88.85 10,662 10,294
Culture & Microbiology Tests $0.18 6,972 5,995
Pulmonary Function Test $1.62 5,804 4,204
Vaccines & Immunizations $0.08 3,289 3,170
Chemotherapy $12.07 2,650 1,419
Pathology & Lab Services $11.88 2,418 2,230
Echocardiogram $140.57 2,063 1,983
MRI (Magnetic Resonance Imaging) $163.45 775 725
Durable Medical Equipment (DME) $0.05 698 682
Cardiac Stress Test $429.93 327 314
Bone Density Scan (DEXA) $57.47 246 239
Physical Therapy $0.00 63 62

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