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Shriners Hospital for Children

1310 Punahou Street, Honolulu, HI 96826 · (808) 941-4466

ChildrensVoluntary non-profit - PrivateUrban Honolulu, HI metroWebsite ↗

Price file

Prices published

File dated 2026-03-19

1,685 price rows for 30 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 5 lines · metro median $56

$79
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 5 lines · metro median $1,965

$3,708
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 5 lines · metro median $1,186

$1,283
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 5 lines · metro median $1,292

$1,953
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 5 lines · metro median $63

$198
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 5 lines · metro median $43

$73
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 5 lines · metro median $68

$99
cash
Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 10 lines · metro median $130

$432
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 5 lines · metro median $63

$198
cash
—
cash
—
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 5 lines · metro median $28

$125
cash
Liver function panel

CPT 80076 · lowest of 5 lines · metro median $54

$76
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 5 lines · metro median $1,967

$3,521
cash
MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 5 lines · metro median $1,489

$2,299
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 5 lines · metro median $1,510

$6,406
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 5 lines · metro median $1,423

$6,567
cash
—
cash
Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 5 lines · metro median $1,187

$4,817
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 10 lines · metro median $75

$348
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 10 lines · metro median $101

$443
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 10 lines · metro median $145

$443
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 5 lines · metro median $16

$56
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 5 lines · metro median $11

$37
cash
—
cash
Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 5 lines · metro median $176

$5,032
cash
TSH test (thyroid)

CPT 84443 · lowest of 5 lines · metro median $64

$157
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 5 lines · metro median $508

$768
cash
Urinalysis with microscope

CPT 81001 · lowest of 5 lines · metro median $7

$30
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 5 lines · metro median $335

$495
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.