Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN

General Acute Care Hospital, Children·HONOLULU, HI·NPI: 1043263080Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$102.4M

$102,446,977

Total Claims

1.0M

Beneficiaries

845K

1.2 claims/patient

Avg Cost/Claim

$102

Monthly Spending Trend

Yearly Spending

2018
$16.9M
+4%
2019
$17.7M
-51%
2020
$8.6M
+29%
2021
$11.1M
+41%
2022
$15.6M
+7%
2023
$16.7M
-5%
2024
$15.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 41% of total spending.

99283Top 1%

Emergency dept visit, moderate complexity

$42.2M

70K claims · 41.2%

Your Cost: $603.14/claim|Median: $42.48
14.2× median
99284Top 1%

Emergency dept visit, high complexity

$17.5M

25K claims · 17.1%

Your Cost: $710.04/claim|Median: $69.51
10.2× median
99282Top 1%

Emergency dept visit, low complexity

$9.9M

20K claims · 9.6%

Your Cost: $485.60/claim|Median: $37.72
12.9× median
99285Top 1%

Emergency dept visit, high/urgent complexity

$7.5M

8,167 claims · 7.3%

Your Cost: $914.71/claim|Median: $85.65
10.7× median
G0378Normal range

Hospital observation service, per hour

$5.2M

18K claims · 5.0%

Your Cost: $289.39/claim|Median: $99.39
2.9× median
99281Top 1%

Emergency dept visit, minimal complexity

$2.0M

4,422 claims · 2.0%

Your Cost: $453.27/claim|Median: $52.03
8.7× median
74177Top 1%

CT abdomen and pelvis with contrast

$1.8M

1,660 claims · 1.8%

Your Cost: $1,086.20/claim|Median: $65.76
16.5× median
A0424Top 1%

$1.3M

1,173 claims · 1.3%

Your Cost: $1,119.50/claim|Median: $20.00
56.0× median
76811Top 25%

Ultrasound, pregnant uterus, detailed, single fetus

$1.2M

6,745 claims · 1.2%

Your Cost: $183.04/claim|Median: $106.79
1.7× median
70553Top 1%

MRI brain without contrast, then with contrast

$1.2M

956 claims · 1.2%

Your Cost: $1,254.93/claim|Median: $133.68
9.4× median
76815Top 10%

Ultrasound, pregnant uterus, limited

$837K

11K claims · 0.8%

Your Cost: $78.80/claim|Median: $36.79
2.1× median
97530Top 25%

Therapeutic activities, each 15 min

$702K

10K claims · 0.7%

Your Cost: $68.57/claim|Median: $33.11
2.1× median
70551Top 5%

MRI brain without contrast

$656K

1,342 claims · 0.6%

Your Cost: $488.84/claim|Median: $85.39
5.7× median
74176Top 1%

CT abdomen and pelvis without contrast

$652K

766 claims · 0.6%

Your Cost: $850.64/claim|Median: $60.19
14.1× median
96361Normal range

IV infusion, hydration, each additional hour

$635K

7,811 claims · 0.6%

Your Cost: $81.27/claim|Median: $38.92
2.1× median
76805Top 25%

Ultrasound, pregnant uterus, complete, single fetus

$618K

5,288 claims · 0.6%

Your Cost: $116.96/claim|Median: $74.78
1.6× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$462K

1,675 claims · 0.5%

Your Cost: $275.54/claim|Median: $54.68
5.0× median
77067Top 25%

Screening mammography, bilateral, including CAD

$455K

4,622 claims · 0.4%

Your Cost: $98.44/claim|Median: $39.33
2.5× median
87633Top 1%

Respiratory virus detection, 12-25 targets, nucleic acid

$441K

328 claims · 0.4%

Your Cost: $1,344.19/claim|Median: $169.17
7.9× median
92507Normal range

Speech/hearing/language treatment

$419K

7,894 claims · 0.4%

Your Cost: $53.14/claim|Median: $49.45
1.1× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$364K

6,101 claims · 0.4%

Your Cost: $59.67/claim|Median: $58.55
1.0× median
76813Normal range

Ultrasound for fetal nuchal translucency measurement

$320K

4,904 claims · 0.3%

Your Cost: $65.33/claim|Median: $70.87
0.9× median
92523Top 25%

Evaluation of speech sound production with language comprehension

$300K

1,606 claims · 0.3%

Your Cost: $186.85/claim|Median: $110.87
1.7× median
76770Top 25%

Ultrasound, retroperitoneal, complete

$288K

3,683 claims · 0.3%

Your Cost: $78.18/claim|Median: $37.35
2.1× median
92579Top 5%

$262K

2,154 claims · 0.3%

Your Cost: $121.80/claim|Median: $30.58
4.0× median
76856Normal range

Ultrasound, pelvic, complete

$253K

3,568 claims · 0.2%

Your Cost: $71.02/claim|Median: $47.58
1.5× median
76827Top 1%

$241K

857 claims · 0.2%

Your Cost: $280.77/claim|Median: $39.58
7.1× median
92557Top 5%

Comprehensive audiometry, air, bone, and speech testing

$199K

1,378 claims · 0.2%

Your Cost: $144.55/claim|Median: $27.28
5.3× median
92526Normal range

Treatment of swallowing dysfunction and/or oral function

$187K

2,971 claims · 0.2%

Your Cost: $62.88/claim|Median: $49.74
1.3× median
93976Top 10%

$179K

1,073 claims · 0.2%

Your Cost: $166.93/claim|Median: $42.06
4.0× median
L8699Normal range

Prosthetic implant, not otherwise classified

$174K

828 claims · 0.2%

Your Cost: $209.89/claim|Median: $389.88
0.5× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$172K

2,650 claims · 0.2%

Your Cost: $64.94/claim|Median: $58.16
1.1× median
36430Normal range

Transfusion of whole blood

$152K

1,522 claims · 0.1%

Your Cost: $100.09/claim|Median: $111.66
0.9× median
A4649Normal range

Surgical supply, miscellaneous, not otherwise classified

$147K

62K claims · 0.1%

Your Cost: $2.38/claim|Median: $5.04
0.5× median
97110Normal range

Therapeutic exercises, each 15 min

$141K

3,691 claims · 0.1%

Your Cost: $38.08/claim|Median: $24.49
1.6× median
58558Normal range

$140K

111 claims · 0.1%

Your Cost: $1,262.95/claim|Median: $942.89
1.3× median
77065Top 25%

$126K

1,495 claims · 0.1%

Your Cost: $84.00/claim|Median: $35.39
2.4× median
70450Normal range

CT head/brain without contrast

$123K

1,843 claims · 0.1%

Your Cost: $66.66/claim|Median: $45.53
1.5× median
96366Normal range

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$112K

3,661 claims · 0.1%

Your Cost: $30.60/claim|Median: $40.12
0.8× median
81513Top 5%

$107K

498 claims · 0.1%

Your Cost: $214.66/claim|Median: $71.32
3.0× median
92582Top 5%

$103K

733 claims · 0.1%

Your Cost: $140.07/claim|Median: $46.66
3.0× median
71046Normal range

Chest X-ray, 2 views

$95K

17K claims · 0.1%

Your Cost: $5.56/claim|Median: $8.92
0.6× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$95K

15K claims · 0.1%

Your Cost: $6.52/claim|Median: $10.88
0.6× median
80307Top 10%

Drug test, presumptive, by chemistry analyzers

$93K

1,388 claims · 0.1%

Your Cost: $66.77/claim|Median: $35.43
1.9× median
G0379Normal range

Direct admission to hospital observation

$92K

11K claims · 0.1%

Your Cost: $8.54/claim|Median: $48.25
0.2× median
97161Top 25%

Physical therapy evaluation, low complexity

$91K

1,226 claims · 0.1%

Your Cost: $73.82/claim|Median: $47.89
1.5× median
77066Top 25%

$81K

640 claims · 0.1%

Your Cost: $126.30/claim|Median: $43.94
2.9× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$80K

3,044 claims · 0.1%

Your Cost: $26.24/claim|Median: $75.28
0.3× median
42820Top 25%

Tonsillectomy and adenoidectomy, under age 12

$77K

38 claims · 0.1%

Your Cost: $2,038.95/claim|Median: $331.68
6.1× median
99211Top 25%

Office/outpatient visit, minimal complexity

$75K

3,260 claims · 0.1%

Your Cost: $23.03/claim|Median: $12.93
1.8× median

Similar Providers

Other top providers in General Acute Care Hospital, Children