Moanalua Medical Center
3288 MOANALUA ROAD, HONOLULU, HI · Kaiserpermanente · · NPI 1396813861
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $178.50 | $238.00 | $29.00 – $29.00 | 1 |
| 17-hydroxypregnenolone CPT 84143 | $138.00 | $184.00 | $23.00 – $23.00 | 1 |
| 17-ketosteroids CPT 83586 | $78.75 | $105.00 | $13.00 – $13.00 | 1 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | $343.50 | $458.00 | not published | 0 |
| 2019-ncov diagnostic p HCPCS U0001 | $87.00 | $116.00 | $36.00 – $36.00 | 1 |
| 2d tee w or without fol w/con,in HCPCS C8925 | not published | not published | not published | 0 |
| 2nd order venous cath CPT 36012 | $2,340.00 | $3,120.00 | not published | 0 |
| 3-d radiotherapy plan CPT 77295 | $6,505.50 | $8,674.00 | $1,408.00 – $1,408.00 | 1 |
| 3d recon without postprocess indpndt CPT 76376 | $217.50 | $290.00 | not published | 0 |
| 5' nucleotidase - sendout CPT 83915 | $70.50 | $94.00 | $11.00 – $11.00 | 1 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $126.00 | $168.00 | $21.00 – $21.00 | 1 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $3,630.75 | $4,841.00 | $44.00 – $44.00 | 1 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $75.00 | $100.00 | $12.00 – $12.00 | 1 |
| Abciximab injection HCPCS J0130 | not published | not published | $642.00 – $642.00 | 1 |
| Abd aorta w/runoff s&i CPT 75630 | $8,301.00 | $11,068.00 | $3,240.00 – $3,240.00 | 1 |
| Abd/low ext cath 1st CPT 36245 | $2,931.00 | $3,908.00 | not published | 0 |
| Abd/low ext cath 2nd CPT 36246 | $2,232.00 | $2,976.00 | not published | 0 |
| Abd/low ext cath 3rd CPT 36247 | $2,690.25 | $3,587.00 | not published | 0 |
| Abd/low ext cath addl CPT 36248 | $309.75 | $413.00 | not published | 0 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,182.50 | $2,910.00 | $267.00 – $267.00 | 1 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,965.00 | $2,620.00 | $254.00 – $254.00 | 1 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,747.50 | $2,330.00 | $120.00 – $120.00 | 1 |
| Abdominal MRI (with and without contrast) CPT 74183 | $2,872.50 | $3,830.00 | $367.00 – $367.00 | 1 |
| Abdominal MRI (with contrast) CPT 74182 | $1,972.50 | $2,630.00 | $367.00 – $367.00 | 1 |
| Abdominal MRI (without contrast) CPT 74181 | $2,107.50 | $2,810.00 | $249.00 – $249.00 | 1 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,318.50 | $1,758.00 | not published | 0 |
| Abdominal Ultrasound (complete) CPT 76700 | $637.50 | $850.00 | $109.00 – $109.00 | 1 |
| Abdominal Ultrasound (limited) CPT 76705 | $600.00 | $800.00 | $109.00 – $109.00 | 1 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | not published | 0 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,122.75 | $1,497.00 | not published | 0 |
| Abl1 gene CPT 81170 | $37.50 | $50.00 | $299.00 – $299.00 | 1 |
| Ablate arrhythmia add on CPT 93655 | $1,950.00 | $2,600.00 | not published | 0 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $17,851.50 | $23,802.00 | not published | 0 |
| Ablate bone tumor(s) perq CPT 20982 | $8,739.00 | $11,652.00 | not published | 0 |
| Ablate heart dysrhythm focus CPT 93650 | $7,500.00 | $10,000.00 | not published | 0 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | not published | 0 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | not published | 0 |
| Ablate pulm tumor perq crybl CPT 32994 | $9,591.75 | $12,789.00 | not published | 0 |
| Ablate pulm tumor perq rf CPT 32998 | $6,311.25 | $8,415.00 | not published | 0 |
| Ablation cryo abd perit om CPT 49999 | not published | not published | not published | 0 |
| Ablation cryo adrenal tumor CPT 60699 | $10,242.75 | $13,657.00 | not published | 0 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | $772.50 | $1,030.00 | not published | 0 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $14,067.00 | $18,756.00 | not published | 0 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | not published | 0 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | not published | 0 |
| Ablation of upper extremity nerves rf CPT 64999 | $2,433.75 | $3,245.00 | not published | 0 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | $4,119.00 | $5,492.00 | not published | 0 |
| Abltj mal prst8 tiss hifu CPT 55880 | $12,981.75 | $17,309.00 | not published | 0 |
| Ablt trurl prst8 tis trnsdcr CPT 55882 | not published | not published | not published | 0 |
| Abobotulinumtoxina HCPCS J0586 | $2,064.12 | $2,752.16 | $9.00 – $9.00 | 1 |
| Abortion (mpr) CPT 59866 | not published | not published | not published | 0 |
| Abrasion lesion single CPT 15786 | not published | not published | not published | 0 |
| Abscess drain retroperitoneal surg code CPT 49406 | $4,845.75 | $6,461.00 | not published | 0 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $116.93 | $155.90 | $0.05 – $0.05 | 1 |
| Acetaminophen level CPT 80143 | $59.25 | $79.00 | $19.00 – $19.00 | 1 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $880.28 | $1,173.70 | $17.00 – $17.00 | 1 |
| Acetone qualitative CPT 82009 | $30.75 | $41.00 | $4.00 – $4.00 | 1 |
| Acetylcholine receptor modulating antibody CPT 86043 | $32.25 | $43.00 | $12.00 – $12.00 | 1 |
| Acetylcholinesterase assay CPT 82013 | $68.25 | $91.00 | $12.00 – $12.00 | 1 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $83.08 | $110.77 | $0.37 – $0.37 | 1 |
| Acetylcysteine non-comp unit HCPCS J7608 | not published | not published | $9.00 – $9.00 | 1 |
| Acid perfusion of esophagus CPT 91030 | $971.25 | $1,295.00 | not published | 0 |
| Acne surgery 10040 CPT 10040 | not published | not published | not published | 0 |
| Acoustic refl threshold tst CPT 92568 | $39.75 | $53.00 | not published | 0 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | not published | 0 |
| Acth stimulation panel CPT 80402 | $528.75 | $705.00 | $87.00 – $87.00 | 1 |
| Acth stimulation panel CPT 80406 | $476.25 | $635.00 | $78.00 – $78.00 | 1 |
| Actigraphy testing CPT 95803 | $460.50 | $614.00 | not published | 0 |
| Actinotherapy uv light CPT 96900 | $63.00 | $84.00 | not published | 0 |
| Acute hepatitis panel CPT 80074 | $366.75 | $489.00 | $48.00 – $48.00 | 1 |
| Acute venous thrombus image CPT 78456 | $3,396.00 | $4,528.00 | $1,343.00 – $1,343.00 | 1 |
| Acyclovir 400 mg tablet HCPCS J8499 | $1,692.92 | $2,257.22 | not published | 0 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $110.85 | $147.80 | $0.03 – $0.03 | 1 |
| #acylcarnitineprfl CPT 82017 | $105.00 | $140.00 | $17.00 – $17.00 | 1 |
| Acylcarnitines qual CPT 82016 | $84.75 | $113.00 | $17.00 – $17.00 | 1 |
| Adapter b 8 channel 10cm HCPCS C1883 | $742.50 | $990.00 | not published | 0 |
| Adding walker to prev cast CPT 29440 | not published | not published | not published | 0 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $393.13 | $524.17 | $0.46 – $0.46 | 1 |
| Adenovirus ag ia CPT 87301 | $76.50 | $102.00 | $12.00 – $12.00 | 1 |
| Adenovirus antibody,serum - quest CPT 86603 | $81.00 | $108.00 | $13.00 – $13.00 | 1 |
| Adenovirus assay w/optic CPT 87809 | $107.25 | $143.00 | $22.00 – $22.00 | 1 |
| Adh-sendout CPT 84588 | $207.00 | $276.00 | $34.00 – $34.00 | 1 |
| Adj gastric band via subq port CPT 43999 | not published | not published | not published | 0 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | not published | 0 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | not published | 0 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $3,483.33 | $4,644.44 | not published | 0 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $378.00 | $504.00 | not published | 0 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $183.75 | $245.00 | not published | 0 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $858.75 | $1,145.00 | not published | 0 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $720.75 | $961.00 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $298.50 | $398.00 | not published | 0 |
| Administration immunization 1 vaccine CPT 90471 | $87.75 | $117.00 | not published | 0 |
| Administration immunization each additional vaccine CPT 90472 | $32.25 | $43.00 | not published | 0 |
| Administration vaccine influenza virus HCPCS G0008 | $87.75 | $117.00 | not published | 0 |
| Administration vaccine pneumococcal HCPCS G0009 | $87.75 | $117.00 | not published | 0 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $14,970.91 | $19,961.21 | $42.00 – $42.00 | 1 |
| Adrenal cortex & medulla img CPT 78075 | $3,236.25 | $4,315.00 | $1,343.00 – $1,343.00 | 1 |
| Advance care planning each additional 30 min 99498 CPT 99498 | $396.00 | $528.00 | not published | 0 |
| Aep hearing status deter i&r CPT 92651 | $672.00 | $896.00 | not published | 0 |
| Aep neurodiagnostic i&r CPT 92653 | $830.25 | $1,107.00 | not published | 0 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.