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 |
|---|---|---|---|---|
| Busulfan injection HCPCS J0594 | $1,203.75 | $1,605.00 | $1.80 – $1.80 | 1 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $38.46 | $51.27 | $5.05 – $5.05 | 1 |
| Butorphanol tartrate, nasal HCPCS S0012 | not published | not published | $63.00 – $63.00 | 1 |
| Buttock fasciotomy CPT 27027 | not published | not published | not published | 0 |
| Buttock fasciotomy w/dbrdmt CPT 27057 | not published | not published | not published | 0 |
| Bx arm/elbow soft tissue supf 24065 CPT 24065 | not published | not published | not published | 0 |
| Bx bone trocar/ndl deep CPT 20225 | $1,886.25 | $2,515.00 | not published | 0 |
| Bx breast 1st lesion mr imag CPT 19085 | $4,845.75 | $6,461.00 | not published | 0 |
| Bx breast 1st lesion strtctc CPT 19081 | $2,789.25 | $3,719.00 | not published | 0 |
| Bx breast add lesion mr imag CPT 19086 | $2,934.00 | $3,912.00 | not published | 0 |
| Bx breast add lesion strtctc CPT 19082 | $2,043.75 | $2,725.00 | not published | 0 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $502.50 | $670.00 | not published | 0 |
| Bx breast perq without image 19100 CPT 19100 | $4,845.75 | $6,461.00 | not published | 0 |
| Bx breast pq tomo guide CPT 19499 | not published | not published | not published | 0 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | $798.00 | $1,064.00 | not published | 0 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | not published | not published | not published | 0 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | $2,530.50 | $3,374.00 | not published | 0 |
| Bx leg/ankle soft tissue deep 27614 CPT 27614 | not published | not published | not published | 0 |
| Bx liver with other CPT 47001 | $3,354.00 | $4,472.00 | not published | 0 |
| Bx muscle CPT 20200 | $1,076.25 | $1,435.00 | not published | 0 |
| Bx nasopharynx/unknown pri lesion 42806 CPT 42806 | not published | not published | not published | 0 |
| Bx of breast open 19101 CPT 19101 | not published | not published | not published | 0 |
| Bx of cervix w/scope leep 57460 CPT 57460 | not published | not published | not published | 0 |
| Bx pancreas pq ndl CPT 48102 | $1,588.50 | $2,118.00 | not published | 0 |
| Bx perianal mass CPT 46999 | not published | not published | not published | 0 |
| Bx pleura pq ndl CPT 32400 | $4,845.75 | $6,461.00 | not published | 0 |
| Bx prst8 ndl sat sampling CPT 55706 | not published | not published | not published | 0 |
| Bx shoulder tissues deep 23066 CPT 23066 | not published | not published | not published | 0 |
| Bx shoulder tissues supf 23065 CPT 23065 | $4,138.50 | $5,518.00 | not published | 0 |
| Bx skin punch ea sep/ addl les CPT 11105 | $146.25 | $195.00 | not published | 0 |
| Bx/soft tis/forearm/wrist/superfic 25065 CPT 25065 | not published | not published | not published | 0 |
| Bx soft tiss pelvis+hip area supf 27040 CPT 27040 | $1,132.50 | $1,510.00 | not published | 0 |
| Bx soft tiss pelvis/hip deep 27041 CPT 27041 | not published | not published | not published | 0 |
| Bx soft tissue back/flank deep 21925 CPT 21925 | $1,506.00 | $2,008.00 | not published | 0 |
| Bx soft tissue back/flank supf 21920 CPT 21920 | $1,076.25 | $1,435.00 | not published | 0 |
| Bx spinal cord pq ndl CPT 62269 | $4,358.25 | $5,811.00 | not published | 0 |
| Bx thigh/knee soft tiss supf 27323 CPT 27323 | $1,076.25 | $1,435.00 | not published | 0 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $2,064.00 | $2,752.00 | not published | 0 |
| Bx vag mucos smpl (sep proc) CPT 57100 | not published | not published | not published | 0 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | $1,998.75 | $2,665.00 | not published | 0 |
| Bypass temp external fem-fem CPT 37799 | not published | not published | not published | 0 |
| C-1 esterase, berinert HCPCS J0597 | $9,999.32 | $13,332.42 | $76.00 – $76.00 | 1 |
| C-1 esterase, cinryze HCPCS J0598 | $7,487.52 | $9,983.35 | $66.00 – $66.00 | 1 |
| C1 esterase inhibitor func - sendout CPT 86161 | $75.00 | $100.00 | $12.00 – $12.00 | 1 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $19,043.44 | $25,391.25 | $227.00 – $227.00 | 1 |
| Cabergoline, oral 0.25mg HCPCS J8515 | $94.98 | $126.64 | $15.00 – $15.00 | 1 |
| Cable cath 22-pin diag HCPCS C1730 | $741.00 | $988.00 | not published | 0 |
| Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er HCPCS J0741 | $16,287.79 | $21,717.05 | $24.00 – $24.00 | 1 |
| Cacna1a gen detc abnor allel CPT 81184 | not published | not published | $137.00 – $137.00 | 1 |
| Cacna1a gene full gene seq CPT 81185 | not published | not published | $844.00 – $844.00 | 1 |
| Cacna1a gen known famil vrnt CPT 81186 | not published | not published | $185.00 – $185.00 | 1 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $50.03 | $66.70 | $3.35 – $3.35 | 1 |
| Calaspargase pegol-mknl 750 unit/ml intravenous solution HCPCS J9118 | $64,319.73 | $85,759.64 | $82.00 – $82.00 | 1 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $296.25 | $395.00 | $835.00 – $835.00 | 1 |
| Calcitonin stimul panel CPT 80410 | $304.50 | $406.00 | $80.00 – $80.00 | 1 |
| Calcium 24 hour urine CPT 82340 | $38.25 | $51.00 | $6.00 – $6.00 | 1 |
| Calcium chloride 100 mg/ml (10 %) intravenous syringe HCPCS J0618 | $65.61 | $87.48 | not published | 0 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $86.37 | $115.16 | $0.04 – $0.04 | 1 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $132.12 | $176.16 | $0.08 – $0.08 | 1 |
| Calcium glycer & lact/10 ml HCPCS J0620 | not published | not published | $12.00 – $12.00 | 1 |
| Calcium infusion test CPT 82331 | $66.00 | $88.00 | $13.00 – $13.00 | 1 |
| Calcium ionized CPT 82330 | $102.00 | $136.00 | $14.00 – $14.00 | 1 |
| Calcium total CPT 82310 | $40.50 | $54.00 | $5.00 – $5.00 | 1 |
| Calculi urinary-sendout CPT 82360 | $86.25 | $115.00 | $13.00 – $13.00 | 1 |
| Calculus analysis qual CPT 82355 | $70.50 | $94.00 | $11.00 – $11.00 | 1 |
| Calprotectin fecal CPT 83993 | $130.50 | $174.00 | $20.00 – $20.00 | 1 |
| Campylobacter antibody CPT 86625 | $80.25 | $107.00 | $13.00 – $13.00 | 1 |
| Canakinumab injection HCPCS J0638 | $46,193.95 | $61,591.93 | $141.00 – $141.00 | 1 |
| Candida dna CPT 87480 | $105.75 | $141.00 | $20.00 – $20.00 | 1 |
| Candida dna quant CPT 87482 | $275.25 | $367.00 | $55.00 – $55.00 | 1 |
| Candida skin test CPT 86485 | $80.25 | $107.00 | $16.00 – $16.00 | 1 |
| Cannabinoids synthetic 1-3 CPT 80350 | $86.25 | $115.00 | $27.00 – $27.00 | 1 |
| Cannula declotting 36861 CPT 36861 | not published | not published | not published | 0 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $748.98 | $998.64 | not published | 0 |
| Cantharidin top, applicator HCPCS J7354 | $1,606.65 | $2,142.20 | $669.00 – $669.00 | 1 |
| Canthotomy 67715 CPT 67715 | $4,096.50 | $5,462.00 | not published | 0 |
| Capecitabine, oral, 50 mg HCPCS J8522 | $125.76 | $167.67 | $0.05 – $0.05 | 1 |
| Cap nerve 2x15mm HCPCS C1763 | $748.98 | $998.64 | not published | 0 |
| Capsaicin 8% patch HCPCS J7336 | not published | not published | $3.38 – $3.38 | 1 |
| Capsular contracture release CPT 23020 | not published | not published | not published | 0 |
| Capsulotomy; interphalangeal joint, each joint (separate proc) CPT 28272 | not published | not published | not published | 0 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | not published | not published | not published | 0 |
| Cap trach decann 15mm HCPCS C1750 | $725.40 | $967.20 | not published | 0 |
| Carbamazepine free CPT 80157 | $81.00 | $108.00 | $13.00 – $13.00 | 1 |
| Carbamazepine free -sendout CPT 80161 | not published | not published | $19.00 – $19.00 | 1 |
| Carbamazepine total therapeutic drug level CPT 80156 | $91.50 | $122.00 | $15.00 – $15.00 | 1 |
| Carbidopa levodopa ent 100ml HCPCS J7340 | $548.67 | $731.56 | $243.00 – $243.00 | 1 |
| Carbohydrate deficient transf - sendout CPT 82373 | $109.50 | $146.00 | $18.00 – $18.00 | 1 |
| Carbohydrate urine - sendout CPT 84377 | $33.75 | $45.00 | $5.00 – $5.00 | 1 |
| Carbon dioxide CPT 82374 | $30.75 | $41.00 | $5.00 – $5.00 | 1 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $536.85 | $715.80 | $2.10 – $2.10 | 1 |
| Carboxyhemoglobin quantitative CPT 82375 | $77.25 | $103.00 | $12.00 – $12.00 | 1 |
| Carcinoembryonic ag (cea) CPT 82378 | $132.75 | $177.00 | $19.00 – $19.00 | 1 |
| Cardiac drug stress test CPT 93024 | $282.00 | $376.00 | not published | 0 |
| Cardiac MRI w/stress img CPT 75559 | $1,597.50 | $2,130.00 | $565.00 – $565.00 | 1 |
| Cardiac perf planar mult/ef/wm CPT 78454 | $3,396.00 | $4,528.00 | $1,343.00 – $1,343.00 | 1 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | $3,396.00 | $4,528.00 | $1,343.00 – $1,343.00 | 1 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $3,278.25 | $4,371.00 | $1,343.00 – $1,343.00 | 1 |
| Cardiac shunt imaging CPT 78428 | $997.50 | $1,330.00 | $414.00 – $414.00 | 1 |
| Cardiac Stress Test CPT 93015 | $235.50 | $314.00 | 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.