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 |
|---|---|---|---|---|
| Cerclage of uterine cervix nonob 57700 CPT 57700 | not published | not published | not published | 0 |
| Cerebrospinal fld flw imag CPT 78645 | $1,335.00 | $1,780.00 | $554.00 – $554.00 | 1 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | $14,042.42 | $18,723.22 | $4.48 – $4.48 | 1 |
| Cervical lymphadenectomy 38720 CPT 38720 | not published | not published | not published | 0 |
| Cesarean section delivery only 59514 CPT 59514 | $2,294.25 | $3,059.00 | not published | 0 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $3,948.57 | $5,264.76 | $78.00 – $78.00 | 1 |
| #cf-97variants CPT 81220 | $1,231.50 | $1,642.00 | $555.00 – $555.00 | 1 |
| Cftr gene dup/delet variants CPT 81222 | $92.25 | $123.00 | $434.00 – $434.00 | 1 |
| Cftr gene intron poly t CPT 81224 | not published | not published | $168.00 – $168.00 | 1 |
| Cftr gene known fam variants CPT 81221 | not published | not published | $97.00 – $97.00 | 1 |
| Change cystostomy tube; complex 51710 CPT 51710 | not published | not published | not published | 0 |
| Change cystostomy tube simple CPT 51705 | $360.00 | $480.00 | not published | 0 |
| Change gastric port open CPT 43888 | not published | not published | not published | 0 |
| Change g-tube to g-j perc CPT 49446 | $4,932.75 | $6,577.00 | not published | 0 |
| Change nephroureteral cath CPT 50387 | $6,096.00 | $8,128.00 | not published | 0 |
| Change of ureter tube/stent CPT 50688 | not published | not published | not published | 0 |
| Change of windpipe airway 31502 CPT 31502 | $653.25 | $871.00 | not published | 0 |
| Change stent via transureth CPT 50385 | not published | not published | not published | 0 |
| Change ureter stent percut CPT 50382 | not published | not published | not published | 0 |
| Chct for mal hyperthermia CPT 89049 | $882.75 | $1,177.00 | $313.00 – $313.00 | 1 |
| Chemical exfoliation acne 17360 CPT 17360 | not published | not published | not published | 0 |
| Chemical peel face epiderm 15788 CPT 15788 | not published | not published | not published | 0 |
| Chemical peel nonfacial 15793 CPT 15793 | not published | not published | not published | 0 |
| Chemical peel nonfacial; epidermal CPT 15792 | not published | not published | not published | 0 |
| Chemo adm cns w/lmbr punct CPT 96450 | $864.00 | $1,152.00 | not published | 0 |
| Chemodener muscle larynx emg CPT 64617 | not published | not published | not published | 0 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | not published | not published | not published | 0 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | not published | not published | not published | 0 |
| Chemodenervation anal musc CPT 46505 | not published | not published | not published | 0 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | $699.00 | $932.00 | not published | 0 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | not published | not published | not published | 0 |
| Chemodenerv eccrine glands CPT 64653 | not published | not published | not published | 0 |
| Chemodenerv eccrine glands 64650 CPT 64650 | not published | not published | not published | 0 |
| Chemodenerv musc migraine 64615 CPT 64615 | not published | not published | not published | 0 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | $466.50 | $622.00 | not published | 0 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | $476.25 | $635.00 | not published | 0 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | $786.00 | $1,048.00 | not published | 0 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | $900.00 | $1,200.00 | not published | 0 |
| Chemo extend IV infus w/pump HCPCS G0498 | not published | not published | $216.00 – $216.00 | 1 |
| Chemo ia push tecnique CPT 96420 | $858.75 | $1,145.00 | not published | 0 |
| Chemotaxis assay CPT 86155 | $97.50 | $130.00 | $16.00 – $16.00 | 1 |
| Chest 2 vws w oblique CPT 71048 | $296.25 | $395.00 | $109.00 – $109.00 | 1 |
| Chest apical lordotic proj CPT 71047 | $283.50 | $378.00 | $90.00 – $90.00 | 1 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,965.00 | $2,620.00 | $204.00 – $204.00 | 1 |
| Chest CT scan (with contrast) CPT 71260 | $1,747.50 | $2,330.00 | $184.00 – $184.00 | 1 |
| Chest CT scan (without contrast) CPT 71250 | $1,552.50 | $2,070.00 | $123.00 – $123.00 | 1 |
| Chest X-ray CPT 71046 | $285.00 | $380.00 | $90.00 – $90.00 | 1 |
| Chest X-ray (single view) CPT 71045 | $246.75 | $329.00 | $90.00 – $90.00 | 1 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $458.25 | $611.00 | $184.00 – $184.00 | 1 |
| Chikungunya vaccine live im CPT 90589 | $647.25 | $863.00 | not published | 0 |
| Chimerism anal no cell selec CPT 81267 | not published | not published | $207.00 – $207.00 | 1 |
| Chimerism anal w/cell select CPT 81268 | not published | not published | $260.00 – $260.00 | 1 |
| Chlamydia culture CPT 87110 | $122.25 | $163.00 | $20.00 – $20.00 | 1 |
| Chlamydia trachomatis ag if CPT 87270 | $72.75 | $97.00 | $12.00 – $12.00 | 1 |
| Chlamydia type CPT 87140 | $34.50 | $46.00 | $5.00 – $5.00 | 1 |
| Chlmyd pneum dna dir probe CPT 87485 | $122.25 | $163.00 | $20.00 – $20.00 | 1 |
| Chlmyd pneum dna quant CPT 87487 | $261.00 | $348.00 | $43.00 – $43.00 | 1 |
| Chlnggrphy intraop addl s&i CPT 74301 | $89.25 | $119.00 | not published | 0 |
| Chloramphenicol sodium injec HCPCS J0720 | $135.11 | $180.14 | $26.00 – $26.00 | 1 |
| Chlordiazepoxide injection HCPCS J1990 | not published | not published | $23.00 – $23.00 | 1 |
| Chloride CPT 82435 | $31.50 | $42.00 | $5.00 – $5.00 | 1 |
| Chloride 24 hour urine CPT 82436 | $31.50 | $42.00 | $6.00 – $6.00 | 1 |
| Chloroprocaine (clorotekal) HCPCS J2402 | $50.75 | $67.66 | not published | 0 |
| Chloroprocaine hcl injection HCPCS J2401 | $78.06 | $104.08 | $0.04 – $0.04 | 1 |
| Chloroprocaine opht gel, 1mg HCPCS J2403 | not published | not published | $0.60 – $0.60 | 1 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $700.37 | $933.82 | $40.00 – $40.00 | 1 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $105.04 | $140.05 | $27.00 – $27.00 | 1 |
| Cholangiogram percutaneous compl CPT 47532 | $2,877.75 | $3,837.00 | not published | 0 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $189.00 | $252.00 | not published | 0 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $2,297.25 | $3,063.00 | not published | 0 |
| Cholera vaccine live oral CPT 90625 | $645.00 | $860.00 | not published | 0 |
| Cholesterol CPT 82465 | $27.00 | $36.00 | $4.00 – $4.00 | 1 |
| Cholesterol body fluid CPT 84999 | $174.00 | $232.00 | not published | 0 |
| Cholesterol (Lipid) Test CPT 80061 | $120.75 | $161.00 | $14.00 – $14.00 | 1 |
| Cholinesterase CPT 82480 | $49.50 | $66.00 | $8.00 – $8.00 | 1 |
| Cholinesterase challenge CPT 95857 | $830.25 | $1,107.00 | not published | 0 |
| Chorion biopsy CPT 59015 | not published | not published | not published | 0 |
| Chorionic gonadotropin/1000u HCPCS J0725 | $734.42 | $979.22 | $18.00 – $18.00 | 1 |
| Chrom analysis CPT 88273 | $122.25 | $163.00 | $35.00 – $35.00 | 1 |
| Chromatogram assay sugars CPT 84375 | $192.00 | $256.00 | $39.00 – $39.00 | 1 |
| Chromatography CPT 83021 | $119.25 | $159.00 | $18.00 – $18.00 | 1 |
| Chromogenic substrate assay CPT 85130 | $72.00 | $96.00 | $12.00 – $12.00 | 1 |
| Chromo high res and frag x - sendout CPT 81243 | $132.00 | $176.00 | $57.00 – $57.00 | 1 |
| Chromosome analys amniotic CPT 88269 | $688.50 | $918.00 | $173.00 – $173.00 | 1 |
| Chromosome analysis 100 CPT 88249 | $678.00 | $904.00 | $173.00 – $173.00 | 1 |
| Chromosome analysis 15-20 cell count CPT 88262 | $381.75 | $509.00 | $125.00 – $125.00 | 1 |
| Chromosome analysis 20-25 CPT 88245 | $536.25 | $715.00 | $173.00 – $173.00 | 1 |
| Chromosome analysis 45 CPT 88263 | $522.00 | $696.00 | $150.00 – $150.00 | 1 |
| Chromosome analysis 5 CPT 88261 | $818.25 | $1,091.00 | $264.00 – $264.00 | 1 |
| Chromosome analysis 50-100 CPT 88248 | $536.25 | $715.00 | $173.00 – $173.00 | 1 |
| Chromosome analys placenta CPT 88267 | $583.50 | $778.00 | $188.00 – $188.00 | 1 |
| Chromosome banding study CPT 88283 | $211.50 | $282.00 | $68.00 – $68.00 | 1 |
| Chromosome count additional CPT 88285 | $82.50 | $110.00 | $27.00 – $27.00 | 1 |
| Chromosome karyotype study CPT 88280 | $112.50 | $150.00 | $33.00 – $33.00 | 1 |
| Chromosome study additional CPT 88289 | $131.25 | $175.00 | $34.00 – $34.00 | 1 |
| Chronic urticaria - sendout CPT 86343 | $75.75 | $101.00 | $13.00 – $13.00 | 1 |
| Chylomicron screen, bf - sendout CPT 82664 | $312.00 | $416.00 | $61.00 – $61.00 | 1 |
| Cid ext speech process repl HCPCS L8627 | $20.25 | $27.00 | not published | 0 |
| Cidofovir injection HCPCS J0740 | $1,735.35 | $2,313.80 | $529.00 – $529.00 | 1 |
| Cilastatin sodium injection HCPCS J0743 | $103.67 | $138.22 | $7.00 – $7.00 | 1 |
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.