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 |
|---|---|---|---|---|
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | not published | not published | not published | 0 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $1,421.25 | $1,895.00 | not published | 0 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | not published | not published | not published | 0 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $4,853.25 | $6,471.00 | not published | 0 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $4,853.25 | $6,471.00 | not published | 0 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $4,853.25 | $6,471.00 | not published | 0 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | $6,339.00 | $8,452.00 | not published | 0 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $439.50 | $586.00 | not published | 0 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $772.50 | $1,030.00 | not published | 0 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | not published | not published | not published | 0 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,553.25 | $2,071.00 | not published | 0 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | not published | not published | not published | 0 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | not published | not published | not published | 0 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | not published | not published | not published | 0 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | not published | not published | not published | 0 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | not published | not published | not published | 0 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $809.25 | $1,079.00 | not published | 0 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | not published | not published | not published | 0 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | not published | not published | not published | 0 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | not published | not published | not published | 0 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $4,853.25 | $6,471.00 | not published | 0 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | not published | not published | not published | 0 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | not published | not published | not published | 0 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | not published | not published | not published | 0 |
| Cltx lunate dislc w/mnpj CPT 25690 | $2,464.50 | $3,286.00 | not published | 0 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | not published | not published | not published | 0 |
| Cltx mndblr fx w/mnpj CPT 21451 | not published | not published | not published | 0 |
| Cltx mndblr/max alv ridge fx CPT 21440 | $5,270.25 | $7,027.00 | not published | 0 |
| Cltx palatal/max fx wire fix CPT 21421 | not published | not published | not published | 0 |
| Cltx post ankle fx CPT 27767 | not published | not published | not published | 0 |
| Cltx post ankle fx w/mnpj CPT 27768 | not published | not published | not published | 0 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $4,116.00 | $5,488.00 | not published | 0 |
| Cltx strnclav dislc w/mnpj CPT 23525 | $862.50 | $1,150.00 | not published | 0 |
| Cltx thigh fx CPT 27267 | not published | not published | not published | 0 |
| Cltx tmprmand dislc comp CPT 21485 | not published | not published | not published | 0 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | not published | 0 |
| C motor evoked lwr limbs CPT 95929 | $1,415.25 | $1,887.00 | not published | 0 |
| C motor evoked uppr limbs CPT 95928 | $2,749.50 | $3,666.00 | not published | 0 |
| C motor evoked upr&lwr limbs CPT 95939 | $2,749.50 | $3,666.00 | not published | 0 |
| Cmptr ophth dx img ant segmt CPT 92132 | $63.75 | $85.00 | not published | 0 |
| Cmptr ophth img optic nerve CPT 92133 | $63.75 | $85.00 | not published | 0 |
| #cms hgb-carboxyhemoglobin CPT 82376 | $69.75 | $93.00 | $14.00 – $14.00 | 1 |
| #cms hgb-sulfhemoglobin CPT 83060 | $51.75 | $69.00 | $9.00 – $9.00 | 1 |
| #cmvcul-virus inoculation shell CPT 87254 | $135.00 | $180.00 | $20.00 – $20.00 | 1 |
| Cmv pcr-sendout CPT 87496 | $332.25 | $443.00 | $35.00 – $35.00 | 1 |
| Cnbp gene detc abnor allele CPT 81187 | not published | not published | $137.00 – $137.00 | 1 |
| Co2 monitor per day CPT 94681 | $819.75 | $1,093.00 | not published | 0 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $12.35 | $16.46 | $2.65 – $2.65 | 1 |
| Coagulation time activated teg CPT 85347 | $37.50 | $50.00 | $4.00 – $4.00 | 1 |
| Coagulation time lee & white CPT 85345 | $27.00 | $36.00 | $5.00 – $5.00 | 1 |
| Coagulation time otr method CPT 85348 | $22.50 | $30.00 | $4.00 – $4.00 | 1 |
| Cocaine 4 % nasal solution HCPCS C9046 | $843.81 | $1,125.08 | not published | 0 |
| Coch imp ext proc/contr rplc HCPCS L8619 | $12.00 | $16.00 | not published | 0 |
| Coch implant headset replace HCPCS L8615 | $712.50 | $950.00 | not published | 0 |
| Codeine 15 mg/ml inj 2 ml HCPCS J0745 | not published | not published | $1.10 – $1.10 | 1 |
| Coil axium 3d 14mmx40cm qc HCPCS C1770 | $202.50 | $270.00 | not published | 0 |
| Cold agglutinin screen (arc) CPT 86156 | $40.50 | $54.00 | $8.00 – $8.00 | 1 |
| Cold agglutinin titer CPT 86157 | $51.00 | $68.00 | $8.00 – $8.00 | 1 |
| Colistimethate sodium inj HCPCS J0770 | $89.43 | $119.24 | $11.00 – $11.00 | 1 |
| Collagenase, clost hist inj HCPCS J0775 | $17,285.19 | $23,046.92 | $73.00 – $73.00 | 1 |
| Collagen imp urinary 2.5 ml HCPCS L8603 | $637.50 | $850.00 | not published | 0 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $10.73 | $14.30 | not published | 0 |
| Collar cerv ascend 172 reg HCPCS L0172 | $45.75 | $61.00 | not published | 0 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $169.50 | $226.00 | not published | 0 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $180.75 | $241.00 | not published | 0 |
| Collection of venous blood by venipuncture CPT 36415 | $13.50 | $18.00 | not published | 0 |
| Colonoscopy (diagnostic) CPT 45378 | $1,482.00 | $1,976.00 | not published | 0 |
| Colonoscopy flex with decompression 45393 CPT 45393 | not published | not published | not published | 0 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | $3,802.50 | $5,070.00 | not published | 0 |
| Colonoscopy for bleeding 44391 CPT 44391 | not published | not published | not published | 0 |
| Colonoscopy for foreign body CPT 44390 | not published | not published | not published | 0 |
| Colonoscopy & polypectomy 44392 CPT 44392 | not published | not published | not published | 0 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | not published | not published | not published | 0 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | not published | not published | not published | 0 |
| Colonoscopy submucous njx CPT 45381 | $1,743.00 | $2,324.00 | not published | 0 |
| Colonoscopy thru stoma spx CPT 44388 | $2,452.50 | $3,270.00 | not published | 0 |
| Colonoscopy w/ablation CPT 45388 | $3,235.50 | $4,314.00 | not published | 0 |
| Colonoscopy w/balloon dilat CPT 45386 | $3,235.50 | $4,314.00 | not published | 0 |
| Colonoscopy w/band ligation CPT 45398 | not published | not published | not published | 0 |
| Colonoscopy w/control bleed CPT 45382 | $3,235.50 | $4,314.00 | not published | 0 |
| Colonoscopy w/decompression CPT 44408 | not published | not published | not published | 0 |
| Colonoscopy w/dilation CPT 44405 | not published | not published | not published | 0 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | not published | not published | not published | 0 |
| Colonoscopy w/endoscopic fnb CPT 45392 | $2,967.75 | $3,957.00 | not published | 0 |
| Colonoscopy/w endoscopic stent 45389 CPT 45389 | not published | not published | not published | 0 |
| Colonoscopy w/fb removal CPT 45379 | not published | not published | not published | 0 |
| Colonoscopy w/injection CPT 44404 | not published | not published | not published | 0 |
| Colonoscopy with ablation CPT 44401 | not published | not published | not published | 0 |
| Colonoscopy (with biopsy) CPT 45380 | $2,466.00 | $3,288.00 | not published | 0 |
| Colonoscopy with biopsy CPT 44389 | $3,235.50 | $4,314.00 | not published | 0 |
| Colonoscopy (with polyp removal) CPT 45385 | $1,944.75 | $2,593.00 | not published | 0 |
| Colonoscopy w/ndl aspir/bx CPT 44407 | not published | not published | not published | 0 |
| Colonoscopy w/resection CPT 45390 | not published | not published | not published | 0 |
| Colonoscopy w/stent plcmt CPT 44402 | not published | not published | not published | 0 |
| Colonoscopy w/ultrasound CPT 44406 | not published | not published | not published | 0 |
| Colpocentesis 57020 CPT 57020 | not published | not published | not published | 0 |
| Colpocleisis (le forte type) 57120 CPT 57120 | not published | not published | not published | 0 |
| Colpopexy extraperitoneal CPT 57282 | not published | not published | not published | 0 |
| Colpopexy intraperitoneal CPT 57283 | not published | not published | not published | 0 |
| Colpopexy, min/inv, ex-perit HCPCS C9778 | not published | not published | 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.