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 |
|---|---|---|---|---|
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | not published | not published | not published | 0 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | not published | not published | not published | 0 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | not published | not published | not published | 0 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | not published | not published | not published | 0 |
| Colposcopy vulva 56820 CPT 56820 | not published | not published | not published | 0 |
| Colposcopy vulva w/biopsy 56821 CPT 56821 | not published | not published | not published | 0 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | not published | not published | not published | 0 |
| Colpotomy drng of abscess 57010 CPT 57010 | not published | not published | not published | 0 |
| Colpotomy w/exploration 57000 CPT 57000 | not published | not published | not published | 0 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $113.25 | $151.00 | $30.00 – $30.00 | 1 |
| Compatibility test each unit electronic CPT 86923 | $265.50 | $354.00 | $23.00 – $23.00 | 1 |
| Compatibility test each unit immediate spin technique CPT 86920 | $113.25 | $151.00 | $28.00 – $28.00 | 1 |
| Compatibility test incubate CPT 86921 | $175.50 | $234.00 | $25.00 – $25.00 | 1 |
| Comp cystometrogram/void presssure 51728 CPT 51728 | $1,617.75 | $2,157.00 | not published | 0 |
| Comp cystometrogram/void/uret pres 51729 CPT 51729 | $1,719.00 | $2,292.00 | not published | 0 |
| Complement antigen each component c3 CPT 86160 | $98.25 | $131.00 | $12.00 – $12.00 | 1 |
| Complement fixation each CPT 86171 | $63.00 | $84.00 | $10.00 – $10.00 | 1 |
| Complete removal of vulva CPT 56625 | not published | not published | not published | 0 |
| Complex cystometrogram 51726 CPT 51726 | $847.50 | $1,130.00 | not published | 0 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $1,668.00 | $2,224.00 | not published | 0 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | not published | not published | not published | 0 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | $506.25 | $675.00 | not published | 0 |
| Compl oph exam general anes CPT 92018 | not published | not published | not published | 0 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $1,621.50 | $2,162.00 | not published | 0 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $1,668.00 | $2,224.00 | not published | 0 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $444.00 | $592.00 | not published | 0 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $991.50 | $1,322.00 | not published | 0 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $1,389.00 | $1,852.00 | not published | 0 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $454.50 | $606.00 | not published | 0 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $342.75 | $457.00 | not published | 0 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | not published | not published | not published | 0 |
| Composite graft/pri close/don area 15760 CPT 15760 | not published | not published | not published | 0 |
| Comprehensive hearing test CPT 92557 | $104.25 | $139.00 | not published | 0 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | $1,062.00 | $1,416.00 | $367.00 – $367.00 | 1 |
| Concentration infection agents any type CPT 87015 | $54.75 | $73.00 | $7.00 – $7.00 | 1 |
| Conduit wrap neuomend 3mmx2.5cm HCPCS C9361 | $1.50 | $2.00 | not published | 0 |
| Condylomata destruction 56420 CPT 56420 | $529.50 | $706.00 | not published | 0 |
| Conform band s w>=3" <5"/yd HCPCS A6446 | $0.75 | $1.00 | not published | 0 |
| Congo red blood test HCPCS P2029 | $16.50 | $22.00 | $5.00 – $5.00 | 1 |
| Conivaptan hcl HCPCS C9488 | $2,176.44 | $2,901.92 | not published | 0 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | not published | not published | not published | 0 |
| Conization of cervix CPT 57520 | not published | not published | not published | 0 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $885.66 | $1,180.87 | $390.00 – $390.00 | 1 |
| Connect omega .5mm HCPCS L8613 | $748.80 | $998.40 | not published | 0 |
| Connector tis 2x10mm HCPCS C9352 | $5.25 | $7.00 | not published | 0 |
| Constj trachesophgl fstl CPT 31611 | not published | not published | not published | 0 |
| Construction of vagina CPT 57291 | not published | not published | not published | 0 |
| Construct thumb replacement CPT 26550 | not published | not published | not published | 0 |
| Construct vagina with graft CPT 57292 | not published | not published | not published | 0 |
| Consultation pathology during surgery CPT 88329 | $195.75 | $261.00 | $56.00 – $56.00 | 1 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $522.75 | $697.00 | $35.00 – $35.00 | 1 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $217.50 | $290.00 | $27.00 – $27.00 | 1 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $235.50 | $314.00 | $45.00 – $45.00 | 1 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $927.00 | $1,236.00 | $33.00 – $33.00 | 1 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $333.00 | $444.00 | $98.00 – $98.00 | 1 |
| Consult comp w/report rfrd material CPT 88325 | $583.50 | $778.00 | $158.00 – $158.00 | 1 |
| Contour cranial bone lesion CPT 21181 | not published | not published | not published | 0 |
| Contour of face bone lesion CPT 21029 | not published | not published | not published | 0 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $8,301.00 | $11,068.00 | $3,240.00 – $3,240.00 | 1 |
| Contrast exam thoracic aorta CPT 75600 | $8,295.00 | $11,060.00 | $3,240.00 – $3,240.00 | 1 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $14,313.00 | $19,084.00 | $5,565.00 – $5,565.00 | 1 |
| Contrast x-ray gallbladder CPT 74290 | $504.00 | $672.00 | $184.00 – $184.00 | 1 |
| Contrast x-ray of ankle CPT 73615 | $1,024.50 | $1,366.00 | $367.00 – $367.00 | 1 |
| Contrast x-ray of brain CPT 70010 | $1,024.50 | $1,366.00 | $367.00 – $367.00 | 1 |
| Contrast x-ray of brain CPT 70015 | $2,064.75 | $2,753.00 | $814.00 – $814.00 | 1 |
| Contrast x-ray of elbow CPT 73085 | $1,024.50 | $1,366.00 | $367.00 – $367.00 | 1 |
| Contrast x-ray of hip CPT 73525 | $1,026.00 | $1,368.00 | $367.00 – $367.00 | 1 |
| Contrast x-ray of knee joint CPT 73580 | $1,024.50 | $1,366.00 | $367.00 – $367.00 | 1 |
| Contrast x-ray of wrist CPT 73115 | $1,024.50 | $1,366.00 | $367.00 – $367.00 | 1 |
| Controler lvad heartmate 3 includes ebb HCPCS Q0481 | $4.50 | $6.00 | not published | 0 |
| Controller infinity pt dbs HCPCS C1787 | $135.00 | $180.00 | not published | 0 |
| Control nosebleed pack+caut 30905 CPT 30905 | $378.00 | $504.00 | not published | 0 |
| Control nose/throat bleeding with surg ivntj 42972 CPT 42972 | not published | not published | not published | 0 |
| Control nose/throat bleeding w/pst nsl packs 42970 CPT 42970 | not published | not published | not published | 0 |
| Control of nosebleed ant comp 30903 CPT 30903 | $576.00 | $768.00 | not published | 0 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $174.75 | $233.00 | not published | 0 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $1,654.50 | $2,206.00 | not published | 0 |
| Control throat bleeding CPT 42962 | not published | not published | not published | 0 |
| Conversion ext bil drg cath CPT 47535 | $3,551.25 | $4,735.00 | not published | 0 |
| Convert nephrostomy catheter CPT 50434 | $2,371.50 | $3,162.00 | not published | 0 |
| Conv gtube to jtube CPT 44373 | $4,932.75 | $6,577.00 | not published | 0 |
| Coombs direct CPT 86880 | $69.00 | $92.00 | $5.00 – $5.00 | 1 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $155.25 | $207.00 | $6.00 – $6.00 | 1 |
| Coombs indirect titer reference CPT 86886 | $159.00 | $212.00 | $5.00 – $5.00 | 1 |
| Copper cu 64 dotatate diag HCPCS A9592 | $9,042.75 | $12,057.00 | not published | 0 |
| Copper intrauterine device HCPCS J7300 | $2,667.45 | $3,556.60 | $415.00 – $415.00 | 1 |
| Cor artery disease mrna CPT 81493 | not published | not published | $1,048.00 – $1,048.00 | 1 |
| Core ndl bx lng/med perq CPT 32408 | $3,382.50 | $4,510.00 | not published | 0 |
| Cor hlx vlgs double osteot CPT 28299 | not published | not published | not published | 0 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | not published | not published | not published | 0 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | not published | not published | not published | 0 |
| Corneal hysteresis deter CPT 92145 | $40.50 | $54.00 | not published | 0 |
| Corneal smear CPT 65430 | not published | not published | not published | 0 |
| Corneal transplant CPT 65710 | not published | not published | not published | 0 |
| Corneal transplant CPT 65730 | not published | not published | not published | 0 |
| Corneal transplant CPT 65750 | not published | not published | not published | 0 |
| Corneal transplant CPT 65755 | not published | not published | not published | 0 |
| Corneal trnspl endothelial CPT 65756 | not published | not published | not published | 0 |
| Cornea pre-cut midwest eye cornea pre-cut midwest eye HCPCS V2785 | $540.00 | $720.00 | not published | 0 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $9,525.00 | $12,700.00 | 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.