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 |
|---|---|---|---|---|
| Coronary angio/lv gram/lt heart CPT 93458 | $7,725.00 | $10,300.00 | not published | 0 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $10,425.00 | $13,900.00 | not published | 0 |
| Coronary art/grft angio s&i CPT 93455 | $6,150.00 | $8,200.00 | not published | 0 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $7,050.00 | $9,400.00 | not published | 0 |
| Coroners autopsy (necropsy) CPT 88045 | $204.75 | $273.00 | $65.00 – $65.00 | 1 |
| Correct bunion/keller/mcbride/mayo 28292 CPT 28292 | not published | not published | not published | 0 |
| Correct cock-up 5th toe/plast clos 28286 CPT 28286 | not published | not published | not published | 0 |
| Correct finger deformity CPT 26567 | not published | not published | not published | 0 |
| Correct inverted nipple(s) CPT 19355 | not published | not published | not published | 0 |
| Correction claw finger other CPT 26499 | not published | not published | not published | 0 |
| Correction eyelid w/implant CPT 67912 | not published | not published | not published | 0 |
| Correction hallux valgus sesamoidectomy;prox meta osteotomy CPT 28295 | not published | not published | not published | 0 |
| Correction of astigmatism CPT 65772 | not published | not published | not published | 0 |
| Correction of astigmatism CPT 65775 | not published | not published | not published | 0 |
| Correction of everted punctum 68705 CPT 68705 | not published | not published | not published | 0 |
| Correction trichiasis epilation forcep 67820 CPT 67820 | not published | not published | not published | 0 |
| Correction trichiasis inccision lid margin 67830 CPT 67830 | not published | not published | not published | 0 |
| Correct metacarpal flaw CPT 26565 | not published | not published | not published | 0 |
| Correct rectal prolapse CPT 45541 | not published | not published | not published | 0 |
| Correct skin color 6.0 cm/< CPT 11920 | not published | not published | not published | 0 |
| Corrj halux rigdus w/implt CPT 28291 | not published | not published | not published | 0 |
| Corrj halux rigdus without implt CPT 28289 | not published | not published | not published | 0 |
| Cortisol acth stimulation test - sendout CPT 80400 | $198.75 | $265.00 | $32.00 – $32.00 | 1 |
| Cortisol total am CPT 82533 | $129.75 | $173.00 | $16.00 – $16.00 | 1 |
| Costotransversectomy CPT 21610 | not published | not published | not published | 0 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $253.15 | $337.53 | $28.00 – $28.00 | 1 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $661.35 | $881.80 | not published | 0 |
| Cover eye w/membrane CPT 65778 | not published | not published | not published | 0 |
| Cover eye w/membrane suture CPT 65779 | not published | not published | not published | 0 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $82.50 | $110.00 | not published | 0 |
| Covid-19 lab test non-cdc HCPCS U0002 | $126.75 | $169.00 | $51.00 – $51.00 | 1 |
| #covid19rsv-rsv CPT 87634 | $450.75 | $601.00 | $70.00 – $70.00 | 1 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $81.00 | $108.00 | $13.00 – $13.00 | 1 |
| C-peptide CPT 84681 | $130.50 | $174.00 | $21.00 – $21.00 | 1 |
| Cptrized corneal topography CPT 92025 | $66.00 | $88.00 | not published | 0 |
| Cptr ophth dx img post segmt CPT 92134 | $82.50 | $110.00 | not published | 0 |
| Cr-51 sodium chromate HCPCS A9553 | not published | not published | $484.00 – $484.00 | 1 |
| Crbrospnl fld flw imag cistern CPT 78630 | $1,335.00 | $1,780.00 | $554.00 – $554.00 | 1 |
| C-reactive protein CPT 86140 | $53.25 | $71.00 | $5.00 – $5.00 | 1 |
| C-reactive protein high sensitivity CPT 86141 | $102.00 | $136.00 | $13.00 – $13.00 | 1 |
| C-reactive protein, quantitative CPT 86406 | $64.50 | $86.00 | $10.00 – $10.00 | 1 |
| Creat artery-vein fistula autograft 36825 CPT 36825 | not published | not published | not published | 0 |
| Create eardrum opening CPT 69436 | not published | not published | not published | 0 |
| Create passage to kidney CPT 52334 | $2,315.25 | $3,087.00 | not published | 0 |
| Create tear duct drain CPT 68745 | not published | not published | not published | 0 |
| Create tear duct drain CPT 68750 | not published | not published | not published | 0 |
| Create tear sac drain CPT 68720 | not published | not published | not published | 0 |
| Creatine isoforms CPT 82554 | $72.00 | $96.00 | $12.00 – $12.00 | 1 |
| Creatine kinase CPT 82550 | $57.00 | $76.00 | $6.00 – $6.00 | 1 |
| Creatine kinase isoenzymes CPT 82552 | $81.00 | $108.00 | $14.00 – $14.00 | 1 |
| Creatine kinase mb CPT 82553 | $90.75 | $121.00 | $11.00 – $11.00 | 1 |
| Creatine - sendout CPT 82540 | $28.50 | $38.00 | $5.00 – $5.00 | 1 |
| Creatinine CPT 82565 | $32.25 | $43.00 | $5.00 – $5.00 | 1 |
| Creatinine 24 hour urine CPT 82570 | $45.00 | $60.00 | $5.00 – $5.00 | 1 |
| Creatinine clearance urine CPT 82575 | $63.00 | $84.00 | $9.00 – $9.00 | 1 |
| #creutz-prot.,western blot CPT 84182 | $169.50 | $226.00 | $29.00 – $29.00 | 1 |
| Crh stimulation panel CPT 80412 | $3,951.00 | $5,268.00 | $800.00 – $800.00 | 1 |
| Cricopharyngeal myotomy 43030 CPT 43030 | not published | not published | not published | 0 |
| Cricotracheal resection CPT 31592 | not published | not published | not published | 0 |
| Critical care 30-74 minutes CPT 99291 | $5,140.50 | $6,854.00 | not published | 0 |
| Critical care each additional 30 minutes CPT 99292 | $925.50 | $1,234.00 | not published | 0 |
| Crizanlizumab-tmca 10 mg/ml intravenous solution HCPCS J0791 | $5,743.64 | $7,658.18 | $129.00 – $129.00 | 1 |
| Cromolyn sodium noncomp unit HCPCS J7631 | not published | not published | $0.28 – $0.28 | 1 |
| Cross-over vein graft CPT 34520 | not published | not published | not published | 0 |
| Crotalidae poly immune fab HCPCS J0840 | $7,487.07 | $9,982.76 | $1,860.00 – $1,860.00 | 1 |
| Crutches underarm other than wood adjustable or e0114 HCPCS E0114 | $54.00 | $72.00 | not published | 0 |
| Cryoablate prostate CPT 55873 | not published | not published | not published | 0 |
| Cryocautery of cervix 57511 CPT 57511 | not published | not published | not published | 0 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $69.75 | $93.00 | $14.00 – $14.00 | 1 |
| Cryoprecipitate each unit HCPCS P9012 | $164.25 | $219.00 | not published | 0 |
| Cryopreserve stem cells CPT 38207 | not published | not published | not published | 0 |
| Cryosurg ablate fa each CPT 19105 | not published | not published | not published | 0 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | not published | not published | not published | 0 |
| Cryotherapy of acne 17340 CPT 17340 | not published | not published | not published | 0 |
| Cryptococcus abs qn - sendout CPT 86641 | $87.75 | $117.00 | $15.00 – $15.00 | 1 |
| Cryptosporidium antigen CPT 87272 | $72.75 | $97.00 | $12.00 – $12.00 | 1 |
| Crystal identification light microscopy CPT 89060 | $60.75 | $81.00 | $7.00 – $7.00 | 1 |
| Csf leakage imaging CPT 78650 | $3,396.00 | $4,528.00 | $1,343.00 – $1,343.00 | 1 |
| Csf shunt reprogram 62252 CPT 62252 | not published | not published | not published | 0 |
| Csf ventriculography CPT 78635 | $1,335.00 | $1,780.00 | $554.00 – $554.00 | 1 |
| Cstb gene detc abnor allele CPT 81188 | not published | not published | $137.00 – $137.00 | 1 |
| Cstb gene full gene sequence CPT 81189 | not published | not published | $274.00 – $274.00 | 1 |
| Cstb gene known famil vrnt CPT 81190 | not published | not published | $185.00 – $185.00 | 1 |
| CT 3d report other modality w/workstation CPT 76377 | $367.50 | $490.00 | not published | 0 |
| Cta abdomen without & /or w/contrast CPT 74175 | $2,272.50 | $3,030.00 | $267.00 – $267.00 | 1 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $1,890.00 | $2,520.00 | $267.00 – $267.00 | 1 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $1,380.00 | $1,840.00 | $267.00 – $267.00 | 1 |
| Cta neck without &/or w/contrast CPT 70498 | $1,965.00 | $2,620.00 | $268.00 – $268.00 | 1 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $3,427.50 | $4,570.00 | $411.00 – $411.00 | 1 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,912.50 | $2,550.00 | $268.00 – $268.00 | 1 |
| CT Angiogram of the Head CPT 70496 | $2,040.00 | $2,720.00 | $268.00 – $268.00 | 1 |
| CT angio hrt w/3d image CPT 75574 | $1,965.00 | $2,620.00 | $367.00 – $367.00 | 1 |
| CT angio pelvis CPT 72191 | $1,530.00 | $2,040.00 | $267.00 – $267.00 | 1 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $1,380.00 | $1,840.00 | $267.00 – $267.00 | 1 |
| CT bone density axial CPT 77078 | $345.00 | $460.00 | $129.00 – $129.00 | 1 |
| CT cerebral perf w cont & prcssng CPT 70473 | $750.75 | $1,001.00 | $260.00 – $260.00 | 1 |
| CT colonography dx CPT 74261 | $1,162.50 | $1,550.00 | $160.00 – $160.00 | 1 |
| CT colonography dx w/dye CPT 74262 | $1,492.50 | $1,990.00 | $268.00 – $268.00 | 1 |
| CT colonography screening CPT 74263 | $2,617.50 | $3,490.00 | $364.00 – $364.00 | 1 |
| CT guidance for needle placement CPT 77012 | $1,484.25 | $1,979.00 | 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.