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 |
|---|---|---|---|---|
| Cystoscopy and treatment CPT 52285 | not published | not published | not published | 0 |
| Cystoscopy and treatment CPT 52290 | not published | not published | not published | 0 |
| Cystoscopy and treatment CPT 52300 | not published | not published | not published | 0 |
| Cystoscopy and treatment CPT 52301 | not published | not published | not published | 0 |
| Cystoscopy and treatment CPT 52305 | not published | not published | not published | 0 |
| Cystoscopy and treatment CPT 52310 | not published | not published | not published | 0 |
| Cystoscopy and treatment CPT 52315 | not published | not published | not published | 0 |
| Cystoscopy and treatment CPT 52320 | not published | not published | not published | 0 |
| Cystoscopy and treatment CPT 52330 | not published | not published | not published | 0 |
| Cystoscopy (Bladder Scope) CPT 52000 | $695.25 | $927.00 | not published | 0 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | not published | 0 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | not published | 0 |
| Cystoscopy implant stent CPT 52282 | not published | not published | not published | 0 |
| Cystoscopy inject material CPT 52327 | not published | not published | not published | 0 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | not published | not published | not published | 0 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | not published | 0 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | not published | 0 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | not published | 0 |
| Cystoscopy stone removal CPT 52325 | not published | not published | not published | 0 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | not published | 0 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | not published | not published | not published | 0 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | not published | 0 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | not published | 0 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | not published | 0 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | not published | 0 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | not published | 0 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | not published | 0 |
| Cysto/uretero w/lithotripsy CPT 52356 | $3,435.75 | $4,581.00 | not published | 0 |
| Cystouretero w/lithotripsy CPT 52353 | $3,435.75 | $4,581.00 | not published | 0 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | not published | 0 |
| Cystouretero w/stone remove CPT 52352 | $2,315.25 | $3,087.00 | not published | 0 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | not published | 0 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | not published | 0 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $3,645.00 | $4,860.00 | not published | 0 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | not published | 0 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | not published | 0 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | not published | 0 |
| Cysto w/ureter stricture tx CPT 52341 | $6,298.50 | $8,398.00 | not published | 0 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $120.45 | $160.60 | $0.80 – $0.80 | 1 |
| Cytog alys chrml abnr lw-ps CPT 81349 | not published | not published | $1,195.00 – $1,195.00 | 1 |
| Cytogenetics 25-99 CPT 88274 | $147.75 | $197.00 | $42.00 – $42.00 | 1 |
| Cytogenetics 3-5 CPT 88272 | $126.00 | $168.00 | $41.00 – $41.00 | 1 |
| Cytogenomic neo microra alys CPT 81277 | not published | not published | $1,157.00 – $1,157.00 | 1 |
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $898.00 – $898.00 | 1 |
| Cytog genom-wid alys hem mal CPT 81195 | not published | not published | $1,261.00 – $1,261.00 | 1 |
| Cytomegalovirus ag ia CPT 87332 | $72.75 | $97.00 | $12.00 – $12.00 | 1 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $124.50 | $166.00 | $14.00 – $14.00 | 1 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $112.50 | $150.00 | $17.00 – $17.00 | 1 |
| Cytomegalovirus dfa CPT 87271 | $72.75 | $97.00 | $14.00 – $14.00 | 1 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | $4,114.74 | $5,486.32 | $1,809.00 – $1,809.00 | 1 |
| Cytomeg dna dir probe CPT 87495 | $148.50 | $198.00 | $30.00 – $30.00 | 1 |
| Cyto/molecular report CPT 88291 | $116.25 | $155.00 | $35.00 – $35.00 | 1 |
| Cytopath c/v auto in fluid CPT 88174 | $78.75 | $105.00 | $25.00 – $25.00 | 1 |
| Cytopath c/v automated CPT 88147 | $156.00 | $208.00 | $50.00 – $50.00 | 1 |
| Cytopath c/v auto redo CPT 88152 | $86.25 | $115.00 | $28.00 – $28.00 | 1 |
| Cytopath c/v auto rescreen CPT 88148 | $50.25 | $67.00 | $18.00 – $18.00 | 1 |
| Cytopath c/v index add-on CPT 88155 | $45.00 | $60.00 | $15.00 – $15.00 | 1 |
| Cytopath c/v manual CPT 88150 | $47.25 | $63.00 | $18.00 – $18.00 | 1 |
| Cytopath c/v redo CPT 88153 | $74.25 | $99.00 | $24.00 – $24.00 | 1 |
| Cytopath c/v thin layer redo CPT 88143 | $81.75 | $109.00 | $23.00 – $23.00 | 1 |
| Cytopath fl nongyn filter CPT 88106 | $207.00 | $276.00 | $59.00 – $59.00 | 1 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $267.75 | $357.00 | $45.00 – $45.00 | 1 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $81.75 | $109.00 | $26.00 – $26.00 | 1 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $79.50 | $106.00 | $20.00 – $20.00 | 1 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $213.75 | $285.00 | $54.00 – $54.00 | 1 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $186.00 | $248.00 | $59.00 – $59.00 | 1 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $66.00 | $88.00 | $9.00 – $9.00 | 1 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $151.50 | $202.00 | $24.00 – $24.00 | 1 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $406.50 | $542.00 | $115.00 – $115.00 | 1 |
| Cytopath smear other source CPT 88160 | $225.00 | $300.00 | $64.00 – $64.00 | 1 |
| Cytopath smear other source CPT 88162 | $344.25 | $459.00 | $104.00 – $104.00 | 1 |
| Cytopath smear oth prep screen & interp CPT 88161 | $237.75 | $317.00 | $66.00 – $66.00 | 1 |
| Cytopath tbs c/v auto redo CPT 88166 | $47.25 | $63.00 | $18.00 – $18.00 | 1 |
| Cytopath tbs c/v manual CPT 88164 | $47.25 | $63.00 | $18.00 – $18.00 | 1 |
| Cytopath tbs c/v redo CPT 88165 | $129.75 | $173.00 | $42.00 – $42.00 | 1 |
| Cytopath tbs c/v select CPT 88167 | $47.25 | $63.00 | $18.00 – $18.00 | 1 |
| Cytotoxic antibody screening CPT 86807 | $387.00 | $516.00 | $78.00 – $78.00 | 1 |
| Cytotoxic antibody screening CPT 86808 | $180.75 | $241.00 | $30.00 – $30.00 | 1 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $1,412.25 | $1,883.00 | $398.00 – $398.00 | 1 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $83.98 | $111.97 | $3.80 – $3.80 | 1 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $6,371.73 | $8,495.64 | $303.00 – $303.00 | 1 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $4,166.92 | $5,555.89 | $15.00 – $15.00 | 1 |
| Dalteparin sodium HCPCS J1645 | $2,554.24 | $3,405.65 | $18.00 – $18.00 | 1 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | not published | not published | $0.03 – $0.03 | 1 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $0.05 – $0.05 | 1 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $22,869.00 | $30,492.00 | $55.00 – $55.00 | 1 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $9,059.55 | $12,079.40 | $3.00 – $3.00 | 1 |
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $3.00 – $3.00 | 1 |
| Dark field exam spec collj CPT 87164 | $108.75 | $145.00 | $10.00 – $10.00 | 1 |
| Dark field exam without collj CPT 87166 | $69.00 | $92.00 | $11.00 – $11.00 | 1 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | $23,750.55 | $31,667.40 | $255.00 – $255.00 | 1 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $347.65 | $463.53 | $20.00 – $20.00 | 1 |
| D&c after delivery 59160 CPT 59160 | $5,478.00 | $7,304.00 | not published | 0 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $2,076.00 | $2,768.00 | not published | 0 |
| Dch glucoscan CPT 82948 | $27.00 | $36.00 | $5.00 – $5.00 | 1 |
| Dch pulmonary stress test CPT 94621 | $830.25 | $1,107.00 | not published | 0 |
| Dch validity tests CPT 81002 | $15.75 | $21.00 | $3.00 – $3.00 | 1 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | not published | 0 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | not published | 0 |
| Dcmprn plantar digital nerve CPT 64726 | 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.