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 |
|---|---|---|---|---|
| D&c of cervical stump CPT 57558 | not published | not published | not published | 0 |
| Deamidated gliadin antibody iga CPT 86258 | $33.75 | $45.00 | $12.00 – $12.00 | 1 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $738.00 | $984.00 | not published | 0 |
| Debridement bone <= 20 sq cm CPT 11044 | $1,256.25 | $1,675.00 | not published | 0 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $771.00 | $1,028.00 | not published | 0 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $917.25 | $1,223.00 | not published | 0 |
| Debride nail1-5 11720 CPT 11720 | $87.00 | $116.00 | not published | 0 |
| Debride nail6 or more 11721 CPT 11721 | not published | not published | not published | 0 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $2,059.50 | $2,746.00 | not published | 0 |
| Debride skin bone at fx site CPT 11012 | $2,338.50 | $3,118.00 | not published | 0 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $494.25 | $659.00 | not published | 0 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | not published | 0 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $2,059.50 | $2,746.00 | not published | 0 |
| Debr inf skin add-on 11001 CPT 11001 | $72.00 | $96.00 | not published | 0 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $1,406.25 | $1,875.00 | not published | 0 |
| Decalcification CPT 88311 | $107.25 | $143.00 | $9.00 – $9.00 | 1 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $1,437.75 | $1,917.00 | $1.59 – $1.59 | 1 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $846.75 | $1,129.00 | not published | 0 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | not published | 0 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | not published | 0 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | not published | 0 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | not published | 0 |
| Decompress fingers/hand CPT 26035 | not published | not published | not published | 0 |
| Decompress forearm 1 space CPT 25023 | not published | not published | not published | 0 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | not published | 0 |
| Decompression fasct forearm CPT 24495 | not published | not published | not published | 0 |
| Decompression of leg CPT 27892 | not published | not published | not published | 0 |
| Decompression of leg CPT 27893 | not published | not published | not published | 0 |
| Decompression of leg CPT 27894 | not published | not published | not published | 0 |
| Decompression of lower leg CPT 27600 | not published | not published | not published | 0 |
| Decompression of lower leg CPT 27601 | not published | not published | not published | 0 |
| Decompression of thigh/knee CPT 27496 | not published | not published | not published | 0 |
| Decompression of thigh/knee CPT 27497 | not published | not published | not published | 0 |
| Decompression of thigh/knee CPT 27498 | not published | not published | not published | 0 |
| Decompression of thigh/knee CPT 27499 | not published | not published | not published | 0 |
| Decompression of tibia nerve CPT 28035 | not published | not published | not published | 0 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | not published | 0 |
| Decompress optic nerve CPT 67570 | not published | not published | not published | 0 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | not published | 0 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | not published | 0 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | not published | 0 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | not published | 0 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $128.37 | $171.16 | $9.00 – $9.00 | 1 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $1,817.04 | $2,422.72 | $4.35 – $4.35 | 1 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | not published | 0 |
| Delay flap arms/legs CPT 15610 | not published | not published | not published | 0 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | not published | 0 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | not published | 0 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | not published | 0 |
| Delivery of placenta 59414 CPT 59414 | $2,076.00 | $2,768.00 | not published | 0 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $296.25 | $395.00 | not published | 0 |
| Denervation of hip joint CPT 27035 | not published | not published | not published | 0 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $8,076.15 | $10,768.19 | $28.00 – $28.00 | 1 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $378.00 | $504.00 | not published | 0 |
| Depo-estradiol cypionate inj HCPCS J1000 | $48.86 | $65.14 | $47.00 – $47.00 | 1 |
| Dermabrasion other than face CPT 15782 | not published | not published | not published | 0 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | not published | 0 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | not published | 0 |
| Dermabrasion total face CPT 15780 | not published | not published | not published | 0 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | not published | 0 |
| Dermapure 1 square cm HCPCS Q4152 | $2.25 | $3.00 | not published | 0 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | not published | 0 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | not published | 0 |
| Design custom breast implant CPT 19396 | not published | not published | not published | 0 |
| Design mlc device for imrt CPT 77338 | $1,945.50 | $2,594.00 | $377.00 – $377.00 | 1 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $94.82 | $126.42 | $3.89 – $3.89 | 1 |
| Desoxycorticosterone CPT 82633 | $189.00 | $252.00 | $31.00 – $31.00 | 1 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | not published | 0 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | not published | 0 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | not published | 0 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | not published | 0 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | not published | 0 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | not published | 0 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | not published | 0 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | not published | 0 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | not published | 0 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | not published | 0 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $1,428.00 | $1,904.00 | not published | 0 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $387.00 | $516.00 | not published | 0 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | $1,180.50 | $1,574.00 | not published | 0 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | not published | not published | not published | 0 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | not published | 0 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | not published | 0 |
| Destruct ben lesion 15/> 17111 CPT 17111 | not published | not published | not published | 0 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | not published | 0 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | not published | 0 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | not published | 0 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | not published | 0 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | not published | 0 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | not published | 0 |
| Destruction benign lesions < 14 lesions CPT 17110 | $528.00 | $704.00 | not published | 0 |
| Destruction by injection tx of nerve 64630 CPT 64630 | $2,232.00 | $2,976.00 | not published | 0 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $747.75 | $997.00 | not published | 0 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $1,525.50 | $2,034.00 | not published | 0 |
| Destruction ciliary body CPT 66700 | not published | not published | not published | 0 |
| Destruction ciliary body CPT 66720 | not published | not published | not published | 0 |
| Destruction ciliary body CPT 66740 | not published | not published | not published | 0 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | not published | 0 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | not published | 0 |
| Destruction les conjunctiva CPT 68135 | 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.