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 |
|---|---|---|---|---|
| Aep thrshld est mlt freq i&r CPT 92652 | $830.25 | $1,107.00 | not published | 0 |
| Afamelanotide implant, 1 mg HCPCS J7352 | $108,887.55 | $145,183.40 | $2,942.00 – $2,942.00 | 1 |
| Afamitresgene autoleucel HCPCS Q2057 | not published | not published | $792,430.00 – $792,430.00 | 1 |
| _afb id by dna probe rflx ast CPT 87149 | $122.25 | $163.00 | $20.00 – $20.00 | 1 |
| #afb mycobacteria suscep. #1 CPT 87190 | $36.00 | $48.00 | $7.00 – $7.00 | 1 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $701.25 | $935.00 | $115.00 – $115.00 | 1 |
| Aff2 gen aly detc abnl allel CPT 81171 | not published | not published | $137.00 – $137.00 | 1 |
| Aff2 gen alys charac alleles CPT 81172 | not published | not published | $274.00 – $274.00 | 1 |
| Aflibercept injection HCPCS J0178 | $4,548.81 | $6,065.07 | $956.00 – $956.00 | 1 |
| After cataract laser surgery CPT 66821 | not published | not published | not published | 0 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | $18,320.04 | $24,426.71 | $230.00 – $230.00 | 1 |
| Air conduction bilat CPT 92552 | $182.25 | $243.00 | not published | 0 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $249.75 | $333.00 | not published | 0 |
| Albumin body fluid quantitative each specimen CPT 82042 | $43.50 | $58.00 | $8.00 – $8.00 | 1 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $282.11 | $376.14 | not published | 0 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | $338.85 | $451.80 | not published | 0 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | $396.87 | $529.15 | not published | 0 |
| Albumin ischemia modified CPT 82045 | $207.00 | $276.00 | $34.00 – $34.00 | 1 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $54.00 | $72.00 | $6.00 – $6.00 | 1 |
| Albumin serum plasma or whole blood CPT 82040 | $39.00 | $52.00 | $5.00 – $5.00 | 1 |
| Albuterol ipratrop non-comp HCPCS J7620 | not published | not published | $0.20 – $0.20 | 1 |
| Albuterol non-comp con HCPCS J7611 | not published | not published | $0.16 – $0.16 | 1 |
| Albuterol non-comp unit HCPCS J7613 | not published | not published | $0.08 – $0.08 | 1 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $52.50 | $70.00 | $17.00 – $17.00 | 1 |
| Aldesleukin injection HCPCS J9015 | $13,024.20 | $17,365.59 | $5,299.00 – $5,299.00 | 1 |
| Aldosterone suppression eval CPT 80408 | $764.25 | $1,019.00 | $125.00 – $125.00 | 1 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | $64,251.31 | $85,668.41 | $2,440.00 – $2,440.00 | 1 |
| Alginate dressing <=16 sq in HCPCS A6196 | $8.73 | $11.64 | not published | 0 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | $43.92 | $58.56 | not published | 0 |
| Alginate drsg wound filler HCPCS A6199 | $15.87 | $21.15 | not published | 0 |
| Alkaline phosphatase CPT 84075 | $39.75 | $53.00 | $5.00 – $5.00 | 1 |
| Allergen alpha lactalbumin ige CPT 86008 | $118.50 | $158.00 | $18.00 – $18.00 | 1 |
| Allergen egg white ige CPT 86003 | $25.50 | $34.00 | $5.00 – $5.00 | 1 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $51.75 | $69.00 | $8.00 – $8.00 | 1 |
| Allergy injections; 2 or more 95117 CPT 95117 | $37.50 | $50.00 | not published | 0 |
| Allergy Skin Testing CPT 95004 | $46.50 | $62.00 | not published | 0 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | not published | 0 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | $7.50 | $10.00 | not published | 0 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | $421.35 | $561.80 | not published | 0 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $705.38 | $940.50 | not published | 0 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $734.40 | $979.20 | not published | 0 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $532.50 | $710.00 | not published | 0 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $736.20 | $981.60 | not published | 0 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $1,033.50 | $1,378.00 | not published | 0 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | $2.25 | $3.00 | not published | 0 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $3.00 | $4.00 | not published | 0 |
| All tstg perq&iq drugs/biol CPT 95018 | $64.50 | $86.00 | not published | 0 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $5.74 | $7.65 | $5.18 – $5.18 | 1 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $392.25 | $523.00 | $64.00 – $64.00 | 1 |
| Alpha-fetoprotein amniotic CPT 82106 | $111.75 | $149.00 | $17.00 – $17.00 | 1 |
| Alpha-fetoprotein tumor marker CPT 82105 | $126.00 | $168.00 | $17.00 – $17.00 | 1 |
| Alprostadil for injection HCPCS J0270 | $749.91 | $999.87 | $2.60 – $2.60 | 1 |
| Alprostadil urethral suppos HCPCS J0275 | $216.41 | $288.54 | not published | 0 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $19,012.53 | $25,350.04 | $94.00 – $94.00 | 1 |
| Alt/sgpt CPT 84460 | $41.25 | $55.00 | $5.00 – $5.00 | 1 |
| Altuviiio per factor viii iu HCPCS J7214 | $20.49 | $27.32 | $4.67 – $4.67 | 1 |
| Aluminum - quest CPT 82108 | $159.00 | $212.00 | $25.00 – $25.00 | 1 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | not published | 0 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $336.75 | $449.00 | not published | 0 |
| Amantadine (symmetrel)-sendout CPT 80375 | $93.75 | $125.00 | $27.00 – $27.00 | 1 |
| Amifostine HCPCS J0207 | $2,510.85 | $3,347.79 | $487.00 – $487.00 | 1 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $22.50 | $30.00 | $0.60 – $0.60 | 1 |
| Amines vaginal fluid qual CPT 82120 | $21.75 | $29.00 | $6.00 – $6.00 | 1 |
| Amino acid screen, urine CPT 82128 | $84.75 | $113.00 | $14.00 – $14.00 | 1 |
| Amino acid single qual CPT 82127 | $84.75 | $113.00 | $14.00 – $14.00 | 1 |
| Amino acids quant 2-5 CPT 82136 | $102.00 | $136.00 | $20.00 – $20.00 | 1 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $26.04 | $34.72 | $1.49 – $1.49 | 1 |
| Aminolevulinic acid, 10% gel HCPCS J7345 | not published | not published | $1.80 – $1.80 | 1 |
| Aminolevulinic acid delta CPT 82135 | $99.75 | $133.00 | $17.00 – $17.00 | 1 |
| Aminolevulinic acid hcl top HCPCS J7308 | $923.89 | $1,231.85 | $394.00 – $394.00 | 1 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $64.93 | $86.57 | $8.00 – $8.00 | 1 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $128.40 | $171.20 | $2.60 – $2.60 | 1 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $166.50 | $222.00 | $0.50 – $0.50 | 1 |
| Amitriptyline (elavil) -sendout CPT 80335 | $96.75 | $129.00 | $27.00 – $27.00 | 1 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | $8,941.39 | $11,921.85 | $22.00 – $22.00 | 1 |
| Ammonia CPT 82140 | $135.00 | $180.00 | $15.00 – $15.00 | 1 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $894.00 | $1,192.00 | not published | 0 |
| Amniocentesis therapeutic CPT 59001 | $964.50 | $1,286.00 | not published | 0 |
| Amniotic fluid scan CPT 82143 | $45.75 | $61.00 | $9.00 – $9.00 | 1 |
| Amobarbital 125 mg inj HCPCS J0300 | $1,719.09 | $2,292.12 | $13.00 – $13.00 | 1 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | not published | not published | not published | 0 |
| Amphetamine confirm urine -sendout CPT 80324 | $89.25 | $119.00 | $27.00 – $27.00 | 1 |
| Amphetamines 5 or more CPT 80326 | $261.00 | $348.00 | not published | 0 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $138.75 | $185.00 | $34.00 – $34.00 | 1 |
| Amphotericin b lipid complex HCPCS J0287 | $249.45 | $332.60 | $10.00 – $10.00 | 1 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $748.60 | $998.13 | $23.00 – $23.00 | 1 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $213.91 | $285.21 | $0.49 – $0.49 | 1 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $164.07 | $218.75 | $1.49 – $1.49 | 1 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | not published | not published | $262.00 – $262.00 | 1 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | not published | 0 |
| Amputate hand at wrist CPT 25922 | not published | not published | not published | 0 |
| Amputate metacarpal bone 26910 CPT 26910 | not published | not published | not published | 0 |
| Amputation follow-up surgery CPT 24925 | not published | not published | not published | 0 |
| Amputation follow-up surgery CPT 25907 | not published | not published | not published | 0 |
| Amputation follow-up surgery CPT 25909 | not published | not published | not published | 0 |
| Amputation follow-up surgery CPT 25929 | not published | not published | not published | 0 |
| Amputation follow-up surgery CPT 25931 | not published | not published | not published | 0 |
| Amputation follow-up surgery CPT 27594 | not published | not published | not published | 0 |
| Amputation follow-up surgery CPT 27884 | not published | not published | not published | 0 |
| Amputation of foot at ankle CPT 27889 | 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.