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 |
|---|---|---|---|---|
| Dna antibody native/double stranded CPT 86225 | $105.00 | $140.00 | $14.00 – $14.00 | 1 |
| Dna gardnerella CPT 87510 | $105.75 | $141.00 | $20.00 – $20.00 | 1 |
| Dna probe chlamydia CPT 87490 | $122.25 | $163.00 | $23.00 – $23.00 | 1 |
| Dna probe gc CPT 87590 | $132.75 | $177.00 | $27.00 – $27.00 | 1 |
| Dna trichomonas CPT 87660 | $105.75 | $141.00 | $20.00 – $20.00 | 1 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $126.15 | $168.20 | $8.00 – $8.00 | 1 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $1,211.80 | $1,615.73 | $0.38 – $0.38 | 1 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $49.00 – $49.00 | 1 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $4.09 – $4.09 | 1 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $63.00 – $63.00 | 1 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $73.88 | $98.50 | $0.66 – $0.66 | 1 |
| Doppler echo complete CPT 93320 | $382.50 | $510.00 | not published | 0 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $675.00 | $900.00 | not published | 0 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $468.00 | $624.00 | not published | 0 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $373.50 | $498.00 | not published | 0 |
| Dornase alfa non-comp unit HCPCS J7639 | not published | not published | $55.00 – $55.00 | 1 |
| Dornhoffer fixed part w/window HCPCS L8614 | $12,072.00 | $16,096.00 | not published | 0 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $26,019.13 | $34,692.17 | $244.00 – $244.00 | 1 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $649.25 | $865.66 | $2.70 – $2.70 | 1 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $2,301.21 | $3,068.28 | $109.00 – $109.00 | 1 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $84.33 | $112.43 | $0.10 – $0.10 | 1 |
| Dpyd gene common variants CPT 81232 | not published | not published | $175.00 – $175.00 | 1 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $1,030.50 | $1,374.00 | not published | 0 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $1,030.50 | $1,374.00 | not published | 0 |
| Drainage external ear complex 69005 CPT 69005 | not published | not published | not published | 0 |
| Drainage external ear simple 69000 CPT 69000 | $2,059.50 | $2,746.00 | not published | 0 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | not published | 0 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | not published | 0 |
| Drainage mouth roof lesion CPT 42000 | $603.00 | $804.00 | not published | 0 |
| Drainage of arm bursa 23931 CPT 23931 | not published | not published | not published | 0 |
| Drainage of bladder abscess CPT 51080 | not published | not published | not published | 0 |
| Drainage of eye CPT 65800 | not published | not published | not published | 0 |
| Drainage of eye CPT 65810 | not published | not published | not published | 0 |
| Drainage of eye CPT 65815 | not published | not published | not published | 0 |
| Drainage of forearm bursa CPT 25031 | not published | not published | not published | 0 |
| Drainage of kidney lesion CPT 50390 | $2,059.50 | $2,746.00 | not published | 0 |
| Drainage of mouth lesion CPT 41005 | $648.75 | $865.00 | not published | 0 |
| Drainage of mouth lesion CPT 41006 | not published | not published | not published | 0 |
| Drainage of mouth lesion CPT 41007 | not published | not published | not published | 0 |
| Drainage of mouth lesion CPT 41008 | not published | not published | not published | 0 |
| Drainage of mouth lesion CPT 41009 | not published | not published | not published | 0 |
| Drainage of mouth lesion CPT 41015 | not published | not published | not published | 0 |
| Drainage of mouth lesion CPT 41016 | not published | not published | not published | 0 |
| Drainage of mouth lesion CPT 41017 | not published | not published | not published | 0 |
| Drainage of mouth lesion CPT 41018 | not published | not published | not published | 0 |
| Drainage of nose lesion int 30000 CPT 30000 | not published | not published | not published | 0 |
| Drainage of nose lesion sept 30020 CPT 30020 | not published | not published | not published | 0 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | not published | 0 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | not published | 0 |
| Drainage of prostate abscess CPT 52700 | not published | not published | not published | 0 |
| Drainage of prostate abscess CPT 55720 | $6,298.50 | $8,398.00 | not published | 0 |
| Drainage of prostate abscess CPT 55725 | not published | not published | not published | 0 |
| Drainage of rectal abscess CPT 45005 | $3,024.75 | $4,033.00 | not published | 0 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | not published | 0 |
| Drainage of salivary gland CPT 42305 | not published | not published | not published | 0 |
| Drainage of salivary gland CPT 42320 | not published | not published | not published | 0 |
| Drainage of throat abscess CPT 42725 | not published | not published | not published | 0 |
| Drainage of urethra abscess CPT 53040 | not published | not published | not published | 0 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | not published | 0 |
| Drainage of urinary leakage CPT 53080 | not published | not published | not published | 0 |
| Drainage of urinary leakage CPT 53085 | not published | not published | not published | 0 |
| Drain bladder by trocar/cath CPT 51101 | not published | not published | not published | 0 |
| Drain blood from under nail 11740 CPT 11740 | $137.25 | $183.00 | not published | 0 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $4,138.50 | $5,518.00 | not published | 0 |
| Drain cath image guided visceral pq CPT 49405 | $4,845.75 | $6,461.00 | not published | 0 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $1,953.75 | $2,605.00 | not published | 0 |
| Drain chest lesion CPT 21502 | not published | not published | not published | 0 |
| Drain finger abscess;simple 26010 CPT 26010 | $606.75 | $809.00 | not published | 0 |
| Drain lower leg bursa CPT 27604 | not published | not published | not published | 0 |
| Drain lower leg lesion 27603 CPT 27603 | not published | not published | not published | 0 |
| Drain neck/chest lesion 21501 CPT 21501 | not published | not published | not published | 0 |
| Drain ovarn cyst abd CPT 58805 | $5,478.00 | $7,304.00 | not published | 0 |
| Drain ovary abscess open CPT 58820 | not published | not published | not published | 0 |
| Drain penis lesion CPT 54015 | not published | not published | not published | 0 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | not published | 0 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | not published | 0 |
| Drain shoulder lesion CPT 23030 | not published | not published | not published | 0 |
| Drain thigh/knee lesion 27301 CPT 27301 | $5,572.50 | $7,430.00 | not published | 0 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | not published | 0 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $549.00 | $732.00 | not published | 0 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $520.50 | $694.00 | not published | 0 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | not published | not published | not published | 0 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | not published | 0 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $11.25 | $15.00 | not published | 0 |
| Drng hand tendon sheath 26020 CPT 26020 | $6,339.00 | $8,452.00 | not published | 0 |
| Drng of eyelid abscess 67700 CPT 67700 | $773.25 | $1,031.00 | not published | 0 |
| Drng of finger abscess comp 26011 CPT 26011 | $4,845.75 | $6,461.00 | not published | 0 |
| Drng of hydrocele 55000 CPT 55000 | $1,869.00 | $2,492.00 | not published | 0 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | not published | 0 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | not published | 0 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | not published | 0 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | not published | 0 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | not published | 0 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | not published | 0 |
| Drng of scrotum abscess 55100 CPT 55100 | $1,076.25 | $1,435.00 | not published | 0 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | $3,530.25 | $4,707.00 | not published | 0 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | $2,659.50 | $3,546.00 | not published | 0 |
| Drng peritoneal abscess open 49020 CPT 49020 | $4,209.00 | $5,612.00 | not published | 0 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | not published | 0 |
| Drng salivary gland submax/subling 42310 CPT 42310 | 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.