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 |
|---|---|---|---|---|
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $1.67 – $1.67 | 1 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $7.82 | $10.42 | $5.36 – $5.36 | 1 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $687.24 | $916.32 | not published | 0 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $350.97 | $467.96 | not published | 0 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $649.94 | $866.58 | not published | 0 |
| Drsg sht 5.625x4.625in std HCPCS A6025 | $412.50 | $550.00 | not published | 0 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | $110.11 | $146.81 | not published | 0 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $10.50 | $14.00 | not published | 0 |
| Drug admin & hemodynmic meas CPT 93463 | $278.25 | $371.00 | not published | 0 |
| Drug assay caffeine CPT 80155 | $118.50 | $158.00 | $39.00 – $39.00 | 1 |
| Drug assay posaconazole CPT 80187 | $116.25 | $155.00 | $27.00 – $27.00 | 1 |
| Drug assay rufinamide CPT 80210 | not published | not published | $27.00 – $27.00 | 1 |
| Drug assay vedolizumab CPT 80280 | $103.50 | $138.00 | $39.00 – $39.00 | 1 |
| Drug assay voriconazole CPT 80285 | $116.25 | $155.00 | $27.00 – $27.00 | 1 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $19.00 – $19.00 | 1 |
| Drug of abuse screen urine CPT 80305 | $60.00 | $80.00 | $13.00 – $13.00 | 1 |
| Drug screening tapentadol CPT 80372 | $86.25 | $115.00 | $27.00 – $27.00 | 1 |
| Drug screen quant tiagabine CPT 80199 | $83.25 | $111.00 | $27.00 – $27.00 | 1 |
| Drug/substance nos 4-6 CPT 80376 | $229.50 | $306.00 | $27.00 – $27.00 | 1 |
| Drug test def 15-21 classes HCPCS G0482 | $1,008.75 | $1,345.00 | $198.00 – $198.00 | 1 |
| Drug test def 1-7 classes HCPCS G0480 | $501.75 | $669.00 | $114.00 – $114.00 | 1 |
| Drug test def 22+ classes HCPCS G0483 | $1,254.00 | $1,672.00 | $246.00 – $246.00 | 1 |
| Drug test def 8-14 classes HCPCS G0481 | $795.00 | $1,060.00 | $156.00 – $156.00 | 1 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $62.00 – $62.00 | 1 |
| Drug test prsmv instrmnt CPT 80306 | not published | not published | $17.00 – $17.00 | 1 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $585.00 | $780.00 | $62.00 – $62.00 | 1 |
| Drvvt confirm - quest CPT 85597 | $109.50 | $146.00 | $18.00 – $18.00 | 1 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | not published | 0 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $3,813.75 | $5,085.00 | not published | 0 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | not published | 0 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | not published | 0 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | not published | 0 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | not published | 0 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | not published | 0 |
| Ductogram sgl duct CPT 77053 | $652.50 | $870.00 | $249.00 – $249.00 | 1 |
| Duplex scan bilateral study 93985 CPT 93985 | $645.00 | $860.00 | not published | 0 |
| Duplex scan unilateral study 93986 CPT 93986 | $360.00 | $480.00 | not published | 0 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $363.00 | $484.00 | not published | 0 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $765.75 | $1,021.00 | not published | 0 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $701.25 | $935.00 | not published | 0 |
| Duragen 1x1 5ea/bx HCPCS C9354 | $585.00 | $780.00 | not published | 0 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $2,445.64 | $3,260.85 | $85.00 – $85.00 | 1 |
| Dxa bone density axl vrt fx CPT 77085 | $296.25 | $395.00 | $109.00 – $109.00 | 1 |
| Dx bronchoscope/brush 31623 CPT 31623 | $3,139.50 | $4,186.00 | not published | 0 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $1,978.50 | $2,638.00 | not published | 0 |
| Dx bronchoscope/wash 31622 CPT 31622 | $4,758.00 | $6,344.00 | not published | 0 |
| Dx dark adaptation exam i&r CPT 92284 | $266.25 | $355.00 | not published | 0 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | not published | 0 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | not published | 0 |
| Dx gastr intub w/asp spec CPT 43754 | $895.50 | $1,194.00 | not published | 0 |
| Dx gastr intub w/asp specs CPT 43755 | $489.75 | $653.00 | not published | 0 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | not published | 0 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | not published | 0 |
| Dynamic cavernosometry CPT 54231 | not published | not published | not published | 0 |
| Ear and throat examination CPT 92502 | not published | not published | not published | 0 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | not published | 0 |
| Ear cartilage graft CPT 21235 | not published | not published | not published | 0 |
| Ear irrigation 69209 CPT 69209 | $42.75 | $57.00 | not published | 0 |
| Ecallantide injection HCPCS J1290 | $13,357.14 | $17,809.52 | $580.00 – $580.00 | 1 |
| Ecg 12 lead tracing only CPT 93005 | $292.50 | $390.00 | not published | 0 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $126.00 | $168.00 | not published | 0 |
| Ecg < 30 days transmission & analysis CPT 93271 | $541.50 | $722.00 | not published | 0 |
| Ecg external < 48 hours recording CPT 93225 | $633.75 | $845.00 | not published | 0 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $247.50 | $330.00 | not published | 0 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $78.75 | $105.00 | not published | 0 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $215.25 | $287.00 | not published | 0 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,425.00 | $1,900.00 | not published | 0 |
| Echocardiography doppler color flow mapping CPT 93325 | $322.50 | $430.00 | not published | 0 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $652.50 | $870.00 | not published | 0 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $975.00 | $1,300.00 | not published | 0 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $360.00 | $480.00 | not published | 0 |
| Echo exam of eye CPT 76516 | $305.25 | $407.00 | $109.00 – $109.00 | 1 |
| Echo exam of eye CPT 76519 | $305.25 | $407.00 | $109.00 – $109.00 | 1 |
| Echo exam of eye CPT 76529 | $255.75 | $341.00 | $90.00 – $90.00 | 1 |
| Echo exam of eye thickness CPT 76514 | $85.50 | $114.00 | $25.00 – $25.00 | 1 |
| Echo exam of fetal heart CPT 76825 | $1,462.50 | $1,950.00 | $565.00 – $565.00 | 1 |
| Echo exam of fetal heart CPT 76826 | $700.50 | $934.00 | $249.00 – $249.00 | 1 |
| Echo exam of fetal heart CPT 76827 | $404.25 | $539.00 | $109.00 – $109.00 | 1 |
| Echo exam of fetal heart CPT 76828 | $305.25 | $407.00 | $109.00 – $109.00 | 1 |
| Echo exam uterus 76831- CPT 76831 | $690.00 | $920.00 | $249.00 – $249.00 | 1 |
| Echograp trans r pros study CPT 76873 | $588.75 | $785.00 | $109.00 – $109.00 | 1 |
| Echo guidance radiotherapy CPT 76965 | $304.50 | $406.00 | not published | 0 |
| Echo guide for amniocentesis CPT 76946 | $171.00 | $228.00 | not published | 0 |
| Echo guide for artery repair CPT 76936 | $830.25 | $1,107.00 | $321.00 – $321.00 | 1 |
| Echo guide for heart biopsy CPT 76932 | $284.25 | $379.00 | not published | 0 |
| Echo guide for transfusion CPT 76941 | $410.25 | $547.00 | not published | 0 |
| Echo guide ova aspiration CPT 76948 | $255.75 | $341.00 | not published | 0 |
| Echo guide villus sampling CPT 76945 | $307.50 | $410.00 | not published | 0 |
| Echo stress CPT 93350 | $1,875.00 | $2,500.00 | not published | 0 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,500.00 | $2,000.00 | not published | 0 |
| Echo transesophageal CPT 93313 | $1,650.00 | $2,200.00 | not published | 0 |
| Echo transesophageal CPT 93314 | $894.75 | $1,193.00 | not published | 0 |
| Echo transesophageal CPT 93315 | $1,650.00 | $2,200.00 | not published | 0 |
| Echo transesophageal intraop CPT 93318 | $1,500.00 | $2,000.00 | not published | 0 |
| Echo transthoracic CPT 93303 | $1,462.50 | $1,950.00 | not published | 0 |
| Echo transthoracic CPT 93304 | $1,462.50 | $1,950.00 | not published | 0 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $697.50 | $930.00 | not published | 0 |
| E coli 0157 ag ia CPT 87335 | $72.75 | $97.00 | $13.00 – $13.00 | 1 |
| Ecp ciliary body destruction CPT 66711 | not published | not published | not published | 0 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | $28,183.11 | $37,577.48 | $41.00 – $41.00 | 1 |
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.