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 |
|---|---|---|---|---|
| Endoluminl ivus oct c 1st CPT 92978 | $540.00 | $720.00 | not published | 0 |
| Endoluminl ivus oct c ea CPT 92979 | $345.00 | $460.00 | not published | 0 |
| Endome abla/them without hystero guide 58353 CPT 58353 | not published | not published | not published | 0 |
| Endometrial cryoablation w/us 58356 CPT 58356 | $6,486.00 | $8,648.00 | not published | 0 |
| Endo outlet restrict w/tube HCPCS C9785 | not published | not published | not published | 0 |
| Endoscopic injection/implant CPT 51715 | not published | not published | not published | 0 |
| Endoscopic pancreatoscopy CPT 43273 | $2,546.25 | $3,395.00 | not published | 0 |
| Endoscopic Ultrasound exam esoph CPT 43237 | $3,214.50 | $4,286.00 | not published | 0 |
| Endoscopy bowel pouch/biop CPT 44386 | not published | not published | not published | 0 |
| Endoscopy maxillary sinus CPT 31267 | $4,545.00 | $6,060.00 | not published | 0 |
| Endoscopy of bowel pouch 44385 CPT 44385 | not published | not published | not published | 0 |
| Endoscopy of ureter CPT 50951 | not published | not published | not published | 0 |
| Endoscopy of ureter CPT 50953 | not published | not published | not published | 0 |
| Endoscopy swallow (fees) vid CPT 92612 | $603.00 | $804.00 | not published | 0 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $1,137.00 | $1,516.00 | not published | 0 |
| Endo, single, pulmonary HCPCS C1601 | $442.50 | $590.00 | not published | 0 |
| Endovasc tempory vessel occl CPT 61623 | $7,305.00 | $9,740.00 | not published | 0 |
| Endovenous mchnchem 1st vein CPT 36473 | not published | not published | not published | 0 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | $6,223.50 | $8,298.00 | not published | 0 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $9,893.34 | $13,191.12 | $37.00 – $37.00 | 1 |
| Enfuvirtide injection HCPCS J1324 | $8,393.94 | $11,191.92 | $0.37 – $0.37 | 1 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $212.63 | $283.50 | $0.57 – $0.57 | 1 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $72.75 | $97.00 | $12.00 – $12.00 | 1 |
| Entamoeb hist dispr ag ia CPT 87336 | $79.50 | $106.00 | $16.00 – $16.00 | 1 |
| Enterovirus antibody dfa CPT 87267 | $72.75 | $97.00 | $14.00 – $14.00 | 1 |
| Enzyme cell activity ra CPT 82658 | $216.75 | $289.00 | $44.00 – $44.00 | 1 |
| Enzyme histochemistry CPT 88319 | $705.00 | $940.00 | $121.00 – $121.00 | 1 |
| Ep & ablate supravent arrhyt CPT 93653 | $38,775.00 | $51,700.00 | not published | 0 |
| Ep & ablate ventric tachy CPT 93654 | $23,325.00 | $31,100.00 | not published | 0 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | $35,631.20 | $47,508.26 | $56.00 – $56.00 | 1 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | not published | not published | not published | 0 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | not published | not published | not published | 0 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $120.00 | $160.00 | not published | 0 |
| Epidural lysis mult sessions CPT 62263 | not published | not published | not published | 0 |
| Epidural lysis on single day 62264 CPT 62264 | not published | not published | not published | 0 |
| Epiglottidectomy CPT 31420 | not published | not published | not published | 0 |
| Epilepsy gen seq alys panel CPT 81419 | not published | not published | $2,443.00 – $2,443.00 | 1 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | not published | not published | $2.18 – $2.18 | 1 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $11.28 | $15.04 | $1.30 – $1.30 | 1 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $731.40 | $975.20 | $0.58 – $0.58 | 1 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $17.14 | $22.85 | $2.28 – $2.28 | 1 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | not published | 0 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | not published | 0 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | $581.70 | $775.60 | $1.58 – $1.58 | 1 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $5,478.00 | $7,304.00 | not published | 0 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | $6.75 | $9.00 | $1.66 – $1.66 | 1 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $1,036.16 | $1,381.54 | $11.00 – $11.00 | 1 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $2,505.21 | $3,340.28 | $12.00 – $12.00 | 1 |
| Epoetin beta esrd use HCPCS J0887 | not published | not published | $1.40 – $1.40 | 1 |
| Epoetin beta non esrd HCPCS J0888 | $1,353.81 | $1,805.08 | $1.40 – $1.40 | 1 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $152.96 | $203.94 | $16.00 – $16.00 | 1 |
| Epstein barr early antigen antibody CPT 86663 | $80.25 | $107.00 | $13.00 – $13.00 | 1 |
| Epstein barr nuclear antigen antibody CPT 86664 | $101.25 | $135.00 | $15.00 – $15.00 | 1 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $92.25 | $123.00 | $18.00 – $18.00 | 1 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $1,173.75 | $1,565.00 | $23.00 – $23.00 | 1 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $4,543.52 | $6,058.02 | $20.00 – $20.00 | 1 |
| Ercp biliary & pancreas CPT 74330 | $509.25 | $679.00 | not published | 0 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | $9,196.50 | $12,262.00 | not published | 0 |
| Ercp ea duct/ampulla dilate CPT 43277 | $6,179.25 | $8,239.00 | not published | 0 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | $6,179.25 | $8,239.00 | not published | 0 |
| Ercp lithotripsy calculi CPT 43265 | $9,196.50 | $12,262.00 | not published | 0 |
| Ercp remove duct calculi 43264 CPT 43264 | $6,240.75 | $8,321.00 | not published | 0 |
| Ercp remove forgn body duct 43275 CPT 43275 | $3,101.25 | $4,135.00 | not published | 0 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | not published | 0 |
| Ercp stent exchange w/dilate CPT 43276 | $9,196.50 | $12,262.00 | not published | 0 |
| Ercp w/specimen collection CPT 43260 | $6,319.50 | $8,426.00 | not published | 0 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $3,333.15 | $4,444.20 | $104.00 – $104.00 | 1 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $165.75 | $221.00 | $9.00 – $9.00 | 1 |
| ER Visit (level 1, minor) CPT 99281 | $360.00 | $480.00 | not published | 0 |
| ER Visit (level 2) CPT 99282 | $641.25 | $855.00 | not published | 0 |
| ER Visit (level 3) CPT 99283 | $1,387.50 | $1,850.00 | not published | 0 |
| ER Visit (level 4) CPT 99284 | $2,025.00 | $2,700.00 | not published | 0 |
| ER Visit (level 5, high severity) CPT 99285 | $2,895.00 | $3,860.00 | not published | 0 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $201.57 | $268.75 | $75.00 – $75.00 | 1 |
| Esd endoscopy or colonoscopy HCPCS C9779 | not published | not published | not published | 0 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | $291.08 | $388.10 | $0.40 – $0.40 | 1 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $1,205.42 | $1,607.22 | $0.28 – $0.28 | 1 |
| Esophageal dilat s&i CPT 74360 | $349.50 | $466.00 | not published | 0 |
| Esophageal motility CPT 78258 | $997.50 | $1,330.00 | $414.00 – $414.00 | 1 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | not published | 0 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | not published | 0 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | not published | 0 |
| Esophagoscop stent placement CPT 43212 | $9,303.75 | $12,405.00 | not published | 0 |
| Esophagoscop ultrasound exam CPT 43231 | $3,234.75 | $4,313.00 | not published | 0 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | not published | 0 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | not published | 0 |
| Esophagoscopy flex biopsy CPT 43202 | $3,070.50 | $4,094.00 | not published | 0 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $2,568.75 | $3,425.00 | not published | 0 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | not published | 0 |
| Esophagoscopy flex remove fb CPT 43215 | $3,070.50 | $4,094.00 | not published | 0 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | not published | 0 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | not published | 0 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | not published | 0 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | not published | 0 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | $3,070.50 | $4,094.00 | not published | 0 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | not published | 0 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | not published | 0 |
| Esophagoscopy w/us needle bx CPT 43232 | $3,183.00 | $4,244.00 | not published | 0 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | not published | 0 |
| Esophagoscp rig trnso biopsy CPT 43193 | 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.