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 |
|---|---|---|---|---|
| Explore/treat wrist joint CPT 25101 | not published | not published | not published | 0 |
| Explore wound abdomen 20102 CPT 20102 | not published | not published | not published | 0 |
| Explore woundchest 20101 CPT 20101 | not published | not published | not published | 0 |
| Explore wound neck 20100 CPT 20100 | not published | not published | not published | 0 |
| Explr/decompress eye socket CPT 67414 | not published | not published | not published | 0 |
| Explr/decompress eye socket CPT 67445 | not published | not published | not published | 0 |
| Exp w remove/deep fb/forearm/wrist 25248 CPT 25248 | not published | not published | not published | 0 |
| Ex sq tumor/face or scalp < 2 cm 21011 CPT 21011 | not published | not published | not published | 0 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | not published | not published | not published | 0 |
| Ext ecg>48hr<7d scan a/r CPT 93243 | $256.50 | $342.00 | not published | 0 |
| Ext ecg>7d<15d rec scan a/r CPT 93245 | $474.00 | $632.00 | not published | 0 |
| Ext ecg>7d<15d scan a/r CPT 93247 | $516.00 | $688.00 | not published | 0 |
| Extended visual field xm CPT 92083 | $134.25 | $179.00 | not published | 0 |
| Extensive ear canal surgery 69150 CPT 69150 | not published | not published | not published | 0 |
| Extensive hand surgery CPT 26250 | not published | not published | not published | 0 |
| Extensive mastoid surgery CPT 69511 | not published | not published | not published | 0 |
| Extensive mastoid surgery CPT 69530 | not published | not published | not published | 0 |
| Extensive surgery of throat CPT 42842 | not published | not published | not published | 0 |
| Extensive surgery of throat CPT 42844 | not published | not published | not published | 0 |
| Extensive testis surgery CPT 54535 | not published | not published | not published | 0 |
| External cannula declotting CPT 36860 | $4,136.25 | $5,515.00 | not published | 0 |
| External chromosome analysis 20-25 cells CPT 88264 | $389.25 | $519.00 | $144.00 – $144.00 | 1 |
| External ocular photography CPT 92285 | $51.75 | $69.00 | not published | 0 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $141.00 | $188.00 | $28.00 – $28.00 | 1 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | not published | not published | $3,864.00 – $3,864.00 | 1 |
| External recharg sys extern HCPCS L8695 | $0.75 | $1.00 | not published | 0 |
| External recharg sys intern HCPCS L8689 | $2.25 | $3.00 | not published | 0 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $387.00 | $516.00 | $143.00 – $143.00 | 1 |
| Extnd color vision xm CPT 92283 | $101.25 | $135.00 | not published | 0 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $127.50 | $170.00 | $18.00 – $18.00 | 1 |
| Extraction erupted tooth/exr HCPCS D7140 | not published | not published | not published | 0 |
| Extraction of lens CPT 66930 | not published | not published | not published | 0 |
| Extraction of lens CPT 66940 | not published | not published | not published | 0 |
| Extraction of lens 66920 CPT 66920 | not published | not published | not published | 0 |
| Eye implant band 40 HCPCS C1784 | $111.93 | $149.24 | not published | 0 |
| Ezh2 gene common variants CPT 81237 | not published | not published | $175.00 – $175.00 | 1 |
| Ezh2 gene full gene sequence CPT 81236 | not published | not published | $282.00 – $282.00 | 1 |
| F-18 fdg pet diag HCPCS A9552 | not published | not published | $479.00 – $479.00 | 1 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | $6,720.07 | $8,960.09 | $3,698.00 – $3,698.00 | 1 |
| F-18 fluciclovine per mci HCPCS A9588 | $12,882.69 | $17,176.92 | not published | 0 |
| F-18 sodium fluoride HCPCS A9580 | $4,245.75 | $5,661.00 | $301.00 – $301.00 | 1 |
| F9 full gene sequence CPT 81238 | not published | not published | $599.00 – $599.00 | 1 |
| Face bone graft CPT 21210 | not published | not published | not published | 0 |
| Facial bones <3 CPT 70140 | $240.00 | $320.00 | $90.00 – $90.00 | 1 |
| Facility svs dental rehab HCPCS G0330 | not published | not published | not published | 0 |
| Factor ix CPT 85250 | $119.25 | $159.00 | $19.00 – $19.00 | 1 |
| Factor ix alprolix recomb HCPCS J7201 | $15.66 | $20.87 | $3.60 – $3.60 | 1 |
| Factor ix complex HCPCS J7194 | $8.52 | $11.36 | $1.70 – $1.70 | 1 |
| Factor ix idelvion inj HCPCS J7202 | $20.70 | $27.60 | $5.30 – $5.30 | 1 |
| Factor ix non-recombinant HCPCS J7193 | $9.23 | $12.30 | $1.30 – $1.30 | 1 |
| Factor ix recomb gly rebinyn HCPCS J7203 | $19.27 | $25.69 | $4.58 – $4.58 | 1 |
| Factor ix recombinan rixubis HCPCS J7200 | $9.42 | $12.55 | $1.57 – $1.57 | 1 |
| Factor ix recombinant nos HCPCS J7195 | not published | not published | $1.87 – $1.87 | 1 |
| Factor viia recomb sevenfact HCPCS J7212 | $12.17 | $16.22 | $2.40 – $2.40 | 1 |
| Factor viii CPT 85240 | $112.50 | $150.00 | $18.00 – $18.00 | 1 |
| Factor viii HCPCS J7190 | $8.80 | $11.73 | $1.10 – $1.10 | 1 |
| Factor viii fc fusion recomb HCPCS J7205 | $11.95 | $15.93 | $2.40 – $2.40 | 1 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | $9.72 | $12.96 | $1.17 – $1.17 | 1 |
| Factor viii pegylated recomb HCPCS J7207 | $11.62 | $15.49 | $2.15 – $2.15 | 1 |
| Factor viii recombinant nos HCPCS J7192 | $9.93 | $13.24 | $1.50 – $1.50 | 1 |
| Factor viii recomb novoeight HCPCS J7182 | $10.67 | $14.22 | $1.50 – $1.50 | 1 |
| Factor viii recomb obizur HCPCS J7188 | $12.78 | $17.04 | $3.20 – $3.20 | 1 |
| Factor xiii anti-hem factor HCPCS J7180 | $42.86 | $57.14 | $11.00 – $11.00 | 1 |
| Factor xiii recomb a-subunit HCPCS J7181 | $61.68 | $82.23 | $18.00 – $18.00 | 1 |
| Fallopian tube recnl CPT 58345 | not published | not published | not published | 0 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $40.17 | $53.55 | $0.01 – $0.01 | 1 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $7,256.10 | $9,674.79 | $30.00 – $30.00 | 1 |
| Fancc gene CPT 81242 | not published | not published | $37.00 – $37.00 | 1 |
| Fat/lipids feces qualitative CPT 82705 | $21.00 | $28.00 | $5.00 – $5.00 | 1 |
| Fatty acids nonesterified CPT 82725 | $95.25 | $127.00 | $19.00 – $19.00 | 1 |
| Fecal bilirubin test CPT 82252 | $27.00 | $36.00 | $4.00 – $4.00 | 1 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | $20,031.27 | $26,708.36 | $64.00 – $64.00 | 1 |
| Fecal microbiota prep instil HCPCS G0455 | not published | not published | not published | 0 |
| #fecal-sodium CPT 84302 | $30.75 | $41.00 | $5.00 – $5.00 | 1 |
| Feeding tube reposition CPT 74355 | $423.00 | $564.00 | not published | 0 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | not published | not published | $19.00 – $19.00 | 1 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $232.27 | $309.69 | $0.96 – $0.96 | 1 |
| Fern test HCPCS Q0114 | $37.50 | $50.00 | $10.00 – $10.00 | 1 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $3,621.92 | $4,829.22 | $1.10 – $1.10 | 1 |
| Ferritin CPT 82728 | $87.00 | $116.00 | $14.00 – $14.00 | 1 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $2,796.84 | $3,729.12 | $0.30 – $0.30 | 1 |
| Ferumoxytol, esrd use HCPCS Q0139 | not published | not published | $0.30 – $0.30 | 1 |
| Fetal aneuploidy trisom risk CPT 81507 | $2,027.25 | $2,703.00 | $793.00 – $793.00 | 1 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $382.50 | $510.00 | $109.00 – $109.00 | 1 |
| Fetal chrmoml microdeltj CPT 81422 | not published | not published | $757.00 – $757.00 | 1 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $2,110.50 | $2,814.00 | $757.00 – $757.00 | 1 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $536.25 | $715.00 | not published | 0 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | not published | 0 |
| Fetal fibronectin CPT 82731 | $404.25 | $539.00 | $64.00 – $64.00 | 1 |
| Fetal fluid drainage w/us CPT 59074 | $852.00 | $1,136.00 | not published | 0 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $48.75 | $65.00 | $8.00 – $8.00 | 1 |
| Fetal hemoglobin rosette CPT 85461 | $49.50 | $66.00 | $9.00 – $9.00 | 1 |
| Fetal lung maturity assess lam body dnst CPT 83664 | $115.50 | $154.00 | $19.00 – $19.00 | 1 |
| Fetal non stress test CPT 59025 | $536.25 | $715.00 | not published | 0 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | not published | 0 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | not published | 0 |
| #_fet/norfentcnfrmur CPT 80354 | $89.25 | $119.00 | $27.00 – $27.00 | 1 |
| Fiasp for insulin pump use HCPCS J1811 | not published | not published | $8.00 – $8.00 | 1 |
| Fibrin degradation d dimer quantitative CPT 85379 | $164.25 | $219.00 | $10.00 – $10.00 | 1 |
| Fibrin degradation products CPT 85362 | $42.00 | $56.00 | $7.00 – $7.00 | 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.