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 |
|---|---|---|---|---|
| Fibrin degrade semiquant CPT 85378 | $48.00 | $64.00 | $10.00 – $10.00 | 1 |
| Fibrin degradj d-dimer CPT 85380 | $62.25 | $83.00 | $10.00 – $10.00 | 1 |
| Fibrinogen activity CPT 85384 | $80.25 | $107.00 | $10.00 – $10.00 | 1 |
| Fibrinogen test CPT 85370 | $69.00 | $92.00 | $13.00 – $13.00 | 1 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $187.50 | $250.00 | $16.00 – $16.00 | 1 |
| Fibrinolytic antiplasmin CPT 85410 | $47.25 | $63.00 | $8.00 – $8.00 | 1 |
| Fibrinolytic plasmin CPT 85400 | $47.25 | $63.00 | $8.00 – $8.00 | 1 |
| Fibrinolytic plasminogen CPT 85415 | $105.00 | $140.00 | $17.00 – $17.00 | 1 |
| Fibrinolytic plasminogen CPT 85421 | $62.25 | $83.00 | $10.00 – $10.00 | 1 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $41.25 | $55.00 | $6.00 – $6.00 | 1 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $823.69 | $1,098.25 | $0.70 – $0.70 | 1 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $1,247.29 | $1,663.05 | $1.10 – $1.10 | 1 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $1,030.97 | $1,374.62 | $0.90 – $0.90 | 1 |
| Filleted finger/toe flap CPT 14350 | not published | not published | not published | 0 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $742.50 | $990.00 | not published | 0 |
| Filter vena cava fem denali HCPCS C1880 | $697.50 | $930.00 | not published | 0 |
| Finasteride, 5 mg HCPCS S0138 | not published | not published | $2.20 – $2.20 | 1 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $1,869.00 | $2,492.00 | not published | 0 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | $130.50 | $174.00 | not published | 0 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $175.50 | $234.00 | not published | 0 |
| Fine needle asp without image guide 10021 CPT 10021 | $1,118.25 | $1,491.00 | not published | 0 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | $0.75 | $1.00 | not published | 0 |
| Finger tendon transfer CPT 26497 | not published | not published | not published | 0 |
| Finger tendon transfer CPT 26498 | not published | not published | not published | 0 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | not published | 0 |
| Fixation of ankle joint CPT 27860 | not published | not published | not published | 0 |
| Fixation of knee joint CPT 27570 | not published | not published | not published | 0 |
| Fixation of shoulder blade CPT 23400 | not published | not published | not published | 0 |
| Fix g/colon tube w/device CPT 49460 | $2,568.75 | $3,425.00 | not published | 0 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | $6,339.00 | $8,452.00 | not published | 0 |
| Flebogamma injection HCPCS J1572 | $4,959.09 | $6,612.12 | $56.00 – $56.00 | 1 |
| Flecainide (tambocor)-sendout CPT 80181 | $50.25 | $67.00 | $19.00 – $19.00 | 1 |
| Fl exam g/colon tube w contrast CPT 49465 | $385.50 | $514.00 | not published | 0 |
| Flexible Sigmoidoscopy CPT 45330 | $2,172.00 | $2,896.00 | not published | 0 |
| Flexor-plasty elbow CPT 24330 | not published | not published | not published | 0 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | not published | 0 |
| Floor of mouth biopsy 41108 CPT 41108 | not published | not published | not published | 0 |
| Florbetaben f18 diagnostic HCPCS Q9983 | $8,228.43 | $10,971.24 | not published | 0 |
| Flotufolastat f18 diag 1 mci HCPCS A9608 | $12,882.69 | $17,176.92 | not published | 0 |
| Flow cytometry interp 16 or more CPT 88189 | $306.00 | $408.00 | $82.00 – $82.00 | 1 |
| Flow cytometry marker each additional CPT 88185 | $105.75 | $141.00 | $25.00 – $25.00 | 1 |
| Flow cytometry one marker technical component CPT 88184 | $331.50 | $442.00 | $86.00 – $86.00 | 1 |
| #flow interp 9 - 15 markers CPT 88188 | $237.75 | $317.00 | $60.00 – $60.00 | 1 |
| Floxuridine injection HCPCS J9200 | $8,552.78 | $11,403.70 | $4,123.00 – $4,123.00 | 1 |
| Flt3 gene CPT 81245 | not published | not published | $165.00 – $165.00 | 1 |
| Flt3 gene analysis CPT 81246 | not published | not published | $83.00 – $83.00 | 1 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $26.70 | $35.60 | $2.25 – $2.25 | 1 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $677.88 | $903.84 | $72.00 – $72.00 | 1 |
| Fluid pressure muscle 20950 CPT 20950 | not published | not published | not published | 0 |
| Fluocinol acet intravit imp HCPCS J7313 | $19,886.55 | $26,515.40 | $498.00 – $498.00 | 1 |
| Fluocinolone acetonide implt HCPCS J7311 | $41,097.75 | $54,797.00 | $339.00 – $339.00 | 1 |
| Fluorescein angrph mltiframe CPT 92235 | $516.75 | $689.00 | not published | 0 |
| Fluorescent antibody titer dna CPT 86256 | $101.25 | $135.00 | $12.00 – $12.00 | 1 |
| Fluorodopa f-18 diag per mci HCPCS A9602 | $5,870.49 | $7,827.32 | not published | 0 |
| Fluoroestradiol f 18 HCPCS A9591 | $11,155.77 | $14,874.36 | not published | 0 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $420.75 | $561.00 | not published | 0 |
| Fluoroguide needle placement CPT 77002 | $525.00 | $700.00 | not published | 0 |
| Fluoro polarize fetal lung CPT 83663 | $115.50 | $154.00 | $19.00 – $19.00 | 1 |
| Fluoroscopy up to 1 hour CPT 76000 | $654.75 | $873.00 | $249.00 – $249.00 | 1 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $123.51 | $164.68 | $1.70 – $1.70 | 1 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $51.18 | $68.23 | $8.00 – $8.00 | 1 |
| Flutamide 125 mg HCPCS S0175 | not published | not published | $1.86 – $1.86 | 1 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | $7,521.75 | $10,029.00 | not published | 0 |
| Fmri brain by phys/psych CPT 70555 | $2,677.50 | $3,570.00 | $818.00 – $818.00 | 1 |
| Fmri brain by tech CPT 70554 | $1,890.00 | $2,520.00 | $415.00 – $415.00 | 1 |
| Fna bx w/ct gdn 1st les CPT 10009 | $1,848.00 | $2,464.00 | not published | 0 |
| Fna bx w/ct gdn ea addl CPT 10010 | $756.75 | $1,009.00 | not published | 0 |
| Fna bx w/mr gdn 1st les CPT 10011 | not published | not published | not published | 0 |
| Foam drg >16<=48 sq in w/bdr HCPCS A6213 | $67.17 | $89.55 | not published | 0 |
| Foam drg <=16 sq in w/border HCPCS A6212 | $2.82 | $3.75 | not published | 0 |
| Foam drg > 48 sq in without brdr HCPCS A6211 | $33.64 | $44.85 | not published | 0 |
| Foam stability fetal lung CPT 83662 | $115.50 | $154.00 | $19.00 – $19.00 | 1 |
| Folic acid CPT 82746 | $104.25 | $139.00 | $15.00 – $15.00 | 1 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $176.33 | $235.10 | $0.06 – $0.06 | 1 |
| Follow-up angiography CPT 75898 | $8,301.00 | $11,068.00 | $3,240.00 – $3,240.00 | 1 |
| Follow-up surgery of eye CPT 66250 | not published | not published | not published | 0 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $4,055.72 | $5,407.62 | $6.00 – $6.00 | 1 |
| Fondaparinux sodium HCPCS J1652 | $268.56 | $358.08 | $0.70 – $0.70 | 1 |
| Foot X-ray CPT 73630 | $298.50 | $398.00 | $90.00 – $90.00 | 1 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | not published | 0 |
| Forensic autopsy (necropsy) CPT 88040 | $2,036.25 | $2,715.00 | $647.00 – $647.00 | 1 |
| Forensic cytopathology CPT 88125 | $81.75 | $109.00 | $17.00 – $17.00 | 1 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $342.00 | $456.00 | not published | 0 |
| Formoterol fumarate, inh HCPCS J7606 | not published | not published | $1.96 – $1.96 | 1 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $707.70 | $943.60 | $0.10 – $0.10 | 1 |
| Foscarnet sodium injection HCPCS J1455 | $1,126.47 | $1,501.95 | $15.00 – $15.00 | 1 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $287.58 | $383.43 | $2.97 – $2.97 | 1 |
| Fractionation ketosteroids CPT 83593 | $160.50 | $214.00 | $28.00 – $28.00 | 1 |
| Fracture assessment via dxa CPT 77086 | $240.00 | $320.00 | $90.00 – $90.00 | 1 |
| _fragile x methylation-sendout CPT 81244 | not published | not published | $45.00 – $45.00 | 1 |
| Fragmenting of kidney stone CPT 50590 | $2,696.25 | $3,595.00 | not published | 0 |
| Frenectomy 41115 CPT 41115 | $1,012.50 | $1,350.00 | not published | 0 |
| Frenotomy 40806 CPT 40806 | not published | not published | not published | 0 |
| Frenulotomy of penis CPT 54164 | not published | not published | not published | 0 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $210.75 | $281.00 | not published | 0 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $249.00 | $332.00 | not published | 0 |
| Fresh frozen plasma thawing ea un CPT 86927 | $399.00 | $532.00 | $16.00 – $16.00 | 1 |
| Frozen blood freeze/thaw CPT 86932 | $366.00 | $488.00 | $80.00 – $80.00 | 1 |
| Frozen blood prep CPT 86930 | $430.50 | $574.00 | $94.00 – $94.00 | 1 |
| Frozen blood thaw CPT 86931 | $322.50 | $430.00 | $70.00 – $70.00 | 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.