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 |
|---|---|---|---|---|
| Amputation thru metatarsal CPT 28805 | not published | not published | not published | 0 |
| Amputation toe interphalangeal joint CPT 28825 | not published | not published | not published | 0 |
| Amputation toe metatarsophalangeal joint CPT 28820 | not published | not published | not published | 0 |
| Amylase CPT 82150 | $53.25 | $71.00 | $6.00 – $6.00 | 1 |
| Anabolic steroid 1 or 2 CPT 80327 | $108.00 | $144.00 | $27.00 – $27.00 | 1 |
| Anabolic steroid 3 or more CPT 80328 | $267.75 | $357.00 | not published | 0 |
| Anacaulase-bcdb 8.8% gel 1 g HCPCS J7353 | not published | not published | $58.00 – $58.00 | 1 |
| Ana ds-dna CPT 86226 | $73.50 | $98.00 | $12.00 – $12.00 | 1 |
| Analgesics non-opioid 3-5 CPT 80330 | $183.75 | $245.00 | not published | 0 |
| Analgesics non-opioid 6/more CPT 80331 | $276.00 | $368.00 | not published | 0 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $86.25 | $115.00 | $27.00 – $27.00 | 1 |
| Anal/urinary muscle study CPT 51784 | $417.00 | $556.00 | not published | 0 |
| Anal/urinary muscle study CPT 51785 | $1,071.75 | $1,429.00 | not published | 0 |
| Analysis gene f2 20210g>a variant CPT 81240 | $183.00 | $244.00 | $66.00 – $66.00 | 1 |
| Analysis gene f5 leiden variant CPT 81241 | $204.00 | $272.00 | $73.00 – $73.00 | 1 |
| Analysis nerve CPT 88356 | $729.00 | $972.00 | $131.00 – $131.00 | 1 |
| Analysis tumor CPT 88358 | $423.00 | $564.00 | $97.00 – $97.00 | 1 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | not published | not published | not published | 0 |
| Anaplsma phgcytophlm amp prb CPT 87468 | not published | not published | $35.00 – $35.00 | 1 |
| Anastrozole 1 mg HCPCS S0170 | not published | not published | $7.00 – $7.00 | 1 |
| Anca screen with reflex to titer -quest CPT 86021 | $69.75 | $93.00 | $15.00 – $15.00 | 1 |
| An cholangiogram percutaneous compl CPT 47531 | $2,297.25 | $3,063.00 | not published | 0 |
| Androstanediol CPT 82154 | $174.75 | $233.00 | $29.00 – $29.00 | 1 |
| An fluoro guide for cvp CPT 77001 | $312.75 | $417.00 | not published | 0 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $2,782.50 | $3,710.00 | not published | 0 |
| Angiotensin ii CPT 82163 | $125.25 | $167.00 | $21.00 – $21.00 | 1 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $22,327.35 | $29,769.80 | not published | 0 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $3,645.00 | $4,860.00 | not published | 0 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $7,289.25 | $9,719.00 | not published | 0 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $3,645.00 | $4,860.00 | not published | 0 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $5,884.50 | $7,846.00 | not published | 0 |
| Anidulafungin injection HCPCS J0348 | $450.44 | $600.58 | $0.49 – $0.49 | 1 |
| Ankle arthroscopy/surgery CPT 29891 | not published | not published | not published | 0 |
| Ankle arthroscopy/surgery CPT 29892 | not published | not published | not published | 0 |
| Ankle arthroscopy/surgery CPT 29894 | not published | not published | not published | 0 |
| Ankle arthroscopy/surgery CPT 29895 | not published | not published | not published | 0 |
| Ankle arthroscopy/surgery CPT 29897 | not published | not published | not published | 0 |
| Ankle arthroscopy/surgery CPT 29898 | not published | not published | not published | 0 |
| Ankle arthroscopy/surgery CPT 29899 | not published | not published | not published | 0 |
| Ankle X-ray CPT 73610 | $284.25 | $379.00 | $90.00 – $90.00 | 1 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | not published | not published | not published | 0 |
| Anorectal myomectomy CPT 45108 | not published | not published | not published | 0 |
| Anoscopy CPT 46611 | not published | not published | not published | 0 |
| Anoscopy ablation lesion 46615 CPT 46615 | not published | not published | not published | 0 |
| Anoscopy and biopsy CPT 46606 | not published | not published | not published | 0 |
| Anoscopy and dilation 46604 CPT 46604 | not published | not published | not published | 0 |
| Anoscopy control bleeding 46614 CPT 46614 | not published | not published | not published | 0 |
| Anoscopy remove fb 46608 CPT 46608 | not published | not published | not published | 0 |
| Anoscopy remove lesion 46610 CPT 46610 | not published | not published | not published | 0 |
| Anoscopy remove lesions w/cautery/snare 46612 CPT 46612 | not published | not published | not published | 0 |
| Ans parasymp & symp w/tilt CPT 95924 | $830.25 | $1,107.00 | not published | 0 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | not published | not published | not published | 0 |
| Antibody CPT 86744 | $81.00 | $108.00 | $16.00 – $16.00 | 1 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $81.00 | $108.00 | $13.00 – $13.00 | 1 |
| Antibody elution rbc reference CPT 86860 | $159.00 | $212.00 | $25.00 – $25.00 | 1 |
| Antibody htlv/hiv confirm test CPT 86689 | $121.50 | $162.00 | $19.00 – $19.00 | 1 |
| Antibody htlv-i CPT 86687 | $51.00 | $68.00 | $9.00 – $9.00 | 1 |
| Antibody htlv-ii CPT 86688 | $85.50 | $114.00 | $14.00 – $14.00 | 1 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $121.50 | $162.00 | $18.00 – $18.00 | 1 |
| Antibody id rbc panel CPT 86870 | $300.00 | $400.00 | $35.00 – $35.00 | 1 |
| Antibody influenza virus CPT 86710 | $84.00 | $112.00 | $14.00 – $14.00 | 1 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $78.75 | $105.00 | $13.00 – $13.00 | 1 |
| Antibody screen rbc CPT 86850 | $159.00 | $212.00 | $10.00 – $10.00 | 1 |
| Antibody tetanus CPT 86774 | $93.00 | $124.00 | $15.00 – $15.00 | 1 |
| Antidepressant not specified CPT 80338 | $49.50 | $66.00 | not published | 0 |
| Antidepressants class 3-5 CPT 80333 | $184.50 | $246.00 | not published | 0 |
| Antidepressants class 6/more CPT 80334 | $276.00 | $368.00 | not published | 0 |
| Antidepressant tricyclic 3-5 CPT 80336 | $232.50 | $310.00 | not published | 0 |
| Antigen therapy services CPT 95165 | $36.00 | $48.00 | not published | 0 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $8.80 | $11.73 | $1.49 – $1.49 | 1 |
| Antihemophilic viii/vwf comp HCPCS J7186 | $8.10 | $10.79 | $1.20 – $1.20 | 1 |
| Anti-inhibitor HCPCS J7198 | $12.02 | $16.02 | $2.45 – $2.45 | 1 |
| Anti mog serum - sendout CPT 86362 | $32.25 | $43.00 | $12.00 – $12.00 | 1 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $32.25 | $43.00 | $12.00 – $12.00 | 1 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $31.50 | $42.00 | $12.00 – $12.00 | 1 |
| Antinuclear antibodies CPT 86038 | $98.25 | $131.00 | $12.00 – $12.00 | 1 |
| Antinuclear antibodies titer CPT 86039 | $88.50 | $118.00 | $11.00 – $11.00 | 1 |
| Antiphosphatidylserine antibody CPT 86148 | $53.25 | $71.00 | $16.00 – $16.00 | 1 |
| Antipsychotics nos 1-3 CPT 80342 | $107.25 | $143.00 | $27.00 – $27.00 | 1 |
| Antipsychotics nos 4-6 CPT 80343 | $261.00 | $348.00 | not published | 0 |
| Antipsychotics nos 7/more CPT 80344 | $366.00 | $488.00 | not published | 0 |
| Antistreptolysin o screen CPT 86063 | $35.25 | $47.00 | $6.00 – $6.00 | 1 |
| Antistreptolysin o titer CPT 86060 | $45.75 | $61.00 | $7.00 – $7.00 | 1 |
| Antithrombin iii activity CPT 85300 | $74.25 | $99.00 | $12.00 – $12.00 | 1 |
| Antithrombin iii injection HCPCS J7197 | $17.80 | $23.73 | $4.08 – $4.08 | 1 |
| Antithrombin recombinant HCPCS J7196 | $12.35 | $16.46 | not published | 0 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | $11,847.21 | $15,796.28 | $5,011.00 – $5,011.00 | 1 |
| Antithymocyte globuln rabbit HCPCS J7511 | $2,623.32 | $3,497.75 | $996.00 – $996.00 | 1 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | not published | not published | not published | 0 |
| Ant sgm img i&r speclr mic CPT 92286 | $91.50 | $122.00 | not published | 0 |
| Aortic dysfunction/dilation CPT 81410 | not published | not published | $503.00 – $503.00 | 1 |
| Aortic dysfunction/dilation CPT 81411 | not published | not published | $1,347.00 – $1,347.00 | 1 |
| Apc gene dup/delet variants CPT 81203 | not published | not published | $200.00 – $200.00 | 1 |
| Apc gene full sequence CPT 81201 | not published | not published | $778.00 – $778.00 | 1 |
| Apc gene known fam variants CPT 81202 | not published | not published | $279.00 – $279.00 | 1 |
| Apheresis immunoads slctv CPT 36516 | $6,489.00 | $8,652.00 | not published | 0 |
| Apheresis plasma CPT 36514 | $4,391.25 | $5,855.00 | not published | 0 |
| Apheresis platelets CPT 36513 | $1,348.50 | $1,798.00 | not published | 0 |
| Apheresis rbc CPT 36512 | not published | not published | not published | 0 |
| Apheresis wbc CPT 36511 | $4,391.25 | $5,855.00 | 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.