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 |
|---|---|---|---|---|
| Frozen cell preparation CPT 88241 | $36.75 | $49.00 | $12.00 – $12.00 | 1 |
| Fructosamine glycated protein CPT 82985 | $60.75 | $81.00 | $17.00 – $17.00 | 1 |
| Ftl cgen abnor 3 proteins CPT 81509 | not published | not published | $1,484.00 – $1,484.00 | 1 |
| Ftl cgen abnor five anal CPT 81512 | not published | not published | $69.00 – $69.00 | 1 |
| Ftl cgen abnor four anal CPT 81511 | $390.75 | $521.00 | $153.00 – $153.00 | 1 |
| Ftl cgen abnor three anal CPT 81510 | not published | not published | $55.00 – $55.00 | 1 |
| Ftl cgen abnor two proteins CPT 81508 | $138.75 | $185.00 | $54.00 – $54.00 | 1 |
| Full mouth x-ray of teeth CPT 70320 | $652.50 | $870.00 | $249.00 – $249.00 | 1 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | not published | 0 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | not published | 0 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | not published | not published | not published | 0 |
| Fundus photography with i&r 92250 CPT 92250 | $97.50 | $130.00 | not published | 0 |
| Furnsh initial orthosis only HCPCS L1200 | $308.21 | $410.94 | not published | 0 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $2,298.33 | $3,064.44 | $0.02 – $0.02 | 1 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | not published | 0 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | not published | 0 |
| Fusion of ankle joint open CPT 27870 | not published | not published | not published | 0 |
| Fusion of big toe joint CPT 28750 | not published | not published | not published | 0 |
| Fusion of big toe joint CPT 28755 | not published | not published | not published | 0 |
| Fusion of finger joint CPT 26860 | not published | not published | not published | 0 |
| Fusion of finger tendons CPT 26471 | not published | not published | not published | 0 |
| Fusion of finger tendons CPT 26474 | not published | not published | not published | 0 |
| Fusion of foot bones CPT 28730 | not published | not published | not published | 0 |
| Fusion of foot bones CPT 28735 | not published | not published | not published | 0 |
| Fusion of foot bones CPT 28740 | not published | not published | not published | 0 |
| Fusion of hand joint CPT 26843 | not published | not published | not published | 0 |
| Fusion of knuckle CPT 26850 | not published | not published | not published | 0 |
| Fusion of knuckle joint CPT 26516 | not published | not published | not published | 0 |
| Fusion of knuckle joints CPT 26517 | not published | not published | not published | 0 |
| Fusion of knuckle joints CPT 26518 | not published | not published | not published | 0 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | not published | 0 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | not published | 0 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | not published | 0 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | not published | 0 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | not published | 0 |
| Fusion of thumb CPT 26841 | not published | not published | not published | 0 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | not published | 0 |
| Fusion of toes CPT 28280 | not published | not published | not published | 0 |
| Fxn gene charac alleles CPT 81285 | not published | not published | $274.00 – $274.00 | 1 |
| Fxn gene detc abnor alleles CPT 81284 | not published | not published | $137.00 – $137.00 | 1 |
| Fxn gene full gene sequence CPT 81286 | not published | not published | $274.00 – $274.00 | 1 |
| Fxn gene known famil variant CPT 81289 | not published | not published | $185.00 – $185.00 | 1 |
| G6pc gene CPT 81250 | not published | not published | $59.00 – $59.00 | 1 |
| G6pd full gene sequence CPT 81249 | $126.75 | $169.00 | $599.00 – $599.00 | 1 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $175.00 – $175.00 | 1 |
| G6pd known familial variant CPT 81248 | not published | not published | $374.00 – $374.00 | 1 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $2,119.07 | $2,825.42 | $26.00 – $26.00 | 1 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $7,669.59 | $10,226.12 | not published | 0 |
| Gabapentin non-blood CPT 80355 | $86.25 | $115.00 | $27.00 – $27.00 | 1 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $1,266.18 | $1,688.24 | $0.26 – $0.26 | 1 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $974.85 | $1,299.80 | $1.47 – $1.47 | 1 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $237.75 | $317.00 | $0.10 – $0.10 | 1 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $335.94 | $447.91 | $15.00 – $15.00 | 1 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $135.00 | $180.00 | $21.00 – $21.00 | 1 |
| Galactokinase - sendout CPT 82759 | $131.25 | $175.00 | $21.00 – $21.00 | 1 |
| Galactose transferase test CPT 82776 | $57.75 | $77.00 | $12.00 – $12.00 | 1 |
| Galectin-3 CPT 82777 | $135.75 | $181.00 | $44.00 – $44.00 | 1 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $3,831.75 | $5,109.00 | not published | 0 |
| Gallium ga-68 dotatoc HCPCS C9067 | $180.81 | $241.07 | not published | 0 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | $250.71 | $334.28 | not published | 0 |
| Galsulfase injection HCPCS J1458 | $5,823.33 | $7,764.44 | $505.00 – $505.00 | 1 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $167.00 – $167.00 | 1 |
| Gamma globulin 1 cc inj HCPCS J1460 | $1,116.17 | $1,488.22 | $49.00 – $49.00 | 1 |
| Gammaglobulin iga CPT 82784 | $24.00 | $32.00 | $9.00 – $9.00 | 1 |
| Gammaglobulin ige CPT 82785 | $57.75 | $77.00 | $17.00 – $17.00 | 1 |
| Gamma glutamyltransferase CPT 82977 | $55.50 | $74.00 | $7.00 – $7.00 | 1 |
| Gammaplex injection HCPCS J1557 | $10,765.80 | $14,354.40 | $62.00 – $62.00 | 1 |
| Gamunex-c/gammaked HCPCS J1561 | $14,343.27 | $19,124.36 | $48.00 – $48.00 | 1 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $231.36 | $308.48 | $40.00 – $40.00 | 1 |
| Gardner vag dna amp probe CPT 87511 | $213.00 | $284.00 | $35.00 – $35.00 | 1 |
| Gardner vag dna quant CPT 87512 | $255.00 | $340.00 | $42.00 – $42.00 | 1 |
| Gastric analy w/ph ea spec CPT 82930 | $33.00 | $44.00 | $7.00 – $7.00 | 1 |
| Gastric emptying imag study CPT 78265 | $1,014.00 | $1,352.00 | $414.00 – $414.00 | 1 |
| Gastric emptying imag study CPT 78266 | $1,438.50 | $1,918.00 | $554.00 – $554.00 | 1 |
| Gastric motility studies CPT 91020 | $1,247.25 | $1,663.00 | not published | 0 |
| Gastric mucosa imaging CPT 78261 | $997.50 | $1,330.00 | $414.00 – $414.00 | 1 |
| Gastrin test CPT 82938 | $87.00 | $116.00 | $18.00 – $18.00 | 1 |
| Gastroesophageal reflux study CPT 78262 | $997.50 | $1,330.00 | $414.00 – $414.00 | 1 |
| Gastro/jejuno tube, std HCPCS B4087 | $330.00 | $440.00 | not published | 0 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | not published | 0 |
| Gated heart multiple CPT 78473 | $997.50 | $1,330.00 | $414.00 – $414.00 | 1 |
| Gba gene CPT 81251 | not published | not published | $47.00 – $47.00 | 1 |
| Gefitinib oral HCPCS J8565 | $611.28 | $815.04 | $59.00 – $59.00 | 1 |
| Gel-one HCPCS J7326 | $2,694.75 | $3,593.00 | $524.00 – $524.00 | 1 |
| Gel-syn injection 0.1 mg HCPCS J7328 | $911.67 | $1,215.56 | $0.65 – $0.65 | 1 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $299.30 | $399.06 | $2.95 – $2.95 | 1 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | $22,056.42 | $29,408.56 | $237.00 – $237.00 | 1 |
| General health panel CPT 80050 | $168.00 | $224.00 | $45.00 – $45.00 | 1 |
| Generator barostim neo2 2014 HCPCS C1767 | $500.40 | $667.20 | not published | 0 |
| Generator emblem MRI sicd subq HCPCS C1722 | $87.98 | $117.30 | not published | 0 |
| Genetic tstg severe inh cond CPT 81443 | not published | not published | $2,443.00 – $2,443.00 | 1 |
| Genioplasty augmentation CPT 21120 | not published | not published | not published | 0 |
| Geniop sldg augmentation CPT 21123 | not published | not published | not published | 0 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | not published | 0 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | not published | 0 |
| Gen, neuro, clo loop, rechg HCPCS C1826 | $22.50 | $30.00 | not published | 0 |
| Genome re-evaluation CPT 81427 | not published | not published | $2,332.00 – $2,332.00 | 1 |
| Genome sequence analysis CPT 81425 | not published | not published | $5,020.00 – $5,020.00 | 1 |
| Genome sequence analysis CPT 81426 | not published | not published | $2,704.00 – $2,704.00 | 1 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $540.00 | $720.00 | $2.60 – $2.60 | 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.