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 |
|---|---|---|---|---|
| Gentamicin peak therapeutic drug level CPT 80170 | $102.00 | $136.00 | $16.00 – $16.00 | 1 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $6.00 – $6.00 | 1 |
| G-esoph reflx tst w/electrod CPT 91035 | $1,662.00 | $2,216.00 | not published | 0 |
| Ghs abscess perianal iandd CPT 46050 | $2,452.50 | $3,270.00 | not published | 0 |
| Ghs abscess postoperative iandd complex CPT 10180 | not published | not published | not published | 0 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $50.25 | $67.00 | $10.00 – $10.00 | 1 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $100.50 | $134.00 | $17.00 – $17.00 | 1 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | not published | not published | $102.00 – $102.00 | 1 |
| Ghs antibodies (torch) igm CPT 86694 | $87.75 | $117.00 | $14.00 – $14.00 | 1 |
| Ghs aspiration bladder - needle CPT 51100 | not published | not published | not published | 0 |
| Ghs bladder cath - complex-foley CPT 51703 | $373.50 | $498.00 | not published | 0 |
| Ghs bleeding time (ivy) CPT 85002 | $27.00 | $36.00 | $5.00 – $5.00 | 1 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $1,953.75 | $2,605.00 | not published | 0 |
| Ghs central line insert < age 5, failed CPT 36555 | $3,534.00 | $4,712.00 | not published | 0 |
| Ghs change cysto/gastrost CPT 43762 | $657.75 | $877.00 | not published | 0 |
| Ghs chemo IV push, ea addtl CPT 96411 | $372.00 | $496.00 | not published | 0 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $213.00 | $284.00 | $35.00 – $35.00 | 1 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $772.50 | $1,030.00 | not published | 0 |
| Ghs closed reduction ankle dislocation CPT 27840 | $862.50 | $1,150.00 | not published | 0 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,500.00 | $2,000.00 | not published | 0 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $862.50 | $1,150.00 | not published | 0 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $1,571.25 | $2,095.00 | not published | 0 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | not published | not published | not published | 0 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | not published | not published | not published | 0 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $1,530.75 | $2,041.00 | not published | 0 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $1,571.25 | $2,095.00 | not published | 0 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $862.50 | $1,150.00 | not published | 0 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $772.50 | $1,030.00 | not published | 0 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $989.25 | $1,319.00 | not published | 0 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $378.00 | $504.00 | not published | 0 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $1,188.00 | $1,584.00 | not published | 0 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $308.25 | $411.00 | not published | 0 |
| Ghs cricothyroidotomy CPT 31605 | not published | not published | not published | 0 |
| Ghs cutdown placement age 1 and over CPT 36425 | not published | not published | not published | 0 |
| Ghs cutdown placement under 1 yr CPT 36420 | not published | not published | not published | 0 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $95.25 | $127.00 | $15.00 – $15.00 | 1 |
| Ghs dislocation elbow closed treatment CPT 24600 | $823.50 | $1,098.00 | not published | 0 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $1,049.25 | $1,399.00 | not published | 0 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $852.00 | $1,136.00 | not published | 0 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $1,953.75 | $2,605.00 | not published | 0 |
| Ghs elect torsion swing CPT 92546 | $417.00 | $556.00 | not published | 0 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | not published | not published | not published | 0 |
| Ghs excision ingrown nail CPT 11765 | $1,118.25 | $1,491.00 | not published | 0 |
| Ghs eye exam CPT 92002 | not published | not published | not published | 0 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $773.25 | $1,031.00 | not published | 0 |
| Ghs fat & muscle CPT 89160 | $15.75 | $21.00 | $5.00 – $5.00 | 1 |
| Ghs fb removal foot - deep - left CPT 28192 | $4,845.75 | $6,461.00 | not published | 0 |
| Ghs fb removal from muscle - complicated CPT 20525 | $5,572.50 | $7,430.00 | not published | 0 |
| Ghs fb removal - incisional CPT 10121 | $1,076.25 | $1,435.00 | not published | 0 |
| Ghs fb removal - non-incisional CPT 20520 | $4,845.75 | $6,461.00 | not published | 0 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $42.00 | $56.00 | $7.00 – $7.00 | 1 |
| Ghs fish cytogen CPT 88271 | $57.75 | $77.00 | $21.00 – $21.00 | 1 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $138.00 | $184.00 | $51.00 – $51.00 | 1 |
| Ghs flow volume loop CPT 94375 | $287.25 | $383.00 | not published | 0 |
| Ghs gastric intub aspiration lavage CPT 43753 | $653.25 | $871.00 | not published | 0 |
| Ghs hcv amplificaiton CPT 87521 | $213.00 | $284.00 | $35.00 – $35.00 | 1 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | $114.00 | $152.00 | $23.00 – $23.00 | 1 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $94.50 | $126.00 | $16.00 – $16.00 | 1 |
| Ghs hgb stability-thal CPT 83068 | $51.75 | $69.00 | $9.00 – $9.00 | 1 |
| Ghs histoplasma antigen CPT 87385 | $75.00 | $100.00 | $13.00 – $13.00 | 1 |
| Ghs HIV antibody CPT 86703 | $83.25 | $111.00 | $14.00 – $14.00 | 1 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | $523.50 | $698.00 | $106.00 – $106.00 | 1 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $1,353.00 | $1,804.00 | not published | 0 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $3,365.25 | $4,487.00 | not published | 0 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $1,117.50 | $1,490.00 | not published | 0 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $1,030.50 | $1,374.00 | not published | 0 |
| Ghs immun0electrophoresis CPT 86320 | $168.00 | $224.00 | $30.00 – $30.00 | 1 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $587.25 | $783.00 | not published | 0 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | $564.75 | $753.00 | not published | 0 |
| Ghs inf midline insertion CPT 36140 | $1,238.25 | $1,651.00 | not published | 0 |
| Ghs inhibitor screen CPT 85335 | $78.75 | $105.00 | $13.00 – $13.00 | 1 |
| Ghs init tx 1st degree burn CPT 16000 | $520.50 | $694.00 | not published | 0 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | $2,506.50 | $3,342.00 | not published | 0 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $1,317.75 | $1,757.00 | not published | 0 |
| Ghs inj tendon origin/insertion CPT 20551 | $288.75 | $385.00 | not published | 0 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $118.50 | $158.00 | not published | 0 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $1,341.00 | $1,788.00 | not published | 0 |
| Ghs insertion of needle - bone CPT 36680 | $264.00 | $352.00 | not published | 0 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $1,059.00 | $1,412.00 | not published | 0 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $1,611.75 | $2,149.00 | not published | 0 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | not published | not published | not published | 0 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $75.00 | $100.00 | not published | 0 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $711.75 | $949.00 | not published | 0 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $1,069.50 | $1,426.00 | not published | 0 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $378.00 | $504.00 | not published | 0 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $1,059.00 | $1,412.00 | not published | 0 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $746.25 | $995.00 | not published | 0 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $1,019.25 | $1,359.00 | not published | 0 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $917.25 | $1,223.00 | not published | 0 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $1,059.00 | $1,412.00 | not published | 0 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $1,059.00 | $1,412.00 | not published | 0 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $1,059.00 | $1,412.00 | not published | 0 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $1,407.75 | $1,877.00 | not published | 0 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $1,053.75 | $1,405.00 | not published | 0 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | not published | not published | not published | 0 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | not published | not published | not published | 0 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | not published | not published | not published | 0 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | not published | not published | not published | 0 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | not published | not published | not published | 0 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | 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.