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 |
|---|---|---|---|---|
| Glaucoma surgery CPT 66160 | not published | not published | not published | 0 |
| Glaucoma surgery CPT 66170 | not published | not published | not published | 0 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $723.77 | $965.02 | $196.00 – $196.00 | 1 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $658.49 | $877.98 | $145.00 – $145.00 | 1 |
| Glucagon plasma - sendout CPT 82943 | $90.00 | $120.00 | $14.00 – $14.00 | 1 |
| Glucagon tolerance panel CPT 80422 | $279.75 | $373.00 | $46.00 – $46.00 | 1 |
| Glucagon tolerance panel CPT 80424 | $307.50 | $410.00 | $50.00 – $50.00 | 1 |
| Glucagon tolerance test CPT 82946 | $91.50 | $122.00 | $18.00 – $18.00 | 1 |
| Glucose 1 hr post dose CPT 82950 | $23.25 | $31.00 | $5.00 – $5.00 | 1 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | $36.75 | $49.00 | $6.00 – $6.00 | 1 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $27.00 | $36.00 | $3.00 – $3.00 | 1 |
| Glucose blood quantitative CPT 82947 | $55.50 | $74.00 | $4.00 – $4.00 | 1 |
| Glucose body fluid CPT 82945 | $45.75 | $61.00 | $4.00 – $4.00 | 1 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $64.50 | $86.00 | $13.00 – $13.00 | 1 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $19.50 | $26.00 | $4.00 – $4.00 | 1 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $21.35 | $28.46 | $0.40 – $0.40 | 1 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $15.00 – $15.00 | 1 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $17,081.47 | $22,775.29 | $11.00 – $11.00 | 1 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $117.00 | $156.00 | $19.00 – $19.00 | 1 |
| Gonadotropin hormone panel CPT 80426 | $903.00 | $1,204.00 | $148.00 – $148.00 | 1 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $116.25 | $155.00 | $19.00 – $19.00 | 1 |
| Goniotomy CPT 65820 | not published | not published | not published | 0 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $7,551.96 | $10,069.28 | $734.00 – $734.00 | 1 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $0.75 | $1.00 | not published | 0 |
| Graft axiofill 1000mg HCPCS J3590 | $52,009.23 | $69,345.63 | not published | 0 |
| Graft hand or finger tendon CPT 26416 | not published | not published | not published | 0 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $2,223.75 | $2,965.00 | not published | 0 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | $2.25 | $3.00 | not published | 0 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $748.80 | $998.40 | not published | 0 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $749.93 | $999.90 | not published | 0 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $732.72 | $976.96 | not published | 0 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $12.75 | $17.00 | not published | 0 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $705.38 | $940.50 | not published | 0 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $734.40 | $979.20 | not published | 0 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | $2.25 | $3.00 | not published | 0 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $3,426.75 | $4,569.00 | not published | 0 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $675.00 | $900.00 | not published | 0 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $747.59 | $996.78 | not published | 0 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $608.04 | $810.72 | not published | 0 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $43.00 – $43.00 | 1 |
| Granisetron hcl injection HCPCS J1626 | $64.95 | $86.60 | $0.20 – $0.20 | 1 |
| Great toe with reduction 28495 CPT 28495 | $626.25 | $835.00 | not published | 0 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | not published | 0 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | not published | 0 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | not published | 0 |
| Growth hormone antibody CPT 86277 | $95.25 | $127.00 | $16.00 – $16.00 | 1 |
| Growth hormone panel CPT 80428 | $405.75 | $541.00 | $67.00 – $67.00 | 1 |
| Growth hormone panel CPT 80430 | $638.25 | $851.00 | $129.00 – $129.00 | 1 |
| Growth stimulation gene 2 CPT 83006 | $233.25 | $311.00 | $75.00 – $75.00 | 1 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | not published | 0 |
| G-tube reposition CPT 43761 | $793.50 | $1,058.00 | not published | 0 |
| Gu dilat ureter/urethra s&i CPT 74485 | $5,172.75 | $6,897.00 | $2,109.00 – $2,109.00 | 1 |
| Guided cath fluid drainage 10030 CPT 10030 | $2,059.50 | $2,746.00 | not published | 0 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $14.25 | $19.00 | not published | 0 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $742.50 | $990.00 | not published | 0 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $748.50 | $998.00 | not published | 0 |
| Guid loc target vol rad tx CPT 77387 | $725.25 | $967.00 | not published | 0 |
| Gum graft CPT 41870 | not published | not published | not published | 0 |
| Gw stiffened micro access kit HCPCS C1894 | $745.52 | $994.02 | not published | 0 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | not published | 0 |
| Hair analysis HCPCS P2031 | $16.50 | $22.00 | $5.00 – $5.00 | 1 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | not published | 0 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | not published | 0 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | not published | 0 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $82.52 | $110.02 | $4.68 – $4.68 | 1 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $15.99 | $21.32 | $0.80 – $0.80 | 1 |
| Hand-held pefr meter a4614 HCPCS A4614 | $21.75 | $29.00 | not published | 0 |
| Handpiece aquabeam hp2000 HCPCS C2596 | $3.00 | $4.00 | not published | 0 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | not published | 0 |
| Hand tendon reconstruction CPT 26500 | not published | not published | not published | 0 |
| Hand tendon reconstruction CPT 26502 | not published | not published | not published | 0 |
| Hand X-ray CPT 73130 | $338.25 | $451.00 | $90.00 – $90.00 | 1 |
| Haptoglobin quantitative CPT 83010 | $113.25 | $151.00 | $13.00 – $13.00 | 1 |
| Harvest auto stem cells CPT 38206 | not published | not published | not published | 0 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | not published | 0 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | not published | 0 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | not published | 0 |
| Hba1/hba2 full gene sequence CPT 81259 | not published | not published | $599.00 – $599.00 | 1 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | not published | not published | $202.00 – $202.00 | 1 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $374.00 – $374.00 | 1 |
| Hbb full gene sequence CPT 81364 | not published | not published | $324.00 – $324.00 | 1 |
| Hbb gene com variants CPT 81361 | not published | not published | $175.00 – $175.00 | 1 |
| Hbb gene dup/del variants CPT 81363 | not published | not published | $202.00 – $202.00 | 1 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $374.00 – $374.00 | 1 |
| Hb glycosylated a1c home dev CPT 83037 | $45.00 | $60.00 | $10.00 – $10.00 | 1 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $877.50 | $1,170.00 | $184.00 – $184.00 | 1 |
| Hcg free betachain test CPT 84704 | $69.00 | $92.00 | $15.00 – $15.00 | 1 |
| Hcg qualitative CPT 84703 | $71.25 | $95.00 | $7.00 – $7.00 | 1 |
| Hcg quantitative CPT 84702 | $77.25 | $103.00 | $15.00 – $15.00 | 1 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $155.25 | $207.00 | $109.00 – $109.00 | 1 |
| Hc metata joint dislocation anes CPT 28635 | $4,853.25 | $6,471.00 | not published | 0 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | not published | 0 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | not published | 0 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | $1,335.00 | $1,780.00 | $554.00 – $554.00 | 1 |
| Hc nm kidney imaging with flow CPT 78701 | $997.50 | $1,330.00 | $414.00 – $414.00 | 1 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $1,335.00 | $1,780.00 | $554.00 – $554.00 | 1 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | $3,811.50 | $5,082.00 | $1,343.00 – $1,343.00 | 1 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | $690.00 | $920.00 | not published | 0 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $2,070.75 | $2,761.00 | $714.00 – $714.00 | 1 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $2,070.75 | $2,761.00 | $714.00 – $714.00 | 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.