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 |
|---|---|---|---|---|
| Hla class i high defin qual CPT 86832 | $1,644.75 | $2,193.00 | $323.00 – $323.00 | 1 |
| Hla class ii high defin qual CPT 86833 | $1,654.50 | $2,206.00 | $325.00 – $325.00 | 1 |
| Hla class i&ii antibody qual CPT 86828 | $315.75 | $421.00 | $64.00 – $64.00 | 1 |
| Hla class i/ii antibody qual CPT 86829 | $198.75 | $265.00 | $64.00 – $64.00 | 1 |
| Hla class ii phenotype qual CPT 86831 | $420.75 | $561.00 | $82.00 – $82.00 | 1 |
| Hla class ii semiquant panel CPT 86835 | $1,247.25 | $1,663.00 | $322.00 – $322.00 | 1 |
| Hla class i phenotype qual CPT 86830 | $491.25 | $655.00 | $95.00 – $95.00 | 1 |
| Hla class i semiquant panel CPT 86834 | $1,246.50 | $1,662.00 | $357.00 – $357.00 | 1 |
| Hla i & ii type verify lr CPT 81371 | not published | not published | $404.00 – $404.00 | 1 |
| Hla i & ii typing hr CPT 81378 | not published | not published | $345.00 – $345.00 | 1 |
| Hla i & ii typing lr CPT 81370 | not published | not published | $401.00 – $401.00 | 1 |
| Hla ii typing 1 loc hr CPT 81382 | $343.50 | $458.00 | $123.00 – $123.00 | 1 |
| Hla ii typing ag equiv lr CPT 81375 | not published | not published | $220.00 – $220.00 | 1 |
| Hla i low res one antigen equiv ea CPT 81374 | $236.25 | $315.00 | $74.00 – $74.00 | 1 |
| Hla i typing 1 locus hr CPT 81380 | not published | not published | $177.00 – $177.00 | 1 |
| Hla i typing complete hr CPT 81379 | not published | not published | $335.00 – $335.00 | 1 |
| Hla i typing complete lr CPT 81372 | not published | not published | $403.00 – $403.00 | 1 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $600.75 | $801.00 | $169.00 – $169.00 | 1 |
| Hla i typing low res one locus ea CPT 81373 | not published | not published | $127.00 – $127.00 | 1 |
| Hla typing a b or c CPT 86813 | $352.50 | $470.00 | $58.00 – $58.00 | 1 |
| Hla typing dr/dq CPT 86816 | $170.25 | $227.00 | $30.00 – $30.00 | 1 |
| Hla x-match noncytotoxc addl CPT 86826 | $180.00 | $240.00 | $37.00 – $37.00 | 1 |
| Hla x-math non-cytotoxic CPT 86825 | $540.00 | $720.00 | $109.00 – $109.00 | 1 |
| Hocm 200-249mg/ml iodine,1ml HCPCS Q9960 | $1,120.13 | $1,493.50 | not published | 0 |
| Hocm 250-299mg/ml iodine,1ml HCPCS Q9961 | $80.25 | $107.00 | $0.28 – $0.28 | 1 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $181.05 | $241.40 | $0.20 – $0.20 | 1 |
| Homocysteine CPT 83090 | $133.50 | $178.00 | $18.00 – $18.00 | 1 |
| Homogenization tissue CPT 87176 | $36.00 | $48.00 | $6.00 – $6.00 | 1 |
| Homovanillic acid (hva) CPT 83150 | $121.50 | $162.00 | $22.00 – $22.00 | 1 |
| Hpa-15 genotyping CPT 81112 | not published | not published | $122.00 – $122.00 | 1 |
| Hpa-1 genotyping CPT 81105 | not published | not published | $122.00 – $122.00 | 1 |
| Hpa-2 genotyping CPT 81106 | not published | not published | $122.00 – $122.00 | 1 |
| Hpa-3 genotyping CPT 81107 | not published | not published | $122.00 – $122.00 | 1 |
| Hpa-4 genotyping CPT 81108 | not published | not published | $122.00 – $122.00 | 1 |
| Hpa-5 genotyping CPT 81109 | not published | not published | $122.00 – $122.00 | 1 |
| Hpa-6 genotyping CPT 81110 | not published | not published | $122.00 – $122.00 | 1 |
| Hpa-9 genotyping CPT 81111 | not published | not published | $122.00 – $122.00 | 1 |
| Hpv combo assay ca screen HCPCS G0476 | $117.75 | $157.00 | $35.00 – $35.00 | 1 |
| Hpv low-risk types CPT 87623 | $213.00 | $284.00 | $35.00 – $35.00 | 1 |
| Hpv types 16 & 18 only CPT 87625 | $232.50 | $310.00 | $41.00 – $41.00 | 1 |
| H pylori ag ia CPT 87339 | $79.50 | $106.00 | $16.00 – $16.00 | 1 |
| H pylori (c-13) blood CPT 83009 | $410.25 | $547.00 | $67.00 – $67.00 | 1 |
| H pylori (c-13) breath CPT 83013 | $410.25 | $547.00 | $67.00 – $67.00 | 1 |
| H pylori drug admin CPT 83014 | $48.00 | $64.00 | $8.00 – $8.00 | 1 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | $132.00 | $176.00 | $1,301.00 – $1,301.00 | 1 |
| Hrdtry brst ca-rlatd dsordrs CPT 81433 | $85.50 | $114.00 | not published | 0 |
| Hrdtry cardmypy gene panel CPT 81439 | not published | not published | $583.00 – $583.00 | 1 |
| Hrdtry perph neurphy panel CPT 81448 | $487.50 | $650.00 | $583.00 – $583.00 | 1 |
| Hrv skn cll ssp agrft 1st 25 CPT 15011 | not published | not published | not published | 0 |
| Hsv dna dir probe CPT 87528 | $122.25 | $163.00 | $20.00 – $20.00 | 1 |
| Htt gene charac alleles CPT 81274 | not published | not published | $274.00 – $274.00 | 1 |
| Htt gene detc abnor alleles CPT 81271 | not published | not published | $137.00 – $137.00 | 1 |
| Human epididymis protein 4 (he4) CPT 86305 | $142.50 | $190.00 | $21.00 – $21.00 | 1 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | not published | not published | $1.26 – $1.26 | 1 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | $71.07 | $94.76 | $31.00 – $31.00 | 1 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | $239.37 | $319.15 | $0.50 – $0.50 | 1 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $89.13 | $118.83 | $0.36 – $0.36 | 1 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $14.46 | $19.28 | $5.18 – $5.18 | 1 |
| Hydration IV infusion each additional hour CPT 96361 | $231.00 | $308.00 | not published | 0 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $438.75 | $585.00 | not published | 0 |
| Hydrocolld drg >16<=48 w/bdr HCPCS A6238 | $26.69 | $35.58 | not published | 0 |
| Hydrocolld drg >16<=48 without b HCPCS A6235 | $19.78 | $26.37 | not published | 0 |
| Hydrocolld drg <=16 in w/bdr HCPCS A6237 | $590.58 | $787.44 | not published | 0 |
| Hydrocolld drg <=16 without bdr HCPCS A6234 | $8.40 | $11.19 | not published | 0 |
| Hydrocolld drg filler paste HCPCS A6240 | $46.13 | $61.50 | not published | 0 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $412.86 | $550.47 | $21.00 – $21.00 | 1 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $252.38 | $336.50 | $0.08 – $0.08 | 1 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $888.75 | $1,185.00 | not published | 0 |
| Hydromorphone 250 mg HCPCS S0092 | not published | not published | $86.00 – $86.00 | 1 |
| Hydroxocobalamin im 10mcg HCPCS J3425 | $7.01 | $9.34 | $0.01 – $0.01 | 1 |
| Hydroxyurea 500 mg HCPCS S0176 | not published | not published | $1.10 – $1.10 | 1 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $97.30 | $129.73 | $17.00 – $17.00 | 1 |
| Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 | not published | not published | $2.20 – $2.20 | 1 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $106.50 | $142.00 | $18.00 – $18.00 | 1 |
| Hymenotomy CPT 56442 | not published | not published | not published | 0 |
| Hymovis injection 1 mg HCPCS J7322 | not published | not published | $17.00 – $17.00 | 1 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | not published | 0 |
| Hyoscyamine sulfate inj HCPCS J1980 | $106.13 | $141.50 | $11.00 – $11.00 | 1 |
| #hypersens-actinomyces ab CPT 86602 | $62.25 | $83.00 | $10.00 – $10.00 | 1 |
| Hyperthermia ext gen deep CPT 77605 | $2,538.75 | $3,385.00 | $819.00 – $819.00 | 1 |
| Hyperthermia ext gen supfc CPT 77600 | $1,392.75 | $1,857.00 | $460.00 – $460.00 | 1 |
| Hyperthermia gen intrcv prb CPT 77620 | $1,822.50 | $2,430.00 | $596.00 – $596.00 | 1 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | $2,051.25 | $2,735.00 | $596.00 – $596.00 | 1 |
| Hyperthermia ntrstl prb>5 CPT 77615 | $3,210.75 | $4,281.00 | $938.00 – $938.00 | 1 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | $18,072.53 | $24,096.70 | $18.00 – $18.00 | 1 |
| Hysterosalpingography s&i CPT 74740 | $654.75 | $873.00 | $249.00 – $249.00 | 1 |
| Hysteroscopy ablation CPT 58563 | not published | not published | not published | 0 |
| Hysteroscopy biopsy CPT 58558 | $5,556.00 | $7,408.00 | not published | 0 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | not published | 0 |
| Hysteroscopy lysis CPT 58559 | not published | not published | not published | 0 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | not published | 0 |
| Hysteroscopy remove myoma CPT 58561 | $3,303.00 | $4,404.00 | not published | 0 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | not published | 0 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | not published | 0 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $508.05 | $677.39 | not published | 0 |
| I-123 iobenguane diag HCPCS A9582 | $11,957.43 | $15,943.24 | $2,489.00 – $2,489.00 | 1 |
| I-123 ioflupane diag HCPCS A9584 | $6,099.03 | $8,132.04 | not published | 0 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $125.79 | $167.72 | $135.00 – $135.00 | 1 |
| I125 iothalamate, dx HCPCS A9554 | not published | not published | $44.00 – $44.00 | 1 |
| I125 serum albumin, dx HCPCS A9532 | not published | not published | $236.00 – $236.00 | 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.