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 |
|---|---|---|---|---|
| I-131 iobenguane sulf diag mibg HCPCS A9508 | $5,247.81 | $6,997.08 | $1,183.00 – $1,183.00 | 1 |
| I131 iodide cap, rx HCPCS A9517 | $135.00 | $180.00 | $120.00 – $120.00 | 1 |
| I131 iodide sol, rx HCPCS A9530 | $52,826.55 | $70,435.40 | $12.00 – $12.00 | 1 |
| I131 max 100uci HCPCS A9531 | $8.82 | $11.75 | $4.80 – $4.80 | 1 |
| I131 serum albumin, dx HCPCS A9524 | $1,135.50 | $1,514.00 | $560.00 – $560.00 | 1 |
| Iaadi respiratory synctial virus CPT 87280 | $75.00 | $100.00 | $14.00 – $14.00 | 1 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $219.75 | $293.00 | $35.00 – $35.00 | 1 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | $66.75 | $89.00 | $18.00 – $18.00 | 1 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | $159.75 | $213.00 | $45.00 – $45.00 | 1 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $588.75 | $785.00 | $31.00 – $31.00 | 1 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $2,443.00 – $2,443.00 | 1 |
| Ibuprofen injection HCPCS J1741 | $1,071.35 | $1,428.46 | $3.00 – $3.00 | 1 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $1,313.76 | $1,751.68 | $219.00 – $219.00 | 1 |
| Icatibant injection HCPCS J1744 | $24,082.33 | $32,109.77 | $116.00 – $116.00 | 1 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $307.50 | $410.00 | not published | 0 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $414.90 | $553.20 | not published | 0 |
| Icd crtp serena MRI HCPCS C2621 | $17.25 | $23.00 | not published | 0 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $656.93 | $875.90 | not published | 0 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | not published | 0 |
| Idarubicin hcl injection HCPCS J9211 | $571.21 | $761.61 | $37.00 – $37.00 | 1 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | not published | 0 |
| Idecabtagene vicleucel car HCPCS Q2055 | not published | not published | $575,861.00 – $575,861.00 | 1 |
| Idet single level CPT 22526 | $6,153.75 | $8,205.00 | not published | 0 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | not published | 0 |
| Idh1 common variants CPT 81120 | not published | not published | $193.00 – $193.00 | 1 |
| Idh2 common variants CPT 81121 | not published | not published | $295.00 – $295.00 | 1 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | $4,785.00 | $6,380.00 | not published | 0 |
| I&d lacrimal gland CPT 68400 | not published | not published | not published | 0 |
| I&d lacrimal sac CPT 68420 | not published | not published | not published | 0 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | not published | 0 |
| Idursulfase injection HCPCS J1743 | $7,561.72 | $10,082.29 | $558.00 – $558.00 | 1 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | not published | 0 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | not published | 0 |
| Ifnl3 gene CPT 81283 | not published | not published | $73.00 – $73.00 | 1 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $285.42 | $380.56 | $24.00 – $24.00 | 1 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $207.00 – $207.00 | 1 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $68.00 – $68.00 | 1 |
| Igh gene rearrange amp meth CPT 81261 | not published | not published | $198.00 – $198.00 | 1 |
| Igh@ var region somatic mutation analy CPT 81263 | not published | not published | $294.00 – $294.00 | 1 |
| Igk rearrangeabn clonal pop CPT 81264 | not published | not published | $172.00 – $172.00 | 1 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $249.75 | $333.00 | $77.00 – $77.00 | 1 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $405.75 | $541.00 | $150.00 – $150.00 | 1 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $286.50 | $382.00 | $87.00 – $87.00 | 1 |
| Ikbkap gene CPT 81260 | not published | not published | $39.00 – $39.00 | 1 |
| Iliac/fem angio cath insert HCPCS G0278 | $36.75 | $49.00 | not published | 0 |
| Iloprost non-comp unit dose HCPCS Q4074 | not published | not published | $159.00 – $159.00 | 1 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | $22,518.45 | $30,024.59 | $57.00 – $57.00 | 1 |
| Img rta detc/mntr ds poc aly CPT 92229 | $160.50 | $214.00 | not published | 0 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $227.95 | $303.93 | not published | 0 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $38.03 | $50.70 | not published | 0 |
| Immt breast prosthesis 19340 CPT 19340 | $4,330.50 | $5,774.00 | not published | 0 |
| Immune complex assay CPT 86332 | $153.00 | $204.00 | $24.00 – $24.00 | 1 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $12,261.26 | $16,348.34 | $48.00 – $48.00 | 1 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $5,330.06 | $7,106.74 | $82.00 – $82.00 | 1 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $4,549.20 | $6,065.60 | $49.00 – $49.00 | 1 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $132.00 | $176.00 | $21.00 – $21.00 | 1 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $167.25 | $223.00 | $21.00 – $21.00 | 1 |
| Immunoassay tumor qual CPT 86294 | $126.00 | $168.00 | $25.00 – $25.00 | 1 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $75.00 | $100.00 | $12.00 – $12.00 | 1 |
| Immunodiffusion nes CPT 86329 | $85.50 | $114.00 | $14.00 – $14.00 | 1 |
| Immunofixation electrophoresis serum CPT 86334 | $162.75 | $217.00 | $22.00 – $22.00 | 1 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $285.75 | $381.00 | $91.00 – $91.00 | 1 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $387.00 | $516.00 | $122.00 – $122.00 | 1 |
| Immunoglobulin assay CPT 86023 | $78.00 | $104.00 | $13.00 – $13.00 | 1 |
| Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 | $367.50 | $490.00 | not published | 0 |
| Implantation iris prosthesis CPT 66683 | not published | not published | not published | 0 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $939.75 | $1,253.00 | not published | 0 |
| Implant cochlear device CPT 69930 | not published | not published | not published | 0 |
| Implant cochlear osia osi300 HCPCS L8690 | $444.38 | $592.50 | not published | 0 |
| Implant eye drug system CPT 67027 | not published | not published | not published | 0 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | not published | 0 |
| Implant neuroelectrodes CPT 63655 | not published | not published | not published | 0 |
| Implant neuroelectrodes CPT 64553 | not published | not published | not published | 0 |
| Implant neuroelectrodes CPT 64555 | not published | not published | not published | 0 |
| Implant neuroelectrodes CPT 64561 | not published | not published | not published | 0 |
| Implant neurostim arrays CPT 61886 | not published | not published | not published | 0 |
| Implant spinal canal cath CPT 62351 | not published | not published | not published | 0 |
| Implant spine infusion pump CPT 62361 | not published | not published | not published | 0 |
| Implant spine infusion pump CPT 62362 | not published | not published | not published | 0 |
| Implant ureth bulk agent HCPCS L8606 | $567.69 | $756.92 | not published | 0 |
| Impl ear abutment ba300 9mm HCPCS L8693 | $600.00 | $800.00 | not published | 0 |
| Impl neurostim electr perc CPT 63650 | $6,821.25 | $9,095.00 | not published | 0 |
| Implnt spinl canal catheter 62350 CPT 62350 | not published | not published | not published | 0 |
| Impl oi implt sk tc esp<100 CPT 69716 | not published | not published | not published | 0 |
| Impl oi implt sk tc esp>=100 CPT 69729 | not published | not published | not published | 0 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | not published | 0 |
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | not published | 0 |
| Implt neurostim elctr each HCPCS L8680 | $625.50 | $834.00 | not published | 0 |
| Imp neurosti pls gn any type HCPCS L8679 | $0.75 | $1.00 | not published | 0 |
| Imported lipodox inj HCPCS Q2049 | not published | not published | $529.00 – $529.00 | 1 |
| Impreg gauze no h20/sal/yard HCPCS A6266 | $2.25 | $3.00 | not published | 0 |
| Impres&prep auricular prosth CPT 21086 | not published | not published | not published | 0 |
| Impres&prep def obt prosth CPT 21080 | not published | not published | not published | 0 |
| Impres&prep facial prosth CPT 21088 | not published | not published | not published | 0 |
| Impres&prep intrm obt prosth CPT 21079 | not published | not published | not published | 0 |
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | not published | 0 |
| Impres&prep nasal prosth CPT 21087 | not published | not published | not published | 0 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | not published | 0 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | not published | 0 |
| Impres&prep paltl aug prosth CPT 21082 | 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.