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 |
|---|---|---|---|---|
| Impres&prep paltl lft prosth CPT 21083 | not published | not published | not published | 0 |
| Impres&prep sp aid prosth CPT 21084 | not published | not published | not published | 0 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | not published | 0 |
| Imuglucerase injection HCPCS J1786 | $4,061.62 | $5,415.49 | $43.00 – $43.00 | 1 |
| In-111 autologous plt stdy dx HCPCS A9571 | not published | not published | $5,336.00 – $5,336.00 | 1 |
| In-111 autol wbc diag per dose HCPCS A9570 | not published | not published | $5,336.00 – $5,336.00 | 1 |
| In-111 capromab pendet HCPCS A9507 | $463.17 | $617.55 | $1,509.00 – $1,509.00 | 1 |
| In-111 ibritumomab tiux dx HCPCS A9542 | not published | not published | $4,572.00 – $4,572.00 | 1 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $9,885.06 | $13,180.08 | $339.00 – $339.00 | 1 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $6,249.99 | $8,333.31 | $203.00 – $203.00 | 1 |
| In-111 pentetreotide HCPCS A9572 | $9,019.35 | $12,025.80 | $6,811.00 – $6,811.00 | 1 |
| In-111 satumomab pend HCPCS A4642 | not published | not published | $1,864.00 – $1,864.00 | 1 |
| Inactivated je vacc im CPT 90738 | $694.24 | $925.65 | not published | 0 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | not published | not published | not published | 0 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | not published | 0 |
| Incise diaphragm nerve CPT 64746 | not published | not published | not published | 0 |
| Incise/drain eyelid lining CPT 68020 | not published | not published | not published | 0 |
| Incise flexor carpi radialis CPT 25001 | not published | not published | not published | 0 |
| Incise hand/finger tendon CPT 26460 | not published | not published | not published | 0 |
| Incise hip/thigh nerve CPT 64763 | not published | not published | not published | 0 |
| Incise hip/thigh nerve CPT 64766 | not published | not published | not published | 0 |
| Incise inner ear CPT 69801 | $3,792.00 | $5,056.00 | not published | 0 |
| Incise inner ear nerve CPT 69915 | not published | not published | not published | 0 |
| Incise inner eye adhesions CPT 65860 | not published | not published | not published | 0 |
| Incise inner eye adhesions CPT 65865 | not published | not published | not published | 0 |
| Incise inner eye adhesions CPT 65870 | not published | not published | not published | 0 |
| Incise inner eye adhesions CPT 65875 | not published | not published | not published | 0 |
| Incise inner eye adhesions CPT 65880 | not published | not published | not published | 0 |
| Incise inner eye strands CPT 67030 | not published | not published | not published | 0 |
| Incise nerve back of head CPT 64744 | not published | not published | not published | 0 |
| Incise perq finger tendon 26060 CPT 26060 | not published | not published | not published | 0 |
| Incise skull/brain surgery CPT 61720 | not published | not published | not published | 0 |
| Incise skull for treatment CPT 61770 | not published | not published | not published | 0 |
| Incise sperm duct pouch CPT 55600 | not published | not published | not published | 0 |
| Incise tear duct opening 68440 CPT 68440 | not published | not published | not published | 0 |
| Incise tendon(s) & muscle(s) CPT 23406 | not published | not published | not published | 0 |
| Incise thigh tendon & fascia CPT 27305 | not published | not published | not published | 0 |
| Incise wrist/forearm tendon CPT 25290 | not published | not published | not published | 0 |
| Incision anal septum infant CPT 46070 | not published | not published | not published | 0 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $3,645.00 | $4,860.00 | not published | 0 |
| Incision of achilles tendon CPT 27605 | not published | not published | not published | 0 |
| Incision of achilles tendon CPT 27606 | not published | not published | not published | 0 |
| Incision of anal sphincter CPT 46080 | not published | not published | not published | 0 |
| Incision of ankle bone CPT 28302 | not published | not published | not published | 0 |
| Incision of breast lesion CPT 19020 | not published | not published | not published | 0 |
| Incision of brow nerve CPT 64732 | not published | not published | not published | 0 |
| Incision of burn scab initi CPT 16035 | $1,118.25 | $1,491.00 | not published | 0 |
| Incision of cheek nerve CPT 64734 | not published | not published | not published | 0 |
| Incision of chin nerve CPT 64736 | not published | not published | not published | 0 |
| Incision of eardrum CPT 69420 | not published | not published | not published | 0 |
| Incision of eardrum CPT 69421 | not published | not published | not published | 0 |
| Incision of esophagus CPT 43020 | not published | not published | not published | 0 |
| Incision of eye CPT 65850 | not published | not published | not published | 0 |
| Incision of eye CPT 66172 | not published | not published | not published | 0 |
| Incision of eyelid CPT 67710 | not published | not published | not published | 0 |
| Incision of facial nerve CPT 64742 | not published | not published | not published | 0 |
| Incision of fibula CPT 27707 | not published | not published | not published | 0 |
| Incision of finger tendon CPT 26455 | not published | not published | not published | 0 |
| Incision of foot fascia CPT 28008 | not published | not published | not published | 0 |
| Incision of foot tendon 28234 CPT 28234 | not published | not published | not published | 0 |
| Incision of heel bone CPT 28300 | not published | not published | not published | 0 |
| Incision of hip tendon CPT 27000 | not published | not published | not published | 0 |
| Incision of hip tendon CPT 27001 | not published | not published | not published | 0 |
| Incision of hip tendon CPT 27003 | not published | not published | not published | 0 |
| Incision of hip tendons CPT 27006 | not published | not published | not published | 0 |
| Incision of iris CPT 66500 | not published | not published | not published | 0 |
| Incision of iris CPT 66505 | not published | not published | not published | 0 |
| Incision of jaw joint CPT 21010 | not published | not published | not published | 0 |
| Incision of jaw nerve CPT 64738 | not published | not published | not published | 0 |
| Incision of knee joint CPT 27435 | not published | not published | not published | 0 |
| Incision of lymph channels CPT 38308 | not published | not published | not published | 0 |
| Incision of metatarsal CPT 28306 | not published | not published | not published | 0 |
| Incision of metatarsal CPT 28307 | not published | not published | not published | 0 |
| Incision of metatarsal CPT 28308 | not published | not published | not published | 0 |
| Incision of metatarsals CPT 28309 | not published | not published | not published | 0 |
| Incision of midfoot bones CPT 28304 | not published | not published | not published | 0 |
| Incision of palm tendon CPT 26450 | not published | not published | not published | 0 |
| Incision of prostate CPT 52450 | not published | not published | not published | 0 |
| Incision of rectal abscess CPT 46060 | not published | not published | not published | 0 |
| Incision of sperm duct CPT 55200 | not published | not published | not published | 0 |
| Incision of spinal nerve 64772 CPT 64772 | not published | not published | not published | 0 |
| Incision of tendon & muscle CPT 23405 | not published | not published | not published | 0 |
| Incision of tendon sheath CPT 25000 | not published | not published | not published | 0 |
| Incision of thigh tendon CPT 27306 | not published | not published | not published | 0 |
| Incision of thigh tendon CPT 27390 | not published | not published | not published | 0 |
| Incision of thigh tendons CPT 27307 | not published | not published | not published | 0 |
| Incision of thigh tendons CPT 27391 | not published | not published | not published | 0 |
| Incision of thigh tendons CPT 27392 | not published | not published | not published | 0 |
| Incision of tibia CPT 27705 | not published | not published | not published | 0 |
| Incision of tibia & fibula CPT 27709 | not published | not published | not published | 0 |
| Incision of toe tendons 28011 CPT 28011 | not published | not published | not published | 0 |
| Incision of tongue fold CPT 41010 | $3,979.50 | $5,306.00 | not published | 0 |
| Incision of tongue nerve CPT 64740 | not published | not published | not published | 0 |
| Incision of urethra CPT 53000 | not published | not published | not published | 0 |
| Incision of urethra CPT 53010 | not published | not published | not published | 0 |
| Incision of urethra CPT 53020 | not published | not published | not published | 0 |
| Incision of urethra CPT 53025 | not published | not published | not published | 0 |
| Incision of windpipe CPT 31601 | not published | not published | not published | 0 |
| Incision of windpipe CPT 31610 | not published | not published | not published | 0 |
| Incision of wrist capsule CPT 25085 | 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.