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 |
|---|---|---|---|---|
| Inj allopurinol sodium 1 mg HCPCS J0206 | $9,333.47 | $12,444.62 | $4.50 – $4.50 | 1 |
| Inj, alyglo, 500 mg HCPCS J1552 | not published | not published | $131.00 – $131.00 | 1 |
| Inj alymsys 10 mg HCPCS Q5126 | $1,715.28 | $2,287.03 | $72.00 – $72.00 | 1 |
| Inj, amisulpride, 1 mg HCPCS J0184 | $132.54 | $176.72 | $9.00 – $9.00 | 1 |
| Inj andexxa, 10 mg HCPCS J7169 | $5,853.75 | $7,805.00 | $132.00 – $132.00 | 1 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $12,734.85 | $16,979.80 | $14.00 – $14.00 | 1 |
| Inj. (ani), up to 40 units HCPCS J0802 | not published | not published | $3,546.00 – $3,546.00 | 1 |
| Inj., aristada initio, 1 mg HCPCS J1943 | $5,702.15 | $7,602.86 | $3.25 – $3.25 | 1 |
| Inj, artesunate, 1mg HCPCS J0391 | $19,366.35 | $25,821.80 | $52.00 – $52.00 | 1 |
| Inj. asceniv HCPCS J1554 | $11,298.93 | $15,065.24 | $497.00 – $497.00 | 1 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | $12,459.15 | $16,612.20 | $55.00 – $55.00 | 1 |
| Inj atezolizumb 5mg hya-tqjs HCPCS J9024 | $25,066.77 | $33,422.36 | $31.00 – $31.00 | 1 |
| Inj avacincaptad pegol 0.1mg HCPCS J2782 | $4,917.75 | $6,557.00 | $106.00 – $106.00 | 1 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | $4,560.67 | $6,080.89 | $81.00 – $81.00 | 1 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $13,685.85 | $18,247.80 | $168.00 – $168.00 | 1 |
| Inj, betibeglogene autotemce HCPCS J3393 | not published | not published | $3,052,000.00 – $3,052,000.00 | 1 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $8,895.75 | $11,861.00 | $40.00 – $40.00 | 1 |
| Inj bimatoprost itc imp1mcg HCPCS J7351 | $4,742.25 | $6,323.00 | $212.00 – $212.00 | 1 |
| Inj, biorphen, 20 micrograms HCPCS J2372 | $6.81 | $9.08 | $0.17 – $0.17 | 1 |
| Inj bortezomib boruzu 0.1 mg HCPCS J9054 | not published | not published | $26.00 – $26.00 | 1 |
| Inj, bortezomib, dr. reddy's HCPCS J9046 | not published | not published | $4.90 – $4.90 | 1 |
| Inj, bortezomib freseniuskab HCPCS J9048 | $3,784.73 | $5,046.30 | $17.00 – $17.00 | 1 |
| Inj, bortezomib, hospira HCPCS J9049 | $252.91 | $337.21 | $1.50 – $1.50 | 1 |
| Inj., brexanolone, 1 mg HCPCS J1632 | $17,436.75 | $23,249.00 | not published | 0 |
| Inj, brixadi, 7 days or less HCPCS J0577 | $1,002.93 | $1,337.24 | $422.00 – $422.00 | 1 |
| Inj brixadi, more than 7 day HCPCS J0578 | $4,000.47 | $5,333.96 | $1,691.00 – $1,691.00 | 1 |
| Inj, brolucizumab-dbll, 1 mg HCPCS J0179 | $4,878.89 | $6,505.18 | $346.00 – $346.00 | 1 |
| Inj bulking agent anal canal HCPCS L8605 | $13,738.99 | $18,318.65 | not published | 0 |
| Inj, bupivacaine liposome HCPCS J0666 | $936.67 | $1,248.89 | $1.49 – $1.49 | 1 |
| Inj. byooviz, 0.1 mg HCPCS Q5124 | $1,637.87 | $2,183.82 | $138.00 – $138.00 | 1 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | $27.66 | $36.88 | $1.49 – $1.49 | 1 |
| Inj, carmustine (accord) HCPCS J9052 | $13,225.56 | $17,634.08 | $260.00 – $260.00 | 1 |
| Inj cefazolin sodium, baxter HCPCS J0689 | $32.06 | $42.74 | $1.30 – $1.30 | 1 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $30.60 | $40.80 | $0.90 – $0.90 | 1 |
| Inj cefazolin (wg crit care) HCPCS J0687 | $18.69 | $24.91 | $1.00 – $1.00 | 1 |
| Inj. cefepime hcl (baxter) HCPCS J0701 | $118.73 | $158.30 | $5.87 – $5.87 | 1 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | $63.97 | $85.29 | $5.07 – $5.07 | 1 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | $548.60 | $731.46 | $2.40 – $2.40 | 1 |
| Inj ceftolozane tazobactam HCPCS J0695 | $411.75 | $549.00 | $9.00 – $9.00 | 1 |
| Inj. cetirizine hcl 0.5mg HCPCS J1201 | $230.75 | $307.66 | $17.00 – $17.00 | 1 |
| Inj, cimerli, 0.1 mg HCPCS Q5128 | not published | not published | $272.00 – $272.00 | 1 |
| Inj, cipaglucosidase, 5 mg HCPCS J1203 | $4,391.25 | $5,855.00 | $90.00 – $90.00 | 1 |
| Inj, clindamycin (baxter) HCPCS J0737 | $43.66 | $58.21 | $1.70 – $1.70 | 1 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $768.75 | $1,025.00 | not published | 0 |
| Inj., copanlisib, 1 mg HCPCS J9057 | $12,327.18 | $16,436.23 | not published | 0 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | $3,092.55 | $4,123.40 | $1,043.00 – $1,043.00 | 1 |
| Inj, crovalimab-akkz, 10 mg HCPCS J1307 | not published | not published | $551.00 – $551.00 | 1 |
| Inj cutaquig 100 mg HCPCS J1551 | $503.09 | $670.78 | $14.00 – $14.00 | 1 |
| Inj cuvitru, 100 mg HCPCS J1555 | $5,576.27 | $7,435.02 | $18.00 – $18.00 | 1 |
| Inj, cyclophos (baxter) 5mg HCPCS J9076 | $3,461.85 | $4,615.80 | $5.00 – $5.00 | 1 |
| Inj cyclophos dr.reddy's 5mg HCPCS J9072 | not published | not published | $9.00 – $9.00 | 1 |
| Inj cyclophosphamd auromedic HCPCS J9071 | not published | not published | $0.78 – $0.78 | 1 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | not published | not published | $1.16 – $1.16 | 1 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | $1,060.39 | $1,413.85 | $4.20 – $4.20 | 1 |
| Inj, daptomycin (baxter) HCPCS J0874 | not published | not published | $0.06 – $0.06 | 1 |
| Inj, daptomycin (hospira) HCPCS J0877 | not published | not published | $0.06 – $0.06 | 1 |
| Inj daptomycin (xellia) HCPCS J0873 | $165.75 | $221.00 | $0.04 – $0.04 | 1 |
| Inj daxibotulinumtoxina-lanm HCPCS J0589 | $986.55 | $1,315.40 | $3.10 – $3.10 | 1 |
| Inj, decitabine (sun pharma) HCPCS J0893 | not published | not published | $0.78 – $0.78 | 1 |
| Inj delandistrogene mox rokl HCPCS J1413 | not published | not published | $3,383,360.00 – $3,383,360.00 | 1 |
| Inj. denosumab-bbdz, 1 mg HCPCS Q5136 | not published | not published | $27.00 – $27.00 | 1 |
| Inj, docetaxel (beizray) 1mg HCPCS J9174 | not published | not published | $52.00 – $52.00 | 1 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | $1,651.93 | $2,202.57 | $4.10 – $4.10 | 1 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | not published | 0 |
| Inj, durolane 1 mg HCPCS J7318 | $2,612.85 | $3,483.80 | $7.00 – $7.00 | 1 |
| Inj dx for sinogram CPT 20501 | $353.25 | $471.00 | not published | 0 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $1,006.50 | $1,342.00 | not published | 0 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $846.00 | $1,128.00 | not published | 0 |
| Injection, belinostat, 10mg HCPCS J9032 | $5,954.61 | $7,939.47 | $52.00 – $52.00 | 1 |
| Injection, burosumab-twza 1m HCPCS J0584 | $28,849.17 | $38,465.56 | $481.00 – $481.00 | 1 |
| Injection, cangrelor HCPCS C9460 | $2,346.56 | $3,128.74 | not published | 0 |
| Injection, caplacizumab-yhdp HCPCS C9047 | $18,518.58 | $24,691.44 | not published | 0 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | not published | not published | not published | 0 |
| Injection, casimersen, 10 mg HCPCS J1426 | $3,747.75 | $4,997.00 | not published | 0 |
| Injection, cimetidine hydroc HCPCS S0023 | not published | not published | $2.20 – $2.20 | 1 |
| Injection, daratumumab 10 mg HCPCS J9145 | $6,916.40 | $9,221.86 | $70.00 – $70.00 | 1 |
| Injection, delafloxacin HCPCS C9462 | $352.30 | $469.73 | not published | 0 |
| Injection, doxercalciferol HCPCS J1270 | $9.08 | $12.10 | $0.37 – $0.37 | 1 |
| Injection during cath supravalvular aortography CPT 93567 | $735.00 | $980.00 | not published | 0 |
| Injection, edaravone, 1 mg HCPCS J1301 | $1,522.22 | $2,029.62 | $19.00 – $19.00 | 1 |
| Injection epidural blood patch or clot CPT 62273 | $893.25 | $1,191.00 | not published | 0 |
| Injection estrone per 1 mg HCPCS J1435 | not published | not published | $0.37 – $0.37 | 1 |
| Injection eye drug CPT 67028 | $900.00 | $1,200.00 | not published | 0 |
| Injection for arthrography wrist (both sides) CPT 25246 | $696.00 | $928.00 | not published | 0 |
| Injection for bladder x-ray CPT 51600 | $540.00 | $720.00 | not published | 0 |
| Injection for hip x-ray CPT 27095 | $921.75 | $1,229.00 | not published | 0 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $687.00 | $916.00 | not published | 0 |
| Injection, fosphenytoin sodi HCPCS S0078 | not published | not published | $146.00 – $146.00 | 1 |
| Injection, fulvestrant HCPCS J9395 | $2,302.44 | $3,069.92 | $7.00 – $7.00 | 1 |
| Injection glatiramer acetate HCPCS J1595 | $1,197.86 | $1,597.14 | $160.00 – $160.00 | 1 |
| Injection, glucarpidase HCPCS C9293 | $93,387.03 | $124,516.04 | not published | 0 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $8,399.04 | $11,198.72 | $12.00 – $12.00 | 1 |
| Injection into brain canal CPT 61026 | not published | not published | not published | 0 |
| Injection into brain canal CPT 61055 | $432.00 | $576.00 | not published | 0 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | not published | 0 |
| Injection into spinal artery CPT 62294 | not published | not published | not published | 0 |
| Injection into vocal cord CPT 31513 | not published | not published | not published | 0 |
| Injection, isavuconazonium HCPCS J1833 | $926.61 | $1,235.47 | $1.00 – $1.00 | 1 |
| Injection, khapzory, 0.5 mg HCPCS J0642 | $2,896.56 | $3,862.07 | $1.10 – $1.10 | 1 |
| Injection, necitumumab, 1 mg HCPCS J9295 | $10,165.37 | $13,553.82 | $5.70 – $5.70 | 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.