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 |
|---|---|---|---|---|
| Apl(pml-rara) quant - sendout CPT 81315 | not published | not published | $207.00 – $207.00 | 1 |
| Apomorphine hydrochloride HCPCS J0364 | $234.37 | $312.49 | $3.35 – $3.35 | 1 |
| Appendectomy CPT 44950 | not published | not published | not published | 0 |
| Appendix Removal (Laparoscopic) CPT 44970 | $9,310.50 | $12,414.00 | not published | 0 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | not published | not published | not published | 0 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | not published | not published | not published | 0 |
| Appl bdy cst sho to hip 1thi CPT 29044 | not published | not published | not published | 0 |
| Appl bdy cst sho to hip b th CPT 29046 | not published | not published | not published | 0 |
| Appl bdy cst sho to hip head CPT 29040 | not published | not published | not published | 0 |
| Appl body cast sho to hips CPT 29035 | not published | not published | not published | 0 |
| Appl cast figure-of-eight CPT 29049 | $399.00 | $532.00 | not published | 0 |
| Appl cast plaster velpeau CPT 29058 | not published | not published | not published | 0 |
| Appl cast shoulder spica CPT 29055 | not published | not published | not published | 0 |
| Appl halo type body cast CPT 29000 | not published | not published | not published | 0 |
| Appl hip spica cast1&1/2 CPT 29325 | not published | not published | not published | 0 |
| Appl hip spica cast 1 leg CPT 29305 | not published | not published | not published | 0 |
| Application clubfoot cast CPT 29450 | not published | not published | not published | 0 |
| Application finger splntstatic 29130 CPT 29130 | $201.75 | $269.00 | not published | 0 |
| Application halo femoral CPT 20663 | not published | not published | not published | 0 |
| Application halo pelvic CPT 20662 | not published | not published | not published | 0 |
| Application long leg splint 29505 CPT 29505 | $539.25 | $719.00 | not published | 0 |
| Application lower leg splint 29515 CPT 29515 | $378.00 | $504.00 | not published | 0 |
| Application multi layer compression below knee (both sides) CPT 29581 | $335.25 | $447.00 | not published | 0 |
| Application of body cast CPT 29010 | not published | not published | not published | 0 |
| Application of body cast CPT 29015 | not published | not published | not published | 0 |
| Application of cylinder cast 29365 CPT 29365 | not published | not published | not published | 0 |
| Application of forearm cast 29075 CPT 29075 | not published | not published | not published | 0 |
| Application of long arm cast 29065 CPT 29065 | $399.00 | $532.00 | not published | 0 |
| Application of long leg cast CPT 29355 | $507.75 | $677.00 | not published | 0 |
| Application of long leg cast 29345 CPT 29345 | not published | not published | not published | 0 |
| Application of paste boot 29580 CPT 29580 | $486.75 | $649.00 | not published | 0 |
| Application short leg cast 29405 CPT 29405 | $713.25 | $951.00 | not published | 0 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | not published | not published | not published | 0 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | not published | not published | not published | 0 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $744.90 | $993.20 | not published | 0 |
| Appl long leg cast brace CPT 29358 | not published | not published | not published | 0 |
| Appl mltpln uni ext fixj sys CPT 20692 | not published | not published | not published | 0 |
| Appl multlay comprs arm/hand CPT 29584 | not published | not published | not published | 0 |
| Appl patllr tdn bearing cast CPT 29435 | not published | not published | not published | 0 |
| Appl unipln uni ext fixj sys CPT 20690 | not published | not published | not published | 0 |
| Apply finger cast 29086 CPT 29086 | not published | not published | not published | 0 |
| Apply forearm splintdynamic 29126 CPT 29126 | $378.00 | $504.00 | not published | 0 |
| Apply halo w/removal cranial CPT 20661 | $2,169.00 | $2,892.00 | not published | 0 |
| Apply hand/wrist cast 29085 CPT 29085 | $345.00 | $460.00 | not published | 0 |
| Apply interstit radiat compl CPT 77778 | $2,504.25 | $3,339.00 | $714.00 – $714.00 | 1 |
| Apply intrcav radiat compl CPT 77763 | $2,168.25 | $2,891.00 | $714.00 – $714.00 | 1 |
| Apply intrcav radiat interm CPT 77762 | $1,641.75 | $2,189.00 | $596.00 – $596.00 | 1 |
| Apply intrcav radiat simple CPT 77761 | $1,641.75 | $2,189.00 | $596.00 – $596.00 | 1 |
| Apply of finger splint 29131 CPT 29131 | not published | not published | not published | 0 |
| Apply rem fixation device CPT 20660 | $4,853.25 | $6,471.00 | not published | 0 |
| Apply rigid leg cast 29445 CPT 29445 | not published | not published | not published | 0 |
| Apply short leg castambul type 29425 CPT 29425 | $381.00 | $508.00 | not published | 0 |
| Apply surf ldr radionuclide CPT 77789 | $372.75 | $497.00 | $112.00 – $112.00 | 1 |
| App mltpln uni xtrnl fix 1st CPT 20696 | not published | not published | not published | 0 |
| App mltpln uni xtrnl fix xch CPT 20697 | not published | not published | not published | 0 |
| App skn cll ssp f/n/g/hf 1st CPT 15017 | not published | not published | not published | 0 |
| App skn cl ssp agrft t/a/l 1 CPT 15015 | not published | not published | not published | 0 |
| App topical fluoride varnish CPT 99188 | $46.50 | $62.00 | not published | 0 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | not published | not published | $1.77 – $1.77 | 1 |
| #aptt mix-1:1 incubated CPT 87532 | $219.75 | $293.00 | $35.00 – $35.00 | 1 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | $102.00 | $136.00 | $38.00 – $38.00 | 1 |
| Aqmbf pet rest & rx stress CPT 78434 | $694.50 | $926.00 | not published | 0 |
| Aquaporin-4 antibody cba each CPT 86052 | not published | not published | $12.00 – $12.00 | 1 |
| Aquaporin-4 antibody elisa CPT 86051 | not published | not published | $11.00 – $11.00 | 1 |
| Aqueous shunt eye w/graft CPT 66180 | not published | not published | not published | 0 |
| Aqueous shunt eye without graft CPT 66179 | not published | not published | not published | 0 |
| Architect ecm px fx 1 sq cm HCPCS Q4147 | $592.50 | $790.00 | not published | 0 |
| Arformoterol non-comp unit HCPCS J7605 | not published | not published | $0.79 – $0.79 | 1 |
| Argatroban dialysis, auromed HCPCS J0899 | not published | not published | $1.45 – $1.45 | 1 |
| Argatroban esrd dialysis 1mg HCPCS J0884 | not published | not published | $0.70 – $0.70 | 1 |
| Argatroban nonesrd (accord) HCPCS J0891 | not published | not published | $1.80 – $1.80 | 1 |
| Argatroban nonesrd (auromed) HCPCS J0898 | not published | not published | $1.45 – $1.45 | 1 |
| Argatroban nonesrd use 1mg HCPCS J0883 | $2,769.99 | $3,693.31 | $0.70 – $0.70 | 1 |
| Ar gene charac alleles CPT 81204 | not published | not published | $137.00 – $137.00 | 1 |
| Ar gene full gene sequence CPT 81173 | not published | not published | $301.00 – $301.00 | 1 |
| Ar gene known famil variant CPT 81174 | not published | not published | $185.00 – $185.00 | 1 |
| Aripiprazole 441 mg/1.6 ml inj HCPCS J1944 | $8,986.11 | $11,981.47 | $3.30 – $3.30 | 1 |
| Aripiprazole injection HCPCS J0400 | not published | not published | $0.37 – $0.37 | 1 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | $3,020.25 | $4,026.99 | $5.85 – $5.85 | 1 |
| Arterial blood draw/perc 36620 CPT 36620 | $115.50 | $154.00 | not published | 0 |
| Artery to vein shunt CPT 36835 | not published | not published | not published | 0 |
| Artery-vein nonautograft CPT 36830 | $3,648.75 | $4,865.00 | not published | 0 |
| Artery xray each vessel 7577426 CPT 75774 | $487.50 | $650.00 | not published | 0 |
| Artery xray of abdomen 75726-26 CPT 75726 | $14,317.50 | $19,090.00 | $5,565.00 – $5,565.00 | 1 |
| Artery x-rays adrenal gland CPT 75731 | $8,295.00 | $11,060.00 | $3,240.00 – $3,240.00 | 1 |
| Artery x-rays adrenals CPT 75733 | $8,295.00 | $11,060.00 | $3,240.00 – $3,240.00 | 1 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $8,301.00 | $11,068.00 | $3,240.00 – $3,240.00 | 1 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $8,301.00 | $11,068.00 | $3,240.00 – $3,240.00 | 1 |
| Artery x-rays chest CPT 75756 | $8,295.00 | $11,060.00 | $3,240.00 – $3,240.00 | 1 |
| Artery x-rays lung CPT 75741 | $8,295.00 | $11,060.00 | $3,240.00 – $3,240.00 | 1 |
| Artery x-rays lung CPT 75746 | $8,301.00 | $11,068.00 | $3,240.00 – $3,240.00 | 1 |
| Artery x-rays lungs CPT 75743 | $8,295.00 | $11,060.00 | $3,240.00 – $3,240.00 | 1 |
| Artery xrays of pelvis 75736 26 CPT 75736 | $14,317.50 | $19,090.00 | $5,565.00 – $5,565.00 | 1 |
| Artery x-rays spine CPT 75705 | $14,313.00 | $19,084.00 | $5,565.00 – $5,565.00 | 1 |
| Arthrd ant dfrm 2-3 vrt sgm CPT 22808 | $8,484.75 | $11,313.00 | not published | 0 |
| Arthrd ant ntrbd min dsc crv CPT 22554 | not published | not published | not published | 0 |
| Arthrd ant ntrbdy cervical CPT 22551 | not published | not published | not published | 0 |
| Arthrd cmbn 1ntrspc lumbar CPT 22633 | not published | not published | not published | 0 |
| Arthrd dst rad/ul jt sgm rsc CPT 25830 | not published | not published | not published | 0 |
| Arthrd elbow jt autog graft CPT 24802 | 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.