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 |
|---|---|---|---|---|
| Injection of HIV prep drug HCPCS G0012 | not published | not published | $15.00 – $15.00 | 1 |
| Injection of sinus tract CPT 20500 | not published | not published | not published | 0 |
| Injection,onabotulinumtoxina HCPCS J0585 | $3,050.43 | $4,067.24 | $7.00 – $7.00 | 1 |
| Injection, peramivir HCPCS J2547 | $744.75 | $993.00 | $1.68 – $1.68 | 1 |
| Injection, piperacillin sodi HCPCS S0081 | not published | not published | $1.49 – $1.49 | 1 |
| Injection px peyronie ds CPT 54200 | not published | not published | not published | 0 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $277.50 | $370.00 | not published | 0 |
| Injection, renflexis HCPCS Q5104 | $1,796.69 | $2,395.58 | $75.00 – $75.00 | 1 |
| Injection, ruconest HCPCS J0596 | $18,899.25 | $25,199.00 | $37.00 – $37.00 | 1 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $2,031.75 | $2,709.00 | not published | 0 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $819.00 | $1,092.00 | not published | 0 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $1,023.75 | $1,365.00 | not published | 0 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $1,341.00 | $1,788.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $178.50 | $238.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $1,353.75 | $1,805.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $495.00 | $660.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $1,835.25 | $2,447.00 | not published | 0 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $1,023.75 | $1,365.00 | not published | 0 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,023.75 | $1,365.00 | not published | 0 |
| Injection, siltuximab HCPCS J2860 | $15,404.94 | $20,539.91 | $162.00 – $162.00 | 1 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $346.50 | $462.00 | not published | 0 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $614.25 | $819.00 | not published | 0 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $879.75 | $1,173.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $108.00 | $144.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $130.50 | $174.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $217.50 | $290.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $151.50 | $202.00 | not published | 0 |
| Injection, ticarcillin disod HCPCS S0040 | not published | not published | $12.00 – $12.00 | 1 |
| Injection treatment of eye CPT 66020 | not published | not published | not published | 0 |
| Injection treatment of eye CPT 66030 | not published | not published | not published | 0 |
| Injection treatment of nerve CPT 64605 | not published | not published | not published | 0 |
| Injection treatment of nerve CPT 64610 | not published | not published | not published | 0 |
| Injection treatment of nerve CPT 64681 | not published | not published | not published | 0 |
| Injection treatment of nose CPT 30200 | not published | not published | not published | 0 |
| Inject sacroiliac joint CPT 27096 | $541.50 | $722.00 | not published | 0 |
| Inject/treat eye socket CPT 67500 | not published | not published | not published | 0 |
| Inject/treat eye socket CPT 67505 | not published | not published | not published | 0 |
| Inject/treat eye socket CPT 67515 | not published | not published | not published | 0 |
| Inj, eculizumab-aagh, 2 mg HCPCS Q5151 | $10,688.19 | $14,250.92 | $30.00 – $30.00 | 1 |
| Inj, eculizumab-aeeb, 2 mg HCPCS Q5152 | not published | not published | $39.00 – $39.00 | 1 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | $35,449.85 | $47,266.46 | $34.00 – $34.00 | 1 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $21.00 – $21.00 | 1 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | $8,501.70 | $11,335.59 | $381.00 – $381.00 | 1 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | $78,349.80 | $104,466.40 | $58.00 – $58.00 | 1 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $855.75 | $1,141.00 | not published | 0 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,082.25 | $1,443.00 | not published | 0 |
| Inj., eravacycline, 1 mg HCPCS J0122 | $276.75 | $369.00 | $1.29 – $1.29 | 1 |
| Inj, erzofri, 1 mg HCPCS J2428 | $13,679.07 | $18,238.75 | $17.00 – $17.00 | 1 |
| Inj, etelcalcetide, 0.1 mg HCPCS J0606 | $486.87 | $649.16 | not published | 0 |
| Inj, eteplirsen, 10 mg HCPCS J1428 | $3,747.75 | $4,997.00 | not published | 0 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | $27,791.70 | $37,055.59 | $190.00 – $190.00 | 1 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $17.00 – $17.00 | 1 |
| Inj, exagamglogene autotem HCPCS J3392 | not published | not published | $2,398,000.00 – $2,398,000.00 | 1 |
| Inj, factor x, (human), 1iu HCPCS J7175 | $38.58 | $51.43 | $10.00 – $10.00 | 1 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | $5,495.48 | $7,327.30 | $34.00 – $34.00 | 1 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | not published | not published | $19.00 – $19.00 | 1 |
| Inj fensolvi 0.25 mg HCPCS J1951 | $59,280.78 | $79,041.04 | $141.00 – $141.00 | 1 |
| Inj., fibryga, 1 mg HCPCS J7177 | $7.12 | $9.49 | $1.20 – $1.20 | 1 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | $33.14 | $44.18 | $8.00 – $8.00 | 1 |
| Inj, focinvez, 1mg HCPCS J1434 | $1,106.38 | $1,475.17 | $2.87 – $2.87 | 1 |
| Inj follitropin alfa 75 iu HCPCS S0126 | not published | not published | $66.00 – $66.00 | 1 |
| Inj follitropin beta 75 iu HCPCS S0128 | not published | not published | $63.00 – $63.00 | 1 |
| Inj for ext venography CPT 36005 | $1,151.25 | $1,535.00 | not published | 0 |
| Inj, fosaprepitant (teva) HCPCS J1456 | not published | not published | $1.10 – $1.10 | 1 |
| Inj fosnetupitant, palonoset HCPCS J1454 | $1,602.39 | $2,136.52 | $606.00 – $606.00 | 1 |
| Inj., fremanezumab-vfrm 1 mg HCPCS J3031 | $1,770.81 | $2,361.07 | not published | 0 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | not published | not published | $3.30 – $3.30 | 1 |
| Inj, fulvestrant (teva) HCPCS J9393 | not published | not published | $46.00 – $46.00 | 1 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | not published | not published | $3.40 – $3.40 | 1 |
| Inj ganirelix acetat 250 mcg HCPCS S0132 | not published | not published | $88.00 – $88.00 | 1 |
| Inj gemcitabine hcl (accord) HCPCS J9196 | $152.55 | $203.40 | $5.29 – $5.29 | 1 |
| Inj givosiran 0.5 mg HCPCS J0223 | $94,814.79 | $126,419.72 | $117.00 – $117.00 | 1 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | $6,375.90 | $8,501.20 | $2,769.00 – $2,769.00 | 1 |
| Inj glycopyrrolate fres kabi HCPCS J1598 | $14.43 | $19.24 | $1.85 – $1.85 | 1 |
| Inj golodirsen 10 mg HCPCS J1429 | $3,747.75 | $4,997.00 | not published | 0 |
| Inj, granisetron, xr, 0.1 mg HCPCS J1627 | not published | not published | $4.96 – $4.96 | 1 |
| Inj., guselkumab, 1 mg HCPCS J1628 | $31,467.27 | $41,956.35 | $75.00 – $75.00 | 1 |
| Inj., haegarda 10 units HCPCS J0599 | $8,499.62 | $11,332.82 | not published | 0 |
| Inj, hemgenix, per tx dose HCPCS J1411 | $6,300,003.75 | $8,400,005.00 | $3,815,000.00 – $3,815,000.00 | 1 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | not published | not published | $3.00 – $3.00 | 1 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | $10,973.82 | $14,631.75 | $63.00 – $63.00 | 1 |
| Inj, hercessi, 10 mg HCPCS Q5146 | $8,702.05 | $11,602.73 | $18.00 – $18.00 | 1 |
| Inj herzuma 10 mg HCPCS Q5113 | not published | not published | $73.00 – $73.00 | 1 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $395.25 | $527.00 | not published | 0 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | $257.25 | $343.00 | not published | 0 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | $267.75 | $357.00 | not published | 0 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | $199.50 | $266.00 | not published | 0 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $825.00 | $1,100.00 | not published | 0 |
| Inj human fibrinogen con nos HCPCS J7178 | $8.40 | $11.20 | $1.50 – $1.50 | 1 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | $2,456.07 | $3,274.76 | $5.18 – $5.18 | 1 |
| Inj hydroxyprogst capoat nos HCPCS J1729 | $904.92 | $1,206.56 | not published | 0 |
| Inj., ibalizumab-uiyk, 10 mg HCPCS J1746 | $14,273.07 | $19,030.76 | $79.00 – $79.00 | 1 |
| Inj, idacio, 1 mg HCPCS Q5144 | not published | not published | $164.00 – $164.00 | 1 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | $743.52 | $991.36 | $2.60 – $2.60 | 1 |
| Inj, imm glob bivigam, 500mg HCPCS J1556 | $1,815.11 | $2,420.14 | $77.00 – $77.00 | 1 |
| Inj, immphentiv, 20 mcg HCPCS J2373 | $6.81 | $9.08 | $0.10 – $0.10 | 1 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | $100,982.67 | $134,643.56 | $494.00 – $494.00 | 1 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | $2,421.00 | $3,228.00 | not published | 0 |
| Inj. infugem, 100 mg HCPCS J9198 | $1,989.99 | $2,653.32 | not published | 0 |
| Inj. insulin (fiasp) HCPCS J1812 | $255.29 | $340.38 | 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.