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 intralesional <= 7 lsn(s) CPT 11900 | not published | not published | not published | 0 |
| Inj intralesional > 7 lsns CPT 11901 | not published | not published | not published | 0 |
| Inj, invega hafyera/trinza HCPCS J2427 | $46,259.94 | $61,679.91 | $13.00 – $13.00 | 1 |
| Inj ivig privigen 500 mg HCPCS J1459 | $8,982.72 | $11,976.96 | $50.00 – $50.00 | 1 |
| Inj, ixinity, 1 i.u HCPCS J7213 | $10.09 | $13.45 | $1.90 – $1.90 | 1 |
| Inj. jivi 1 iu HCPCS J7208 | not published | not published | $2.65 – $2.65 | 1 |
| Inj, kovaltry, 1 i.u HCPCS J7211 | not published | not published | $1.58 – $1.58 | 1 |
| Inj labetalol hcl hikma, 5mg HCPCS J1921 | $117.15 | $156.20 | $1.38 – $1.38 | 1 |
| Inj., lanadelumab-flyo, 1 mg HCPCS J0593 | $56,925.65 | $75,900.86 | $87.00 – $87.00 | 1 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | not published | not published | $24.00 – $24.00 | 1 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | $621.14 | $828.18 | $1.30 – $1.30 | 1 |
| Inj lefamulin 1 mg HCPCS J0691 | $243.60 | $324.80 | not published | 0 |
| Inj, lenacapavir, 1 mg HCPCS J1961 | $42,123.75 | $56,165.00 | $22.00 – $22.00 | 1 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $196.38 | $261.83 | $24.00 – $24.00 | 1 |
| Inj levoleucovorin nos 0.5mg HCPCS J0641 | $138.75 | $185.00 | $0.04 – $0.04 | 1 |
| Inj, levothyroxine, freskabi HCPCS J0651 | $1,239.06 | $1,652.08 | $7.00 – $7.00 | 1 |
| Inj, levothyroxine, hikma HCPCS J0652 | not published | not published | $5.10 – $5.10 | 1 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $75.66 | $100.88 | not published | 0 |
| Inj, linezolid (hospira) HCPCS J2021 | $221.10 | $294.80 | $7.00 – $7.00 | 1 |
| Inj, lovotibeglogene autotem HCPCS J3394 | not published | not published | $3,379,000.00 – $3,379,000.00 | 1 |
| Inj. lumasiran, 0.5 mg HCPCS J0224 | $129,817.59 | $173,090.12 | $329.00 – $329.00 | 1 |
| Inj., lumoxiti, 0.01 mg HCPCS J9313 | $5,198.13 | $6,930.84 | $23.00 – $23.00 | 1 |
| Inj luxturna 1 billion vec g HCPCS J3398 | not published | not published | $3,162.00 – $3,162.00 | 1 |
| Inj marstacim-hncq, 0.5 mg HCPCS J7172 | not published | not published | $50.00 – $50.00 | 1 |
| Inj. meloxicam 1 mg HCPCS J1738 | $223.71 | $298.28 | not published | 0 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | $5,898.67 | $7,864.89 | $108.00 – $108.00 | 1 |
| Inj, melphalan (apotex) 1 mg HCPCS J9249 | not published | not published | $65.00 – $65.00 | 1 |
| Inj melphalan (hepzato) 1 mg HCPCS J9248 | not published | not published | $787.00 – $787.00 | 1 |
| Inj menotropins 75 iu HCPCS S0122 | not published | not published | $58.00 – $58.00 | 1 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $52.84 | $70.45 | $3.80 – $3.80 | 1 |
| Inj, meropenem (b. braun) HCPCS J2184 | $95.28 | $127.03 | $2.08 – $2.08 | 1 |
| Inj., meropenem, vaborbactam HCPCS J2186 | $524.40 | $699.20 | $2.18 – $2.18 | 1 |
| Inj meropenem (wg crit care) HCPCS J2183 | $104.43 | $139.23 | $1.60 – $1.60 | 1 |
| Inj, micafungin (par pharm) HCPCS J2247 | not published | not published | $0.36 – $0.36 | 1 |
| Inj, mirikizumab-mrkz, 1 mg HCPCS J2267 | $23,501.75 | $31,335.66 | $48.00 – $48.00 | 1 |
| Inj mogamulizumab-kpkc, 1 mg HCPCS J9204 | $11,194.55 | $14,926.06 | $249.00 – $249.00 | 1 |
| Inj, motixafortide, 0.25 mg HCPCS J2277 | not published | not published | $25.00 – $25.00 | 1 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | $127.50 | $170.00 | $9.00 – $9.00 | 1 |
| Inj moxifloxacin (fres kabi) HCPCS J2281 | $128.07 | $170.75 | $8.00 – $8.00 | 1 |
| Inj multihance HCPCS A9577 | $94.47 | $125.96 | $1.70 – $1.70 | 1 |
| Inj multihance multipack HCPCS A9578 | not published | not published | $1.70 – $1.70 | 1 |
| Inj. mycophenolate mofetil HCPCS J7519 | $256.42 | $341.89 | $0.40 – $0.40 | 1 |
| Inj. naxitamab-gqgk, 1 mg HCPCS J9348 | $56,336.10 | $75,114.79 | $686.00 – $686.00 | 1 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $670.50 | $894.00 | not published | 0 |
| Inj, nithiodote, 3mg / 125mg HCPCS J0211 | $462.04 | $616.05 | $2.17 – $2.17 | 1 |
| Inj nivolumab 2 mg hyaluron HCPCS J9289 | $18,620.56 | $24,827.41 | $27.00 – $27.00 | 1 |
| Inj, nogapendekin pmln, 1mcg HCPCS J9028 | not published | not published | $94.00 – $94.00 | 1 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | not published | not published | not published | 0 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | not published | not published | not published | 0 |
| Inj, nyposi 1 mcg HCPCS Q5148 | not published | not published | $0.50 – $0.50 | 1 |
| Inj ocrelizumab 1mg hya-ocsq HCPCS J2351 | $89,172.69 | $118,896.91 | $47.00 – $47.00 | 1 |
| Inj octafluoropropane mic,ml HCPCS Q9956 | $304.91 | $406.54 | $41.00 – $41.00 | 1 |
| Inj ogivri 10 mg HCPCS Q5114 | $6,176.37 | $8,235.16 | $63.00 – $63.00 | 1 |
| Inj olipudase alfa-rpcp 1mg HCPCS J0218 | $17,732.13 | $23,642.84 | $394.00 – $394.00 | 1 |
| Inj, omacetaxine mep, 0.01mg HCPCS J9262 | $3,148.06 | $4,197.41 | not published | 0 |
| Inj., omadacycline, 1 mg HCPCS J0121 | $1,121.25 | $1,494.99 | $4.00 – $4.00 | 1 |
| Inj onase abepar-xioi treat HCPCS J3399 | not published | not published | $2,737,307.00 – $2,737,307.00 | 1 |
| Inj ontruzant 10 mg HCPCS Q5112 | not published | not published | $88.00 – $88.00 | 1 |
| Inj, pafolacianine, 0.1 mg HCPCS A9603 | $9,948.75 | $13,265.00 | not published | 0 |
| Inj, palonosetron (posfrea) HCPCS J2468 | not published | not published | $59.00 – $59.00 | 1 |
| Inj, panzyga, 500 mg HCPCS J1576 | $10,769.70 | $14,359.60 | $74.00 – $74.00 | 1 |
| Inj, pasireotide long acting HCPCS J2502 | $45,195.32 | $60,260.42 | $564.00 – $564.00 | 1 |
| Inj., patisiran, 0.1 mg HCPCS J0222 | $21,139.35 | $28,185.80 | $100.00 – $100.00 | 1 |
| Inj, pedmark, 100 mg HCPCS J0208 | $25,897.65 | $34,530.20 | $95.00 – $95.00 | 1 |
| Inj, pegcetacoplan, 1mg HCPCS J2781 | $5,283.12 | $7,044.16 | $142.00 – $142.00 | 1 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | $9,189.49 | $12,252.65 | $327.00 – $327.00 | 1 |
| Inj. pemetrexed, 10 mg HCPCS J9304 | $10,452.64 | $13,936.85 | $53.00 – $53.00 | 1 |
| Inj pemetrexed (accord) 10mg HCPCS J9296 | not published | not published | $9.00 – $9.00 | 1 |
| Inj, pemetrexed (avyxa) 10mg HCPCS J9292 | not published | not published | $83.00 – $83.00 | 1 |
| Inj pemetrexed ditromethamin HCPCS J9323 | $1,198.70 | $1,598.26 | $10.00 – $10.00 | 1 |
| Inj pemetrexed, hospira 10mg HCPCS J9294 | not published | not published | $4.90 – $4.90 | 1 |
| Inj pemetrexed (sandoz) 10mg HCPCS J9297 | $8,246.10 | $10,994.80 | $1.20 – $1.20 | 1 |
| Inj pemetrexed (teva) 10mg HCPCS J9314 | not published | not published | $3.79 – $3.79 | 1 |
| Inj, pemivibart, 4500 mg HCPCS Q0224 | $1,654.76 | $2,206.34 | $7,236.00 – $7,236.00 | 1 |
| Inj, pemrydi rtu, 10 mg HCPCS J9324 | not published | not published | $80.00 – $80.00 | 1 |
| Inj., perseris, 0.5 mg HCPCS J2798 | $6,787.04 | $9,049.38 | $12.00 – $12.00 | 1 |
| Inj plasminogen tvmh 1mg HCPCS J2998 | $6,428.08 | $8,570.77 | $32.00 – $32.00 | 1 |
| Inj., plazomicin, 5 mg HCPCS J0291 | $813.16 | $1,084.21 | $3.57 – $3.57 | 1 |
| Inj proc lumbr disk ea lvl CPT 62290 | $893.25 | $1,191.00 | not published | 0 |
| Inj progesterone per 50 mg HCPCS J2675 | $4.74 | $6.32 | $0.60 – $0.60 | 1 |
| Inj prohance multipack HCPCS A9576 | not published | not published | $1.40 – $1.40 | 1 |
| Inj recombin esperoct per iu HCPCS J7204 | not published | not published | $2.26 – $2.26 | 1 |
| Inj, releuko 1 mcg HCPCS Q5125 | not published | not published | $0.50 – $0.50 | 1 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | not published | not published | $1.10 – $1.10 | 1 |
| Inj retro urethrocysto CPT 51610 | $321.75 | $429.00 | not published | 0 |
| Inj, rimabotulinumtoxinb HCPCS J0587 | $746.79 | $995.72 | $13.00 – $13.00 | 1 |
| Inj roctavian ml 2x10^13vc g HCPCS J1412 | $187,598.85 | $250,131.80 | $12,363.00 – $12,363.00 | 1 |
| Inj romidepsin non-lyo 0.1mg HCPCS J9318 | $18,083.74 | $24,111.65 | $28.00 – $28.00 | 1 |
| Inj, rykindo, 0.5 mg HCPCS J2801 | not published | not published | $13.00 – $13.00 | 1 |
| Inj scleros sol mult veins CPT 36471 | not published | not published | not published | 0 |
| Inj scleros sol sgl vein CPT 36470 | $592.50 | $790.00 | not published | 0 |
| Inj, sculptra, 0.5mg HCPCS Q2028 | not published | not published | $1.00 – $1.00 | 1 |
| Inj sebelipase alfa 1 mg HCPCS J2840 | not published | not published | $539.00 – $539.00 | 1 |
| Inj secretin synthetic human HCPCS J2850 | $1,027.50 | $1,370.00 | $44.00 – $44.00 | 1 |
| Inj secukinumab intrav 1mg HCPCS J3247 | $5,153.29 | $6,871.05 | $18.00 – $18.00 | 1 |
| Inj, sezaby, 1 mg HCPCS J2561 | $315.87 | $421.16 | $1.10 – $1.10 | 1 |
| Inj, spesolimab-sbzo, 1 mg HCPCS J1747 | $120,545.93 | $160,727.90 | $66.00 – $66.00 | 1 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | not published | not published | not published | 0 |
| Inj sulf hexa lipid microsph HCPCS Q9950 | $343.05 | $457.40 | $18.00 – $18.00 | 1 |
| Inj, susvimo 0.1 mg HCPCS J2779 | $3,747.75 | $4,997.00 | $78.00 – $78.00 | 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.