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 |
|---|---|---|---|---|
| Insert tunneled cv 2cath 2sits without port/pmp 36565 CPT 36565 | $5,613.75 | $7,485.00 | not published | 0 |
| Insert tunneled cv cath CPT 36560 | not published | not published | not published | 0 |
| Insert tunneled cv cath CPT 36563 | $13,870.50 | $18,494.00 | not published | 0 |
| Insert uro/ves nck sphincter CPT 53445 | not published | not published | not published | 0 |
| Insert uteri tandem/ovoids CPT 57155 | not published | not published | not published | 0 |
| Insert vad art access left hrt arterial access CPT 33990 | $1,383.75 | $1,845.00 | not published | 0 |
| Ins icd gen exist mlt leads CPT 33231 | not published | not published | not published | 0 |
| Ins icd gen exist sgl lead CPT 33240 | $26,494.50 | $35,326.00 | not published | 0 |
| Insitu hybridization auto CPT 88367 | $359.25 | $479.00 | $85.00 – $85.00 | 1 |
| Insitu hybridization (fish) CPT 88366 | $974.25 | $1,299.00 | $231.00 – $231.00 | 1 |
| Insitu hybridization manual CPT 88368 | $456.00 | $608.00 | $120.00 – $120.00 | 1 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $325.50 | $434.00 | $107.00 – $107.00 | 1 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $435.00 | $580.00 | $147.00 – $147.00 | 1 |
| Insj phrnc nrv stim sys CPT 33276 | not published | not published | not published | 0 |
| Insj rx elut implt lac canal CPT 68841 | not published | not published | not published | 0 |
| Insj stablj dev w/dcmprn CPT 22867 | not published | not published | not published | 0 |
| Insj stablj dev without dcmprn CPT 22869 | not published | not published | not published | 0 |
| Ins lv lead exist pm/icd CPT 33224 | $11,747.25 | $15,663.00 | not published | 0 |
| Ins mark abd/pel for right perq CPT 49411 | $2,129.25 | $2,839.00 | not published | 0 |
| Ins mark thor for right perq CPT 32553 | not published | not published | not published | 0 |
| Ins picad w subq port 5yr> CPT 36571 | $3,800.25 | $5,067.00 | not published | 0 |
| Ins picc wo subq prt/pmp w image guidnc <5yr CPT 36572 | $1,946.25 | $2,595.00 | not published | 0 |
| Ins pm gen exist dual lead CPT 33230 | not published | not published | not published | 0 |
| Ins pm gen w/exist mlt leads CPT 33221 | not published | not published | not published | 0 |
| Ins pq tunnld ip cath w/img CPT 49418 | $3,595.50 | $4,794.00 | not published | 0 |
| Ins/rplcmt prq eltrd ra pn 1 CPT 64596 | not published | not published | not published | 0 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | $28,439.25 | $37,919.00 | not published | 0 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | $31,441.50 | $41,922.00 | not published | 0 |
| Ins/rpl pm gen exist dual lead CPT 33213 | $11,747.25 | $15,663.00 | not published | 0 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | $9,716.25 | $12,955.00 | not published | 0 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | $11,747.25 | $15,663.00 | not published | 0 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | not published | not published | not published | 0 |
| Ins/rpl wireless pulm art sensor incl s&i CPT 33289 | not published | not published | not published | 0 |
| Insrt/redo neurostim 1 array CPT 61885 | not published | not published | not published | 0 |
| Install spinal shunt 63741 CPT 63741 | not published | not published | not published | 0 |
| Inst fibrinolysis agent ini day CPT 32561 | $1,668.75 | $2,225.00 | not published | 0 |
| Inst fibrinolysis agent sbsq d CPT 32562 | $1,668.75 | $2,225.00 | not published | 0 |
| Insti hexaminolevulinate hcl HCPCS A9589 | $2,636.25 | $3,515.00 | $1,424.00 – $1,424.00 | 1 |
| Instillation anticarcinogenic agent bladder CPT 51720 | not published | not published | not published | 0 |
| Instill pharm renal pelvis HCPCS C9789 | not published | not published | not published | 0 |
| Instll rx agnt into rnal tub CPT 50391 | not published | not published | not published | 0 |
| Inst tauro 1.35mg/hep 100u HCPCS J0911 | not published | not published | $8.00 – $8.00 | 1 |
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | not published | not published | not published | 0 |
| Ins tun cv cath wo subq prt/pm CPT 36557 | $3,662.25 | $4,883.00 | not published | 0 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $4,150.50 | $5,534.00 | not published | 0 |
| Ins tun intraperit dia cath CPT 49421 | not published | not published | not published | 0 |
| Inst via cath agent pleurds CPT 32560 | $965.25 | $1,287.00 | not published | 0 |
| Insulin for insulin pump use HCPCS J1817 | $3,483.33 | $4,644.44 | $3.20 – $3.20 | 1 |
| Insulin suppression panel CPT 80432 | $822.00 | $1,096.00 | $165.00 – $165.00 | 1 |
| Insulin tolerance panel CPT 80434 | $1,405.50 | $1,874.00 | $284.00 – $284.00 | 1 |
| Insulin tolerance panel CPT 80435 | $626.25 | $835.00 | $103.00 – $103.00 | 1 |
| Insulin total CPT 83525 | $72.00 | $96.00 | $11.00 – $11.00 | 1 |
| Ins vag brachytx device CPT 57156 | not published | not published | not published | 0 |
| Integra meshed bil wound mat HCPCS C9363 | $121.56 | $162.07 | not published | 0 |
| Integra os putty 2.5cc - cost per 0.5cc HCPCS C9359 | $741.00 | $988.00 | not published | 0 |
| Interdental fixation CPT 21110 | not published | not published | not published | 0 |
| Interdental wirg oth/thn fx CPT 21497 | not published | not published | not published | 0 |
| Interdiscal perq aspir dx CPT 62267 | $1,869.00 | $2,492.00 | not published | 0 |
| Interferon alfa-2a inj HCPCS J9213 | not published | not published | $39.00 – $39.00 | 1 |
| Interferon alfa-2b inj HCPCS J9214 | not published | not published | $14.00 – $14.00 | 1 |
| Interferon alfa-n3 inj HCPCS J9215 | not published | not published | $19.00 – $19.00 | 1 |
| Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper) HCPCS Q3027 | $18,661.40 | $24,881.86 | $58.00 – $58.00 | 1 |
| Interferon beta-1a inj HCPCS J1826 | $2,146.47 | $2,861.96 | $2,202.00 – $2,202.00 | 1 |
| Interferon beta-1b / .25 mg HCPCS J1830 | $18,589.08 | $24,785.44 | not published | 0 |
| Interferon gamma 1-b inj HCPCS J9216 | $13,230.81 | $17,641.08 | $332.00 – $332.00 | 1 |
| Interfyl, 1 mg HCPCS Q4171 | $1.50 | $2.00 | not published | 0 |
| Intermediate visual field xm CPT 92082 | $84.75 | $113.00 | not published | 0 |
| Interphalangeal joint spacer HCPCS L8658 | $2.25 | $3.00 | not published | 0 |
| Interrogate subq defib CPT 93261 | $178.50 | $238.00 | not published | 0 |
| Interrog dev eval icpms ip CPT 93290 | $128.25 | $171.00 | not published | 0 |
| Interrog dev eval scrms ip CPT 93291 | $118.50 | $158.00 | not published | 0 |
| Interrog device eval heart CPT 93289 | $247.50 | $330.00 | not published | 0 |
| Interrog evl pm/ldls pm ip CPT 93288 | $150.00 | $200.00 | not published | 0 |
| Int hrhc lig 1 hroid without img CPT 46945 | not published | not published | not published | 0 |
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | not published | 0 |
| Intra-atrial pacing CPT 93610 | $7,125.00 | $9,500.00 | not published | 0 |
| Intra-atrial recording CPT 93602 | $7,464.75 | $9,953.00 | not published | 0 |
| Intracard echo interv w/s&i CPT 93662 | $1,425.00 | $1,900.00 | not published | 0 |
| Intracranial complete study CPT 93886 | $880.50 | $1,174.00 | not published | 0 |
| Intracranial limited study CPT 93888 | $463.50 | $618.00 | not published | 0 |
| Intranasal biopsy 30100 CPT 30100 | $3,792.00 | $5,056.00 | not published | 0 |
| Intranasal reconstruction CPT 30620 | not published | not published | not published | 0 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | not published | not published | not published | 0 |
| Intrauterine transfusion ftl CPT 36460 | $1,074.75 | $1,433.00 | not published | 0 |
| Intrinsic factor antibody CPT 86340 | $94.50 | $126.00 | $15.00 – $15.00 | 1 |
| Intro cath dialysis circuit CPT 36901 | $2,406.00 | $3,208.00 | not published | 0 |
| Intro cath dialysis circuit w/pta CPT 36902 | $7,267.50 | $9,690.00 | not published | 0 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $10,936.50 | $14,582.00 | not published | 0 |
| Intro catheter aorta CPT 36200 | $1,533.75 | $2,045.00 | not published | 0 |
| Intro cath svc/ivc CPT 36010 | $1,359.75 | $1,813.00 | not published | 0 |
| Intro long gi tube CPT 44500 | $1,462.50 | $1,950.00 | not published | 0 |
| Intro long gi tube w/mult fluo CPT 74340 | $323.25 | $431.00 | not published | 0 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | not published | 0 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $2,416.50 | $3,222.00 | not published | 0 |
| Intubation endotracheal emergency procedure CPT 31500 | $776.25 | $1,035.00 | not published | 0 |
| Iodine i-123 sod iodide mil HCPCS A9509 | not published | not published | $193.00 – $193.00 | 1 |
| Iodine i-125 sodium iodide HCPCS A9527 | not published | not published | $249.00 – $249.00 | 1 |
| Iodine i-131 iobenguane 1mci HCPCS A9590 | $214,104.38 | $285,472.50 | not published | 0 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $343.83 | $458.44 | $0.40 – $0.40 | 1 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $598.50 | $798.00 | $0.15 – $0.15 | 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.