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 |
|---|---|---|---|---|
| Io radiation tx management CPT 77469 | $884.25 | $1,179.00 | $284.00 – $284.00 | 1 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $78,266.58 | $104,355.43 | $183.00 – $183.00 | 1 |
| Ipratropium bromide non-comp HCPCS J7644 | not published | not published | $0.39 – $0.39 | 1 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $410.74 | $547.65 | $1.39 – $1.39 | 1 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $7,177.77 | $9,570.36 | $65.00 – $65.00 | 1 |
| Iron CPT 83540 | $43.50 | $58.00 | $6.00 – $6.00 | 1 |
| Iron binding capacity CPT 83550 | $73.50 | $98.00 | $9.00 – $9.00 | 1 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $117.84 | $157.12 | $18.00 – $18.00 | 1 |
| Iron stain peripheral blood CPT 85536 | $39.00 | $52.00 | $7.00 – $7.00 | 1 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $307.68 | $410.24 | $0.20 – $0.20 | 1 |
| Irradiation of blood product each unit reference CPT 86945 | $121.50 | $162.00 | $23.00 – $23.00 | 1 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $130.50 | $174.00 | not published | 0 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | not published | 0 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | not published | 0 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | $10,211.78 | $13,615.70 | $83.00 – $83.00 | 1 |
| Island pedicle flap graft CPT 15740 | not published | not published | not published | 0 |
| IV cipaglucosidase alfa-atga HCPCS G0138 | not published | not published | $196.00 – $196.00 | 1 |
| Ivc venogram s&i CPT 75825 | $8,301.00 | $11,068.00 | $3,240.00 – $3,240.00 | 1 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $204.00 | $272.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $251.25 | $335.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $225.75 | $301.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $441.75 | $589.00 | not published | 0 |
| IV inj ra drug dx study CPT 78808 | $1,005.75 | $1,341.00 | $414.00 – $414.00 | 1 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | not published | 0 |
| Ivp w/nephrotomography CPT 74415 | $564.75 | $753.00 | $184.00 – $184.00 | 1 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $525.00 | $700.00 | $184.00 – $184.00 | 1 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $14,175.96 | $18,901.28 | $139.00 – $139.00 | 1 |
| Jak2 targeted sequence analysis CPT 81279 | $514.50 | $686.00 | $185.00 – $185.00 | 1 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | not published | 0 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | not published | 0 |
| Jejunstmy tube plcmt CPT 44372 | $4,932.75 | $6,577.00 | not published | 0 |
| John cunningham antibody CPT 86711 | $96.00 | $128.00 | $17.00 – $17.00 | 1 |
| Keratoprosthesis CPT 65770 | not published | not published | not published | 0 |
| Ketamine and metabolite screen - quest CPT 80357 | $89.25 | $119.00 | $27.00 – $27.00 | 1 |
| Ketogenic steroids fract CPT 83582 | $86.25 | $115.00 | $16.00 – $16.00 | 1 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $75.75 | $101.00 | $8.00 – $8.00 | 1 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $14.31 | $19.08 | $0.30 – $0.30 | 1 |
| Kidney endoscopy CPT 50551 | not published | not published | not published | 0 |
| Kidney endoscopy CPT 50553 | not published | not published | not published | 0 |
| Kidney endoscopy CPT 50570 | not published | not published | not published | 0 |
| Kidney endoscopy CPT 50575 | not published | not published | not published | 0 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | not published | 0 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | not published | 0 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | not published | 0 |
| Kidney endoscopy & treatment CPT 50561 | $3,435.75 | $4,581.00 | not published | 0 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | not published | 0 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | not published | 0 |
| Kidney function study CPT 78725 | $997.50 | $1,330.00 | $414.00 – $414.00 | 1 |
| Kidney imaging morphology CPT 78700 | $997.50 | $1,330.00 | $414.00 – $414.00 | 1 |
| Kidney imag w/bld flow multi CPT 78709 | $1,335.00 | $1,780.00 | $554.00 – $554.00 | 1 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,386.00 | $1,848.00 | $554.00 – $554.00 | 1 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $630.00 | $840.00 | $109.00 – $109.00 | 1 |
| Kit case 4.2mm spinejack HCPCS C1062 | $3.75 | $5.00 | not published | 0 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $5.25 | $7.00 | not published | 0 |
| Kit gene analys d816 variant CPT 81273 | not published | not published | $124.00 – $124.00 | 1 |
| Kit hfx iq ipg bundle HCPCS C1822 | $31.50 | $42.00 | not published | 0 |
| Kit ipg optimizer smart HCPCS C1824 | $0.75 | $1.00 | not published | 0 |
| Kit lead specify 5-6-5 HCPCS C1778 | $457.50 | $610.00 | not published | 0 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $684.12 | $912.16 | not published | 0 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $10.50 | $14.00 | not published | 0 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | $364.50 | $486.00 | not published | 0 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $0.75 | $1.00 | not published | 0 |
| Kit trach suct cls 30.5cm HCPCS A4605 | $35.42 | $47.22 | not published | 0 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | not published | 0 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | not published | 0 |
| Knee arthroscopy dx CPT 29870 | $2,148.75 | $2,865.00 | not published | 0 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | not published | 0 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | not published | 0 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | not published | 0 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | not published | 0 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | not published | 0 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | not published | 0 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | not published | 0 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | not published | 0 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | not published | 0 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | not published | 0 |
| Knee arthroscopy/surgery CPT 29883 | $5,766.75 | $7,689.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | not published | 0 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | not published | 0 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | not published | 0 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | not published | 0 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | not published | 0 |
| Knee MRI (with and without contrast) CPT 73723 | $2,400.00 | $3,200.00 | $419.00 – $419.00 | 1 |
| Knee MRI (with contrast) CPT 73722 | $2,107.50 | $2,810.00 | $814.00 – $814.00 | 1 |
| Knee MRI (without contrast) CPT 73721 | $1,747.50 | $2,330.00 | $249.00 – $249.00 | 1 |
| Knee X-ray CPT 73564 | $380.25 | $507.00 | $109.00 – $109.00 | 1 |
| Ko elastic w/joints pre ots HCPCS L1812 | $98.84 | $131.78 | not published | 0 |
| Kras gene addl variants CPT 81276 | not published | not published | $193.00 – $193.00 | 1 |
| Kras gene variants exon 2 CPT 81275 | not published | not published | $193.00 – $193.00 | 1 |
| Kyleena, 19.5 mg HCPCS J7296 | $2,845.99 | $3,794.65 | not published | 0 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $31.55 | $42.06 | $0.39 – $0.39 | 1 |
| Labioplasty 56800 CPT 56800 | not published | not published | not published | 0 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $235.61 | $314.14 | not published | 0 |
| Lactate dehydrogenase (ldh) CPT 83615 | $52.50 | $70.00 | $6.00 – $6.00 | 1 |
| Lactated ringers intravenous solution HCPCS J7120 | $31.80 | $42.40 | $2.46 – $2.46 | 1 |
| Lactic acid CPT 83605 | $103.50 | $138.00 | $11.00 – $11.00 | 1 |
| Lactoferrin fecal qualitative CPT 83630 | $119.25 | $159.00 | $20.00 – $20.00 | 1 |
| Lactoferrin fecal quant CPT 83631 | $119.25 | $159.00 | $20.00 – $20.00 | 1 |
| Lam facetec & foramot crv CPT 63045 | not published | not published | not published | 0 |
| Lam facetec & foramot lumbar CPT 63047 | 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.