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 |
|---|---|---|---|---|
| Laser surgery of prostate CPT 52648 | not published | not published | not published | 0 |
| Laser surg penis lesion(s) CPT 54057 | not published | not published | not published | 0 |
| Laser treatment of retina CPT 67039 | not published | not published | not published | 0 |
| Laser treatment of retina CPT 67040 | not published | not published | not published | 0 |
| Lateral canthopexy CPT 21282 | not published | not published | not published | 0 |
| Lat retinacular release open CPT 27425 | not published | not published | not published | 0 |
| Lavage cannulation maxillary sinus CPT 31000 | not published | not published | not published | 0 |
| Lavh >250 gms 58553 CPT 58553 | not published | not published | not published | 0 |
| Lb with mastopexy 15839 CPT 15839 | not published | not published | not published | 0 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $637.50 | $850.00 | not published | 0 |
| Lead capillary CPT 83655 | $50.25 | $67.00 | $12.00 – $12.00 | 1 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $712.50 | $950.00 | not published | 0 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $450.00 | $600.00 | not published | 0 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | not published | 0 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | not published | 0 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | not published | 0 |
| Lefort ii anterior intrusion CPT 21150 | not published | not published | not published | 0 |
| Left compres band >=3" <5"/yd HCPCS A6449 | $13.50 | $18.00 | not published | 0 |
| Left compres band <3"/yd HCPCS A6448 | $2.25 | $3.00 | not published | 0 |
| Left compres band >=5"/yd HCPCS A6450 | $5.25 | $7.00 | not published | 0 |
| Legion pneumo dna dir prob CPT 87540 | $122.25 | $163.00 | $20.00 – $20.00 | 1 |
| Legion pneumo dna quant CPT 87542 | $255.00 | $340.00 | $42.00 – $42.00 | 1 |
| Leg vein fusion 34530 CPT 34530 | not published | not published | not published | 0 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $764.25 | $1,019.00 | not published | 0 |
| Leishmania antibody CPT 86717 | $74.25 | $99.00 | $12.00 – $12.00 | 1 |
| Lengthening of hand tendon CPT 26478 | not published | not published | not published | 0 |
| Lengthening of palate CPT 42227 | not published | not published | not published | 0 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | not published | not published | not published | 0 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | not published | 0 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | not published | 0 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | not published | 0 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | not published | 0 |
| Lengthen radius or ulna CPT 25391 | not published | not published | not published | 0 |
| Lengthen radius & ulna CPT 25393 | not published | not published | not published | 0 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $216.00 | $288.00 | not published | 0 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $712.50 | $950.00 | not published | 0 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $472.50 | $630.00 | not published | 0 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $280.46 | $373.94 | $3.90 – $3.90 | 1 |
| Leukacyte transfusion CPT 86950 | $304.50 | $406.00 | $61.00 – $61.00 | 1 |
| Leukocyte phagocytosis CPT 86344 | $51.00 | $68.00 | $10.00 – $10.00 | 1 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $27,850.21 | $37,133.61 | $155.00 – $155.00 | 1 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $28,078.80 | $37,438.40 | $1,736.00 – $1,736.00 | 1 |
| Leuprolide acetate injeciton HCPCS J9218 | $1,771.20 | $2,361.60 | not published | 0 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $221.00 – $221.00 | 1 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $52.00 – $52.00 | 1 |
| Levalbuterol comp unit HCPCS J7615 | not published | not published | $2.20 – $2.20 | 1 |
| Levalbuterol non-comp con HCPCS J7612 | not published | not published | $0.30 – $0.30 | 1 |
| Levalbuterol non-comp unit HCPCS J7614 | not published | not published | $0.09 – $0.09 | 1 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $204.23 | $272.30 | $0.05 – $0.05 | 1 |
| Levetiracetam therapeutic drug level CPT 80177 | $127.50 | $170.00 | $13.00 – $13.00 | 1 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $137.34 | $183.11 | $1.96 – $1.96 | 1 |
| Levonorgestrel implant sys HCPCS J7306 | not published | not published | $432.00 – $432.00 | 1 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | not published | not published | $8.00 – $8.00 | 1 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | $5,550.00 | $7,400.00 | not published | 0 |
| Liberta rc ipg HCPCS C1820 | $667.50 | $890.00 | not published | 0 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $61.64 | $82.18 | not published | 0 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $54.30 | $72.40 | $0.01 – $0.01 | 1 |
| Lidocaine therapeutic drug level CPT 80176 | $92.25 | $123.00 | $15.00 – $15.00 | 1 |
| Lifileucel til/dose 7.5b-72b snij HCPCS J9999 | $41,175.86 | $54,901.14 | not published | 0 |
| Ligate leg veins open CPT 37761 | not published | not published | not published | 0 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | not published | 0 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | not published | 0 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | not published | 0 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | not published | 0 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | not published | 0 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | not published | 0 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | not published | 0 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | not published | 0 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | not published | 0 |
| Ligation major artery neck CPT 37615 | not published | not published | not published | 0 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | not published | 0 |
| Ligation of femoral vein CPT 37650 | not published | not published | not published | 0 |
| Ligation of inf vena cava CPT 37619 | not published | not published | not published | 0 |
| Ligation of neck artery CPT 37606 | not published | not published | not published | 0 |
| Ligation of salivary duct CPT 42665 | not published | not published | not published | 0 |
| Ligation upper jaw artery CPT 30920 | not published | not published | not published | 0 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | $8,039.25 | $10,719.00 | not published | 0 |
| Lig/band angioaccess av fistula CPT 37607 | $2,116.50 | $2,822.00 | not published | 0 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | not published | 0 |
| Liletta, 52 mg HCPCS J7297 | $2,184.00 | $2,912.00 | not published | 0 |
| Limb exercise test CPT 95875 | $417.00 | $556.00 | not published | 0 |
| Limited autopsy CPT 88036 | $366.75 | $489.00 | $116.00 – $116.00 | 1 |
| Limited autopsy CPT 88037 | $325.50 | $434.00 | $103.00 – $103.00 | 1 |
| Limited visual field xm CPT 92081 | $60.75 | $81.00 | not published | 0 |
| Lincomycin injection HCPCS J2010 | $106.73 | $142.30 | $5.60 – $5.60 | 1 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $159.90 | $213.20 | $3.47 – $3.47 | 1 |
| Lipase CPT 83690 | $71.25 | $95.00 | $7.00 – $7.00 | 1 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | not published | 0 |
| Lipoprotein blood high res frac & quant CPT 83701 | $167.25 | $223.00 | $34.00 – $34.00 | 1 |
| Lipoprotein blood quant CPT 83704 | $197.25 | $263.00 | $34.00 – $34.00 | 1 |
| Lipoprotein direct measurement hdl CPT 83718 | $71.25 | $95.00 | $8.00 – $8.00 | 1 |
| Lipoprotein direct measurement ldl CPT 83721 | $75.75 | $101.00 | $10.00 – $10.00 | 1 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | $105.75 | $141.00 | $34.00 – $34.00 | 1 |
| Lip surgery procedure CPT 40799 | not published | not published | not published | 0 |
| Lisocabtagene mara car pos t HCPCS Q2054 | $1,104,681.24 | $1,472,908.31 | $567,588.00 – $567,588.00 | 1 |
| Listeria monocytogenes CPT 86723 | $81.00 | $108.00 | $13.00 – $13.00 | 1 |
| Lithium therapeutic drug level CPT 80178 | $41.25 | $55.00 | $6.00 – $6.00 | 1 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $322.50 | $430.00 | not published | 0 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | $3,889.50 | $5,186.00 | not published | 0 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $176.00 – $176.00 | 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.