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 |
|---|---|---|---|---|
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | not published | not published | $1,157.00 – $1,157.00 | 1 |
| Mayo androstenedione CPT 82157 | $183.75 | $245.00 | $29.00 – $29.00 | 1 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $92.25 | $123.00 | $15.00 – $15.00 | 1 |
| Mayo antithrombin iii antigen CPT 85301 | $68.25 | $91.00 | $11.00 – $11.00 | 1 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $99.75 | $133.00 | $15.00 – $15.00 | 1 |
| Mayo avwpr vw factor activity CPT 85397 | $156.00 | $208.00 | $31.00 – $31.00 | 1 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $95.25 | $127.00 | $35.00 – $35.00 | 1 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $89.25 | $119.00 | $27.00 – $27.00 | 1 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $68.25 | $91.00 | $10.00 – $10.00 | 1 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $403.50 | $538.00 | $144.00 – $144.00 | 1 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $214.00 – $214.00 | 1 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $78.75 | $105.00 | $13.00 – $13.00 | 1 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $86.25 | $115.00 | $27.00 – $27.00 | 1 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $82.50 | $110.00 | $13.00 – $13.00 | 1 |
| Mayo brcmg brucella antibody igm CPT 86622 | $55.50 | $74.00 | $9.00 – $9.00 | 1 |
| Mayo c1 esterase inhibitor CPT 83883 | $64.50 | $86.00 | $14.00 – $14.00 | 1 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $89.25 | $119.00 | $27.00 – $27.00 | 1 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $105.00 | $140.00 | $17.00 – $17.00 | 1 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $168.00 | $224.00 | $27.00 – $27.00 | 1 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $340.50 | $454.00 | $122.00 – $122.00 | 1 |
| Mayo ceruloplasmin CPT 82390 | $68.25 | $91.00 | $11.00 – $11.00 | 1 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $89.25 | $119.00 | $14.00 – $14.00 | 1 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $84.00 | $112.00 | $13.00 – $13.00 | 1 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $74.25 | $99.00 | $12.00 – $12.00 | 1 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $79.50 | $106.00 | $13.00 – $13.00 | 1 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $456.00 | $608.00 | $116.00 – $116.00 | 1 |
| Mayo chromium CPT 82495 | $135.00 | $180.00 | $20.00 – $20.00 | 1 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $89.25 | $119.00 | $27.00 – $27.00 | 1 |
| Mayo coccidioides antibody CPT 86635 | $76.50 | $102.00 | $11.00 – $11.00 | 1 |
| Mayo cocou cortisone urine CPT 82542 | $129.75 | $173.00 | $24.00 – $24.00 | 1 |
| Mayo cortisol free CPT 82530 | $104.25 | $139.00 | $17.00 – $17.00 | 1 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $113.25 | $151.00 | $42.00 – $42.00 | 1 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $81.00 | $108.00 | $12.00 – $12.00 | 1 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $863.25 | $1,151.00 | not published | 0 |
| Mayo cyanide CPT 82600 | $121.50 | $162.00 | $19.00 – $19.00 | 1 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $2,126.25 | $2,835.00 | $559.00 – $559.00 | 1 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $82.50 | $110.00 | $13.00 – $13.00 | 1 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $153.75 | $205.00 | $25.00 – $25.00 | 1 |
| Mayo dihydrotestosterone CPT 82642 | $108.75 | $145.00 | $29.00 – $29.00 | 1 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | $38.25 | $51.00 | $9.00 – $9.00 | 1 |
| Mayo efpo chloride stool CPT 82438 | $30.00 | $40.00 | $5.00 – $5.00 | 1 |
| Mayo estriol CPT 82677 | $151.50 | $202.00 | $24.00 – $24.00 | 1 |
| Mayo estrone CPT 82679 | $156.00 | $208.00 | $25.00 – $25.00 | 1 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $102.00 | $136.00 | $16.00 – $16.00 | 1 |
| Mayo everolimus therapeutic drug level CPT 80169 | $85.50 | $114.00 | $14.00 – $14.00 | 1 |
| Mayo factor ii CPT 85210 | $81.00 | $108.00 | $13.00 – $13.00 | 1 |
| Mayo factor v CPT 85220 | $110.25 | $147.00 | $18.00 – $18.00 | 1 |
| Mayo factor vii CPT 85230 | $112.50 | $150.00 | $18.00 – $18.00 | 1 |
| Mayo factor viii vw factor antigen CPT 85246 | $143.25 | $191.00 | $23.00 – $23.00 | 1 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $143.25 | $191.00 | $23.00 – $23.00 | 1 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $143.25 | $191.00 | $23.00 – $23.00 | 1 |
| Mayo factor x CPT 85260 | $112.50 | $150.00 | $18.00 – $18.00 | 1 |
| Mayo factor xi CPT 85270 | $112.50 | $150.00 | $18.00 – $18.00 | 1 |
| Mayo fat/lipids feces quantitative CPT 82710 | $105.00 | $140.00 | $17.00 – $17.00 | 1 |
| Mayo fbl culture fungi blood CPT 87103 | $136.50 | $182.00 | $20.00 – $20.00 | 1 |
| Mayo fdp/fsp paracoagulation CPT 85366 | $396.75 | $529.00 | $80.00 – $80.00 | 1 |
| Mayo ffspg allergen clam igg CPT 86001 | $39.75 | $53.00 | $8.00 – $8.00 | 1 |
| Mayo fibrinogen antigen CPT 85385 | $71.25 | $95.00 | $15.00 – $15.00 | 1 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $110.25 | $147.00 | $22.00 – $22.00 | 1 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $1,125.00 | $1,500.00 | not published | 0 |
| Mayo hemosiderin qualitative urine CPT 83070 | $29.25 | $39.00 | $5.00 – $5.00 | 1 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $213.00 | $284.00 | $35.00 – $35.00 | 1 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $213.00 | $284.00 | $35.00 – $35.00 | 1 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $78.00 | $104.00 | $14.00 – $14.00 | 1 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $162.00 | $216.00 | $26.00 – $26.00 | 1 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $59.25 | $79.00 | $9.00 – $9.00 | 1 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $90.00 | $120.00 | $14.00 – $14.00 | 1 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $170.25 | $227.00 | $27.00 – $27.00 | 1 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $228.75 | $305.00 | $17.00 – $17.00 | 1 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $45.75 | $61.00 | $15.00 – $15.00 | 1 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $66.00 | $88.00 | $21.00 – $21.00 | 1 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $119.25 | $159.00 | $21.00 – $21.00 | 1 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | not published | not published | $35.00 – $35.00 | 1 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $58.50 | $78.00 | $16.00 – $16.00 | 1 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $99.00 | $132.00 | $12.00 – $12.00 | 1 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $219.75 | $293.00 | $35.00 – $35.00 | 1 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $112.50 | $150.00 | $35.00 – $35.00 | 1 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $219.75 | $293.00 | $35.00 – $35.00 | 1 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $88.50 | $118.00 | $35.00 – $35.00 | 1 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $405.00 | $540.00 | $43.00 – $43.00 | 1 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $201.00 | $268.00 | $72.00 – $72.00 | 1 |
| Mayo infliximab therapeutic drug level CPT 80230 | $112.50 | $150.00 | $39.00 – $39.00 | 1 |
| Mayo inhab inhibin a CPT 86336 | $97.50 | $130.00 | $16.00 – $16.00 | 1 |
| Mayo insft insulin free CPT 83527 | $79.50 | $106.00 | $13.00 – $13.00 | 1 |
| Mayo insulin antibodies CPT 86337 | $135.00 | $180.00 | $21.00 – $21.00 | 1 |
| Mayo iodine CPT 83789 | $129.75 | $173.00 | $24.00 – $24.00 | 1 |
| Mayo itraconazole therapeutic drug level CPT 80189 | not published | not published | $27.00 – $27.00 | 1 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $116.25 | $155.00 | $27.00 – $27.00 | 1 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $82.50 | $110.00 | $13.00 – $13.00 | 1 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $78.75 | $105.00 | $13.00 – $13.00 | 1 |
| Mayo legionella antibody CPT 86713 | $96.00 | $128.00 | $15.00 – $15.00 | 1 |
| Mayo leptospira antibody igm CPT 86720 | $81.00 | $108.00 | $16.00 – $16.00 | 1 |
| Mayo lipoprotein electrophoresis CPT 83700 | $69.00 | $92.00 | $11.00 – $11.00 | 1 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $97.50 | $130.00 | $16.00 – $16.00 | 1 |
| Mayo manganese CPT 83785 | $153.75 | $205.00 | $27.00 – $27.00 | 1 |
| Mayo metanephrines plasma CPT 83835 | $106.50 | $142.00 | $17.00 – $17.00 | 1 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $96.75 | $129.00 | $27.00 – $27.00 | 1 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $42.75 | $57.00 | $12.00 – $12.00 | 1 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $49.50 | $66.00 | $18.00 – $18.00 | 1 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $49.50 | $66.00 | $15.00 – $15.00 | 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.