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 |
|---|---|---|---|---|
| Methylphenidate CPT 80360 | $86.25 | $115.00 | $27.00 – $27.00 | 1 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $174.91 | $233.21 | $0.20 – $0.20 | 1 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $25.63 | $34.17 | $0.10 – $0.10 | 1 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $258.48 | $344.64 | $0.26 – $0.26 | 1 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $10.49 | $13.98 | $1.00 – $1.00 | 1 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $5.73 | $7.64 | $0.10 – $0.10 | 1 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $14.46 | $19.28 | $0.03 – $0.03 | 1 |
| Metyrapone panel CPT 80436 | $555.00 | $740.00 | $91.00 – $91.00 | 1 |
| Mgmt promoter methylation analysis CPT 81287 | not published | not published | $124.00 – $124.00 | 1 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $441.33 | $588.44 | $0.30 – $0.30 | 1 |
| Microalbumin urine screen CPT 82044 | $22.50 | $30.00 | $6.00 – $6.00 | 1 |
| Microbe susceptible mlc CPT 87187 | $198.00 | $264.00 | $40.00 – $40.00 | 1 |
| Microdissection laser CPT 88380 | $438.00 | $584.00 | $82.00 – $82.00 | 1 |
| Microdissection manual CPT 88381 | $638.25 | $851.00 | $190.00 – $190.00 | 1 |
| Microfluid analy tears CPT 83861 | $111.00 | $148.00 | $22.00 – $22.00 | 1 |
| Microsatellite instability CPT 81301 | not published | not published | $348.00 – $348.00 | 1 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $129.91 | $173.21 | $0.16 – $0.16 | 1 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | not published | not published | $0.17 – $0.17 | 1 |
| Middle cerebral artery echo CPT 76821 | $305.25 | $407.00 | $109.00 – $109.00 | 1 |
| Mifepristone 200 mg ta HCPCS S0190 | not published | not published | $67.00 – $67.00 | 1 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $188.70 | $251.60 | $1.40 – $1.40 | 1 |
| Minocycline hydrochloride HCPCS J2265 | $608.64 | $811.52 | $2.66 – $2.66 | 1 |
| Minoxidil, 10 mg HCPCS S0139 | not published | not published | $0.70 – $0.70 | 1 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | $15,904.45 | $21,205.93 | $69.00 – $69.00 | 1 |
| Misoprostol, oral, 200 mcg HCPCS S0191 | not published | not published | $1.86 – $1.86 | 1 |
| Mitochondrial gene CPT 81440 | not published | not published | $3,317.00 – $3,317.00 | 1 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $2,991.44 | $3,988.58 | $28.00 – $28.00 | 1 |
| Mitomycin instillation HCPCS J9281 | $54,964.95 | $73,286.60 | $317.00 – $317.00 | 1 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $987.67 | $1,316.89 | $30.00 – $30.00 | 1 |
| Mlh1 gene CPT 81288 | not published | not published | $192.00 – $192.00 | 1 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $202.00 – $202.00 | 1 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $674.00 – $674.00 | 1 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $330.00 – $330.00 | 1 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | not published | 0 |
| Mnl appl strs jt radiography CPT 77071 | $240.00 | $320.00 | $90.00 – $90.00 | 1 |
| Mnl prep&insj i-artic rx dev CPT 20704 | $453.75 | $605.00 | not published | 0 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | not published | 0 |
| Mnpj elbow under anes CPT 24300 | not published | not published | not published | 0 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | not published | 0 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $102.00 | $136.00 | $38.00 – $38.00 | 1 |
| Molecular pathology interpr HCPCS G0452 | $579.00 | $772.00 | $4.00 – $4.00 | 1 |
| Mometasone sinus sinuva HCPCS J7402 | $3,453.73 | $4,604.97 | $11.00 – $11.00 | 1 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $6.75 | $9.00 | not published | 0 |
| Monovisc inj per dose HCPCS J7327 | not published | not published | $529.00 – $529.00 | 1 |
| Mopath procedure level 1 CPT 81400 | not published | not published | $64.00 – $64.00 | 1 |
| Mopath procedure level 3 CPT 81402 | not published | not published | $150.00 – $150.00 | 1 |
| Mopath procedure level 5 CPT 81404 | $70.50 | $94.00 | $274.00 – $274.00 | 1 |
| Mopath procedure level 6 CPT 81405 | $78.00 | $104.00 | $301.00 – $301.00 | 1 |
| Mopath procedure level 7 CPT 81406 | $72.75 | $97.00 | $282.00 – $282.00 | 1 |
| Mopath procedure level 8 CPT 81407 | $218.25 | $291.00 | $844.00 – $844.00 | 1 |
| Mopath procedure level 9 CPT 81408 | $252.00 | $336.00 | $1,996.00 – $1,996.00 | 1 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $186.90 | $249.20 | $4.50 – $4.50 | 1 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $12.54 | $16.71 | $8.00 – $8.00 | 1 |
| Morphine 500 mg HCPCS S0093 | not published | not published | $198.00 – $198.00 | 1 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $831.30 | $1,108.39 | $11.00 – $11.00 | 1 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $663.75 | $885.00 | $258.00 – $258.00 | 1 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $482.25 | $643.00 | $82.00 – $82.00 | 1 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $285.00 | $380.00 | $88.00 – $88.00 | 1 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | $1,494.50 | $1,992.66 | $653.00 – $653.00 | 1 |
| Motor &/ sens nrve cndj test CPT 95905 | $293.25 | $391.00 | not published | 0 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | not published | 0 |
| M/phmtrc alys ishquant/semiq CPT 88373 | $231.75 | $309.00 | $46.00 – $46.00 | 1 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $1,007.25 | $1,343.00 | $361.00 – $361.00 | 1 |
| M/phmtrc alysishquant/semiq CPT 88369 | $363.75 | $485.00 | $109.00 – $109.00 | 1 |
| M/phmtrc alys skeletal musc CPT 88355 | $423.00 | $564.00 | $69.00 – $69.00 | 1 |
| Mpl gene analysis common variants CPT 81338 | $384.00 | $512.00 | $150.00 – $150.00 | 1 |
| M.pneumon dna dir probe CPT 87580 | $122.25 | $163.00 | $20.00 – $20.00 | 1 |
| M.pneumon dna quant CPT 87582 | $1,492.50 | $1,990.00 | $302.00 – $302.00 | 1 |
| MRA abdomen post contrast CPT 74185 | $2,040.00 | $2,720.00 | $375.00 – $375.00 | 1 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $2,550.00 | $3,400.00 | $370.00 – $370.00 | 1 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $2,040.00 | $2,720.00 | $375.00 – $375.00 | 1 |
| MRA pelvis CPT 72198 | $2,040.00 | $2,720.00 | $378.00 – $378.00 | 1 |
| MRA spinal canal CPT 72159 | $1,627.50 | $2,170.00 | $381.00 – $381.00 | 1 |
| MRA upper extremity post contrast-bil CPT 73225 | $2,242.50 | $2,990.00 | $366.00 – $366.00 | 1 |
| Mr elastography CPT 76391 | $840.00 | $1,120.00 | $249.00 – $249.00 | 1 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | not published | not published | not published | 0 |
| MRI brain w/dye CPT 70558 | $5,670.00 | $7,560.00 | $1,912.00 – $1,912.00 | 1 |
| MRI brain without dye CPT 70557 | $5,317.50 | $7,090.00 | $1,728.00 – $1,728.00 | 1 |
| MRI brain without & w/dye CPT 70559 | $5,430.00 | $7,240.00 | $1,812.00 – $1,812.00 | 1 |
| MRI breast c- unilateral CPT 77046 | $870.00 | $1,160.00 | $249.00 – $249.00 | 1 |
| MRI breast c-+ w/cad uni CPT 77048 | $1,455.00 | $1,940.00 | $352.00 – $352.00 | 1 |
| MRI breast without cont bi CPT 77047 | $1,312.50 | $1,750.00 | $249.00 – $249.00 | 1 |
| MRI breast w IV cont bi CPT 77049 | $1,822.50 | $2,430.00 | $347.00 – $347.00 | 1 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $1,312.50 | $1,750.00 | $250.00 – $250.00 | 1 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $2,400.00 | $3,200.00 | $367.00 – $367.00 | 1 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $2,100.00 | $2,800.00 | $814.00 – $814.00 | 1 |
| MRI chest without contrast CPT 71550 | $1,822.50 | $2,430.00 | $364.00 – $364.00 | 1 |
| MRI chest without & w/contrast CPT 71552 | $2,182.50 | $2,910.00 | $537.00 – $537.00 | 1 |
| MRI chest w IV cont CPT 71551 | $2,062.50 | $2,750.00 | $814.00 – $814.00 | 1 |
| MRI fetal ea addl gestation CPT 74713 | $695.25 | $927.00 | not published | 0 |
| MRI fetal sngl/1st gestation CPT 74712 | $1,152.00 | $1,536.00 | $249.00 – $249.00 | 1 |
| MRI guid ndl plc s&i CPT 77021 | $1,860.00 | $2,480.00 | not published | 0 |
| MRI guid parenchymal tiss ablation CPT 77022 | $2,490.00 | $3,320.00 | not published | 0 |
| MRI loex nonjt w IV cont CPT 73719 | $1,965.00 | $2,620.00 | $367.00 – $367.00 | 1 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $1,672.50 | $2,230.00 | $249.00 – $249.00 | 1 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $2,730.00 | $3,640.00 | $367.00 – $367.00 | 1 |
| MRI orbit/face/neck without contrast CPT 70540 | $1,380.00 | $1,840.00 | $249.00 – $249.00 | 1 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $2,812.50 | $3,750.00 | $367.00 – $367.00 | 1 |
| MRI orbit fac&nck w IV cont CPT 70542 | $1,732.50 | $2,310.00 | $367.00 – $367.00 | 1 |
| MRI tmj CPT 70336 | $1,620.00 | $2,160.00 | $287.00 – $287.00 | 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.