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 |
|---|---|---|---|---|
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $1,597.50 | $2,130.00 | $352.00 – $352.00 | 1 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $2,257.50 | $3,010.00 | $456.00 – $456.00 | 1 |
| MRI upper extremity w/dye CPT 73219 | $1,732.50 | $2,310.00 | $377.00 – $377.00 | 1 |
| Mr safety determination physician/other qhp CPT 76016 | not published | not published | $90.00 – $90.00 | 1 |
| Mr safety implant elec prepj CPT 76018 | not published | not published | $95.00 – $95.00 | 1 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $119.00 – $119.00 | 1 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | not published | not published | $25.00 – $25.00 | 1 |
| Mr sfty med physics xm cstmz CPT 76017 | not published | not published | $249.00 – $249.00 | 1 |
| Mr spectroscopy CPT 76390 | $1,597.50 | $2,130.00 | $441.00 – $441.00 | 1 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $213.00 – $213.00 | 1 |
| Msh2 gene full seq CPT 81295 | not published | not published | $381.00 – $381.00 | 1 |
| Msh2 gene known variants CPT 81296 | not published | not published | $337.00 – $337.00 | 1 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $237.00 – $237.00 | 1 |
| Msh6 gene full seq CPT 81298 | not published | not published | $640.00 – $640.00 | 1 |
| Msh6 gene known variants CPT 81299 | not published | not published | $307.00 – $307.00 | 1 |
| Mthfr gene analy common variants CPT 81291 | not published | not published | $65.00 – $65.00 | 1 |
| M.tuberculo dna dir probe CPT 87555 | $132.75 | $177.00 | $27.00 – $27.00 | 1 |
| M.tuberculo dna quant CPT 87557 | $261.00 | $348.00 | $43.00 – $43.00 | 1 |
| Mucin synovial fluid CPT 83872 | $39.00 | $52.00 | $6.00 – $6.00 | 1 |
| Mucopolysaccharides CPT 83864 | $141.00 | $188.00 | $28.00 – $28.00 | 1 |
| Mucormycosis antibody CPT 86732 | $81.00 | $108.00 | $15.00 – $15.00 | 1 |
| Multiple sleep latency test CPT 95805 | $1,441.50 | $1,922.00 | not published | 0 |
| Mumps antibody igg CPT 86735 | $113.25 | $151.00 | $13.00 – $13.00 | 1 |
| Muscle-skin graft arm CPT 15736 | not published | not published | not published | 0 |
| Muscle-skin graft leg CPT 15738 | not published | not published | not published | 0 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | not published | 0 |
| Muscle test cran nerv unilat CPT 95867 | $830.25 | $1,107.00 | not published | 0 |
| Muscle test larynx CPT 95865 | $459.00 | $612.00 | not published | 0 |
| Muscle test one fiber CPT 95872 | $625.50 | $834.00 | not published | 0 |
| Muscle transfers CPT 23397 | not published | not published | not published | 0 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | not published | 0 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | not published | not published | not published | 0 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | not published | 0 |
| Mycobacteria dna amp probe CPT 87551 | $245.25 | $327.00 | $48.00 – $48.00 | 1 |
| Mycobacteria dna dir probe CPT 87550 | $122.25 | $163.00 | $20.00 – $20.00 | 1 |
| Mycobacteria dna quant CPT 87552 | $261.00 | $348.00 | $43.00 – $43.00 | 1 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $3,232.89 | $4,310.51 | $0.15 – $0.15 | 1 |
| Mycophenolic acid HCPCS J7518 | $47.14 | $62.85 | $0.37 – $0.37 | 1 |
| Mycoplasma antibody igm CPT 86738 | $82.50 | $110.00 | $13.00 – $13.00 | 1 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | not published | not published | $175.00 – $175.00 | 1 |
| Myelogphy 2/> spine regions CPT 72270 | $2,064.75 | $2,753.00 | $814.00 – $814.00 | 1 |
| Myelography l-s spine CPT 72265 | $2,066.25 | $2,755.00 | $814.00 – $814.00 | 1 |
| Myelography neck spine CPT 72240 | $2,064.75 | $2,753.00 | $814.00 – $814.00 | 1 |
| Myelography thoracic spine CPT 72255 | $2,064.75 | $2,753.00 | $814.00 – $814.00 | 1 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $2,050.50 | $2,734.00 | not published | 0 |
| Myelography via inj w/s&i cervical CPT 62302 | $2,104.50 | $2,806.00 | not published | 0 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $807.75 | $1,077.00 | not published | 0 |
| Myelography via inj w/s&i thoracic CPT 62303 | not published | not published | not published | 0 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $60.75 | $81.00 | $11.00 – $11.00 | 1 |
| Myocrd img pet 1std rst/strs CPT 78491 | $4,278.00 | $5,704.00 | $1,502.00 – $1,502.00 | 1 |
| Myocrd img pet 1 std w/ct CPT 78429 | $4,278.00 | $5,704.00 | $1,502.00 – $1,502.00 | 1 |
| Myocrd img pet 2rtracer CPT 78432 | $5,313.00 | $7,084.00 | $1,905.00 – $1,905.00 | 1 |
| Myocrd img pet 2rtracer CT CPT 78433 | $5,598.00 | $7,464.00 | $2,008.00 – $2,008.00 | 1 |
| Myocrd img pet mlt rst&strs CPT 78492 | $4,278.00 | $5,704.00 | $1,502.00 – $1,502.00 | 1 |
| Myocrd img pet rst&strs CT CPT 78431 | $7,895.25 | $10,527.00 | $2,317.00 – $2,317.00 | 1 |
| Myocrd img pet rst/strs w/ct CPT 78430 | $4,278.00 | $5,704.00 | $1,502.00 – $1,502.00 | 1 |
| Myomectomy vag method CPT 58145 | not published | not published | not published | 0 |
| Myringoplasty CPT 69620 | not published | not published | not published | 0 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $272.85 | $363.80 | $0.06 – $0.06 | 1 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $7.17 | $9.55 | $3.50 – $3.50 | 1 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $52.20 | $69.59 | $0.07 – $0.07 | 1 |
| Naltrexone, depot form HCPCS J2315 | $3,959.15 | $5,278.86 | $4.20 – $4.20 | 1 |
| Nandrolone decanoate 50 mg HCPCS J2320 | not published | not published | $4.46 – $4.46 | 1 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $441.00 | $588.00 | not published | 0 |
| Nasal endoscopy with removal of nasal foreign body CPT 30999 | $653.25 | $871.00 | not published | 0 |
| Nasal/sinus endoscopy surg CPT 31287 | not published | not published | not published | 0 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | $4,347.00 | $5,796.00 | not published | 0 |
| Nasal/sinus endo spendt remove tiss 31288 CPT 31288 | not published | not published | not published | 0 |
| Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 | not published | not published | not published | 0 |
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | not published | not published | not published | 0 |
| Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255 | not published | not published | not published | 0 |
| Nasal/sinus endo w/front sinus expl 31276 CPT 31276 | not published | not published | not published | 0 |
| Nasal/sinus maxillary endoscopy dx 31233 CPT 31233 | not published | not published | not published | 0 |
| Nasal/sinus sphenoid endoscopy dx 31235 CPT 31235 | not published | not published | not published | 0 |
| Nasal sinus therapy CPT 30210 | not published | not published | not published | 0 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $521.25 | $695.00 | not published | 0 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | $19,182.88 | $25,577.17 | $28.00 – $28.00 | 1 |
| Natriuretic peptide CPT 83880 | $248.25 | $331.00 | $39.00 – $39.00 | 1 |
| Natural killer cells total count CPT 86357 | $249.75 | $333.00 | $38.00 – $38.00 | 1 |
| Navigational bronchoscopy 31627 CPT 31627 | $932.25 | $1,243.00 | not published | 0 |
| N block inj common digit CPT 64632 | not published | not published | not published | 0 |
| N block inj hypogas plxs CPT 64517 | not published | not published | not published | 0 |
| Nctrnl pen tmscn&/rgdity tst CPT 54250 | $750.00 | $1,000.00 | not published | 0 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | $309.75 | $413.00 | not published | 0 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | not published | not published | not published | 0 |
| Ndl insj without njx 3+ musc CPT 20561 | not published | not published | not published | 0 |
| Ndl oculoelectromyography 1+ CPT 92265 | $95.25 | $127.00 | not published | 0 |
| Ndl round specialty proguide HCPCS C1715 | $352.50 | $470.00 | not published | 0 |
| Ndsc dcmprn 1 ntrspc lumbar CPT 62380 | not published | not published | not published | 0 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $1,980.00 | $2,640.00 | $204.00 – $204.00 | 1 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $1,822.50 | $2,430.00 | $367.00 – $367.00 | 1 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $1,530.00 | $2,040.00 | $125.00 – $125.00 | 1 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $2,182.50 | $2,910.00 | $367.00 – $367.00 | 1 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $2,040.00 | $2,720.00 | $367.00 – $367.00 | 1 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $1,635.00 | $2,180.00 | $249.00 – $249.00 | 1 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $2,257.50 | $3,010.00 | $388.00 – $388.00 | 1 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $2,040.00 | $2,720.00 | $367.00 – $367.00 | 1 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $2,040.00 | $2,720.00 | $249.00 – $249.00 | 1 |
| Neck spine disk surgery CPT 63020 | not published | not published | not published | 0 |
| Neck spine disk surgery 63075 CPT 63075 | 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.