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 |
|---|---|---|---|---|
| Nsl/sins ndsc surg on dcmprn CPT 31294 | not published | not published | not published | 0 |
| Nsl/sins ndsc surg sphn sins CPT 31297 | not published | not published | not published | 0 |
| Nsl/sins ndsc total CPT 31253 | not published | not published | not published | 0 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | not published | not published | not published | 0 |
| Nsl/sinus endoscopy surg dcr CPT 31239 | not published | not published | not published | 0 |
| Nsl/sinus ndsc cryoabltj pnn CPT 31243 | not published | not published | not published | 0 |
| Nsl/sinus ndsc rf abltj pnn CPT 31242 | not published | not published | not published | 0 |
| Nsl/sns ndsc lig sphnptn art CPT 31241 | not published | not published | not published | 0 |
| Ntrk1 translocation analysis CPT 81191 | not published | not published | $207.00 – $207.00 | 1 |
| Ntrk2 translocation analysis CPT 81192 | not published | not published | $207.00 – $207.00 | 1 |
| Ntrk3 translocation analysis CPT 81193 | not published | not published | $207.00 – $207.00 | 1 |
| Ntrk translocation analysis CPT 81194 | not published | not published | $517.00 – $517.00 | 1 |
| Nuclear exam of tear flow CPT 78660 | $997.50 | $1,330.00 | $414.00 – $414.00 | 1 |
| Nuclear matrix protein 22 CPT 86386 | $107.25 | $143.00 | $22.00 – $22.00 | 1 |
| Nuclear rx intra-arterial CPT 79445 | $581.25 | $775.00 | $230.00 – $230.00 | 1 |
| Nuclear rx intra-articular CPT 79440 | $581.25 | $775.00 | $230.00 – $230.00 | 1 |
| Nuclear rx intracav admin CPT 79200 | $581.25 | $775.00 | $230.00 – $230.00 | 1 |
| Nuclear rx IV admin CPT 79101 | $581.25 | $775.00 | $230.00 – $230.00 | 1 |
| Nuclear Stress Test (Heart) CPT 78452 | $3,311.25 | $4,415.00 | $1,343.00 – $1,343.00 | 1 |
| Nuclr rx interstit colloid CPT 79300 | $581.25 | $775.00 | $230.00 – $230.00 | 1 |
| Nudt15 gene common variants CPT 81306 | not published | not published | $291.00 – $291.00 | 1 |
| Nusinersen (pf) 12 mg/5 ml intrathecal solution HCPCS J2326 | $289,675.69 | $386,234.25 | $1,246.00 – $1,246.00 | 1 |
| Obecbtge autol up to 400 mil HCPCS Q2058 | not published | not published | $294,709.00 – $294,709.00 | 1 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $19,474.40 | $25,965.86 | $78.00 – $78.00 | 1 |
| Observation direct referral from physician office for admission HCPCS G0379 | $570.75 | $761.00 | not published | 0 |
| Observation per hour HCPCS G0378 | $123.75 | $165.00 | not published | 0 |
| Obstetric panel inc HIV tstg CPT 80081 | $231.00 | $308.00 | $75.00 – $75.00 | 1 |
| Obstetrics panel CPT 80055 | $148.50 | $198.00 | $48.00 – $48.00 | 1 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $501.75 | $669.00 | $109.00 – $109.00 | 1 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | $303.75 | $405.00 | not published | 0 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | not published | not published | not published | 0 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $44,588.22 | $59,450.96 | $60.00 – $60.00 | 1 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $565.35 | $753.80 | $0.60 – $0.60 | 1 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $16,179.15 | $21,572.19 | $212.00 – $212.00 | 1 |
| Ocular photodynamic ther CPT 67221 | not published | not published | not published | 0 |
| Ocular reconst transplant CPT 65780 | not published | not published | not published | 0 |
| Ocular reconst transplant CPT 65781 | not published | not published | not published | 0 |
| Ocular reconst transplant CPT 65782 | not published | not published | not published | 0 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | $20,223.42 | $26,964.56 | $62.00 – $62.00 | 1 |
| Oil silicone ophth 8.5ml silikon 1000 HCPCS C1814 | $689.93 | $919.90 | not published | 0 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $139.46 | $185.94 | $0.90 – $0.90 | 1 |
| Olanzapine long-acting inj HCPCS J2358 | $2,664.90 | $3,553.19 | $2.90 – $2.90 | 1 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $6,896.29 | $9,195.05 | $40.00 – $40.00 | 1 |
| Onc breast mrna 12 genes CPT 81522 | not published | not published | $3,864.00 – $3,864.00 | 1 |
| Onc breast mrna 58 genes CPT 81520 | not published | not published | $2,505.00 – $2,505.00 | 1 |
| Onc breast mrna 70 genes CPT 81521 | not published | not published | $3,864.00 – $3,864.00 | 1 |
| Onc brst mrna 11 genes CPT 81518 | not published | not published | $3,864.00 – $3,864.00 | 1 |
| Onc brst mrna 70 cnt 31 gene CPT 81523 | not published | not published | $3,864.00 – $3,864.00 | 1 |
| Onc cutan mlnma mrna 31 gene CPT 81529 | not published | not published | $7,177.00 – $7,177.00 | 1 |
| Oncology colon mrna CPT 81525 | not published | not published | $3,109.00 – $3,109.00 | 1 |
| Oncology colorectal scr CPT 81528 | not published | not published | $508.00 – $508.00 | 1 |
| Oncology gynecologic CPT 81535 | not published | not published | $578.00 – $578.00 | 1 |
| Oncology gynecologic CPT 81536 | not published | not published | $177.00 – $177.00 | 1 |
| Oncology lung CPT 81538 | not published | not published | $2,864.00 – $2,864.00 | 1 |
| Oncology prostate prob score CPT 81539 | not published | not published | $758.00 – $758.00 | 1 |
| Oncology tissue of origin CPT 81504 | not published | not published | $519.00 – $519.00 | 1 |
| Oncology tum unknown origin CPT 81540 | not published | not published | $3,742.00 – $3,742.00 | 1 |
| Onco (ovar) five proteins CPT 81503 | not published | not published | $895.00 – $895.00 | 1 |
| Onco (ovar) two proteins CPT 81500 | not published | not published | $260.00 – $260.00 | 1 |
| Oncoprotein dcp CPT 83951 | $392.25 | $523.00 | $64.00 – $64.00 | 1 |
| Oncoprotein her-2/neu CPT 83950 | $392.25 | $523.00 | $64.00 – $64.00 | 1 |
| Onc prostate 3 genes CPT 81551 | not published | not published | $2,026.00 – $2,026.00 | 1 |
| Onc prostate mrna 22 cnt gen CPT 81542 | not published | not published | $3,864.00 – $3,864.00 | 1 |
| Onc prostate mrna 46 genes CPT 81541 | not published | not published | $3,864.00 – $3,864.00 | 1 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | not published | not published | $3,592.00 – $3,592.00 | 1 |
| Onc uveal mlnma mrna 15 gene CPT 81552 | not published | not published | $7,759.00 – $7,759.00 | 1 |
| Ondansetron 4 mg s0119 HCPCS S0119 | not published | not published | $17.00 – $17.00 | 1 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | not published | not published | $0.01 – $0.01 | 1 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $9.42 | $12.55 | $0.09 – $0.09 | 1 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | not published | 0 |
| Open nasoethmoid fx with fixj CPT 21339 | not published | not published | not published | 0 |
| Open nasoethmoid fx without fixj CPT 21338 | $7,798.50 | $10,398.00 | not published | 0 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | not published | 0 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | not published | not published | not published | 0 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | not published | not published | not published | 0 |
| Open tx nose fx w/skele fixj CPT 21330 | not published | not published | not published | 0 |
| Open tx nose & septal fx CPT 21335 | not published | not published | not published | 0 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | not published | not published | not published | 0 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | not published | not published | not published | 0 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | not published | not published | not published | 0 |
| Ophthalmic biometry CPT 92136 | $112.50 | $150.00 | not published | 0 |
| Ophthalmic mitomycin HCPCS J7315 | $843.81 | $1,125.08 | not published | 0 |
| Ophth Ultrasound b & quant a CPT 76510 | $334.50 | $446.00 | $132.00 – $132.00 | 1 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | $307.50 | $410.00 | $109.00 – $109.00 | 1 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | $324.00 | $432.00 | $109.00 – $109.00 | 1 |
| Opn impltj crnl nrv nea&pg CPT 64568 | not published | not published | not published | 0 |
| Opn impltj nea neuromuscular CPT 64580 | not published | not published | not published | 0 |
| Opn impltj nea perph nerve CPT 64575 | not published | not published | not published | 0 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | not published | 0 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | not published | not published | not published | 0 |
| Opn tx complx malar fx CPT 21365 | not published | not published | not published | 0 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | not published | 0 |
| Opn tx dprsd zygomatic arch CPT 21356 | not published | not published | not published | 0 |
| Opn tx nasomax fx multple CPT 21347 | not published | not published | not published | 0 |
| Opn tx nasomax fx w/fixj CPT 21346 | not published | not published | not published | 0 |
| Opn tx orbit fx combined CPT 21387 | not published | not published | not published | 0 |
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | not published | 0 |
| Opn tx orbit fx transantral CPT 21385 | not published | not published | not published | 0 |
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | not published | 0 |
| Opn tx orbit fx w/implant CPT 21407 | 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.