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 |
|---|---|---|---|---|
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $3,731.10 | $4,974.79 | $12.00 – $12.00 | 1 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $675.00 – $675.00 | 1 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $301.00 – $301.00 | 1 |
| Palifermin injection HCPCS J2425 | $7,318.71 | $9,758.27 | $36.00 – $36.00 | 1 |
| Palingen or promatrx HCPCS Q4174 | $3.75 | $5.00 | not published | 0 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $8,355.57 | $11,140.75 | $15.00 – $15.00 | 1 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $8,048.49 | $10,731.31 | not published | 0 |
| Palonosetron hcl HCPCS J2469 | $138.75 | $185.00 | $0.40 – $0.40 | 1 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $155.95 | $207.93 | $11.00 – $11.00 | 1 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $16,990.80 | $22,654.39 | $173.00 – $173.00 | 1 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $19.29 | $25.71 | not published | 0 |
| Papaverin hcl injection HCPCS J2440 | $67.11 | $89.48 | $2.97 – $2.97 | 1 |
| Parathormone (pth) intact CPT 83970 | $297.00 | $396.00 | $41.00 – $41.00 | 1 |
| Parathyrd planar w/spect&ct CPT 78072 | $1,335.00 | $1,780.00 | $554.00 – $554.00 | 1 |
| Parathyroid planar imaging CPT 78070 | $997.50 | $1,330.00 | $414.00 – $414.00 | 1 |
| Parathyroid planar img w/tomo spect CPT 78071 | $997.50 | $1,330.00 | $414.00 – $414.00 | 1 |
| Paravaginal defect repair 57284 CPT 57284 | not published | not published | not published | 0 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | not published | 0 |
| Paricalcitol HCPCS J2501 | $68.01 | $90.68 | $0.67 – $0.67 | 1 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $164.25 | $219.00 | not published | 0 |
| Parotid duct diversion CPT 42507 | not published | not published | not published | 0 |
| Parotid duct diversion CPT 42509 | not published | not published | not published | 0 |
| Parotid duct diversion CPT 42510 | not published | not published | not published | 0 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | not published | not published | not published | 0 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | not published | 0 |
| Partial exc bone humerus CPT 24140 | not published | not published | not published | 0 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | not published | 0 |
| Partial excision of lip CPT 40500 | not published | not published | not published | 0 |
| Partial removal finger bone CPT 26235 | not published | not published | not published | 0 |
| Partial removal finger bone CPT 26236 | not published | not published | not published | 0 |
| Partial removal foot fascia CPT 28060 | not published | not published | not published | 0 |
| Partial removal leg bone(s) CPT 27360 | not published | not published | not published | 0 |
| Partial removal of eye fluid CPT 67005 | not published | not published | not published | 0 |
| Partial removal of eye fluid CPT 67010 | not published | not published | not published | 0 |
| Partial removal of fibula CPT 27641 | not published | not published | not published | 0 |
| Partial removal of foot bone CPT 28288 | not published | not published | not published | 0 |
| Partial removal of hand bone CPT 26230 | not published | not published | not published | 0 |
| Partial removal of lip CPT 40530 | not published | not published | not published | 0 |
| Partial removal of nose CPT 30150 | not published | not published | not published | 0 |
| Partial removal of penis CPT 54120 | not published | not published | not published | 0 |
| Partial removal of pharynx 42890 CPT 42890 | not published | not published | not published | 0 |
| Partial removal of radius CPT 25151 | not published | not published | not published | 0 |
| Partial removal of radius CPT 25230 | not published | not published | not published | 0 |
| Partial removal of rib CPT 21600 | not published | not published | not published | 0 |
| Partial removal of thyroid CPT 60220 | not published | not published | not published | 0 |
| Partial removal of thyroid CPT 60225 | not published | not published | not published | 0 |
| Partial removal of tibia CPT 27640 | not published | not published | not published | 0 |
| Partial removal of toe CPT 28160 | not published | not published | not published | 0 |
| Partial removal of tongue CPT 41120 | not published | not published | not published | 0 |
| Partial removal of ulna CPT 25119 | not published | not published | not published | 0 |
| Partial removal of ulna CPT 25150 | not published | not published | not published | 0 |
| Partial removal of ulna CPT 25240 | not published | not published | not published | 0 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | not published | 0 |
| Partial removal tear gland CPT 68505 | not published | not published | not published | 0 |
| Partial thyroid excision CPT 60210 | not published | not published | not published | 0 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | not published | 0 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $423.36 | $564.48 | not published | 0 |
| Part removal of metatarsal CPT 28110 | not published | not published | not published | 0 |
| Part removal of metatarsal CPT 28113 | not published | not published | not published | 0 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | not published | 0 |
| Passy muir valve metal trach HCPCS L8501 | $297.36 | $396.47 | not published | 0 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $96.00 – $96.00 | 1 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $53.00 – $53.00 | 1 |
| Path clin consltj prolng svc CPT 80506 | not published | not published | $42.00 – $42.00 | 1 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $28.00 – $28.00 | 1 |
| Pca3/klk3 antigen CPT 81313 | not published | not published | $254.00 – $254.00 | 1 |
| Pdgfra gene CPT 81314 | not published | not published | $329.00 – $329.00 | 1 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | not published | 0 |
| Ped home apnea mntr att only CPT 94775 | $436.50 | $582.00 | not published | 0 |
| Ped home apnea mntr dl&alys CPT 94776 | $436.50 | $582.00 | not published | 0 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | not published | 0 |
| Pegaspargase injection HCPCS J9266 | $59,402.49 | $79,203.32 | $28,411.00 – $28,411.00 | 1 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $15,021.85 | $20,029.13 | $534.00 – $534.00 | 1 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $9,188.25 | $12,251.00 | $327.00 – $327.00 | 1 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $9,773.25 | $13,031.00 | $348.00 – $348.00 | 1 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $358.00 – $358.00 | 1 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $4,888.50 | $6,518.00 | $91.00 – $91.00 | 1 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $208.00 – $208.00 | 1 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | $66,408.61 | $88,544.81 | $3,637.00 – $3,637.00 | 1 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | $10,366.91 | $13,822.54 | $230.00 – $230.00 | 1 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,747.50 | $2,330.00 | $267.00 – $267.00 | 1 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,597.50 | $2,130.00 | $256.00 – $256.00 | 1 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,485.00 | $1,980.00 | $123.00 – $123.00 | 1 |
| Pelvic MRI (with contrast) CPT 72196 | $2,100.00 | $2,800.00 | $367.00 – $367.00 | 1 |
| Pelvic MRI (without contrast) CPT 72195 | $2,040.00 | $2,720.00 | $249.00 – $249.00 | 1 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | not published | 0 |
| Pelvic Ultrasound (complete) CPT 76856 | $600.00 | $800.00 | $109.00 – $109.00 | 1 |
| Pelvic Ultrasound (limited) CPT 76857 | $435.00 | $580.00 | $109.00 – $109.00 | 1 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $14,110.44 | $18,813.92 | $59.00 – $59.00 | 1 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $9,494.37 | $12,659.16 | $3.70 – $3.70 | 1 |
| Peng benzathine/procaine inj HCPCS J0558 | $572.65 | $763.53 | $17.00 – $17.00 | 1 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $1,773.30 | $2,364.40 | $29.00 – $29.00 | 1 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $141.13 | $188.17 | $0.88 – $0.88 | 1 |
| Penicillin g procaine inj HCPCS J2510 | $212.32 | $283.09 | $47.00 – $47.00 | 1 |
| Penile injection CPT 54235 | not published | not published | not published | 0 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $382.50 | $510.00 | not published | 0 |
| Penile vascular study CPT 93980 | $398.25 | $531.00 | not published | 0 |
| Penile vascular study CPT 93981 | $342.75 | $457.00 | not published | 0 |
| Penile venous occlusion CPT 37790 | not published | not published | not published | 0 |
| Penis plastic surgery CPT 54360 | $6,029.25 | $8,039.00 | 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.