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 |
|---|---|---|---|---|
| Penis study CPT 54240 | $640.50 | $854.00 | not published | 0 |
| Pentamidine non-comp unit HCPCS J2545 | $394.28 | $525.70 | $82.00 – $82.00 | 1 |
| Pentazocine injection HCPCS J3070 | not published | not published | $30.00 – $30.00 | 1 |
| Pentobarbital sodium inj HCPCS J2515 | $2,953.64 | $3,938.18 | $8.00 – $8.00 | 1 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | $6,939.75 | $9,252.99 | $2,543.00 – $2,543.00 | 1 |
| Perc cryo ablate renal tum CPT 50593 | $9,751.50 | $13,002.00 | not published | 0 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $23,970.75 | $31,961.00 | not published | 0 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $11,535.00 | $15,380.00 | not published | 0 |
| Perc d-e cor stent ather br HCPCS C9603 | $2,268.75 | $3,025.00 | not published | 0 |
| Perc d-e cor stent ather s HCPCS C9602 | $26,080.50 | $34,774.00 | not published | 0 |
| Perc drug-el cor stent sing HCPCS C9600 | $23,668.50 | $31,558.00 | not published | 0 |
| Perc rf ablate renal tumor CPT 50592 | $8,067.75 | $10,757.00 | not published | 0 |
| Percut ablate liver rf CPT 47382 | $8,556.00 | $11,408.00 | not published | 0 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $871.32 | $1,161.75 | $41.00 – $41.00 | 1 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $585.75 | $781.00 | not published | 0 |
| Pericardiocentesis wwo imaging CPT 33016 | $3,534.00 | $4,712.00 | not published | 0 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | not published | 0 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | not published | 0 |
| Peri-proc device eval icd CPT 93287 | $145.50 | $194.00 | not published | 0 |
| Peri-proc device eval pm CPT 93286 | $123.75 | $165.00 | not published | 0 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | not published | 0 |
| Peritoneogram rs&i CPT 74190 | $1,400.25 | $1,867.00 | $565.00 – $565.00 | 1 |
| Perit-vens shunt pat tst CPT 78291 | $997.50 | $1,330.00 | $414.00 – $414.00 | 1 |
| Permanent tear duct plug HCPCS A4263 | $180.57 | $240.75 | not published | 0 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $0.70 – $0.70 | 1 |
| Perq art m-thrombect &/nfs CPT 61645 | $8,939.25 | $11,919.00 | not published | 0 |
| Perq clsr tcat l atr apndge CPT 33340 | $11,331.75 | $15,109.00 | not published | 0 |
| Perq dev breast 1st mr guide CPT 19287 | $1,311.00 | $1,748.00 | not published | 0 |
| Perq dev breast 1st strtctc CPT 19283 | $2,059.50 | $2,746.00 | not published | 0 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | not published | 0 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | $25,387.50 | $33,850.00 | not published | 0 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | not published | 0 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | not published | 0 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | not published | 0 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | not published | 0 |
| Perq plmt bile duct stent CPT 47538 | $11,895.00 | $15,860.00 | not published | 0 |
| Perq plmt bile duct stent CPT 47539 | $13,135.50 | $17,514.00 | not published | 0 |
| Perq plmt bile duct stent CPT 47540 | $13,357.50 | $17,810.00 | not published | 0 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $780.00 | $1,040.00 | not published | 0 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | not published | 0 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | not published | 0 |
| Perq transcath cls aortic CPT 93591 | $30,384.75 | $40,513.00 | not published | 0 |
| Perq transcath cls mitral CPT 93590 | $33,423.00 | $44,564.00 | not published | 0 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | not published | 0 |
| Perq tx malar fracture CPT 21355 | not published | not published | not published | 0 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | not published | 0 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | not published | 0 |
| Pertussis ag if CPT 87265 | $72.75 | $97.00 | $12.00 – $12.00 | 1 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $15,993.69 | $21,324.91 | $17.00 – $17.00 | 1 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | $30,093.45 | $40,124.59 | $63.00 – $63.00 | 1 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $408.00 | $544.00 | not published | 0 |
| Pet CT skull-mid thgh initial CPT 78815 | $3,890.25 | $5,187.00 | $1,502.00 – $1,502.00 | 1 |
| Pet CT whole body initial CPT 78816 | $4,371.75 | $5,829.00 | $1,502.00 – $1,502.00 | 1 |
| Pet fdg brain metoblic eval sb CPT 78608 | $4,278.00 | $5,704.00 | $1,502.00 – $1,502.00 | 1 |
| Pet image full body CPT 78813 | $4,278.00 | $5,704.00 | $1,502.00 – $1,502.00 | 1 |
| Pet image ltd area CPT 78811 | $3,811.50 | $5,082.00 | $1,343.00 – $1,343.00 | 1 |
| Pet image skull-thigh CPT 78812 | $4,278.00 | $5,704.00 | $1,502.00 – $1,502.00 | 1 |
| Pet image w/ct lmtd CPT 78814 | $4,278.00 | $5,704.00 | $1,502.00 – $1,502.00 | 1 |
| Pet scan brain perf study CPT 78609 | $265.50 | $354.00 | not published | 0 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $747.36 | $996.48 | not published | 0 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | not published | 0 |
| Ph body fluid CPT 83986 | $25.50 | $34.00 | $4.00 – $4.00 | 1 |
| Phencyclidine (pcp) CPT 83992 | $168.00 | $224.00 | $41.00 – $41.00 | 1 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $74.13 | $98.84 | $27.00 – $27.00 | 1 |
| Phenobarbital therapeutic drug level CPT 80184 | $77.25 | $103.00 | $15.00 – $15.00 | 1 |
| Phentolaine mesylate inj HCPCS J2760 | $1,150.26 | $1,533.68 | $437.00 – $437.00 | 1 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $295.47 | $393.95 | $0.01 – $0.01 | 1 |
| Phenylep ketorolac opth soln HCPCS J1097 | not published | not published | $97.00 – $97.00 | 1 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $11.96 | $15.94 | $0.66 – $0.66 | 1 |
| Phenytoin total therapeutic drug level CPT 80185 | $91.50 | $122.00 | $13.00 – $13.00 | 1 |
| Phlebotomy therapeutic CPT 99195 | $356.25 | $475.00 | not published | 0 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | not published | not published | not published | 0 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | not published | 0 |
| Phosphorus CPT 84100 | $50.25 | $67.00 | $5.00 – $5.00 | 1 |
| Phosphorus 24 hour urine CPT 84105 | $33.75 | $45.00 | $6.00 – $6.00 | 1 |
| Photopheresis CPT 36522 | not published | not published | not published | 0 |
| Phys blood bank serv authrj CPT 86079 | $294.75 | $393.00 | $53.00 – $53.00 | 1 |
| Phys blood bank serv reactj CPT 86078 | $304.50 | $406.00 | $53.00 – $53.00 | 1 |
| Phys blood bank serv xmatch CPT 86077 | $297.00 | $396.00 | $53.00 – $53.00 | 1 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $135.96 | $181.28 | $2.80 – $2.80 | 1 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | $13,375.47 | $17,833.96 | not published | 0 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $274.00 – $274.00 | 1 |
| Pild/placebo control clin tr HCPCS G0276 | not published | not published | not published | 0 |
| Pillow shldr abduc inflat univ HCPCS L3960 | $310.77 | $414.36 | not published | 0 |
| Pin caspar distraction 12mm HCPCS C1821 | $740.58 | $987.44 | not published | 0 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | not published | not published | not published | 0 |
| Pin finger dislocation CPT 26776 | not published | not published | not published | 0 |
| Pin finger fracture each CPT 26756 | $5,553.75 | $7,405.00 | not published | 0 |
| Pin hand dislocation CPT 26676 | not published | not published | not published | 0 |
| Pin knuckle dislocation CPT 26706 | not published | not published | not published | 0 |
| Pinworm exam CPT 87172 | $19.50 | $26.00 | $4.00 – $4.00 | 1 |
| Pinworm examinations HCPCS Q0113 | $13.50 | $18.00 | $4.00 – $4.00 | 1 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $405.77 | $541.02 | $1.10 – $1.10 | 1 |
| Pituitary evaluation panel CPT 80418 | $3,526.50 | $4,702.00 | $578.00 – $578.00 | 1 |
| Place breast rad tube/caths CPT 19298 | not published | not published | not published | 0 |
| Place cath intracranial art CPT 36228 | $4,708.50 | $6,278.00 | not published | 0 |
| Place cath xtrnl carotid CPT 36227 | $660.75 | $881.00 | not published | 0 |
| Place cecostomy tube perc CPT 49442 | not published | not published | not published | 0 |
| Place device/marker, non pro HCPCS C9728 | $3,445.50 | $4,594.00 | not published | 0 |
| Place duod/jej tube perc CPT 49441 | $4,932.75 | $6,577.00 | 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.