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 |
|---|---|---|---|---|
| Place endorectal app HCPCS C9725 | not published | not published | not published | 0 |
| Place gastrostomy tube perc CPT 49440 | $4,932.75 | $6,577.00 | not published | 0 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $1,191.00 | $1,588.00 | not published | 0 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $586.50 | $782.00 | not published | 0 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $1,219.50 | $1,626.00 | not published | 0 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $2,565.00 | $3,420.00 | not published | 0 |
| Placement of seton CPT 46020 | $4,602.00 | $6,136.00 | not published | 0 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $10,283.25 | $13,711.00 | not published | 0 |
| Place ndl musc/tis for right CPT 20555 | not published | not published | not published | 0 |
| Place needles h&n for right CPT 41019 | not published | not published | not published | 0 |
| Place needles pelvic for right CPT 55920 | not published | not published | not published | 0 |
| Place non-slctv cath thoracic arta CPT 36221 | $5,806.50 | $7,742.00 | not published | 0 |
| Placental lactogen CPT 83632 | $123.00 | $164.00 | $20.00 – $20.00 | 1 |
| Place po breast cath for rad CPT 19296 | not published | not published | not published | 0 |
| Place right device/marker pros CPT 55876 | not published | not published | not published | 0 |
| Place slctv cath carotd art uni CPT 36224 | $6,016.50 | $8,022.00 | not published | 0 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $3,294.00 | $4,392.00 | not published | 0 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $6,525.75 | $8,701.00 | not published | 0 |
| Place slctv cath subclavian art CPT 36225 | $4,028.25 | $5,371.00 | not published | 0 |
| Place slctv cath vertebral art uni CPT 36226 | $5,384.25 | $7,179.00 | not published | 0 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $327.75 | $437.00 | not published | 0 |
| Plasma volume multiple CPT 78111 | $3,396.00 | $4,528.00 | $1,343.00 – $1,343.00 | 1 |
| Plasma volume single CPT 78110 | $3,396.00 | $4,528.00 | $1,343.00 – $1,343.00 | 1 |
| Platelet aggregation each agent teg CPT 85576 | $179.25 | $239.00 | $25.00 – $25.00 | 1 |
| Platelet automated CPT 85049 | $35.25 | $47.00 | $4.00 – $4.00 | 1 |
| Platelet deplete of harvest CPT 38213 | not published | not published | not published | 0 |
| Platelet pheresis each unit HCPCS P9034 | $1,059.00 | $1,412.00 | not published | 0 |
| Platelet pheresis irr ea HCPCS P9036 | $2,054.25 | $2,739.00 | not published | 0 |
| Platelets each unit HCPCS P9019 | $330.75 | $441.00 | not published | 0 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $2,569.50 | $3,426.00 | not published | 0 |
| Platelets irradiated ea unit HCPCS P9032 | $573.75 | $765.00 | not published | 0 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $423.00 | $564.00 | not published | 0 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $645.00 | $860.00 | not published | 0 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $1,302.00 | $1,736.00 | not published | 0 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,608.00 | $2,144.00 | not published | 0 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $1,650.75 | $2,201.00 | not published | 0 |
| Platelet survival CPT 78191 | $997.50 | $1,330.00 | $414.00 – $414.00 | 1 |
| Plcg2 gene common variants CPT 81320 | not published | not published | $291.00 – $291.00 | 1 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $3,595.50 | $4,794.00 | not published | 0 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $6,000.75 | $8,001.00 | not published | 0 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $3,474.75 | $4,633.00 | not published | 0 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $3,693.75 | $4,925.00 | not published | 0 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $1,869.00 | $2,492.00 | not published | 0 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $1,597.50 | $2,130.00 | not published | 0 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $720.00 | $960.00 | not published | 0 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $1,033.50 | $1,378.00 | not published | 0 |
| Plerixafor injection HCPCS J2562 | $21,534.78 | $28,713.04 | $119.00 – $119.00 | 1 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $392.25 | $523.00 | not published | 0 |
| Plmt access bil tree sm bwl CPT 47541 | $5,023.50 | $6,698.00 | not published | 0 |
| Plmt biliary drainage cath CPT 47534 | $3,912.00 | $5,216.00 | not published | 0 |
| Plmt nephroureteral catheter CPT 50433 | $3,474.75 | $4,633.00 | not published | 0 |
| Plmt ureteral stent prq CPT 50694 | not published | not published | not published | 0 |
| Pm device progr eval dual CPT 93280 | $279.00 | $372.00 | not published | 0 |
| Pm device progr eval multi CPT 93281 | $200.25 | $267.00 | not published | 0 |
| Pml/raralpha 1 breakpoint CPT 81316 | not published | not published | $207.00 – $207.00 | 1 |
| Pmp22 gene dup/delet CPT 81324 | not published | not published | $757.00 – $757.00 | 1 |
| Pmp22 gene full sequence CPT 81325 | not published | not published | $768.00 – $768.00 | 1 |
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $46.00 – $46.00 | 1 |
| Pm phone r-strip device eval CPT 93293 | $174.00 | $232.00 | not published | 0 |
| Pms2 gene dup/delet variants CPT 81319 | not published | not published | $203.00 – $203.00 | 1 |
| Pms2 gene full seq analysis CPT 81317 | not published | not published | $675.00 – $675.00 | 1 |
| Pms2 known familial variants CPT 81318 | not published | not published | $330.00 – $330.00 | 1 |
| Pne flu hepb cov home admin HCPCS M0201 | $98.25 | $131.00 | not published | 0 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | not published | not published | not published | 0 |
| #pnh-flow cytometry interp CPT 88187 | $159.75 | $213.00 | $35.00 – $35.00 | 1 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $238.50 | $318.00 | $26.00 – $26.00 | 1 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $40,234.40 | $53,645.86 | $136.00 – $136.00 | 1 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | $3,804.75 | $5,073.00 | not published | 0 |
| Polysom any age 1-3> param CPT 95808 | $2,775.75 | $3,701.00 | not published | 0 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $3,529.50 | $4,706.00 | not published | 0 |
| Polyvalent mult org ea ag ia CPT 87451 | $58.50 | $78.00 | $10.00 – $10.00 | 1 |
| Porfimer sodium injection HCPCS J9600 | $50,381.43 | $67,175.24 | $24,217.00 – $24,217.00 | 1 |
| Positional change of finger CPT 26555 | not published | not published | not published | 0 |
| Post 1 srfc resinbased cmpst HCPCS D2391 | not published | not published | not published | 0 |
| Post 2 srfc resinbased cmpst HCPCS D2392 | not published | not published | not published | 0 |
| Post >=4srfc resinbase cmpst HCPCS D2394 | not published | not published | not published | 0 |
| Post-coital mucous exam HCPCS Q0115 | $77.25 | $103.00 | not published | 0 |
| Post op service lvrs min 6 HCPCS G0305 | not published | not published | not published | 0 |
| Potassium 24 hour urine CPT 84133 | $27.00 | $36.00 | $5.00 – $5.00 | 1 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $85.84 | $114.45 | $0.17 – $0.17 | 1 |
| Potassium hydroxide preps HCPCS Q0112 | $21.75 | $29.00 | $6.00 – $6.00 | 1 |
| Potassium serum/plasma/whole blood CPT 84132 | $50.25 | $67.00 | $5.00 – $5.00 | 1 |
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $137.00 – $137.00 | 1 |
| Pq biliary strict dil s&i CPT 74363 | $369.75 | $493.00 | not published | 0 |
| Pq dr cath chg w cont s&i CPT 75984 | $422.25 | $563.00 | not published | 0 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $5,253.00 | $7,004.00 | not published | 0 |
| Pq thr inj ext pse CPT 36002 | $2,202.75 | $2,937.00 | not published | 0 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $3,410.25 | $4,547.00 | not published | 0 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $6,339.00 | $8,452.00 | not published | 0 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $6,339.00 | $8,452.00 | not published | 0 |
| Pralatrexate injection HCPCS J9307 | $29,355.84 | $39,141.12 | $389.00 – $389.00 | 1 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $206.63 | $275.50 | $91.00 – $91.00 | 1 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $5,553.75 | $7,405.00 | not published | 0 |
| Pr application of long arm splint CPT 29105 | $419.25 | $559.00 | not published | 0 |
| Pr application splint static short arm CPT 29125 | $210.00 | $280.00 | not published | 0 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | $99.00 | $132.00 | not published | 0 |
| Pr biopsy skin punch single lesion CPT 11104 | $632.25 | $843.00 | not published | 0 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | not published | 0 |
| Pr correction hammertoe CPT 28285 | not published | not published | not published | 0 |
| Prcrd drg 6+yr without anomly CPT 33017 | $631.50 | $842.00 | 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.