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 |
|---|---|---|---|---|
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $2,675.25 | $3,567.00 | not published | 0 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $530.25 | $707.00 | not published | 0 |
| Prealbumin CPT 84134 | $98.25 | $131.00 | $15.00 – $15.00 | 1 |
| Pr ecg 12 lead report only CPT 93010 | $22.50 | $30.00 | not published | 0 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $1,962.87 | $2,617.15 | $0.27 – $0.27 | 1 |
| Prednisone 1 mg tablet HCPCS J7512 | $305.70 | $407.60 | $0.01 – $0.01 | 1 |
| Prefab stnlss steel crown pe HCPCS D2931 | not published | not published | not published | 0 |
| Prefab stnlss steel crwn pri HCPCS D2930 | not published | not published | not published | 0 |
| Pregabalin - sendout CPT 80366 | $86.25 | $115.00 | $27.00 – $27.00 | 1 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $4,932.75 | $6,577.00 | not published | 0 |
| Pregnancy associated plasma protein-a CPT 84163 | $69.00 | $92.00 | $15.00 – $15.00 | 1 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $528.00 | $704.00 | $109.00 – $109.00 | 1 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $467.25 | $623.00 | $109.00 – $109.00 | 1 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | not published | not published | not published | 0 |
| Pre-op service lvrs 1-9 dos HCPCS G0304 | not published | not published | not published | 0 |
| Pre-op service lvrs complete HCPCS G0302 | not published | not published | not published | 0 |
| Preparation palate mold CPT 42280 | not published | not published | not published | 0 |
| Prepj skn cll ssp agrft 1st CPT 15013 | not published | not published | not published | 0 |
| Prep skin to 100cm2 other CPT 15004 | not published | not published | not published | 0 |
| Prep skin to 100cm2 trk/ext CPT 15002 | not published | not published | not published | 0 |
| Pressure velocity wire add ves CPT 93572 | $639.00 | $852.00 | not published | 0 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $155.25 | $207.00 | $28.00 – $28.00 | 1 |
| Pretreat rbc absorption reference CPT 86978 | $141.00 | $188.00 | $28.00 – $28.00 | 1 |
| Pretreat rbc density gradient separation reference CPT 86972 | $164.25 | $219.00 | $33.00 – $33.00 | 1 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $117.00 | $156.00 | $23.00 – $23.00 | 1 |
| Pretreat rbc w enzyme reference CPT 86971 | $303.00 | $404.00 | $19.00 – $19.00 | 1 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $408.00 | $544.00 | not published | 0 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | not published | not published | not published | 0 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | not published | 0 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $597.75 | $797.00 | not published | 0 |
| Prgrmg dev eval impltbl sys CPT 93260 | $195.75 | $261.00 | not published | 0 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $157.50 | $210.00 | not published | 0 |
| Prgrmg dev eval scrms ip CPT 93285 | $144.75 | $193.00 | not published | 0 |
| Prgrmg eval implantable dfb CPT 93282 | $337.50 | $450.00 | not published | 0 |
| Prgrmg eval implantable dfb CPT 93283 | $337.50 | $450.00 | not published | 0 |
| Prgrmg eval implantable dfb CPT 93284 | $230.25 | $307.00 | not published | 0 |
| Prgr stim/pace a/iv drug CPT 93623 | $435.00 | $580.00 | not published | 0 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $11,644.50 | $15,526.00 | not published | 0 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $1,162.50 | $1,550.00 | not published | 0 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $968.25 | $1,291.00 | not published | 0 |
| Pr incision & drainage abscess simple/single CPT 10060 | $428.25 | $571.00 | not published | 0 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $964.50 | $1,286.00 | not published | 0 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $592.50 | $790.00 | not published | 0 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $348.00 | $464.00 | not published | 0 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $158.25 | $211.00 | not published | 0 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $1,893.00 | $2,524.00 | not published | 0 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $610.50 | $814.00 | not published | 0 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | not published | 0 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | not published | 0 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | not published | 0 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | not published | 0 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $1,407.75 | $1,877.00 | $194.00 – $194.00 | 1 |
| Procalcitonin CPT 84145 | $237.75 | $317.00 | $27.00 – $27.00 | 1 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | not published | not published | $43.00 – $43.00 | 1 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $32.06 | $42.74 | $2.50 – $2.50 | 1 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | not published | not published | $0.37 – $0.37 | 1 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | not published | 0 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | not published | 0 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | not published | 0 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | not published | not published | not published | 0 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | not published | 0 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | not published | 0 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | not published | 0 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | not published | 0 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | not published | 0 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | $5,335.50 | $7,114.00 | not published | 0 |
| Proctosigmoidoscopy w/stent CPT 45327 | $9,196.50 | $12,262.00 | not published | 0 |
| Progesterone CPT 84144 | $130.50 | $174.00 | $21.00 – $21.00 | 1 |
| Prolactin CPT 84146 | $132.75 | $177.00 | $19.00 – $19.00 | 1 |
| Promethazine 25 mg tablet HCPCS Q0169 | not published | not published | $0.70 – $0.70 | 1 |
| Promethazine hcl injection HCPCS J2550 | $9.64 | $12.85 | $2.87 – $2.87 | 1 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | not published | 0 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | not published | 0 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | not published | 0 |
| Prophylactic tx radius CPT 25490 | not published | not published | not published | 0 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | not published | 0 |
| Prophylactic tx ulna CPT 25491 | not published | not published | not published | 0 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $95.55 | $127.40 | $0.09 – $0.09 | 1 |
| _propoxygc/msur CPT 80367 | $86.25 | $115.00 | $27.00 – $27.00 | 1 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $28.23 | $37.64 | $10.00 – $10.00 | 1 |
| Prostate biopsy, any mthd HCPCS G0416 | $837.00 | $1,116.00 | $214.00 – $214.00 | 1 |
| Prostatectomy (turp) CPT 52601 | $3,875.25 | $5,167.00 | not published | 0 |
| Prostate laser enucleation CPT 52649 | not published | not published | not published | 0 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | not published | 0 |
| Prostatic rf thermotx CPT 53852 | not published | not published | not published | 0 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | $720.00 | $960.00 | not published | 0 |
| Prosthesis voc lopres 20f 22mm HCPCS L8507 | $449.09 | $598.78 | not published | 0 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $146.63 | $195.50 | $1.60 – $1.60 | 1 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $2.25 | $3.00 | not published | 0 |
| Protein analysis w/probe CPT 88372 | $129.00 | $172.00 | $26.00 – $26.00 | 1 |
| Protein c activity CPT 85303 | $87.75 | $117.00 | $14.00 – $14.00 | 1 |
| Protein c concentrate HCPCS J2724 | $8.34 | $11.12 | $15.00 – $15.00 | 1 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $87.00 | $116.00 | $11.00 – $11.00 | 1 |
| Protein s total CPT 85305 | $33.00 | $44.00 | $11.00 – $11.00 | 1 |
| Protein total 24 hour urine CPT 84156 | $32.25 | $43.00 | $4.00 – $4.00 | 1 |
| Protein total body fluid CPT 84157 | $52.50 | $70.00 | $4.00 – $4.00 | 1 |
| Protein total serum plasma whole blood CPT 84155 | $14.25 | $19.00 | $4.00 – $4.00 | 1 |
| Protein western blot tissue CPT 88371 | $123.75 | $165.00 | $22.00 – $22.00 | 1 |
| Prothrombin complex kcentra HCPCS J7168 | $12.87 | $17.16 | $2.10 – $2.10 | 1 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $24.75 | $33.00 | $4.00 – $4.00 | 1 |
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.