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 |
|---|---|---|---|---|
| Assay of lap enzyme CPT 83670 | $55.50 | $74.00 | $10.00 – $10.00 | 1 |
| Assay of leflunomide CPT 80193 | $103.50 | $138.00 | $39.00 – $39.00 | 1 |
| Assay of lrh hormone CPT 83727 | $105.00 | $140.00 | $17.00 – $17.00 | 1 |
| Assay of methemalbumin CPT 83857 | $66.00 | $88.00 | $11.00 – $11.00 | 1 |
| Assay of neonatal thyroxine CPT 84437 | $39.00 | $52.00 | $6.00 – $6.00 | 1 |
| Assay of osteocalcin CPT 83937 | $181.50 | $242.00 | $30.00 – $30.00 | 1 |
| Assay of phenylketones CPT 84035 | $21.75 | $29.00 | $4.00 – $4.00 | 1 |
| Assay of pregnanediol CPT 84135 | $117.00 | $156.00 | $21.00 – $21.00 | 1 |
| Assay of pregnanetriol CPT 84138 | $115.50 | $154.00 | $21.00 – $21.00 | 1 |
| Assay of procainamide CPT 80190 | $296.25 | $395.00 | $60.00 – $60.00 | 1 |
| Assay of procainamide w/metab CPT 80192 | $101.25 | $135.00 | $17.00 – $17.00 | 1 |
| Assay of progesterone CPT 84234 | $395.25 | $527.00 | $65.00 – $65.00 | 1 |
| Assay of prostaglandin CPT 84150 | $206.25 | $275.00 | $42.00 – $42.00 | 1 |
| Assay of PSA complexed CPT 84152 | $111.75 | $149.00 | $18.00 – $18.00 | 1 |
| Assay of quinine CPT 84228 | $70.50 | $94.00 | $11.00 – $11.00 | 1 |
| Assay of rbc pg6d enzyme CPT 84085 | $57.00 | $76.00 | $9.00 – $9.00 | 1 |
| Assay of salicylate CPT 80179 | $59.25 | $79.00 | $19.00 – $19.00 | 1 |
| Assay of semen fructose CPT 82757 | $105.75 | $141.00 | $17.00 – $17.00 | 1 |
| Assay of sialic acid CPT 84275 | $81.75 | $109.00 | $14.00 – $14.00 | 1 |
| Assay of silica CPT 84285 | $143.25 | $191.00 | $25.00 – $25.00 | 1 |
| Assay of somatostatin CPT 84307 | $114.75 | $153.00 | $18.00 – $18.00 | 1 |
| Assay of thiocyanate CPT 84430 | $70.50 | $94.00 | $11.00 – $11.00 | 1 |
| Assay of troponin qual CPT 84512 | $50.25 | $67.00 | $10.00 – $10.00 | 1 |
| Assay of tyrosine CPT 84510 | $63.00 | $84.00 | $10.00 – $10.00 | 1 |
| Assay of urine sulfate CPT 84392 | $30.75 | $41.00 | $5.00 – $5.00 | 1 |
| Assay of urine urobilinogen CPT 84580 | $50.25 | $67.00 | $9.00 – $9.00 | 1 |
| Assay of urine urobilinogen CPT 84583 | $30.75 | $41.00 | $6.00 – $6.00 | 1 |
| Assay phosphatidylglycerol CPT 84081 | $99.75 | $133.00 | $17.00 – $17.00 | 1 |
| Assay phosphohexose enzymes CPT 84087 | $63.00 | $84.00 | $11.00 – $11.00 | 1 |
| Assay rbc glutathione CPT 82979 | $57.00 | $76.00 | $9.00 – $9.00 | 1 |
| Assay toxin or antitoxin CPT 87230 | $120.00 | $160.00 | $20.00 – $20.00 | 1 |
| Assess cyst contrast inject CPT 49424 | $434.25 | $579.00 | not published | 0 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $13.50 | $18.00 | $4.00 – $4.00 | 1 |
| Ast/sgot CPT 84450 | $39.75 | $53.00 | $5.00 – $5.00 | 1 |
| Asxl1 full gene sequence CPT 81175 | not published | not published | $675.00 – $675.00 | 1 |
| Asxl1 gene target seq alys CPT 81176 | not published | not published | $241.00 – $241.00 | 1 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $25,066.79 | $33,422.38 | $91.00 – $91.00 | 1 |
| Atn1 gene detc abnor alleles CPT 81177 | not published | not published | $137.00 – $137.00 | 1 |
| Atomic absorption CPT 82190 | $90.75 | $121.00 | $16.00 – $16.00 | 1 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $77.04 | $102.72 | $0.07 – $0.07 | 1 |
| Attach ocular implant CPT 65140 | not published | not published | not published | 0 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | $396.00 | $528.00 | not published | 0 |
| Atxn10 gene detc abnor allel CPT 81183 | not published | not published | $137.00 – $137.00 | 1 |
| Atxn1 gene detc abnor allele CPT 81178 | not published | not published | $137.00 – $137.00 | 1 |
| Atxn2 gene detc abnor allele CPT 81179 | not published | not published | $137.00 – $137.00 | 1 |
| Atxn3 gene detc abnor allele CPT 81180 | not published | not published | $137.00 – $137.00 | 1 |
| Atxn7 gene detc abnor allele CPT 81181 | not published | not published | $137.00 – $137.00 | 1 |
| Atxn8os gen detc abnor allel CPT 81182 | not published | not published | $137.00 – $137.00 | 1 |
| Audiometry air + bone CPT 92553 | $277.50 | $370.00 | not published | 0 |
| Augmentation cheek bone CPT 21270 | not published | not published | not published | 0 |
| Augmentation lower jaw bone CPT 21125 | not published | not published | not published | 0 |
| Augmentation lower jaw bone CPT 21127 | not published | not published | not published | 0 |
| Augmentation of facial bones CPT 21208 | not published | not published | not published | 0 |
| Augment injectable kit 3.0cc HCPCS C1734 | $720.00 | $960.00 | not published | 0 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $14,794.50 | $19,726.00 | not published | 0 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $9,375.75 | $12,501.00 | not published | 0 |
| Autgrft implnt knee w/scope CPT 29866 | not published | not published | not published | 0 |
| Autochondrocyte implant knee CPT 27412 | not published | not published | not published | 0 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | not published | not published | $839.00 – $839.00 | 1 |
| Autologous blood op salvage CPT 86891 | $684.00 | $912.00 | $113.00 – $113.00 | 1 |
| Autologous blood process CPT 86890 | $366.00 | $488.00 | $80.00 – $80.00 | 1 |
| Automated diff wbc count CPT 85004 | $39.00 | $52.00 | $6.00 – $6.00 | 1 |
| Autopsy (necropsy) complete CPT 88020 | $1,263.00 | $1,684.00 | $401.00 – $401.00 | 1 |
| Autopsy (necropsy) complete CPT 88025 | $1,221.75 | $1,629.00 | $388.00 – $388.00 | 1 |
| Autopsy (necropsy) complete CPT 88027 | $1,304.25 | $1,739.00 | $414.00 – $414.00 | 1 |
| Autopsy (necropsy) complete CPT 88028 | $732.75 | $977.00 | $233.00 – $233.00 | 1 |
| Autopsy (necropsy) complete CPT 88029 | $732.75 | $977.00 | $233.00 – $233.00 | 1 |
| Autopsy (necropsy) gross CPT 88000 | $732.75 | $977.00 | $233.00 – $233.00 | 1 |
| Autopsy (necropsy) gross CPT 88005 | $855.75 | $1,141.00 | $272.00 – $272.00 | 1 |
| Autopsy (necropsy) gross CPT 88007 | $897.00 | $1,196.00 | $285.00 – $285.00 | 1 |
| Autopsy (necropsy) gross CPT 88012 | $732.75 | $977.00 | $233.00 – $233.00 | 1 |
| Autopsy (necropsy) gross CPT 88014 | $672.00 | $896.00 | $214.00 – $214.00 | 1 |
| Autopsy (necropsy) gross CPT 88016 | $937.50 | $1,250.00 | $298.00 – $298.00 | 1 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | $4,933.75 | $6,578.33 | $100.00 – $100.00 | 1 |
| Av fistula revision CPT 36833 | $7,014.75 | $9,353.00 | not published | 0 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | not published | 0 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | not published | 0 |
| Av fusion direct any site CPT 36821 | $7,125.75 | $9,501.00 | not published | 0 |
| Av fusion/forearm vein 36820 CPT 36820 | not published | not published | not published | 0 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $606.75 | $809.00 | not published | 0 |
| Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial HCPCS J9038 | $24,951.75 | $33,269.00 | $54.00 – $54.00 | 1 |
| Axicabtagene ciloleucel car+ HCPCS Q2041 | not published | not published | $548,902.00 – $548,902.00 | 1 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | not published | 0 |
| Azacitidine injection HCPCS J9025 | $1,403.22 | $1,870.95 | $0.20 – $0.20 | 1 |
| Azathioprine 50 mg tablet HCPCS J7500 | $328.09 | $437.45 | $2.10 – $2.10 | 1 |
| Azathioprine parenteral HCPCS J7501 | $588.75 | $785.00 | $225.00 – $225.00 | 1 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $19.05 | $25.40 | $2.60 – $2.60 | 1 |
| Azithromycin dihydrate, oral HCPCS Q0144 | $189.65 | $252.86 | $14.00 – $14.00 | 1 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $164.27 | $219.02 | $2.66 – $2.66 | 1 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $2,596.63 | $3,462.17 | $176.00 – $176.00 | 1 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | $228.00 | $303.99 | $67.00 – $67.00 | 1 |
| Bacterial meningitis antigen CPT 86403 | $47.25 | $63.00 | $11.00 – $11.00 | 1 |
| Bacterial vaginosis pcr CPT 87801 | $441.00 | $588.00 | $70.00 – $70.00 | 1 |
| Bactericidal level serum CPT 87197 | $91.50 | $122.00 | $15.00 – $15.00 | 1 |
| #bac vag cand-c. albicans naa CPT 87481 | $219.75 | $293.00 | $35.00 – $35.00 | 1 |
| Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 | $10.73 | $14.30 | not published | 0 |
| Balloon dilate urtrl strix CPT 50706 | $2,632.50 | $3,510.00 | not published | 0 |
| Bard marquee Ultrasound biopsy device HCPCS A4649 | $744.00 | $992.00 | not published | 0 |
| Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft HCPCS A4414 | $4.88 | $6.50 | not published | 0 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | $5,478.00 | $7,304.00 | 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.