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 |
|---|---|---|---|---|
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | not published | 0 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | not published | 0 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | not published | 0 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | not published | 0 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | not published | 0 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | not published | 0 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | not published | 0 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $17,592.92 | $23,457.22 | $74.00 – $74.00 | 1 |
| Ranibizumab injection HCPCS J2778 | $4,566.75 | $6,089.00 | $382.00 – $382.00 | 1 |
| Rapid desensitization CPT 95180 | $397.50 | $530.00 | not published | 0 |
| Rapid Strep Test CPT 87880 | $55.50 | $74.00 | $17.00 – $17.00 | 1 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $12,955.56 | $17,274.08 | $376.00 – $376.00 | 1 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $51,737.82 | $68,983.76 | $225.00 – $225.00 | 1 |
| Rb82 rubidium HCPCS A9555 | not published | not published | $595.00 – $595.00 | 1 |
| Rbc count only automated CPT 85041 | $18.00 | $24.00 | $3.00 – $3.00 | 1 |
| Rbc deglycerolized each unit HCPCS P9039 | $1,616.25 | $2,155.00 | not published | 0 |
| Rbc depletion of harvest CPT 38212 | not published | not published | not published | 0 |
| Rbc irradiated each unit HCPCS P9038 | $680.25 | $907.00 | not published | 0 |
| Rbc mechanical fragility CPT 85547 | $52.50 | $70.00 | $8.00 – $8.00 | 1 |
| Rbc osmotic fragility CPT 85555 | $40.50 | $54.00 | $7.00 – $7.00 | 1 |
| Rbc serum pretx incubj drugs CPT 86975 | $281.25 | $375.00 | $25.00 – $25.00 | 1 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | not published | 0 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | not published | 0 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | not published | 0 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | not published | 0 |
| Realignment of tendons CPT 26437 | not published | not published | not published | 0 |
| Rebuild eardrum structures CPT 69632 | not published | not published | not published | 0 |
| Rebuild eardrum structures CPT 69633 | not published | not published | not published | 0 |
| Rebuild eardrum structures CPT 69636 | not published | not published | not published | 0 |
| Rebuild outer ear canal CPT 69310 | not published | not published | not published | 0 |
| Rebuild outer ear canal CPT 69320 | not published | not published | not published | 0 |
| Recon, cta for surg plan HCPCS G0288 | $120.00 | $160.00 | not published | 0 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | not published | 0 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | not published | 0 |
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | not published | 0 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | not published | 0 |
| Reconstr lwr jaw segment CPT 21198 | not published | not published | not published | 0 |
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | not published | 0 |
| Reconstruct ankle joint CPT 27702 | not published | not published | not published | 0 |
| Reconstruct cleft foot CPT 28360 | not published | not published | not published | 0 |
| Reconstruct cleft palate CPT 42200 | not published | not published | not published | 0 |
| Reconstruct cleft palate CPT 42205 | not published | not published | not published | 0 |
| Reconstruct cleft palate CPT 42210 | not published | not published | not published | 0 |
| Reconstruct cleft palate CPT 42215 | not published | not published | not published | 0 |
| Reconstruct cleft palate CPT 42220 | not published | not published | not published | 0 |
| Reconstruct cleft palate CPT 42225 | not published | not published | not published | 0 |
| Reconstruct elbow joint CPT 24360 | not published | not published | not published | 0 |
| Reconstruct elbow joint CPT 24361 | not published | not published | not published | 0 |
| Reconstruct elbow joint CPT 24362 | not published | not published | not published | 0 |
| Reconstruct elbow lat ligmnt CPT 24344 | not published | not published | not published | 0 |
| Reconstruct elbow med ligmnt CPT 24346 | not published | not published | not published | 0 |
| Reconstruct extra finger CPT 26587 | not published | not published | not published | 0 |
| Reconstruct finger joint CPT 26545 | not published | not published | not published | 0 |
| Reconstruct finger joint CPT 26548 | not published | not published | not published | 0 |
| Reconstruct head of radius CPT 24365 | not published | not published | not published | 0 |
| Reconstruct head of radius CPT 24366 | not published | not published | not published | 0 |
| Reconstruction knee CPT 27427 | not published | not published | not published | 0 |
| Reconstruction knee CPT 27428 | not published | not published | not published | 0 |
| Reconstruction knee CPT 27429 | not published | not published | not published | 0 |
| Reconstruction of anus CPT 46753 | not published | not published | not published | 0 |
| Reconstruction of eyelid CPT 67971 | not published | not published | not published | 0 |
| Reconstruction of eyelid CPT 67973 | not published | not published | not published | 0 |
| Reconstruction of eyelid CPT 67974 | not published | not published | not published | 0 |
| Reconstruction of eyelid CPT 67975 | not published | not published | not published | 0 |
| Reconstruction of jaw CPT 21245 | not published | not published | not published | 0 |
| Reconstruction of jaw CPT 21246 | not published | not published | not published | 0 |
| Reconstruction of jaw CPT 21248 | not published | not published | not published | 0 |
| Reconstruction of jaw CPT 21249 | not published | not published | not published | 0 |
| Reconstruction of jaw joint CPT 21240 | not published | not published | not published | 0 |
| Reconstruction of jaw joint CPT 21242 | not published | not published | not published | 0 |
| Reconstruction of jaw joint CPT 21243 | not published | not published | not published | 0 |
| Reconstruction of lower jaw CPT 21244 | not published | not published | not published | 0 |
| Reconstruction of mouth CPT 40840 | not published | not published | not published | 0 |
| Reconstruction of mouth CPT 40842 | not published | not published | not published | 0 |
| Reconstruction of mouth CPT 40843 | not published | not published | not published | 0 |
| Reconstruction of mouth CPT 40844 | not published | not published | not published | 0 |
| Reconstruction of mouth CPT 40845 | not published | not published | not published | 0 |
| Reconstruction of nail bed CPT 11762 | not published | not published | not published | 0 |
| Reconstruction of nose CPT 30410 | not published | not published | not published | 0 |
| Reconstruction of nose CPT 30420 | not published | not published | not published | 0 |
| Reconstruction of orbit CPT 21256 | not published | not published | not published | 0 |
| Reconstruction of throat CPT 42950 | not published | not published | not published | 0 |
| Reconstruction of urethra CPT 53410 | not published | not published | not published | 0 |
| Reconstruction of urethra CPT 53430 | not published | not published | not published | 0 |
| Reconstruction of urethra CPT 54308 | not published | not published | not published | 0 |
| Reconstruction of urethra CPT 54312 | not published | not published | not published | 0 |
| Reconstruction of urethra CPT 54316 | not published | not published | not published | 0 |
| Reconstruction of urethra CPT 54318 | not published | not published | not published | 0 |
| Reconstruction of urethra CPT 54322 | not published | not published | not published | 0 |
| Reconstruction of urethra CPT 54324 | not published | not published | not published | 0 |
| Reconstruction of urethra CPT 54326 | not published | not published | not published | 0 |
| Reconstruction tongue fold CPT 41520 | not published | not published | not published | 0 |
| Reconstruct lip with flap CPT 40527 | not published | not published | not published | 0 |
| Reconstruct lip w/local flap 40525 CPT 40525 | not published | not published | not published | 0 |
| Reconstruct lower jaw bone CPT 21255 | not published | not published | not published | 0 |
| Reconstruct orbit/forehead CPT 21172 | not published | not published | not published | 0 |
| Reconstruct shoulder joint CPT 23470 | not published | not published | not published | 0 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | not published | 0 |
| Reconstruct ulna/radioulnar CPT 25337 | not published | not published | not published | 0 |
| Reconstruct upper jaw bone CPT 21206 | not published | not published | 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.