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 |
|---|---|---|---|---|
| Bartonella dna pcr-sendout CPT 87471 | $219.75 | $293.00 | $35.00 – $35.00 | 1 |
| Bartonella dna quant CPT 87472 | $261.00 | $348.00 | $43.00 – $43.00 | 1 |
| Basic vestibular evaluation CPT 92540 | $417.00 | $556.00 | not published | 0 |
| Basiliximab HCPCS J0480 | $10,885.57 | $14,514.09 | $4,670.00 – $4,670.00 | 1 |
| Bausch health Ultrasound surg HCPCS V2788 | $216.00 | $288.00 | not published | 0 |
| B cells total count CPT 86355 | $249.75 | $333.00 | $38.00 – $38.00 | 1 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | $459.57 | $612.75 | $3.10 – $3.10 | 1 |
| Bcg vaccine percut CPT 90585 | $429.57 | $572.75 | not published | 0 |
| Bckdhb gene CPT 81205 | not published | not published | $95.00 – $95.00 | 1 |
| Becaplermin 0.01% gel 15 gm HCPCS S0157 | not published | not published | $14.00 – $14.00 | 1 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | $2,273.28 | $3,031.03 | $3.89 – $3.89 | 1 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $5,053.50 | $6,737.99 | $54.00 – $54.00 | 1 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | $6,987.77 | $9,317.02 | $1.85 – $1.85 | 1 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | not published | not published | $12.00 – $12.00 | 1 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | $5,822.45 | $7,763.26 | $13.00 – $13.00 | 1 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | not published | not published | $28.00 – $28.00 | 1 |
| Benign lesion paring 2-4 CPT 11056 | not published | not published | not published | 0 |
| Benign lesion paring 4+ CPT 11057 | not published | not published | not published | 0 |
| #_benzodiazconfur CPT 80346 | $96.75 | $129.00 | $27.00 – $27.00 | 1 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $78.66 | $104.88 | $17.00 – $17.00 | 1 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $84.75 | $113.00 | $25.00 – $25.00 | 1 |
| Beta-2 microglobulin CPT 82232 | $73.50 | $98.00 | $16.00 – $16.00 | 1 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $12.18 | $16.23 | $7.00 – $7.00 | 1 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $7,493.11 | $9,990.81 | $79.00 – $79.00 | 1 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $1,666.44 | $2,221.92 | $23.00 – $23.00 | 1 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | $1,469.11 | $1,958.81 | $61.00 – $61.00 | 1 |
| B-hexosaminidase ea assay CPT 83080 | $102.00 | $136.00 | $17.00 – $17.00 | 1 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | $2,506.50 | $3,342.00 | not published | 0 |
| Bilateral n block inj occipital 64405 CPT 64405 | $879.75 | $1,173.00 | not published | 0 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $432.00 | $576.00 | not published | 0 |
| Bile acids cholylglycine CPT 82240 | $162.00 | $216.00 | $26.00 – $26.00 | 1 |
| Biliary endo perq dx w/speci CPT 47552 | not published | not published | not published | 0 |
| Biliary endoscopy thru skin CPT 47553 | not published | not published | not published | 0 |
| Biliary endoscopy thru skin CPT 47554 | not published | not published | not published | 0 |
| Biliary endoscopy thru skin CPT 47555 | $6,976.50 | $9,302.00 | not published | 0 |
| Biliary endoscopy thru skin CPT 47556 | $8,067.75 | $10,757.00 | not published | 0 |
| Bilicheck CPT 88720 | $15.75 | $21.00 | $5.00 – $5.00 | 1 |
| Bilirubin direct CPT 82248 | $36.00 | $48.00 | $5.00 – $5.00 | 1 |
| Bilirubin total CPT 82247 | $31.50 | $42.00 | $5.00 – $5.00 | 1 |
| Binder abdominal lg 12 x 62-74 HCPCS L0625 | $21.00 | $28.00 | not published | 0 |
| Biodfence dryflex, 1cm HCPCS Q4138 | $4.50 | $6.00 | not published | 0 |
| Biopsy abdominal mass CPT 49180 | $1,076.25 | $1,435.00 | not published | 0 |
| Biopsy arm/elbow soft tissue CPT 24066 | not published | not published | not published | 0 |
| Biopsy, bone open deep CPT 20245 | not published | not published | not published | 0 |
| Biopsy bone trocar/needle superficial CPT 20220 | $1,191.00 | $1,588.00 | not published | 0 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | $2,135.25 | $2,847.00 | not published | 0 |
| Biopsy conjunctiva CPT 68100 | not published | not published | not published | 0 |
| Biopsy/excision of lymph node(s); open deep 38530 CPT 38530 | not published | not published | not published | 0 |
| Biopsy external ear 69100 CPT 69100 | not published | not published | not published | 0 |
| Biopsy eyelid & lid margin CPT 67810 | not published | not published | not published | 0 |
| Biopsy eye muscle CPT 67346 | not published | not published | not published | 0 |
| Biopsy finger joint lining CPT 26105 | not published | not published | not published | 0 |
| Biopsy finger joint lining CPT 26110 | not published | not published | not published | 0 |
| Biopsy forearm soft tissues CPT 25066 | not published | not published | not published | 0 |
| Biopsy hand joint lining CPT 26100 | not published | not published | not published | 0 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $1,887.00 | $2,516.00 | not published | 0 |
| Biopsy knee joint lining CPT 27330 | not published | not published | not published | 0 |
| Biopsy lower leg soft tissue CPT 27613 | $4,358.25 | $5,811.00 | not published | 0 |
| Biopsy lower leg soft tissue 27610 CPT 27610 | not published | not published | not published | 0 |
| Biopsy muscle percutaneous needle CPT 20206 | $1,076.25 | $1,435.00 | not published | 0 |
| Biopsy needle liver percutaneous CPT 47000 | $2,223.75 | $2,965.00 | not published | 0 |
| Biopsy needle lymph node superficial CPT 38505 | $1,076.25 | $1,435.00 | not published | 0 |
| Biopsy of cornea CPT 65410 | not published | not published | not published | 0 |
| Biopsy of epididymis CPT 54800 | not published | not published | not published | 0 |
| Biopsy of foot joint lining CPT 28050 | not published | not published | not published | 0 |
| Biopsy of foot joint lining CPT 28052 | not published | not published | not published | 0 |
| Biopsy of heart lining CPT 93505 | $3,375.00 | $4,500.00 | not published | 0 |
| Biopsy of hip joint CPT 27052 | not published | not published | not published | 0 |
| Biopsy of inestine 44100 CPT 44100 | not published | not published | not published | 0 |
| Biopsy of lip 40490 CPT 40490 | not published | not published | not published | 0 |
| Biopsy of nail unit 11755 CPT 11755 | not published | not published | not published | 0 |
| Biopsy of nerve CPT 64795 | $3,442.50 | $4,590.00 | not published | 0 |
| Biopsy of ovary(s) 58900 CPT 58900 | not published | not published | not published | 0 |
| Biopsy of penis CPT 54105 | not published | not published | not published | 0 |
| Biopsy of penis 54100 CPT 54100 | not published | not published | not published | 0 |
| Biopsy of prostate CPT 55705 | not published | not published | not published | 0 |
| Biopsy of rectum wall anal approach 45100 CPT 45100 | $4,530.75 | $6,041.00 | not published | 0 |
| Biopsy of sacroiliac joint CPT 27050 | not published | not published | not published | 0 |
| Biopsy of salivary gland 42400 CPT 42400 | $825.00 | $1,100.00 | not published | 0 |
| Biopsy of salivary glnd;incisional 42405 CPT 42405 | not published | not published | not published | 0 |
| Biopsy of tear gland CPT 68510 | not published | not published | not published | 0 |
| Biopsy of tear sac CPT 68525 | not published | not published | not published | 0 |
| Biopsy of testis CPT 54500 | not published | not published | not published | 0 |
| Biopsy of testis CPT 54505 | not published | not published | not published | 0 |
| Biopsy of toe joint lining CPT 28054 | not published | not published | not published | 0 |
| Biopsy of upper nose/throat CPT 42804 | not published | not published | not published | 0 |
| Biopsy of urethra CPT 53200 | not published | not published | not published | 0 |
| Biopsy of wrist joint CPT 25100 | not published | not published | not published | 0 |
| Biopsy/removal lymph nodes CPT 38525 | $3,369.00 | $4,492.00 | not published | 0 |
| Biopsy/removal lymph nodes 38520 CPT 38520 | not published | not published | not published | 0 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $2,768.25 | $3,691.00 | not published | 0 |
| Biopsy roof of mouth CPT 42100 | not published | not published | not published | 0 |
| Biopsy skin incisional single lesion CPT 11106 | not published | not published | not published | 0 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | $1,076.25 | $1,435.00 | not published | 0 |
| Biopsy thigh soft tissues CPT 27324 | $1,887.00 | $2,516.00 | not published | 0 |
| Biopsy tongue anterior two-thirds CPT 41100 | not published | not published | not published | 0 |
| Biopsy vaginal mucosa xtnsv CPT 57105 | not published | not published | not published | 0 |
| Biopsy vestibule of mouth 40808 CPT 40808 | not published | not published | not published | 0 |
| Biopsy vrt bdy open lmbr/crv CPT 20251 | not published | not published | not published | 0 |
| Biopsy vrt bdy open thoracic CPT 20250 | 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.