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 |
|---|---|---|---|---|
| Revision tips CPT 37183 | $16,520.25 | $22,027.00 | not published | 0 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | not published | 0 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | not published | 0 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | not published | 0 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | not published | 0 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | not published | 0 |
| Revj prior hypspad repair CPT 54352 | not published | not published | not published | 0 |
| Revj/rmvl nea pn w/int nstim CPT 64598 | not published | not published | not published | 0 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | not published | 0 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | not published | 0 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | not published | 0 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | not published | 0 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | not published | 0 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | not published | 0 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | $4,893.51 | $6,524.68 | $11.00 – $11.00 | 1 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $2,174.25 | $2,899.00 | not published | 0 |
| Rheumatoid factor qualitative CPT 86430 | $34.50 | $46.00 | $6.00 – $6.00 | 1 |
| Rheumatoid factor quantitative CPT 86431 | $37.50 | $50.00 | $6.00 – $6.00 | 1 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | not published | 0 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $401.91 | $535.87 | $4.97 – $4.97 | 1 |
| Rho d immune globulin 50 mcg HCPCS J2788 | $153.09 | $204.12 | $28.00 – $28.00 | 1 |
| Rho(d) immune globulin h, sd HCPCS J2792 | $12,714.42 | $16,952.56 | $31.00 – $31.00 | 1 |
| Rho d immune globulin inj HCPCS J2790 | $291.57 | $388.76 | $82.00 – $82.00 | 1 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | $226.50 | $302.00 | not published | 0 |
| R hrt cath chd abnl nt cnj CPT 93594 | $5,510.25 | $7,347.00 | not published | 0 |
| R hrt cath chd nml nt cnj CPT 93593 | $5,550.00 | $7,400.00 | not published | 0 |
| Rhythm ecg with report CPT 93040 | $39.00 | $52.00 | not published | 0 |
| Rib cartilage graft CPT 21230 | not published | not published | not published | 0 |
| Riboflavin 5'phos opth<=3ml HCPCS J2787 | $10,674.15 | $14,232.20 | not published | 0 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $179.25 | $239.00 | $0.16 – $0.16 | 1 |
| Rilonacept injection HCPCS J2793 | $13,953.66 | $18,604.88 | $24.00 – $24.00 | 1 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $742.50 | $990.00 | not published | 0 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $48,352.09 | $64,469.45 | $15.00 – $15.00 | 1 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $3,023.92 | $4,031.89 | $11.00 – $11.00 | 1 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $11,026.10 | $14,701.46 | $94.00 – $94.00 | 1 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | $17,621.41 | $23,495.21 | $47.00 – $47.00 | 1 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $9,926.69 | $13,235.58 | $61.00 – $61.00 | 1 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $8,420.31 | $11,227.08 | $20.00 – $20.00 | 1 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $1,711.07 | $2,281.42 | $72.00 – $72.00 | 1 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | $5,550.00 | $7,400.00 | not published | 0 |
| R&l hrt cath chd nml nt cnj CPT 93596 | $5,550.00 | $7,400.00 | not published | 0 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | not published | 0 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | not published | 0 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | not published | 0 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | not published | 0 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | $3,235.50 | $4,314.00 | not published | 0 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $1,076.25 | $1,435.00 | not published | 0 |
| Rmvl hpglsl nstim ary pg CPT 64584 | not published | not published | not published | 0 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | $453.75 | $605.00 | not published | 0 |
| Rmvl icd by tv extr CPT 33244 | $6,873.00 | $9,164.00 | not published | 0 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $15,652.50 | $20,870.00 | not published | 0 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $21,846.00 | $29,128.00 | not published | 0 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $15,652.50 | $20,870.00 | not published | 0 |
| Rmvl icd pulse gen only CPT 33241 | $6,873.00 | $9,164.00 | not published | 0 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $583.50 | $778.00 | not published | 0 |
| Rmvl perm pm pulse gen CPT 33233 | $7,831.50 | $10,442.00 | not published | 0 |
| Rmvl phrnc nrv stim pg only CPT 33280 | not published | not published | not published | 0 |
| Rmvl phrnc nrv stim sys CPT 33278 | not published | not published | not published | 0 |
| Rmvl phrnc nrv stim transvns CPT 33279 | not published | not published | not published | 0 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $12,939.00 | $17,252.00 | not published | 0 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $5,640.75 | $7,521.00 | not published | 0 |
| Rmvl pq iabp CPT 33968 | $106.50 | $142.00 | not published | 0 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $2,341.50 | $3,122.00 | not published | 0 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | not published | 0 |
| Rmvl sq defib electrode CPT 33272 | $6,252.75 | $8,337.00 | not published | 0 |
| Rmvl subq card rhythm mntr CPT 33286 | $467.25 | $623.00 | not published | 0 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | not published | 0 |
| Rmvl tongs/halo anthr indiv CPT 20665 | not published | not published | not published | 0 |
| Rmvl tv pm lead dual CPT 33235 | $6,873.00 | $9,164.00 | not published | 0 |
| Rmvl tv pm lead sgl CPT 33234 | $6,873.00 | $9,164.00 | not published | 0 |
| Rmv ntr oi implt skl prq esp CPT 69726 | not published | not published | not published | 0 |
| Rmv ntr oi imp sk tc>=100 CPT 69728 | not published | not published | not published | 0 |
| Rmv ntr oi imp sk tc esp<100 CPT 69727 | not published | not published | not published | 0 |
| Rmv&rplcmt phrnc nrv stim ld CPT 33288 | not published | not published | not published | 0 |
| Rmv&rplcmt phrnc nrv stim pg CPT 33287 | not published | not published | not published | 0 |
| Rmv sk-mnt crnl nstm pg/rcvr CPT 61892 | not published | not published | not published | 0 |
| Rolapitant, oral, 1mg HCPCS J8670 | $776.97 | $1,035.95 | $1.56 – $1.56 | 1 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | $7,448.40 | $9,931.19 | $31.00 – $31.00 | 1 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $12,887.84 | $17,183.78 | $11.00 – $11.00 | 1 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $6,155.43 | $8,207.23 | $12.00 – $12.00 | 1 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $479.04 | $638.71 | $0.06 – $0.06 | 1 |
| Rotavirus antibody CPT 86759 | $90.00 | $120.00 | $18.00 – $18.00 | 1 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | $20,098.88 | $26,798.50 | $23.00 – $23.00 | 1 |
| Rplcm oi implt sk tc esp<100 CPT 69719 | not published | not published | not published | 0 |
| Rplcmt oi implt skl prq esp CPT 69717 | not published | not published | not published | 0 |
| Rplc oi implt sk tc esp>=100 CPT 69730 | not published | not published | not published | 0 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $3,534.00 | $4,712.00 | not published | 0 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $997.50 | $1,330.00 | $414.00 – $414.00 | 1 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $3,396.00 | $4,528.00 | $1,343.00 – $1,343.00 | 1 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $3,812.25 | $5,083.00 | $1,502.00 – $1,502.00 | 1 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $3,534.00 | $4,712.00 | not published | 0 |
| Rpl tun-cvad w subq port CPT 36582 | $5,975.25 | $7,967.00 | not published | 0 |
| Rpl tun-cvad w subq pump CPT 36583 | not published | not published | not published | 0 |
| Rpl tun cvc wo subq port CPT 36581 | $6,296.25 | $8,395.00 | not published | 0 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | not published | not published | not published | 0 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | not published | not published | not published | 0 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | not published | not published | not published | 0 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | not published | not published | not published | 0 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | not published | not published | not published | 0 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | 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.