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 |
|---|---|---|---|---|
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | not published | not published | not published | 0 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | not published | not published | not published | 0 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | not published | not published | not published | 0 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | not published | not published | not published | 0 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $465.00 | $620.00 | not published | 0 |
| Shigella antibody CPT 86771 | $120.00 | $160.00 | $24.00 – $24.00 | 1 |
| Sho arthrs dx +- synovial bx CPT 29805 | not published | not published | not published | 0 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | not published | 0 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | not published | 0 |
| Sho arthrs srg compl synvct CPT 29821 | not published | not published | not published | 0 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | not published | 0 |
| Sho arthrs srg lss&rescj ads CPT 29825 | not published | not published | not published | 0 |
| Sho arthrs srg prtl synvct CPT 29820 | not published | not published | not published | 0 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | not published | not published | not published | 0 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | not published | 0 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | not published | 0 |
| Shoe heel new rubber standar HCPCS L3460 | $31.20 | $41.60 | not published | 0 |
| Shoe post-op mens m HCPCS L3260 | $17.25 | $23.00 | not published | 0 |
| Shortening of hand tendon CPT 26479 | not published | not published | not published | 0 |
| Shorten radius or ulna CPT 25390 | not published | not published | not published | 0 |
| Shorten radius & ulna CPT 25392 | not published | not published | not published | 0 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | $5,430.00 | $7,240.00 | not published | 0 |
| Shoulder MRI (with and without contrast) CPT 73223 | $2,692.50 | $3,590.00 | $421.00 – $421.00 | 1 |
| Shoulder MRI (with contrast) CPT 73222 | $2,257.50 | $3,010.00 | $814.00 – $814.00 | 1 |
| Shoulder MRI (without contrast) CPT 73221 | $2,407.50 | $3,210.00 | $249.00 – $249.00 | 1 |
| Shoulder prosthesis removal CPT 23334 | not published | not published | not published | 0 |
| Shoulder X-ray CPT 73030 | $270.75 | $361.00 | $90.00 – $90.00 | 1 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $662.63 | $883.50 | not published | 0 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $296.25 | $395.00 | $109.00 – $109.00 | 1 |
| Sialidase enzyme assay CPT 87905 | $74.25 | $99.00 | $12.00 – $12.00 | 1 |
| Sialography s&i CPT 70390 | $652.50 | $870.00 | $249.00 – $249.00 | 1 |
| Sialolithotomy 42330 CPT 42330 | not published | not published | not published | 0 |
| Sickling rbc CPT 85660 | $35.25 | $47.00 | $5.00 – $5.00 | 1 |
| Sigmoidoscopy and biopsy CPT 45331 | $2,272.50 | $3,030.00 | not published | 0 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | $3,235.50 | $4,314.00 | not published | 0 |
| Sigmoidoscopy for bleeding CPT 45334 | $3,235.50 | $4,314.00 | not published | 0 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | $2,295.00 | $3,060.00 | not published | 0 |
| Sigmoidoscopy w/ablation CPT 45346 | not published | not published | not published | 0 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | $3,235.50 | $4,314.00 | not published | 0 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | $9,196.50 | $12,262.00 | not published | 0 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | not published | 0 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $3,235.50 | $4,314.00 | not published | 0 |
| Sigmoidoscopy w/ultrasound CPT 45341 | not published | not published | not published | 0 |
| Sigmoidoscopy w/us guide bx CPT 45342 | $2,967.75 | $3,957.00 | not published | 0 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | $2,452.50 | $3,270.00 | not published | 0 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | $134.25 | $179.00 | not published | 0 |
| Sig w/tndsc balloon dilation CPT 45340 | $3,235.50 | $4,314.00 | not published | 0 |
| Sildenafil citrate, 25 mg HCPCS S0090 | not published | not published | $14.00 – $14.00 | 1 |
| Simple cystometrogram 51725 CPT 51725 | $750.00 | $1,000.00 | not published | 0 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $309.04 | $412.05 | $136.00 – $136.00 | 1 |
| Single energy x-ray study HCPCS G0130 | $296.25 | $395.00 | $109.00 – $109.00 | 1 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,672.50 | $2,230.00 | $186.00 – $186.00 | 1 |
| Sinus CT scan (with contrast) CPT 70487 | $1,597.50 | $2,130.00 | $184.00 – $184.00 | 1 |
| Sinus CT scan (without contrast) CPT 70486 | $1,335.00 | $1,780.00 | $131.00 – $131.00 | 1 |
| Sinus/juglr venogram s&i CPT 75860 | $8,301.00 | $11,068.00 | $3,240.00 – $3,240.00 | 1 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | not published | 0 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | not published | 0 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | not published | 0 |
| Sipuleucel-t - su HCPCS Q2043 | $135,255.15 | $180,340.20 | $55,920.00 – $55,920.00 | 1 |
| Sirolimus, oral HCPCS J7520 | $4,597.85 | $6,130.46 | $0.96 – $0.96 | 1 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | $19,233.62 | $25,644.82 | $84.00 – $84.00 | 1 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $86.25 | $115.00 | $27.00 – $27.00 | 1 |
| Skin and muscle repair face CPT 15845 | not published | not published | not published | 0 |
| Skin Biopsy CPT 11102 | $314.25 | $419.00 | not published | 0 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | not published | 0 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | not published | 0 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | not published | 0 |
| Skin test unlisted antigen ea CPT 86486 | $27.00 | $36.00 | $7.00 – $7.00 | 1 |
| Skyla, 13.5 mg HCPCS J7301 | $2,370.39 | $3,160.51 | not published | 0 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $175.00 – $175.00 | 1 |
| Sleep study attended CPT 95807 | $1,521.75 | $2,029.00 | not published | 0 |
| Sleep Study (Polysomnography) CPT 95810 | $2,749.50 | $3,666.00 | not published | 0 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $16.50 | $22.00 | not published | 0 |
| Sling suprapubic suburetheral HCPCS C1771 | $692.55 | $923.40 | not published | 0 |
| Slitting of prepuce CPT 54000 | not published | not published | not published | 0 |
| Slitting of prepuce CPT 54001 | not published | not published | not published | 0 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | $64.50 | $86.00 | not published | 0 |
| Slp eval non-spch gen comm dev CPT 92605 | $143.25 | $191.00 | not published | 0 |
| Slp stdy unatnd w/anal CPT 95801 | $285.00 | $380.00 | not published | 0 |
| Slp ther svc non-spch gen CPT 92606 | $180.00 | $240.00 | not published | 0 |
| Sm-153 lexidron ther HCPCS A9604 | not published | not published | $4,112.00 – $4,112.00 | 1 |
| Small animal inoculation CPT 87003 | $102.00 | $136.00 | $17.00 – $17.00 | 1 |
| Small bowel endoscopy CPT 44360 | $4,932.75 | $6,577.00 | not published | 0 |
| Small bowel endoscopy CPT 44364 | $4,932.75 | $6,577.00 | not published | 0 |
| Small bowel endoscopy CPT 44366 | $4,932.75 | $6,577.00 | not published | 0 |
| Small bowel endoscopy CPT 44369 | $4,932.75 | $6,577.00 | not published | 0 |
| Small bowel endoscopy CPT 44376 | $4,932.75 | $6,577.00 | not published | 0 |
| Small bowel endoscopy CPT 44378 | $4,932.75 | $6,577.00 | not published | 0 |
| Small bowel endoscopy CPT 44382 | not published | not published | not published | 0 |
| Small bowel endoscopy CPT 44384 | not published | not published | not published | 0 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | $4,932.75 | $6,577.00 | not published | 0 |
| Small bowel endoscopy 44365 CPT 44365 | $4,932.75 | $6,577.00 | not published | 0 |
| Small bowel endoscopy/biopsy CPT 44361 | $4,932.75 | $6,577.00 | not published | 0 |
| Small bowel endoscopy/biopsy CPT 44377 | $4,932.75 | $6,577.00 | not published | 0 |
| Small bowel endoscopy br/wa CPT 44380 | $2,568.75 | $3,425.00 | not published | 0 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | not published | 0 |
| Small bowel endoscopy/stent 44370 CPT 44370 | $9,196.50 | $12,262.00 | not published | 0 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | $635.55 | $847.40 | not published | 0 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $42.75 | $57.00 | $5.00 – $5.00 | 1 |
| Smear gram stain CPT 87205 | $76.50 | $102.00 | $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.