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 |
|---|---|---|---|---|
| Tc-99m tilmanocept diag HCPCS A9520 | $2,202.42 | $2,936.55 | not published | 0 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | not published | 0 |
| T-cell depletion of harvest CPT 38210 | not published | not published | not published | 0 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $311.25 | $415.00 | $47.00 – $47.00 | 1 |
| T cells absolute cd 4 count CPT 86361 | $176.25 | $235.00 | $27.00 – $27.00 | 1 |
| T cells total count CPT 86359 | $249.75 | $333.00 | $38.00 – $38.00 | 1 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | $45,372.15 | $60,496.20 | $217.00 – $217.00 | 1 |
| Telavancin injection HCPCS J3095 | $1,604.40 | $2,139.20 | $8.00 – $8.00 | 1 |
| Telethx isodose plan cplx CPT 77307 | $1,031.25 | $1,375.00 | $377.00 – $377.00 | 1 |
| Telethx isodose plan simple CPT 77306 | $1,031.25 | $1,375.00 | $377.00 – $377.00 | 1 |
| Temozolomide HCPCS J8700 | $5,097.35 | $6,796.46 | $0.36 – $0.36 | 1 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | $2,381.03 | $3,174.70 | $11.00 – $11.00 | 1 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $4,578.18 | $6,104.23 | $32.00 – $32.00 | 1 |
| Tendon lengthening CPT 26476 | not published | not published | not published | 0 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | not published | 0 |
| Tendon shortening CPT 26477 | not published | not published | not published | 0 |
| Tendon transfer with graft CPT 26492 | not published | not published | not published | 0 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $19,419.34 | $25,892.45 | $172.00 – $172.00 | 1 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | not published | 0 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | not published | 0 |
| Tenolysis triceps CPT 24332 | not published | not published | not published | 0 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | not published | 0 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | not published | 0 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | not published | 0 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | not published | 0 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $23.49 | $31.32 | $2.70 – $2.70 | 1 |
| Teriparatide injection HCPCS J3110 | $10,042.09 | $13,389.45 | $9.00 – $9.00 | 1 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $185.00 – $185.00 | 1 |
| Test for chlorohydrocarbons CPT 82441 | $36.75 | $49.00 | $6.00 – $6.00 | 1 |
| Test for porphobilinogen CPT 84106 | $29.25 | $39.00 | $6.00 – $6.00 | 1 |
| Test for urine cystines CPT 82615 | $50.25 | $67.00 | $9.00 – $9.00 | 1 |
| Testicular imaging w/vasc flow CPT 78761 | $997.50 | $1,330.00 | $414.00 – $414.00 | 1 |
| Testosterone response panel CPT 80414 | $315.00 | $420.00 | $51.00 – $51.00 | 1 |
| Testosterone undecanoate 1mg HCPCS J3145 | $5,088.57 | $6,784.76 | $1.99 – $1.99 | 1 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $164.25 | $219.00 | not published | 0 |
| Test stress cardiovascular tracing only CPT 93017 | $517.50 | $690.00 | not published | 0 |
| Test urine for lactose CPT 83633 | $55.50 | $74.00 | $11.00 – $11.00 | 1 |
| Test urine for porphyrins CPT 84119 | $66.00 | $88.00 | $13.00 – $13.00 | 1 |
| Test urine urobilinogen CPT 84578 | $21.75 | $29.00 | $4.00 – $4.00 | 1 |
| Tetanus immune globulin inj HCPCS J1670 | $1,538.00 | $2,050.66 | $577.00 – $577.00 | 1 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $10,943.65 | $14,591.53 | $18.00 – $18.00 | 1 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $137.00 – $137.00 | 1 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $758.00 – $758.00 | 1 |
| Tgsap so/hl 51/< rna alys CPT 81456 | not published | not published | $2,913.00 – $2,913.00 | 1 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $597.00 – $597.00 | 1 |
| Thaw preserved stem cells CPT 38208 | not published | not published | not published | 0 |
| Theophylline therapeutic drug level CPT 80198 | $89.25 | $119.00 | $14.00 – $14.00 | 1 |
| Therapeutic pulpotomy HCPCS D3220 | not published | not published | not published | 0 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $96.75 | $129.00 | not published | 0 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | not published | 0 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $735.75 | $981.00 | $184.00 – $184.00 | 1 |
| Ther radiology tx plng cplx CPT 77263 | $468.00 | $624.00 | $148.00 – $148.00 | 1 |
| Ther radiology tx plng intrm CPT 77262 | $300.75 | $401.00 | $96.00 – $96.00 | 1 |
| Ther radiology tx plng smpl CPT 77261 | $198.00 | $264.00 | $63.00 – $63.00 | 1 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $34.20 | $45.60 | $1.79 – $1.79 | 1 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,434.00 | $1,912.00 | not published | 0 |
| Thoracoscopy diagnostic 32601 CPT 32601 | not published | not published | not published | 0 |
| Thoracoscopy w/bx med space CPT 32606 | not published | not published | not published | 0 |
| Thoracoscopy wbx sac CPT 32604 | not published | not published | not published | 0 |
| Thorcscpy w/biop pleura CPT 32609 | not published | not published | not published | 0 |
| Thrcspy w/diag bp lng inf uni CPT 32607 | not published | not published | not published | 0 |
| Thrcspy w/diag bp lng nod uni CPT 32608 | not published | not published | not published | 0 |
| Throat x-ray & fluoroscopy CPT 70370 | $267.00 | $356.00 | $90.00 – $90.00 | 1 |
| Thrombectmy crnry perq mechanical CPT 92973 | $547.50 | $730.00 | not published | 0 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $6,250.50 | $8,334.00 | not published | 0 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $8,430.00 | $11,240.00 | not published | 0 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $13,641.00 | $18,188.00 | not published | 0 |
| Thrombin time CPT 85670 | $30.00 | $40.00 | $6.00 – $6.00 | 1 |
| Thrombin time titer CPT 85675 | $41.25 | $55.00 | $7.00 – $7.00 | 1 |
| Thromboendarterectomy including patch graft if preformed; CPT 35321 | not published | not published | not published | 0 |
| Thrombomodulin CPT 85337 | $85.50 | $114.00 | $17.00 – $17.00 | 1 |
| Thromboplastin inhibition CPT 85705 | $58.50 | $78.00 | $9.00 – $9.00 | 1 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $42.75 | $57.00 | $6.00 – $6.00 | 1 |
| Thromboxane urine CPT 84431 | $172.50 | $230.00 | $35.00 – $35.00 | 1 |
| Thumb fusion with graft CPT 26820 | not published | not published | not published | 0 |
| Thumb fusion with graft CPT 26842 | not published | not published | not published | 0 |
| Thumb tendon transfer CPT 26510 | not published | not published | not published | 0 |
| Thymectomy prtl/tot transcervical appr 60520 CPT 60520 | not published | not published | not published | 0 |
| Thyroglobulin antibody CPT 86800 | $90.00 | $120.00 | $16.00 – $16.00 | 1 |
| Thyroid imaging CPT 78013 | $997.50 | $1,330.00 | $414.00 – $414.00 | 1 |
| Thyroid met imaging CPT 78015 | $997.50 | $1,330.00 | $414.00 – $414.00 | 1 |
| Thyroid met imaging/studies CPT 78016 | $997.50 | $1,330.00 | $414.00 – $414.00 | 1 |
| Thyroid mets imag whole body CPT 78018 | $1,335.00 | $1,780.00 | $554.00 – $554.00 | 1 |
| Thyroid met uptake CPT 78020 | $207.75 | $277.00 | not published | 0 |
| Thyroid (TSH) Test CPT 84443 | $111.75 | $149.00 | $17.00 – $17.00 | 1 |
| Thyroid Ultrasound CPT 76536 | $585.00 | $780.00 | $109.00 – $109.00 | 1 |
| Thyroid uptake measurement CPT 78012 | $997.50 | $1,330.00 | $414.00 – $414.00 | 1 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $4,735.53 | $6,314.03 | $2,112.00 – $2,112.00 | 1 |
| Thyrotropin releasing hormone CPT 80438 | $306.75 | $409.00 | $50.00 – $50.00 | 1 |
| Thyroxine binding globulin (tbg) CPT 84442 | $93.00 | $124.00 | $15.00 – $15.00 | 1 |
| Tibial arthroscopy/surgery CPT 29855 | not published | not published | not published | 0 |
| Tibial arthroscopy/surgery CPT 29856 | not published | not published | not published | 0 |
| Tic-brn enceph vac 0.25ml im CPT 90626 | $750.45 | $1,000.59 | not published | 0 |
| Tic-brn enceph vac 0.5ml im CPT 90627 | $750.45 | $1,000.59 | not published | 0 |
| Tigecycline injection HCPCS J3243 | $333.34 | $444.45 | $0.50 – $0.50 | 1 |
| Tilt table study CPT 93660 | $1,425.00 | $1,900.00 | not published | 0 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | $562.92 | $750.55 | $3.40 – $3.40 | 1 |
| Tisagenlecleucel car-pos t HCPCS Q2042 | not published | not published | $557,936.00 – $557,936.00 | 1 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | $17,351.63 | $23,135.50 | $189.00 – $189.00 | 1 |
| Tissue culture placenta CPT 88235 | $609.75 | $813.00 | $150.00 – $150.00 | 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.