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 |
|---|---|---|---|---|
| Tissue culture skin/biopsy CPT 88233 | $551.25 | $735.00 | $140.00 – $140.00 | 1 |
| Tissue culture tumor CPT 88239 | $456.00 | $608.00 | $147.00 – $147.00 | 1 |
| Tissue exam koh skin/hair/nails CPT 87220 | $18.75 | $25.00 | $4.00 – $4.00 | 1 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | $9.75 | $13.00 | not published | 0 |
| Tissue matrix xcm thk 20x30cm -cost per sq cm HCPCS Q4142 | $24.75 | $33.00 | not published | 0 |
| Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm HCPCS C9358 | $25.50 | $34.00 | not published | 0 |
| Tissue transglutaminase iga CPT 86364 | $33.75 | $45.00 | $11.00 – $11.00 | 1 |
| Tixagev and cilgav inj HCPCS M0220 | $345.00 | $460.00 | not published | 0 |
| Tl-201 thallium diag per mci HCPCS A9505 | $350.78 | $467.70 | $56.00 – $56.00 | 1 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | not published | 0 |
| Tlh uterus over 250 g CPT 58572 | not published | not published | not published | 0 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | not published | 0 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | not published | 0 |
| Tnot opn elbw to sho ea tdn CPT 24310 | not published | not published | not published | 0 |
| Tobramycin comp unit HCPCS J7685 | not published | not published | $66.00 – $66.00 | 1 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $219.75 | $293.00 | $2.46 – $2.46 | 1 |
| Tobramycin non-comp unit HCPCS J7682 | not published | not published | $14.00 – $14.00 | 1 |
| Tobramycin peak therapeutic drug level CPT 80200 | $100.50 | $134.00 | $16.00 – $16.00 | 1 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $6,218.37 | $8,291.15 | $7.00 – $7.00 | 1 |
| Tocilizumab for covid-19 HCPCS Q0249 | not published | not published | $8.00 – $8.00 | 1 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $102.75 | $137.00 | $16.00 – $16.00 | 1 |
| Tomosynthesis breast screen bilateral CPT 77063 | $123.00 | $164.00 | $23.00 – $23.00 | 1 |
| Tongue base vol reduction CPT 41530 | not published | not published | not published | 0 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | not published | not published | not published | 0 |
| Tongue suspension CPT 41512 | not published | not published | not published | 0 |
| Tongue to lip surgery CPT 41510 | not published | not published | not published | 0 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | not published | 0 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | not published | 0 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $357.99 | $477.31 | $1.30 – $1.30 | 1 |
| Topotecan oral HCPCS J8705 | $1,139.81 | $1,519.74 | $125.00 – $125.00 | 1 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | $20,602.40 | $27,469.86 | $40.00 – $40.00 | 1 |
| Total Hip Replacement CPT 27130 | $8,739.00 | $11,652.00 | not published | 0 |
| Total Knee Replacement CPT 27447 | $8,739.00 | $11,652.00 | not published | 0 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | not published | not published | not published | 0 |
| Tot estradiol response panel CPT 80415 | $340.50 | $454.00 | $56.00 – $56.00 | 1 |
| Toxoplasma antibody igg CPT 86777 | $90.75 | $121.00 | $14.00 – $14.00 | 1 |
| Toxoplasma antibody igm CPT 86778 | $90.75 | $121.00 | $15.00 – $15.00 | 1 |
| Tp53 gene full gene sequence CPT 81351 | not published | not published | $640.00 – $640.00 | 1 |
| Tp53 gene known famil vrnt CPT 81353 | not published | not published | $307.00 – $307.00 | 1 |
| Tp53 gene trgt sequence alys CPT 81352 | not published | not published | $329.00 – $329.00 | 1 |
| Tpmt gene com vrnts CPT 81335 | not published | not published | $175.00 – $175.00 | 1 |
| Tprnl balo cntnc dev adjmt CPT 53454 | not published | not published | not published | 0 |
| Tprnl balo cntnc dev bi CPT 53451 | not published | not published | not published | 0 |
| Tprnl balo cntnc dev rmvl ea CPT 53453 | not published | not published | not published | 0 |
| Tprnl balo cntnc dev uni CPT 53452 | not published | not published | not published | 0 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | not published | not published | not published | 0 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | $8,666.81 | $11,555.74 | $383.00 – $383.00 | 1 |
| Trabeculoplasty laser surg CPT 65855 | not published | not published | not published | 0 |
| Trachelectomy (cervicectomy) 57530 CPT 57530 | not published | not published | not published | 0 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | $1,654.50 | $2,206.00 | not published | 0 |
| Tracheostoma revision; simple, without flap rotation CPT 31613 | not published | not published | not published | 0 |
| Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution HCPCS J3290 | $75.51 | $100.68 | not published | 0 |
| Transabdom amnioinfus w/us CPT 59070 | not published | not published | not published | 0 |
| Transcath biopsy CPT 37200 | $3,648.75 | $4,865.00 | not published | 0 |
| Transcath closure of asd CPT 93580 | $18,525.00 | $24,700.00 | not published | 0 |
| Transcath closure of vsd CPT 93581 | $18,453.00 | $24,604.00 | not published | 0 |
| Transcatheter bx s&i CPT 75970 | $1,338.75 | $1,785.00 | not published | 0 |
| Transcath occlusion cns CPT 61624 | $3,800.25 | $5,067.00 | not published | 0 |
| Transcath occlusion non-cns CPT 61626 | $7,305.00 | $9,740.00 | not published | 0 |
| Transcath rmvl perm ldss pmkr rv CPT 33275 | $5,135.25 | $6,847.00 | not published | 0 |
| Transcrv abltj utrn fibrd rf CPT 58580 | not published | not published | not published | 0 |
| Transcutaneous carboxyhb CPT 88740 | $29.25 | $39.00 | $9.00 – $9.00 | 1 |
| Transcutaneous hgb 88738 CPT 88738 | $29.25 | $39.00 | $5.00 – $5.00 | 1 |
| Transcutaneous methb CPT 88741 | $29.25 | $39.00 | $9.00 – $9.00 | 1 |
| Transfer of abdominal muscle CPT 27100 | not published | not published | not published | 0 |
| Transfer of embryo CPT 58976 | not published | not published | not published | 0 |
| Transfer of iliopsoas muscle CPT 27110 | not published | not published | not published | 0 |
| Transfer of iliopsoas muscle CPT 27111 | not published | not published | not published | 0 |
| Transfer of spinal muscle CPT 27105 | not published | not published | not published | 0 |
| Transferrin CPT 84466 | $83.25 | $111.00 | $13.00 – $13.00 | 1 |
| Transfer skin pedicle flap CPT 15650 | not published | not published | not published | 0 |
| Transfer tendon to pelvis CPT 27098 | not published | not published | not published | 0 |
| Transfusion blood/blood component(s) CPT 36430 | $906.00 | $1,208.00 | not published | 0 |
| Transorl lwr esophgl myotomy CPT 43497 | not published | not published | not published | 0 |
| Transparent film <= 16 sq in HCPCS A6257 | $4.50 | $6.00 | not published | 0 |
| Transperi needle place pros CPT 55875 | not published | not published | not published | 0 |
| Transplant forearm tendon CPT 25310 | not published | not published | not published | 0 |
| Transplant forearm tendon CPT 25312 | not published | not published | not published | 0 |
| Transplant/graft hand tendon CPT 26483 | not published | not published | not published | 0 |
| Transplant/graft palm tendon CPT 26489 | not published | not published | not published | 0 |
| Transplant hand tendon CPT 26480 | not published | not published | not published | 0 |
| Transplant of thigh tendon CPT 27396 | not published | not published | not published | 0 |
| Transplant palm tendon CPT 26485 | not published | not published | not published | 0 |
| Transplants of thigh tendons CPT 27397 | not published | not published | not published | 0 |
| Transplj hematopoietic boost CPT 38243 | not published | not published | not published | 0 |
| Transplt allo hct/donor CPT 38240 | not published | not published | not published | 0 |
| Transplt allo lymphocytes CPT 38242 | not published | not published | not published | 0 |
| Transplt autol hct/donor CPT 38241 | not published | not published | not published | 0 |
| Transposition of vein valve CPT 34510 | not published | not published | not published | 0 |
| Transurethral rf treatment CPT 53860 | not published | not published | not published | 0 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $3,680.46 | $4,907.27 | $104.00 – $104.00 | 1 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $8,944.89 | $11,926.52 | $91.00 – $91.00 | 1 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | $7,968.88 | $10,625.17 | $81.00 – $81.00 | 1 |
| Tray bonemarrw oncontrol 102mm HCPCS C1830 | $630.00 | $840.00 | not published | 0 |
| Trb@ gene rearrange dirprobe CPT 81341 | not published | not published | $49.00 – $49.00 | 1 |
| Treat ankle dislocation CPT 27842 | $4,853.25 | $6,471.00 | not published | 0 |
| Treat ankle dislocation CPT 27846 | not published | not published | not published | 0 |
| Treat ankle dislocation CPT 27848 | not published | not published | not published | 0 |
| Treat ankle fracture CPT 28445 | not published | not published | not published | 0 |
| Treat big toe fracture CPT 28505 | $6,339.00 | $8,452.00 | 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.