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 |
|---|---|---|---|---|
| Treatment of toe fracture 28510 CPT 28510 | not published | not published | not published | 0 |
| Treatment of urethra lesion CPT 53220 | not published | not published | not published | 0 |
| Treatment of urethra lesion CPT 53260 | not published | not published | not published | 0 |
| Treatment of urethra lesion CPT 53265 | not published | not published | not published | 0 |
| Treatment radiation delivery level 2 CPT 77407 | $755.25 | $1,007.00 | $271.00 – $271.00 | 1 |
| Treatment x10sv retinopathy CPT 67228 | not published | not published | not published | 0 |
| Treat metacarpal fracture CPT 26608 | not published | not published | not published | 0 |
| Treat metacarpal fracture CPT 26615 | not published | not published | not published | 0 |
| Treat metatarsal fracture CPT 28476 | not published | not published | not published | 0 |
| Treat metatarsal fracture CPT 28485 | not published | not published | not published | 0 |
| Treat midfoot fracture each CPT 28455 | not published | not published | not published | 0 |
| Treat midfoot fracture each CPT 28465 | not published | not published | not published | 0 |
| Treat penis lesion graft CPT 54111 | not published | not published | not published | 0 |
| Treat penis lesion graft CPT 54112 | not published | not published | not published | 0 |
| Treat radius fracture CPT 24665 | not published | not published | not published | 0 |
| Treat radius fracture CPT 24666 | not published | not published | not published | 0 |
| Treat sesamoid bone fracture CPT 28531 | not published | not published | not published | 0 |
| Treat skull fracture CPT 62000 | not published | not published | not published | 0 |
| Treat spinal cord lesion CPT 62280 | not published | not published | not published | 0 |
| Treat spinal cord lesion CPT 62281 | $2,266.50 | $3,022.00 | not published | 0 |
| Treat sternum fracture CPT 21820 | not published | not published | not published | 0 |
| Treat tail bone fracture CPT 27202 | not published | not published | not published | 0 |
| Treat thigh fracture CPT 27230 | not published | not published | not published | 0 |
| Treat thigh fracture CPT 27235 | not published | not published | not published | 0 |
| Treat thigh fracture CPT 27238 | not published | not published | not published | 0 |
| Treat thigh fracture CPT 27246 | not published | not published | not published | 0 |
| Treat thigh fx growth plate CPT 27516 | not published | not published | not published | 0 |
| Treat thigh fx growth plate CPT 27517 | not published | not published | not published | 0 |
| Treat thumb fracture CPT 26650 | not published | not published | not published | 0 |
| Treat thumb fracture CPT 26665 | not published | not published | not published | 0 |
| Treat toe dislocation CPT 28636 | not published | not published | not published | 0 |
| Treat toe dislocation CPT 28665 | $852.00 | $1,136.00 | not published | 0 |
| Treat toe dislocation CPT 28666 | not published | not published | not published | 0 |
| Treat toe fracture CPT 28525 | not published | not published | not published | 0 |
| Treat trigeminal nerve CPT 61790 | not published | not published | not published | 0 |
| Treat trigeminal tract CPT 61791 | not published | not published | not published | 0 |
| Treat ulnar fracture CPT 24675 | $4,853.25 | $6,471.00 | not published | 0 |
| Treat ulnar fracture CPT 24685 | $11,544.00 | $15,392.00 | not published | 0 |
| Treat vaginal bleeding CPT 57180 | $577.50 | $770.00 | not published | 0 |
| Treat wrist bone fracture CPT 25635 | $4,853.25 | $6,471.00 | not published | 0 |
| Treat wrist dislocation CPT 25675 | not published | not published | not published | 0 |
| Tremelimumab-actl 20 mg/ml intravenous solution HCPCS J9347 | $89,429.91 | $119,239.88 | $141.00 – $141.00 | 1 |
| Treponema pallidum ag if CPT 87285 | $72.75 | $97.00 | $12.00 – $12.00 | 1 |
| Treponema pallidum antibody CPT 86780 | $82.50 | $110.00 | $13.00 – $13.00 | 1 |
| Treprostinil injection HCPCS J3285 | $27,507.47 | $36,676.62 | $55.00 – $55.00 | 1 |
| Treprostinil, non-comp unit HCPCS J7686 | not published | not published | $800.00 – $800.00 | 1 |
| Trg gene rearrangement anal CPT 81342 | not published | not published | $201.00 – $201.00 | 1 |
| Trh stimulation panel CPT 80439 | $409.50 | $546.00 | $67.00 – $67.00 | 1 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $11.16 | $14.87 | $0.86 – $0.86 | 1 |
| Triamcinolone a inj prs-free HCPCS J3300 | $293.91 | $391.88 | $24.00 – $24.00 | 1 |
| Triamcinolone diacetate inj HCPCS J3302 | not published | not published | $0.37 – $0.37 | 1 |
| Triamcinolone hexacetonl inj HCPCS J3303 | $28.62 | $38.15 | $2.60 – $2.60 | 1 |
| Trichinella antibody CPT 86784 | $78.75 | $105.00 | $13.00 – $13.00 | 1 |
| Trichomonas assay w/optic CPT 87808 | $75.00 | $100.00 | $15.00 – $15.00 | 1 |
| #tricyclicantidprssnt CPT 80337 | $350.25 | $467.00 | not published | 0 |
| Triglycerides CPT 84478 | $39.75 | $53.00 | $6.00 – $6.00 | 1 |
| Trilaciclib 300 mg intravenous solution HCPCS J1448 | not published | not published | $5.39 – $5.39 | 1 |
| Trimethobenzamide hci 250mg HCPCS Q0173 | not published | not published | $0.70 – $0.70 | 1 |
| Trimethobenzamide hcl inj HCPCS J3250 | $96.51 | $128.68 | $53.00 – $53.00 | 1 |
| Trim nail(s) HCPCS G0127 | not published | not published | not published | 0 |
| Trim nondyst nails CPT 11719 | not published | not published | not published | 0 |
| Triptorelin pamoate HCPCS J3315 | $12,862.89 | $17,150.52 | $492.00 – $492.00 | 1 |
| Trluml dil aq o/f can without st CPT 66174 | not published | not published | not published | 0 |
| Trluml dil aq o/f can w/st CPT 66175 | not published | not published | not published | 0 |
| Trml dstrj ios bvn 1st 2 l/s CPT 64628 | not published | not published | not published | 0 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | not published | not published | not published | 0 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $5,333.25 | $7,111.00 | not published | 0 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $5,428.50 | $7,238.00 | not published | 0 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $11,343.75 | $15,125.00 | not published | 0 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | not published | not published | not published | 0 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $8,955.75 | $11,941.00 | not published | 0 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $2,116.50 | $2,822.00 | not published | 0 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $2,116.50 | $2,822.00 | not published | 0 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $2,116.50 | $2,822.00 | not published | 0 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | not published | not published | not published | 0 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | not published | not published | not published | 0 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | not published | not published | not published | 0 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | not published | not published | not published | 0 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | not published | not published | not published | 0 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | not published | not published | not published | 0 |
| Trnsplj pd lvr&bwl cd154+cll CPT 81560 | not published | not published | $639.00 – $639.00 | 1 |
| Trnspl rej kdn mrna qpcr 139 CPT 81558 | not published | not published | $3,233.00 – $3,233.00 | 1 |
| Troponin quantitative CPT 84484 | $145.50 | $194.00 | $13.00 – $13.00 | 1 |
| Tr retinal les preterm inf CPT 67229 | not published | not published | not published | 0 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | not published | not published | not published | 0 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | not published | 0 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | $248.94 | $331.92 | not published | 0 |
| Tubular dressing HCPCS A6457 | $2.25 | $3.00 | not published | 0 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | not published | 0 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | not published | 0 |
| Tx atrial fib pulm vein isol CPT 93656 | $22,800.00 | $30,400.00 | not published | 0 |
| Tx closed distal humerus fx CPT 24999 | not published | not published | not published | 0 |
| Tx closed hip disl traumatic without anes CPT 27250 | $772.50 | $1,030.00 | not published | 0 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | not published | not published | not published | 0 |
| Tx closed tib shaft fx without manip CPT 27750 | not published | not published | not published | 0 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | not published | 0 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | not published | 0 |
| Tx l/r atrial fib addl CPT 93657 | $1,200.00 | $1,600.00 | not published | 0 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | not published | not published | not published | 0 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | 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.