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 |
|---|---|---|---|---|
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | not published | not published | not published | 0 |
| Tx open nsl fx uncomp CPT 21325 | not published | not published | not published | 0 |
| Tx open nsl sptl fx CPT 21336 | not published | not published | not published | 0 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | $2,148.75 | $2,865.00 | not published | 0 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | not published | not published | not published | 0 |
| Tympanic membrane repair CPT 69610 | not published | not published | not published | 0 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | not published | 0 |
| Tympanometry & reflex thresh CPT 92550 | $529.50 | $706.00 | not published | 0 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | not published | not published | not published | 0 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | not published | 0 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | not published | 0 |
| Tyms gene com variants CPT 81346 | not published | not published | $175.00 – $175.00 | 1 |
| Typhoid vaccine oral CPT 90690 | $83.10 | $110.80 | not published | 0 |
| U2af1 gene common variants CPT 81357 | not published | not published | $193.00 – $193.00 | 1 |
| Ua w/micro/comp poc CPT 81000 | $12.75 | $17.00 | $4.00 – $4.00 | 1 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | $24,001.35 | $32,001.80 | $72.00 – $72.00 | 1 |
| Ugt1a1 gene analy common variants CPT 81350 | not published | not published | $233.00 – $233.00 | 1 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $292.50 | $390.00 | $109.00 – $109.00 | 1 |
| Ultrasound bone density measure CPT 76977 | $336.00 | $448.00 | $109.00 – $109.00 | 1 |
| Ultrasound breast complete CPT 76641 | $840.00 | $1,120.00 | $109.00 – $109.00 | 1 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $435.00 | $580.00 | $90.00 – $90.00 | 1 |
| Ultrasound chest CPT 76604 | $405.00 | $540.00 | $109.00 – $109.00 | 1 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $327.00 | $436.00 | $109.00 – $109.00 | 1 |
| Ultrasound dx ophth b-scan CPT 76512 | $305.25 | $407.00 | $109.00 – $109.00 | 1 |
| Ultrasound elastography parenchyma CPT 76981 | $363.75 | $485.00 | $109.00 – $109.00 | 1 |
| Ultrasound encephalogram CPT 76506 | $502.50 | $670.00 | $109.00 – $109.00 | 1 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $412.50 | $550.00 | $109.00 – $109.00 | 1 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $479.25 | $639.00 | $109.00 – $109.00 | 1 |
| Ultrasound guidance for vascular access CPT 76937 | $312.00 | $416.00 | not published | 0 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $318.75 | $425.00 | not published | 0 |
| Ultrasound guide intraoperative CPT 76998 | $194.25 | $259.00 | not published | 0 |
| Ultrasound guide tissue ablation CPT 76940 | $490.50 | $654.00 | not published | 0 |
| Ultrasound hips infant dynamic CPT 76885 | $571.50 | $762.00 | $90.00 – $90.00 | 1 |
| Ultrasound infant hips ltd without stress CPT 76886 | $357.75 | $477.00 | $90.00 – $90.00 | 1 |
| Ultrasound joint complete left CPT 76881 | $342.75 | $457.00 | $109.00 – $109.00 | 1 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $300.00 | $400.00 | $109.00 – $109.00 | 1 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $109.00 – $109.00 | 1 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $283.50 | $378.00 | not published | 0 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $258.75 | $345.00 | not published | 0 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $748.50 | $998.00 | $249.00 – $249.00 | 1 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $507.00 | $676.00 | $109.00 – $109.00 | 1 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $305.25 | $407.00 | $109.00 – $109.00 | 1 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $532.50 | $710.00 | $109.00 – $109.00 | 1 |
| Ultrasound prostate/transrectal CPT 76872 | $501.75 | $669.00 | $109.00 – $109.00 | 1 |
| Ultrasound retroperitoneal limited CPT 76775 | $480.00 | $640.00 | $109.00 – $109.00 | 1 |
| Ultrasound scrotum and contents CPT 76870 | $457.50 | $610.00 | $109.00 – $109.00 | 1 |
| Ultrasound spinal canal and contents CPT 76800 | $720.00 | $960.00 | $109.00 – $109.00 | 1 |
| Ultrasound transabd ea addl gest CPT 76812 | $811.50 | $1,082.00 | not published | 0 |
| Ultrasound transvaginal non obstetric CPT 76830 | $559.50 | $746.00 | $109.00 – $109.00 | 1 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | $1,012.50 | $1,350.00 | $184.00 – $184.00 | 1 |
| Ultraviolet therapy CPT 97028 | $21.75 | $29.00 | not published | 0 |
| Umbilical artery cath newborn 36660 CPT 36660 | $239.25 | $319.00 | not published | 0 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | not published | 0 |
| Unit mobile power mpu HCPCS Q0479 | $9.00 | $12.00 | not published | 0 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | not published | 0 |
| Unlisted CT procedure CPT 76497 | $367.50 | $490.00 | $126.00 – $126.00 | 1 |
| Unlisted dx gi procedure CPT 91299 | not published | not published | not published | 0 |
| Unlisted fetal invas px w/us CPT 59897 | not published | not published | not published | 0 |
| Unlisted fluoroscopic px CPT 76496 | $272.25 | $363.00 | $106.00 – $106.00 | 1 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | not published | 0 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | not published | not published | 0 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | not published | not published | not published | 0 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | not published | not published | not published | 0 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | not published | not published | not published | 0 |
| Unlisted laps px appendix CPT 44979 | not published | not published | not published | 0 |
| Unlisted laps px bladder CPT 51999 | not published | not published | not published | 0 |
| Unlisted laps px endoc sys CPT 60659 | not published | not published | not published | 0 |
| Unlisted laps px esoph CPT 43289 | not published | not published | not published | 0 |
| Unlisted laps px lymphtc sys CPT 38589 | not published | not published | not published | 0 |
| Unlisted laps px ovidct ovry CPT 58679 | not published | not published | not published | 0 |
| Unlisted laps px renal CPT 50549 | not published | not published | not published | 0 |
| Unlisted laps px spleen CPT 38129 | not published | not published | not published | 0 |
| Unlisted laps px testis CPT 54699 | not published | not published | not published | 0 |
| Unlisted laps px ureter CPT 50949 | not published | not published | not published | 0 |
| Unlisted laps px uterus CPT 58578 | not published | not published | not published | 0 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | not published | not published | 0 |
| Unlisted mr procedure CPT 76498 | $435.00 | $580.00 | $110.00 – $110.00 | 1 |
| Unlisted muscskel px head CPT 21499 | not published | not published | not published | 0 |
| Unlisted procedure colon CPT 45399 | not published | not published | not published | 0 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | not published | 0 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | not published | 0 |
| Unlisted procedure larynx CPT 31599 | not published | not published | not published | 0 |
| Unlisted procedure liver CPT 47399 | $2,059.50 | $2,746.00 | not published | 0 |
| Unlisted procedure orbit CPT 67599 | not published | not published | not published | 0 |
| Unlisted procedure pancreas CPT 48999 | not published | not published | not published | 0 |
| Unlisted procedure rectum CPT 45999 | not published | not published | not published | 0 |
| Unlisted procedure spine CPT 22899 | not published | not published | not published | 0 |
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | not published | 0 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | not published | 0 |
| Unlisted px ant segment eye CPT 66999 | not published | not published | not published | 0 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | not published | 0 |
| Unlisted px biliary tract CPT 47999 | not published | not published | not published | 0 |
| Unlisted px casting/strpg CPT 29799 | $153.75 | $205.00 | not published | 0 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | not published | 0 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | not published | 0 |
| Unlisted px external ear CPT 69399 | not published | not published | not published | 0 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | not published | 0 |
| Unlisted px foot/toes CPT 28899 | not published | not published | not published | 0 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | not published | 0 |
| Unlisted px hands/fingers CPT 26989 | 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.