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 |
|---|---|---|---|---|
| Biospy of bladder CPT 53899 | not published | not published | not published | 0 |
| Biotinidase - quest CPT 82261 | $105.00 | $140.00 | $17.00 – $17.00 | 1 |
| Bivalirudin HCPCS J0583 | $2,221.43 | $2,961.90 | $0.17 – $0.17 | 1 |
| Bladder calculi irrig sol HCPCS Q2004 | not published | not published | $16.00 – $16.00 | 1 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $657.00 | $876.00 | not published | 0 |
| Bld exchange truj oth thn nb CPT 36455 | $1,166.25 | $1,555.00 | not published | 0 |
| Bld prd mix CPT 86965 | $154.50 | $206.00 | $26.00 – $26.00 | 1 |
| Bld push tfuj 2 yr/< CPT 36440 | not published | not published | not published | 0 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $231.48 | $308.63 | $21.00 – $21.00 | 1 |
| Blepharoplasty lower 15820 CPT 15820 | not published | not published | not published | 0 |
| Blepharoplasty upper 15822 CPT 15822 | not published | not published | not published | 0 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | not published | not published | not published | 0 |
| Blepharp lwr eyelid fat pad CPT 15821 | not published | not published | not published | 0 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | $13,036.59 | $17,382.12 | $163.00 – $163.00 | 1 |
| Blind cor sinus reducer impl HCPCS C9783 | not published | not published | not published | 0 |
| Blind interatrial shunt ide HCPCS C9758 | not published | not published | not published | 0 |
| Blind myocar trpl bon marrow HCPCS C9782 | not published | not published | not published | 0 |
| Blind/nonblind trans atrial HCPCS C9792 | not published | not published | not published | 0 |
| Blink reflex test CPT 95933 | $249.75 | $333.00 | not published | 0 |
| Blm gene CPT 81209 | not published | not published | $39.00 – $39.00 | 1 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $748.97 | $998.62 | not published | 0 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $735.00 | $980.00 | not published | 0 |
| Bln dil 900ml preperitnl HCPCS C1727 | $615.71 | $820.94 | not published | 0 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $6.75 | $9.00 | not published | 0 |
| Bln press regulation 71-80cm HCPCS C1815 | $445.50 | $594.00 | not published | 0 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $712.50 | $950.00 | not published | 0 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | not published | not published | not published | 0 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | $1,082.25 | $1,443.00 | not published | 0 |
| Block paracervical nrv CPT 64435 | not published | not published | not published | 0 |
| Block plantar digital nerve CPT 64455 | $786.75 | $1,049.00 | not published | 0 |
| Block tap inj(s) w/wo img bi CPT 64488 | $339.00 | $452.00 | not published | 0 |
| Block tap inj(s) w/wo img uni CPT 64486 | $285.75 | $381.00 | not published | 0 |
| Blood clot lysis time CPT 85175 | $99.75 | $133.00 | $20.00 – $20.00 | 1 |
| Blood clot retraction CPT 85170 | $81.00 | $108.00 | $16.00 – $16.00 | 1 |
| Blood Clotting (PT/INR) Test CPT 85610 | $41.25 | $55.00 | $4.00 – $4.00 | 1 |
| Blood Clotting (PTT) Test CPT 85730 | $51.00 | $68.00 | $6.00 – $6.00 | 1 |
| Blood Count (CBC) Test CPT 85025 | $63.75 | $85.00 | $8.00 – $8.00 | 1 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $52.50 | $70.00 | $6.00 – $6.00 | 1 |
| Blood count spun microhematocrit CPT 85013 | $27.75 | $37.00 | $7.00 – $7.00 | 1 |
| Blood Culture Test CPT 87040 | $161.25 | $215.00 | $10.00 – $10.00 | 1 |
| Blood draw capillary 36416 CPT 36416 | $6.75 | $9.00 | not published | 0 |
| Blood gases o2 saturation direct measurement CPT 82805 | $387.75 | $517.00 | $78.00 – $78.00 | 1 |
| Blood gases ph venous CPT 82800 | $55.50 | $74.00 | $11.00 – $11.00 | 1 |
| Blood, l/r, irradiated HCPCS P9056 | $691.50 | $922.00 | not published | 0 |
| Blood mucoprotein HCPCS P2038 | $16.50 | $22.00 | $5.00 – $5.00 | 1 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $85.50 | $114.00 | $16.00 – $16.00 | 1 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $21.00 | $28.00 | $4.00 – $4.00 | 1 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $18.00 | $24.00 | $4.00 – $4.00 | 1 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $19.50 | $26.00 | $5.00 – $5.00 | 1 |
| Blood smear interpretation CPT 85060 | $131.25 | $175.00 | $23.00 – $23.00 | 1 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $22.50 | $30.00 | $4.00 – $4.00 | 1 |
| Blood split unit HCPCS P9011 | $416.25 | $555.00 | not published | 0 |
| Blood thymol turbidity HCPCS P2033 | $16.50 | $22.00 | $5.00 – $5.00 | 1 |
| Blood typing abo CPT 86900 | $84.75 | $113.00 | $3.00 – $3.00 | 1 |
| Blood typing ag donor ea ag CPT 86902 | $230.25 | $307.00 | $6.00 – $6.00 | 1 |
| Blood typing antigen system CPT 86911 | $81.00 | $108.00 | $18.00 – $18.00 | 1 |
| Blood typing paternity test CPT 86910 | $94.50 | $126.00 | $21.00 – $21.00 | 1 |
| Blood typing patient serum CPT 86904 | $81.00 | $108.00 | $16.00 – $16.00 | 1 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $230.25 | $307.00 | $4.00 – $4.00 | 1 |
| Blood typing rh (d) CPT 86901 | $54.00 | $72.00 | $3.00 – $3.00 | 1 |
| Blood typing rh phenotype complete reference CPT 86906 | $48.75 | $65.00 | $8.00 – $8.00 | 1 |
| Blood volume CPT 78122 | $1,335.00 | $1,780.00 | $554.00 – $554.00 | 1 |
| Bone biopsy open superficial CPT 20240 | $4,451.25 | $5,935.00 | not published | 0 |
| Bone Density Scan (DEXA) CPT 77080 | $320.25 | $427.00 | $109.00 – $109.00 | 1 |
| Bone imaging multiple areas CPT 78305 | $997.50 | $1,330.00 | $414.00 – $414.00 | 1 |
| Bone/joint imaging ltd area CPT 78300 | $997.50 | $1,330.00 | $414.00 – $414.00 | 1 |
| Bone marrow;aspiration only 38220 CPT 38220 | $4,845.75 | $6,461.00 | not published | 0 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $2,497.50 | $3,330.00 | not published | 0 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | not published | 0 |
| Bone marrow harvest autolog CPT 38232 | not published | not published | not published | 0 |
| Bone marrow imaging body CPT 78104 | $997.50 | $1,330.00 | $414.00 – $414.00 | 1 |
| Bone marrow imaging ltd CPT 78102 | $997.50 | $1,330.00 | $414.00 – $414.00 | 1 |
| Bone marrow imaging mult CPT 78103 | $997.50 | $1,330.00 | $414.00 – $414.00 | 1 |
| Bone marrow interpretation CPT 85097 | $705.00 | $940.00 | $72.00 – $72.00 | 1 |
| Bone mineral dual photon CPT 78351 | $35.25 | $47.00 | $9.00 – $9.00 | 1 |
| Bone mineral single photon CPT 78350 | $79.50 | $106.00 | $21.00 – $21.00 | 1 |
| Bone/skin graft great toe CPT 20973 | not published | not published | not published | 0 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | not published | 0 |
| Bone survey-lead poisoning CPT 77074 | $296.25 | $395.00 | $109.00 – $109.00 | 1 |
| Bone tendon board add on HCPCS C9356 | $4.50 | $6.00 | not published | 0 |
| Bone void filler nanoss 10cc HCPCS C9362 | $720.00 | $960.00 | not published | 0 |
| Boot j walker l HCPCS L4386 | $62.25 | $83.00 | not published | 0 |
| Boot mlti podous univ xlg HCPCS L4396 | $81.59 | $108.78 | not published | 0 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | $75.02 | $100.02 | not published | 0 |
| Borrelia antibody CPT 86619 | $81.00 | $108.00 | $13.00 – $13.00 | 1 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $106.50 | $142.00 | $17.00 – $17.00 | 1 |
| Borrelia miyamotoi amp prb CPT 87478 | not published | not published | $35.00 – $35.00 | 1 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $3,784.77 | $5,046.36 | $1.59 – $1.59 | 1 |
| (both sides) smear without diff wbc count CPT 85008 | $21.00 | $28.00 | $3.00 – $3.00 | 1 |
| Botulism ig IV CPT 90288 | $103,143.75 | $137,525.00 | not published | 0 |
| Bowel imaging CPT 78290 | $997.50 | $1,330.00 | $414.00 – $414.00 | 1 |
| Brace ank aftr bioskn med lg HCPCS L1906 | $28.50 | $38.00 | not published | 0 |
| Brace ank air stirrup univ HCPCS L4350 | $12.75 | $17.00 | not published | 0 |
| Brace back pinnacle tlso 464 HCPCS L0464 | $0.75 | $1.00 | not published | 0 |
| Brace back vista 464 tlso HCPCS L0648 | $216.60 | $288.79 | not published | 0 |
| Brace cust back lso HCPCS L0631 | $315.75 | $421.00 | not published | 0 |
| Brace knee extender plus 22-30in HCPCS L1832 | $114.20 | $152.26 | not published | 0 |
| Brace knee hing pat open med HCPCS L1820 | $48.00 | $64.00 | not published | 0 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | $125.07 | $166.75 | not published | 0 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | $90.00 | $120.00 | 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.