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 |
|---|---|---|---|---|
| Unlisted px inner ear CPT 69949 | not published | not published | not published | 0 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | not published | 0 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | not published | 0 |
| Unlisted px male genital sys CPT 55899 | not published | not published | not published | 0 |
| Unlisted px middle ear CPT 69799 | not published | not published | not published | 0 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | not published | 0 |
| Unlisted px palate uvula CPT 42299 | not published | not published | not published | 0 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | not published | 0 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | not published | 0 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | not published | 0 |
| Unlisted px small intestine CPT 44799 | $2,568.75 | $3,425.00 | not published | 0 |
| Unlisted px temporal bone CPT 69979 | not published | not published | not published | 0 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | not published | 0 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | not published | 0 |
| Unlisted reprod med lab proc CPT 89398 | $138.75 | $185.00 | not published | 0 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | not published | 0 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | not published | 0 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | not published | 0 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $825.00 | $1,100.00 | not published | 0 |
| Upgrade pm system CPT 33214 | $11,747.25 | $15,663.00 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $2,325.00 | $3,100.00 | $367.00 – $367.00 | 1 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $2,257.50 | $3,010.00 | $367.00 – $367.00 | 1 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,965.00 | $2,620.00 | $249.00 – $249.00 | 1 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $1,983.75 | $2,645.00 | not published | 0 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $1,476.00 | $1,968.00 | not published | 0 |
| Uppr gi scope w/submuc inj CPT 43236 | $1,462.50 | $1,950.00 | not published | 0 |
| Urachal cyst/sinus excision 51500 CPT 51500 | $10,242.75 | $13,657.00 | not published | 0 |
| Urea nitrogen CPT 84520 | $32.25 | $43.00 | $4.00 – $4.00 | 1 |
| Urea nitrogen 24 hour urine CPT 84540 | $30.00 | $40.00 | $5.00 – $5.00 | 1 |
| Urea nitrogen clearance CPT 84545 | $41.25 | $55.00 | $7.00 – $7.00 | 1 |
| Urea nitrogen semi-quant CPT 84525 | $24.75 | $33.00 | $5.00 – $5.00 | 1 |
| Ureteral reflux study CPT 78740 | $997.50 | $1,330.00 | $414.00 – $414.00 | 1 |
| Ureter endoscopy CPT 50970 | not published | not published | not published | 0 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | not published | 0 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | not published | 0 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | not published | 0 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | not published | 0 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | not published | 0 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | not published | 0 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | not published | 0 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $654.75 | $873.00 | $249.00 – $249.00 | 1 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | not published | 0 |
| Urethrocystography void s&i CPT 74455 | $654.75 | $873.00 | $249.00 – $249.00 | 1 |
| Uric acid blood CPT 84550 | $37.50 | $50.00 | $4.00 – $4.00 | 1 |
| Uric acid urine CPT 84560 | $31.50 | $42.00 | $5.00 – $5.00 | 1 |
| Urinalysis glass test CPT 81020 | $17.25 | $23.00 | $5.00 – $5.00 | 1 |
| Urinalysis microscopic only CPT 81015 | $25.50 | $34.00 | $3.00 – $3.00 | 1 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $10.50 | $14.00 | $2.00 – $2.00 | 1 |
| Urinalysis (with microscopy) CPT 81001 | $33.75 | $45.00 | $3.00 – $3.00 | 1 |
| Urinalysis (without microscopy) CPT 81003 | $15.75 | $21.00 | $2.00 – $2.00 | 1 |
| Urinary bldr retent nuc study CPT 78730 | $195.75 | $261.00 | not published | 0 |
| Urinary reflex study CPT 51792 | $685.50 | $914.00 | not published | 0 |
| Urine Culture Test CPT 87086 | $60.75 | $81.00 | $8.00 – $8.00 | 1 |
| Urine flow measurement 51736 CPT 51736 | $206.25 | $275.00 | not published | 0 |
| Urine pregnancy test CPT 81025 | $49.50 | $66.00 | $8.00 – $8.00 | 1 |
| Urine screen for bacteria CPT 81007 | $111.00 | $148.00 | $30.00 – $30.00 | 1 |
| Urography, antegrade CPT 74425 | $1,026.00 | $1,368.00 | $367.00 – $367.00 | 1 |
| Urography inf drip &/or bolus CPT 74410 | $504.00 | $672.00 | $184.00 – $184.00 | 1 |
| Use 1st target lesion CPT 76982 | $338.25 | $451.00 | $109.00 – $109.00 | 1 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $4,963.74 | $6,618.31 | $243.00 – $243.00 | 1 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $62,970.90 | $83,961.20 | $178.00 – $178.00 | 1 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | not published | 0 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $335.57 | $447.42 | not published | 0 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | $305.61 | $407.48 | not published | 0 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $401.19 | $534.91 | not published | 0 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | $228.29 | $304.38 | not published | 0 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $237.45 | $316.59 | not published | 0 |
| Vaccine dtap-ipv/hib im CPT 90698 | $300.42 | $400.55 | not published | 0 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $97.77 | $130.35 | not published | 0 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $44.03 | $58.70 | not published | 0 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $227.81 | $303.74 | not published | 0 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $310.13 | $413.50 | not published | 0 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | $196.71 | $262.27 | not published | 0 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $113.13 | $150.84 | not published | 0 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $368.21 | $490.94 | not published | 0 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $772.07 | $1,029.42 | not published | 0 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $203.78 | $271.70 | not published | 0 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $203.78 | $271.70 | not published | 0 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | $32.42 | $43.22 | not published | 0 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $70.09 | $93.45 | not published | 0 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $23.25 | $31.00 | not published | 0 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $119.29 | $159.05 | not published | 0 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $416.43 | $555.24 | not published | 0 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $392.19 | $522.91 | not published | 0 |
| Vaccine mmr live subcutaneous CPT 90707 | $227.79 | $303.71 | not published | 0 |
| Vaccine mmrv live subcutaneous CPT 90710 | $673.39 | $897.85 | not published | 0 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $277.72 | $370.29 | not published | 0 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $531.84 | $709.12 | not published | 0 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | $555.08 | $740.10 | not published | 0 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $724.20 | $965.59 | not published | 0 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $130.82 | $174.42 | not published | 0 |
| Vaccine rabies im CPT 90675 | $1,020.74 | $1,360.98 | not published | 0 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | $721.67 | $962.22 | not published | 0 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $1,396.20 | $1,861.59 | not published | 0 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $1,396.20 | $1,861.59 | not published | 0 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | $720.61 | $960.81 | not published | 0 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | $343.77 | $458.36 | not published | 0 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $240.16 | $320.21 | not published | 0 |
| Vaccine tdap >=7 years im CPT 90715 | $69.00 | $92.00 | not published | 0 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $32.25 | $43.00 | 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.