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 |
|---|---|---|---|---|
| Brace ortho exos 28-50in sm HCPCS L0637 | $216.60 | $288.79 | not published | 0 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | $0.75 | $1.00 | not published | 0 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $28.50 | $38.00 | not published | 0 |
| Brace wrist classic lft sm HCPCS L3908 | $144.75 | $193.00 | not published | 0 |
| Brachioplasty 15836 CPT 15836 | not published | not published | not published | 0 |
| Brach/thor cath 1st CPT 36215 | $3,971.25 | $5,295.00 | not published | 0 |
| Brach/thor cath 2nd CPT 36216 | $4,081.50 | $5,442.00 | not published | 0 |
| Brach/thor cath 3rd CPT 36217 | $5,089.50 | $6,786.00 | not published | 0 |
| Brach/thor cath addl CPT 36218 | $889.50 | $1,186.00 | not published | 0 |
| Brachy source i-125 injection HCPCS C2638 | $160.32 | $213.75 | not published | 0 |
| Brachy source iodine-125 nonstranded HCPCS C2639 | $69.75 | $93.00 | not published | 0 |
| Brachy source palladium HCPCS C2640 | $105.75 | $141.00 | not published | 0 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | $108.00 | $144.00 | not published | 0 |
| Brachy source yttrium-90 HCPCS C2616 | $23,390.25 | $31,187.00 | not published | 0 |
| Brachytx isodose complex CPT 77318 | $1,197.00 | $1,596.00 | $377.00 – $377.00 | 1 |
| Brachytx isodose intermed CPT 77317 | $1,031.25 | $1,375.00 | $377.00 – $377.00 | 1 |
| Brachytx isodose plan simple CPT 77316 | $1,031.25 | $1,375.00 | $377.00 – $377.00 | 1 |
| Brachytx, non-str, ha, i-125 HCPCS C2634 | $54.00 | $72.00 | not published | 0 |
| Braf gene CPT 81210 | not published | not published | $175.00 – $175.00 | 1 |
| Brain flow imaging only CPT 78610 | $1,335.00 | $1,780.00 | $554.00 – $554.00 | 1 |
| Brain image < 4 views CPT 78600 | $997.50 | $1,330.00 | $414.00 – $414.00 | 1 |
| Brain image 4+ views CPT 78605 | $1,335.00 | $1,780.00 | $554.00 – $554.00 | 1 |
| Brain image w/flow < 4 views CPT 78601 | $997.50 | $1,330.00 | $414.00 – $414.00 | 1 |
| Brain image w/flow 4 + views CPT 78606 | $1,335.00 | $1,780.00 | $554.00 – $554.00 | 1 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $2,910.00 | $3,880.00 | $387.00 – $387.00 | 1 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $2,617.50 | $3,490.00 | $367.00 – $367.00 | 1 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $2,092.50 | $2,790.00 | $249.00 – $249.00 | 1 |
| Brain MRI (with and without contrast) CPT 70553 | $2,272.50 | $3,030.00 | $367.00 – $367.00 | 1 |
| Brain MRI (with contrast) CPT 70552 | $1,965.00 | $2,620.00 | $367.00 – $367.00 | 1 |
| Brain MRI (without contrast) CPT 70551 | $1,672.50 | $2,230.00 | $249.00 – $249.00 | 1 |
| Brca1&2 gene full seq alys CPT 81163 | not published | not published | $467.00 – $467.00 | 1 |
| Brca1&2 gen ful dup/del alys CPT 81164 | not published | not published | $583.00 – $583.00 | 1 |
| Brca1 dna gene analy known fam var CPT 81215 | not published | not published | $374.00 – $374.00 | 1 |
| Brca1 gene full dup/del alys CPT 81166 | not published | not published | $301.00 – $301.00 | 1 |
| Brca1 gene full seq alys CPT 81165 | not published | not published | $282.00 – $282.00 | 1 |
| Brca2 dna gene analy full seq analy CPT 81216 | not published | not published | $185.00 – $185.00 | 1 |
| Brca2 dna gene analy known fam var CPT 81217 | not published | not published | $374.00 – $374.00 | 1 |
| Brca2 gene full dup/del alys CPT 81167 | not published | not published | $282.00 – $282.00 | 1 |
| Brcassure ashkenazi panel-sendout CPT 81212 | not published | not published | $439.00 – $439.00 | 1 |
| Brcassure comprehensive panel-sendout CPT 81162 | $217.50 | $290.00 | $1,821.00 – $1,821.00 | 1 |
| Breast augmentation 19325 CPT 19325 | not published | not published | not published | 0 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $2,202.00 | $2,936.00 | not published | 0 |
| Breast punct aspir cyst, bil CPT 19000 | $825.00 | $1,100.00 | not published | 0 |
| Breast reconstruction 19357 CPT 19357 | not published | not published | not published | 0 |
| Breast reduction CPT 19318 | not published | not published | not published | 0 |
| Breath hydrogen test 91065 CPT 91065 | $397.50 | $530.00 | not published | 0 |
| Breathing response hypoxia CPT 94450 | $287.25 | $383.00 | not published | 0 |
| Breath test analysis c-14 CPT 78268 | $208.50 | $278.00 | $82.00 – $82.00 | 1 |
| Breath tst attain/anal c-14 CPT 78267 | $24.75 | $33.00 | $10.00 – $10.00 | 1 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $27,413.48 | $36,551.30 | $259.00 – $259.00 | 1 |
| Brexucabtagene car pos t HCPCS Q2053 | not published | not published | $503,580.00 – $503,580.00 | 1 |
| Brompheniramine maleate inj HCPCS J0945 | not published | not published | $0.37 – $0.37 | 1 |
| Bronch/asp/tracheobronch tree/subs 31646 CPT 31646 | $1,350.75 | $1,801.00 | not published | 0 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | $559.50 | $746.00 | not published | 0 |
| Bronch ebus samplng 1/2 node CPT 31652 | $5,517.75 | $7,357.00 | not published | 0 |
| Bronch ebus samplng 3/> node CPT 31653 | $4,617.75 | $6,157.00 | not published | 0 |
| Bronchial brush biopsy CPT 31717 | not published | not published | not published | 0 |
| Bronchial challenge CPT 94070 | $830.25 | $1,107.00 | not published | 0 |
| Bronchial valve addl insert CPT 31651 | $3,242.25 | $4,323.00 | not published | 0 |
| Bronchial valve init insert CPT 31647 | $16,212.00 | $21,616.00 | not published | 0 |
| Bronchial valve remov addl CPT 31649 | not published | not published | not published | 0 |
| Bronchial valve remov init CPT 31648 | not published | not published | not published | 0 |
| Bronchoscopy bronch stents CPT 31636 | $8,742.75 | $11,657.00 | not published | 0 |
| Bronchoscopy clear airways 31645 CPT 31645 | $4,758.00 | $6,344.00 | not published | 0 |
| Bronchoscopy dilate/fx repr CPT 31630 | not published | not published | not published | 0 |
| Bronchoscopy dilate w/stent CPT 31631 | not published | not published | not published | 0 |
| Bronchoscopy/lung bx addl 31632 CPT 31632 | $228.00 | $304.00 | not published | 0 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | $2,487.00 | $3,316.00 | not published | 0 |
| Bronchoscopy/needle bx addl 31633 CPT 31633 | $271.50 | $362.00 | not published | 0 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | $2,585.25 | $3,447.00 | not published | 0 |
| Bronchoscopy revise stent CPT 31638 | not published | not published | not published | 0 |
| Bronchoscopy stent add-on CPT 31637 | $289.50 | $386.00 | not published | 0 |
| Bronchoscopy treat blockage CPT 31641 | $6,103.50 | $8,138.00 | not published | 0 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | $4,758.00 | $6,344.00 | not published | 0 |
| Bronchoscopy w/fb removal 31635 CPT 31635 | $4,758.00 | $6,344.00 | not published | 0 |
| Bronchoscopy w/markers CPT 31626 | $7,137.00 | $9,516.00 | not published | 0 |
| Bronchoscopy w/tumor excise CPT 31640 | not published | not published | not published | 0 |
| Bronch thermoplsty 1 lobe CPT 31660 | $8,742.75 | $11,657.00 | not published | 0 |
| Bronch thermoplsty 2/> lobes CPT 31661 | $8,742.75 | $11,657.00 | not published | 0 |
| Bronch w/balloon occlusion CPT 31634 | $16,212.00 | $21,616.00 | not published | 0 |
| Bronch w/debrdmt subgltc & uppr trach CPT 31899 | not published | not published | not published | 0 |
| Br punct aspir ea add, l CPT 19001 | $69.00 | $92.00 | not published | 0 |
| Brush provox 4-10mm HCPCS L8513 | $138.66 | $184.88 | not published | 0 |
| Btk gene common variants CPT 81233 | not published | not published | $175.00 – $175.00 | 1 |
| Budesonide comp unit HCPCS J7627 | not published | not published | $5.20 – $5.20 | 1 |
| Budesonide non-comp unit HCPCS J7626 | not published | not published | $1.28 – $1.28 | 1 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $16.76 | $22.34 | $0.60 – $0.60 | 1 |
| Bundled special stain group 1 microorganisms CPT 88312 | $270.00 | $360.00 | $95.00 – $95.00 | 1 |
| Bundled special stain group 2 CPT 88313 | $203.25 | $271.00 | $78.00 – $78.00 | 1 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $367.28 | $489.70 | $0.01 – $0.01 | 1 |
| Bupren/nal 3.1 to 6mg bupren HCPCS J0573 | $31.23 | $41.64 | not published | 0 |
| Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572 | $19.98 | $26.64 | not published | 0 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | $36.24 | $48.31 | not published | 0 |
| Buprenorphine and metabolite - sendout CPT 80348 | $92.25 | $123.00 | not published | 0 |
| Buprenorphine hydrochloride HCPCS J0592 | $45.43 | $60.57 | $4.10 – $4.10 | 1 |
| Buprenorphine oral 1mg HCPCS J0571 | $25.38 | $33.84 | not published | 0 |
| Buprenorphine X-ray over 100 mg HCPCS Q9992 | $4,958.33 | $6,611.10 | $1,975.00 – $1,975.00 | 1 |
| Buprenorph X-ray 100 mg or less HCPCS Q9991 | $4,958.33 | $6,611.10 | $1,975.00 – $1,975.00 | 1 |
| Bupropion hcl sr 60 tablets HCPCS S0106 | not published | not published | $91.00 – $91.00 | 1 |
| Bur rotalink 2.15mm HCPCS C1724 | $315.40 | $420.53 | 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.