Kaiser Foundation Hospital - Moanalua
Kaiser Foundation Hospital - Moanalua publishes cash prices for 51 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
"3288 MOANALUA ROAD, HONOLULU, HAWAII 96819" Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN & PELVIS W/CONTRAST MATERIAL | $2,692.50 | $3,590.00 | 25% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN & PELVIS W/CONTRAST MATERIAL | $2,692.50 | $3,590.00 | 25% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O CONTRAST MATERIAL | $1,380.00 | $1,840.00 | 25% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN W/O CONTRAST MATERIAL | $1,380.00 | $1,840.00 | 25% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST MATERIAL | $1,597.50 | $2,130.00 | 25% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/CONTRAST MATERIAL | $1,597.50 | $2,130.00 | 25% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI | $540.75 | $721.00 | 25% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI | $540.75 | $721.00 | 25% |
| Diagnostic mammogram, one breast CPT 77065 DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI | $393.00 | $524.00 | 25% |
| Diagnostic mammogram, one breast inpatient CPT 77065 DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI | $393.00 | $524.00 | 25% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL | $1,747.50 | $2,330.00 | 25% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL | $1,747.50 | $2,330.00 | 25% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL | $2,400.00 | $3,200.00 | 25% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL | $2,400.00 | $3,200.00 | 25% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL | $1,672.50 | $2,230.00 | 25% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL | $1,672.50 | $2,230.00 | 25% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL | $2,272.50 | $3,030.00 | 25% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL | $2,272.50 | $3,030.00 | 25% |
| MRI of the lower back, no contrast dye CPT 72148 MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL | $1,747.50 | $2,330.00 | 25% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL | $1,747.50 | $2,330.00 | 25% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION | $528.00 | $704.00 | 25% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION | $528.00 | $704.00 | 25% |
| Screening mammogram, both breasts both sides CPT 77067 SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD | $317.25 | $423.00 | 25% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD | $317.25 | $423.00 | 25% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | $2,749.50 | $3,666.00 | 25% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | $2,749.50 | $3,666.00 | 25% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $559.50 | $746.00 | 25% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL | $559.50 | $746.00 | 25% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION | $637.50 | $850.00 | 25% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION | $637.50 | $850.00 | 25% |
| X-ray of the lower back, 4 or more views CPT 72110 RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS | $436.50 | $582.00 | 25% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS | $436.50 | $582.00 | 25% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL CALCIUM TOTAL | $83.25 | $111.00 | 25% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL CALCIUM TOTAL | $83.25 | $111.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $120.75 | $161.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $120.75 | $161.00 | 25% |
| Complete blood count (CBC) with differential CPT 85025 BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $63.75 | $85.00 | 25% |
| Complete blood count (CBC) with differential inpatient CPT 85025 BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $63.75 | $85.00 | 25% |
| Complete blood count (CBC), no differential CPT 85027 BLOOD COUNT COMPLETE AUTOMATED | $52.50 | $70.00 | 25% |
| Complete blood count (CBC), no differential inpatient CPT 85027 BLOOD COUNT COMPLETE AUTOMATED | $52.50 | $70.00 | 25% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $90.00 | $120.00 | 25% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL | $90.00 | $120.00 | 25% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $73.50 | $98.00 | 25% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $73.50 | $98.00 | 25% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $72.75 | $97.00 | 25% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $72.75 | $97.00 | 25% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $148.50 | $198.00 | 25% |
| Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL | $148.50 | $198.00 | 25% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE | $132.00 | $176.00 | 25% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE | $132.00 | $176.00 | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL | $85.50 | $114.00 | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL | $85.50 | $114.00 | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD | $51.00 | $68.00 | 25% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD | $51.00 | $68.00 | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $41.25 | $55.00 | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $41.25 | $55.00 | 25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY OF THYROID STIMULATING HORMONE TSH | $111.75 | $149.00 | 25% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 ASSAY OF THYROID STIMULATING HORMONE TSH | $111.75 | $149.00 | 25% |
| Urinalysis with microscope exam, automated CPT 81001 URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY | $33.75 | $45.00 | 25% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY | $33.75 | $45.00 | 25% |
| Urinalysis with microscope exam, manual CPT 81000 URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY | $12.75 | $17.00 | 25% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY | $12.75 | $17.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY | $15.75 | $21.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY | $15.75 | $21.00 | 25% |
| Urinalysis without microscope exam, manual CPT 81002 URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP | $15.75 | $21.00 | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP | $15.75 | $21.00 | 25% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cataract surgery with lens implant CPT 66984 XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP | $2,753.25 | $3,671.00 | 25% |
| Cataract surgery with lens implant inpatient CPT 66984 XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP | $2,753.25 | $3,671.00 | 25% |
| Colonoscopy with polyp removal CPT 45385 COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ | $1,944.75 | $2,593.00 | 25% |
| Colonoscopy with polyp removal inpatient CPT 45385 COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ | $1,944.75 | $2,593.00 | 25% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE | $2,466.00 | $3,288.00 | 25% |
| Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE | $2,466.00 | $3,288.00 | 25% |
| Colonoscopy, diagnostic CPT 45378 COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD | $1,482.00 | $1,976.00 | 25% |
| Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD | $1,482.00 | $1,976.00 | 25% |
| Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPY SURG CHOLECYSTECTOMY | $3,831.75 | $5,109.00 | 25% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 LAPAROSCOPY SURG CHOLECYSTECTOMY | $3,831.75 | $5,109.00 | 25% |
| Left heart catheterization, diagnostic CPT 93452 L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I | $5,250.00 | $7,000.00 | 25% |
| Left heart catheterization, diagnostic inpatient CPT 93452 L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I | $5,250.00 | $7,000.00 | 25% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $1,023.75 | $1,365.00 | 25% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $1,023.75 | $1,365.00 | 25% |
| Lower-back epidural injection, without imaging guidance CPT 62322 NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN | $1,082.25 | $1,443.00 | 25% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN | $1,082.25 | $1,443.00 | 25% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL | $1,341.00 | $1,788.00 | 25% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL | $1,341.00 | $1,788.00 | 25% |
| Removal of a breast lump, open surgery CPT 19120 EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION | $4,867.50 | $6,490.00 | 25% |
| Removal of a breast lump, open surgery inpatient CPT 19120 EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION | $4,867.50 | $6,490.00 | 25% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS | $372.00 | $496.00 | 25% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS | $372.00 | $496.00 | 25% |
| Total hip replacement CPT 27130 ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT | $8,739.00 | $11,652.00 | 25% |
| Total hip replacement inpatient CPT 27130 ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT | $8,739.00 | $11,652.00 | 25% |
| Total knee replacement CPT 27447 ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS | $8,739.00 | $11,652.00 | 25% |
| Total knee replacement inpatient CPT 27447 ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS | $8,739.00 | $11,652.00 | 25% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD TRANSORAL BIOPSY SINGLE/MULTIPLE | $1,476.00 | $1,968.00 | 25% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD TRANSORAL BIOPSY SINGLE/MULTIPLE | $1,476.00 | $1,968.00 | 25% |
| Upper endoscopy (EGD), diagnostic CPT 43235 ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC | $1,983.75 | $2,645.00 | 25% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC | $1,983.75 | $2,645.00 | 25% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM | $6,060.00 | $8,080.00 | 25% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM | $6,060.00 | $8,080.00 | 25% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES | $114.75 | $153.00 | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES | $114.75 | $153.00 | 25% |
Dental
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Dental implant, surgical placement CDT D6010 IMPLANT DENTAL 13MM 3.5MM NOBELREPLACE STRAIGHT GROOVY NARROW PLATFORM | $324.90 | $433.20 | 25% |
| Dental implant, surgical placement CDT D6010 IMPLANT DENTAL 11.5MM 3.5MM NOBELREPLACE STRAIGHT GROOVY NARROW PLATFORM | $324.90 | $433.20 | 25% |
| Dental implant, surgical placement inpatient CDT D6010 IMPLANT DENTAL 11.5MM 3.5MM NOBELREPLACE STRAIGHT GROOVY NARROW PLATFORM | $324.90 | $433.20 | 25% |
| Dental implant, surgical placement inpatient CDT D6010 IMPLANT DENTAL 13MM 3.5MM NOBELREPLACE STRAIGHT GROOVY NARROW PLATFORM | $324.90 | $433.20 | 25% |