Echocardiogram Cost in Hawaii (2026): Average Prices & What You'll Pay
What does a echocardiogram cost in Hawaii?
You could pay $437 or $747 for the same echocardiogram in Hawaii - depending entirely on which facility you choose. The median cash price across 6 reporting hospitals is $747. This data comes directly from hospital price transparency files published under federal law.
Where echocardiogram costs vary in Hawaii
Pins show hospitals with price-transparency data (colored by vs. state average) and nearby ambulatory surgery centers, imaging centers, and other facilities (colored by type). Click any pin for facility name and estimated cost range.
26+ people checked prices near them this month.
A missing prior authorization can turn a covered echocardiogram into a denied claim - and the same study is one bill or two.
Your personalized cost report includes:
- ✓ Why prior authorization is the most preventable echo billing surprise - and how to confirm it
- ✓ Why a facility splits into a technical bill and a separate cardiologist bill (an office bills one global fee)
- ✓ How the interpreting cardiologist can be out-of-network even at an in-network facility
- ✓ Why a hospital outpatient department costs far more than a cardiology office or imaging center
- ✓ A real patient billing breakdown, line by line
Free for patients - takes 30 seconds to get.
We'll send a sign-in link to your email - click it to get your guide. No account required, no spam.
Cheapest Echocardiogram Providers in Hawaii
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs Median |
|---|---|---|---|---|
| 1 | Kahuku Medical Center | Kahuku, HI | $126 | -$621 |
| 2 | Hawaii Pacific Health | HI | $127 | -$620 |
| 3 | The Queens Medical Center - Wahiawa | Wahiawa, HI | $747 | +$0 |
| 4 | Queens Medical Center | Honolulu, HI | $747 | +$0 |
| 5 | Queens Medical Center - West Oahu | Ewa Beach, HI | $747 | +$0 |
| 6 | Queens North Hawaii Community Hospital | Waimea, HI | $783 | +$36 |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
Quick take
- Kahuku Medical Center is the lowest-cost option at $126 - $621 below the state median, just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $747, and it's often lower than what insurance pays before your deductible is satisfied.
- Ask whether this procedure can be done at a freestanding ambulatory surgical center - they're typically 30-60% cheaper than a hospital for identical care, and most aren't in this hospital-only dataset.
How where you go changes what you pay for echocardiogram
The same echocardiogram bundles different services depending on the setting - facility fee, surgeon fee, and anesthesia each arrive as separate bills. Estimated ranges below reflect the typical full bundled cost, including all expected charges.
- Facility fee $126–$783
- Professional fee $146–$928
Estimated from CMS fee schedules + commercial rate multipliers
Hawaii's island geography creates isolated health economies - each island is effectively its own market, and most specialized care on neighbor islands requires inter-island travel. Kaiser Permanente Hawaii and Hawaii Pacific Health cover most of the Oahu market. Transport and logistics costs embedded in hospital operating expenses push prices well above the mainland average for comparable services. Echocardiograms are unusual in that the physician component (interpretation fee) and technical component (sonographer and equipment) are often billed separately, meaning you may receive two bills from two different providers. Hospital-based cardiology departments also add a facility fee that independent echo labs and cardiology offices don't charge. The same study can cost $200 at a freestanding cardiology office and $2,000 at a hospital outpatient department.
Received a bill? Check it for errors → Estimate YOUR cost before you go → Managing more than one bill? See the family tracker →
Why prices vary - and what it means for your coverage
Facility classification matters as much as the hospital itself - a hospital-owned outpatient center adds a facility fee that a freestanding clinic does not. Whether the scan happens in a hospital outpatient department (which adds a separate facility fee) or a freestanding imaging center is usually the single biggest driver of price for this procedure.
On top of the facility price, your actual bill depends on your deductible, your out-of-pocket maximum, and whether every provider involved - not just the facility - is in-network.
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met | ~$747 |
| Deductible met - 20% coinsurance | ~$149 |
| Out-of-network provider | $1,643+ |
Frequently asked questions: echocardiogram costs in Hawaii
How much does an echocardiogram cost in Hawaii?
Across 6 Hawaii hospitals that publish prices, an echocardiogram ranges from $126 to $2,894, with a median of $747. Most facilities fall between $282 and $747. What you pay depends on the facility, your insurance, and whether you have met your deductible.
Where is the cheapest place to get an echocardiogram in Hawaii?
Based on declared prices, the lowest-cost facility in our Hawaii data is Kahuku Medical Center in Kahuku at about $126. Freestanding ambulatory surgery and imaging centers are often cheaper still and may not appear in hospital price data - ask your doctor whether one is an option.
Why is an echocardiogram so much cheaper at some Hawaii hospitals?
Prices vary up to 23× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Hawaii, the median cash (self-pay) price is $747 versus a median negotiated rate of $61 - about 12.2× higher. Asking for the cash price or your insurer's negotiated rate is often the single biggest lever on what you pay.
How much will I actually pay out of pocket for an echocardiogram in Hawaii?
Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network - not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.
Before you book
- How to read your medical bill
- How to stop medical bill problems before they start
- How to negotiate your medical bills
- Allowed amount vs negotiated rate: what your EOB is really saying
- How to read a Medicare Summary Notice
Other procedures in Hawaii
Echocardiogram, elsewhere
Other Hawaii Hospitals and ambulatory surgery centers for Echocardiogram
These hospitals and ambulatory surgery centers are registered in the CMS National Provider Identifier (NPI) registry as active hospitals and ambulatory surgery centers in Hawaii. Cost estimates use the bundled service model for each place of service. Contact them directly for a formal quote.
| Provider | City | Type | Est. Cost | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
ACPAYUMO MD LLC
8089839648 |
HONOLULU, HI | General Acute Care Hospital | $272–$1,711 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
ALI'I HEALTH CENTER
8083317960 |
KAILUA KONA, HI | Ambulatory Surgical Center | - | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
ALOHA EYE CLINIC SURGICAL CENTER LLC
8088773984 |
WAILUKU, HI | Ambulatory Surgical Center | - | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
ALOHA SURGICAL CENTER LLC
8088930578 |
KAHULUI, HI | Ambulatory Surgical Center | - | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
ANDREW MAEDA MD LLC
8085311116 |
HONOLULU, HI | General Acute Care Hospital | $272–$1,711 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
ASIA PACIFIC SURGERY, LLC
8085858855 |
HONOLULU, HI | Ambulatory Surgical Center | - | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
BLUDOC PEDIATRICS, INC.
8087228792 |
MILILANI, HI | Children's Hospital | $272–$1,711 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
CASTLE AMBULATORY SURGERY CENTER, LLC
8082186850 |
KAILUA, HI | Ambulatory Surgical Center | - | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
CASTLE MEDICAL CENTER
8083635176 |
KAILUA, HI | General Acute Care Hospital | $272–$1,711 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
COMMUNITY CLINIC OF MAUI, INC.
8082449056 |
WAILUKU, HI | General Acute Care Hospital | $272–$1,711 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
DAVIS R KING MD INC.
8088746877 |
KAHULUI, HI | Ambulatory Surgical Center | - | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
GAMMA KNIFE CENTER OF THE PACIFIC INC
8085351579 |
HONOLULU, HI | Ambulatory Surgical Center | - | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
▼ Show 88 more Hawaii hospitals and ambulatory surgery centers (of 102 registered)
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Est. cost = bundled estimate (facility fee + professional fee + anesthesia where applicable) based on CMS fee schedules and commercial rate multipliers. Contact each provider for an actual quote.
Source: CMS NPPES NPI Registry. NPI numbers can be verified at npiregistry.cms.hhs.gov.
What matters before you schedule
ASC vs. hospital
Hospital outpatient departments typically charge 2-4x more than ASCs or independent centers for the same echocardiogram - same outcome, very different bill. The ER charges the most of any setting and should only be used when the situation is medically urgent. Call ahead and ask for a self-pay or cash quote at each setting you're considering.
Cost by type
Which type your doctor orders for this echocardiogram changes the billing code, and what you pay. For example: A recognized variation that can change the billing code and what you owe.
This is shoppable
Echocardiogram is elective and schedulable, so you have time to compare facilities before booking - hospital outpatient prices often run 2-4x higher than alternative settings for the identical clinical outcome.
What to ask before you book
Get the CPT code from your doctor, confirm every provider involved (not just the facility) is in-network, ask for the cash-pay rate if you're uninsured or haven't met your deductible, and request a written estimate for echocardiogram before you schedule.
CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).
Other Procedure Costs in Hawaii
- Appendectomy Cost in Hawaii
- Cataract Surgery Cost in Hawaii
- Childbirth Cost in Hawaii
- Cholecystectomy Cost in Hawaii
- Colonoscopy Cost in Hawaii
- CT Abdomen Cost in Hawaii
- CT Chest Cost in Hawaii
- CT Head Cost in Hawaii
- CT Scan Cost in Hawaii
- Emergency Room Visit Cost in Hawaii
- Endoscopy Cost in Hawaii
- Hip Replacement Cost in Hawaii
- Hysterectomy Cost in Hawaii
- Knee Replacement Cost in Hawaii
- Mammogram Cost in Hawaii
- MRI Brain Cost in Hawaii
- MRI Cost in Hawaii
- MRI Knee Cost in Hawaii
- Spinal Fusion Cost in Hawaii
- Ultrasound Cost in Hawaii
- Xray Cost in Hawaii
Related Articles
Interested in understanding healthcare costs and managing your medical expenses?
- Free Cost EstimatorCalculate your exact out-of-pocket cost for any procedure
- Free Bill ScreenerCheck whether your bill and paperwork are ready for a professional review
- Family Bill TrackerTrack costs across every family member and every bill in one place
- Echocardiogram Cost GuideCompare Echocardiogram prices across all 50 states
- Deductible vs Out-of-Pocket MaximumLearn how insurance cost-sharing works and what you actually pay
- Cost ExplorerBrowse procedures and compare prices across the country
About the Author
John Caruso, FSA, MAAA
Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.
Connect on LinkedIn →Ready to take control of your healthcare costs?
Use the free cost estimator → · Get your bill screened for free → · See the family plan →