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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.

Hospital (below avg) Hospital (above avg) Click a pin for details.

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

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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.

Hospital Outpatient
$272–$1,711
  • 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

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)
GRACE LIU, MD, LLC
8085474682
HONOLULU, HI General Acute Care Hospital $272–$1,711 bundled est.
HAWAII ENDOSCOPY CENTER LLC
8085315823
HONOLULU, HI Ambulatory Surgical Center -
HAWAII HEALTHCARE SYSTEM CORPORATION
8082449056
WAILUKU, HI General Acute Care Hospital $272–$1,711 bundled est.
HAWAII MEDICAL CENTER EAST
8085476000
HONOLULU, HI General Acute Care Hospital $272–$1,711 bundled est.
HAWAII MEDICAL CENTER EAST
8085476011
HONOLULU, HI General Acute Care Hospital $272–$1,711 bundled est.
HAWAII MEDICAL CENTER WEST
8086787100
EWA BEACH, HI General Acute Care Hospital $272–$1,711 bundled est.
HAWAII MEDICAL CENTER, LLC
8085476762
HONOLULU, HI General Acute Care Hospital $272–$1,711 bundled est.
HAWAII VISION SURGICAL SUITES LLC
8083333233
HILO, HI Ambulatory Surgical Center -
HAWAIIAN EYE CENTER INC
8086218448
WAHIAWA, HI Ambulatory Surgical Center -
HILO BENIOFF MEDICAL CENTER
8089746709
HILO, HI General Acute Care Hospital $272–$1,711 bundled est.
HILO BENIOFF MEDICAL CENTER
8089323000
HILO, HI General Acute Care Hospital $272–$1,711 bundled est.
HONOKAA HOSPITAL & SKILLED NURSING
8087757211
HONOKAA, HI Critical Access Hospital $272–$1,711 bundled est.
HONOLULU PLASTIC SURGERY LLC
8087926262
HONOLULU, HI Ambulatory Surgical Center -
HONOLULU SPINE CENTER, LLC
8082372970
HONOLULU, HI Ambulatory Surgical Center -
HONOLULU SURGERY CENTER LP
8085282511
HONOLULU, HI Ambulatory Surgical Center -
HONOLULU VAMC
7023413020
HONOLULU, HI General Acute Care Hospital $272–$1,711 bundled est.
JODI OLDFATHER, CRNA LLC
8089699669
HILO, HI Ambulatory Surgical Center -
JON F GRAHAM MD LLC
8085504939
HONOLULU, HI Ambulatory Surgical Center -
KAHUKU MEDICAL CENTER
8082939221
KAHUKU, HI Critical Access Hospital $272–$1,711 bundled est.
KAISER FOUNDATION HEALTH PLAN
8084325738
HONOLULU, HI Ambulatory Surgical Center -
KAISER FOUNDATION HEALTH PLAN, INC.
8082436000
WAILUKU, HI Ambulatory Surgical Center -
KAISER FOUNDATION HOSPITALS
8084320000
HONOLULU, HI General Acute Care Hospital $272–$1,711 bundled est.
KAISER PERMANANTE
8084320000
HONOLULU, HI General Acute Care Hospital $272–$1,711 bundled est.
KAISER PERMANENTE
8084327785
HONOLULU, HI General Acute Care Hospital $272–$1,711 bundled est.
KAPIOLANI MEDICAL CENTER
8082226188
PEARL CITY, HI Children's Hospital $272–$1,711 bundled est.
KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN
8089836000
HONOLULU, HI Women's Hospital $272–$1,711 bundled est.
KAPIOLANI MEDICAL CENTER FOR WOMEN AND CHILDREN
8089838219
HONOLULU, HI Children's Hospital $272–$1,711 bundled est.
KAU HOSPITAL
8089282050
PAHALA, HI Critical Access Hospital $272–$1,711 bundled est.
KAUAI VETERANS MEMORIAL HOSPITAL
8083389431
WAIMEA, HI Critical Access Hospital $272–$1,711 bundled est.
KOHALA HOSPITAL
8088896211
KAPAAU, HI Critical Access Hospital $272–$1,711 bundled est.
KONA AMBULATORY SURGERY CENTER LLC
8083298311
KAILUA KONA, HI Ambulatory Surgical Center -
KONA HOSPITAL
8083229311
KEALAKEKUA, HI General Acute Care Hospital $272–$1,711 bundled est.
KUAKINI MEDICAL CENTER
8085362236
HONOLULU, HI General Acute Care Hospital $272–$1,711 bundled est.
KULA HOSPITAL
8088764301
KULA, HI Long Term Care Hospital $272–$1,711 bundled est.
KULA HOSPITAL
8088781221
KULA, HI Rural Acute Care Hospital $272–$1,711 bundled est.
KULA HOSPITAL
8088781221
KULA, HI Critical Access Hospital $272–$1,711 bundled est.
LANAI COMMUNITY HOSPITAL
8085656411
LANAI, HI Critical Access Hospital $272–$1,711 bundled est.
LEAHI HOSPITAL
8087337932
HONOLULU, HI General Acute Care Hospital $272–$1,711 bundled est.
MAGLINAO MEDICAL MANAGEMENT LLC
8085362236
HONOLULU, HI General Acute Care Hospital $272–$1,711 bundled est.
MALAMA FIRST HEALTHCARE, INC.
8083750465
WAIMANALO, HI Rural Acute Care Hospital $272–$1,711 bundled est.
MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC
8085456411
LANA'I CITY, HI Critical Access Hospital $272–$1,711 bundled est.
MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC
8082449056
WAILUKU, HI General Acute Care Hospital $272–$1,711 bundled est.
MAUI MEMORIAL MEDICAL CENTER
8082433030
WAILUKU, HI General Acute Care Hospital $272–$1,711 bundled est.
MAUI MEMORIAL MEDICAL CENTER
8082422457
WAILUKU, HI General Acute Care Hospital $272–$1,711 bundled est.
MAUI MEMORIAL MEDICAL CENTER
8084425700
WAILUKU, HI General Acute Care Hospital $272–$1,711 bundled est.
MAUI MEMORIAL MEDICAL CENTER
8082704236
WAILUKU, HI General Acute Care Hospital $272–$1,711 bundled est.
MILILANI GASTRO, LLC
8087224028
MILILANI, HI Ambulatory Surgical Center -
MIS ENDOSCOPY, LLC
8089492208
HONOLULU, HI Ambulatory Surgical Center -
MOLOKAI GENERAL HOSPITAL
8085535331
KAUNAKAKAI, HI Critical Access Hospital $272–$1,711 bundled est.
NORTH HAWAII COMMUNITY HOSPITAL
8088814406
KAMUELA, HI General Acute Care Hospital $272–$1,711 bundled est.
NORTH HAWAII COMMUNITY HOSPITAL, INC
8088814406
KAMUELA, HI General Acute Care Hospital $272–$1,711 bundled est.
NORTH HAWAII COMMUNITY HOSPITAL, INC.
8088854400
KAMUELA, HI General Acute Care Hospital $272–$1,711 bundled est.
OHANA ENDOSCOPY CLINIC, LLC
8084684600
KAPOLEI, HI Ambulatory Surgical Center -
PACIFIC ASC LLC
8089492208
HONOLULU, HI Ambulatory Surgical Center -
PACIFIC ENDOSCOPY CENTER LLC
8083126700
HONOLULU, HI Ambulatory Surgical Center -
PACIFIC ENDOSCOPY CENTER LLC
8089693979
HILO, HI Ambulatory Surgical Center -
PACIFIC ENDOSCOPY CENTER LLC
8085315828
HONOLULU, HI Ambulatory Surgical Center -
PACIFIC ENDOSCOPY CENTER, LLC
8084566420
PEARL CITY, HI Ambulatory Surgical Center -
PALI MOMI MEDICAL CENTER
8084866000
AIEA, HI General Acute Care Hospital $272–$1,711 bundled est.
PLASTIC SURGERY CTR OF THE PAC INC
8085211999
HONOLULU, HI Ambulatory Surgical Center -
PUNAHELE ASSOCIATES, LLC
8089699669
HILO, HI Ambulatory Surgical Center -
QUEENS MEDICAL CENTER
8082240629
PEARL CITY, HI General Acute Care Hospital $272–$1,711 bundled est.
REJUVENATE HAWAII
8089699669
HILO, HI Ambulatory Surgical Center -
ROBERT WONG, MD, L.L.C.
8084860449
AIEA, HI General Acute Care Hospital $272–$1,711 bundled est.
RYAN RAO, LLC
8085242575
HONOLULU, HI General Acute Care Hospital $272–$1,711 bundled est.
SAMUEL MAHELONA MEMORIAL HOSPITAL
8083389431
KAPAA, HI Critical Access Hospital $272–$1,711 bundled est.
SATOMI FUJII MD LLC
5592866043
HONOLULU, HI General Acute Care Hospital $272–$1,711 bundled est.
SHRINERS HOSPITALS FOR CHILDREN
8089414466
HONOLULU, HI Children's Hospital $272–$1,711 bundled est.
SPECIALTY SURGICAL SUITES, LLC
8085362261
HONOLULU, HI Ambulatory Surgical Center -
ST. FRANCIS HOSPITAL - EWA
8085478001
EWA BEACH, HI General Acute Care Hospital $272–$1,711 bundled est.
ST. FRANCIS HOSPITAL - LILIHA
8085478001
HONOLULU, HI General Acute Care Hospital $272–$1,711 bundled est.
ST. FRANCIS LILIHA LIVER CENTER
8085478001
HONOLULU, HI General Acute Care Hospital $272–$1,711 bundled est.
ST. FRANCIS MEDICAL CENTER
8085476000
HONOLULU, HI General Acute Care Hospital $272–$1,711 bundled est.
ST. FRANCIS MEDICAL CENTER - WEST
8086787000
EWA BEACH, HI General Acute Care Hospital $272–$1,711 bundled est.
STATE OF HAWAII DEPARTMENT OF HEALTH
8089842154
WAILUKU, HI General Acute Care Hospital $272–$1,711 bundled est.
STATE OF HAWAII DEPARTMENT OF HEALTH
8082413130
KAPAA, HI General Acute Care Hospital $272–$1,711 bundled est.
STATE OF HAWAII DEPARTMENT OF HEALTH
8083224818
KEALAKEKUA, HI General Acute Care Hospital $272–$1,711 bundled est.
STATE OF HAWAII DEPARTMENT OF HEALTH
8089330409
HILO, HI General Acute Care Hospital $272–$1,711 bundled est.
STRAUB CLINIC & HOSPITAL
8085224000
HONOLULU, HI General Acute Care Hospital $272–$1,711 bundled est.
SURGERY CENTER OF THE PACIFIC, LLC
8089472020
HONOLULU, HI Ambulatory Surgical Center -
SURGICAL SPECIALTIES, LLC
8085997779
HONOLULU, HI Ambulatory Surgical Center -
THE ENDOSCOPY CENTER, LLC
8089693973
HILO, HI Ambulatory Surgical Center -
THE QUEEN'S MEDICAL CENTER
8086913000
EWA BEACH, HI General Acute Care Hospital $272–$1,711 bundled est.
THE QUEEN'S MEDICAL CENTER
8085389011
HONOLULU, HI General Acute Care Hospital $272–$1,711 bundled est.
THE QUEEN'S MEDICAL CENTER
8085389011
HONOLULU, HI General Acute Care Hospital $272–$1,711 bundled est.
THE QUEEN'S MEDICAL CENTER
8085474311
HONOLULU, HI General Acute Care Hospital $272–$1,711 bundled est.
THE SURGICAL SUITES LLC
8085310127
HONOLULU, HI Ambulatory Surgical Center -
WAHIAWA GENERAL HOSPITAL
8086218411
WAHIAWA, HI General Acute Care Hospital $272–$1,711 bundled est.

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

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About the Author

John Caruso, FSA, MAAA

Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.

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Published July 17, 2026

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