Ultrasound Cost in Hawaii (2026): Average Prices & What You'll Pay

What does a ultrasound cost in Hawaii?

The same ultrasound in Hawaii might cost you $68 at one facility and $350 at another - the building you walk into drives the difference. The median cash price across 12 reporting hospitals is $350. These figures come straight from hospital price transparency files published under federal law.

Where ultrasound 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.

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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. Ultrasound pricing varies more by body part and clinical indication than almost any other imaging type - an OB ultrasound, a vascular duplex study, and an abdominal ultrasound carry different CPT codes and reimbursement rates even though the equipment is the same. Independent imaging centers typically charge 40–60% less than hospital outpatient departments for the same study. The sonographer skill matters more than setting for diagnostic quality.

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Why prices vary - and what it means for your coverage

Setting matters too: the median outpatient price is $350 versus $62 inpatient, so where a procedure happens often matters more than which hospital you pick. 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.

Frequently asked questions: ultrasound costs in Hawaii

How much does an ultrasound cost in Hawaii?

Across 12 Hawaii hospitals that publish prices, an ultrasound ranges from $50 to $1,964, with a median of $350. Most facilities fall between $63 and $350. What you pay depends on the facility, your insurance, and whether you have met your deductible.

Where is the cheapest place to get an ultrasound in Hawaii?

Based on declared prices, the lowest-cost facility in our Hawaii data is Hale Ho'ola Hamakua in Honokaa at about $52. By metro, Honolulu has the lowest median ($410). 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 ultrasound so much cheaper at some Hawaii hospitals?

Prices vary up to 39.3× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Hawaii, the median cash (self-pay) price is $350 versus a median negotiated rate of $10 - about 35× 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 ultrasound 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.

CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).