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

What does a xray cost in Hawaii?

What an xray in Hawaii costs depends on your coverage. With commercial insurance it typically runs $85–$202, facility and physician fees combined. Medicare pays one national rate to every provider, and you generally owe about 20% of it (around $18) after the Part B deductible. Without insurance, posted hospital cash prices run $30–$295. The sections below break this down by coverage and by insurer. This estimate is based on CMS fee schedules and hospital price transparency data published under federal law.

Where xray 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. X-ray is the most commoditized of all imaging procedures, and price differences are almost entirely explained by facility type: a hospital outpatient chest X-ray can cost 5–10× more than the same study at an urgent care center or independent imaging clinic. For non-emergency X-rays, asking your physician for a referral to an outpatient imaging center rather than a hospital radiology department is the simplest and most reliable cost reduction available.

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Why prices vary - and what it means for your coverage

Setting matters too: the median outpatient price is $98 versus $174 inpatient (about 1.8× more), 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.

What you pay out of pocket on top of this depends on your deductible, your plan's out-of-pocket maximum, and whether every provider involved is in-network - not just the facility.

Frequently asked questions: X-ray costs in Hawaii

How much does an X-ray cost in Hawaii?

The typical insurer-negotiated rate is $17, with most facilities between $15 and $28 (based on 19 hospitals reporting negotiated rates). That is the hospital's negotiated rate alone; with physician fees, a commercially insured patient's full episode is typically $85–$202. Posted cash prices at the middle 80% of Hawaii hospitals run $30–$295; outlier facilities above and below that range are left out. What you pay depends on the facility, your insurance, and whether you have met your deductible.

Where is the cheapest place to get an X-ray in Hawaii?

Based on declared prices, the lowest posted price in our Hawaii data is Maui Health System A Kaiser Foundation Hospitals LLC in Lanai City at about $30. By metro, Honolulu has the lowest median ($116). 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 X-ray so much cheaper at some Hawaii hospitals?

Typical prices vary about 1.9× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Hawaii, the median cash (self-pay) price is $98 versus a median negotiated rate of $86 - about 1.1× higher. Asking for the cash price as well as 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 X-ray 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.

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