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X-Ray Cost in Honolulu, HI (2026): Average Prices & What You'll Pay

What does a x-ray cost in Honolulu, HI?

The same x-ray in Honolulu, HI might cost you $82 at one facility and $177 at another - the building you walk into drives the difference. The median cash price across 6 reporting hospitals is $146. These figures come straight from hospital price transparency files published under federal law.

Where x-ray costs vary in Honolulu, HI

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.

Cheapest X-Ray Providers in Honolulu, HI

Based on declared cash/self-pay prices from CMS hospital price transparency files.

# Facility City Price vs Median
1 Shriners Childrens - Honolulu Honolulu, HI $48 -$98
2 The Rehabilitation Hospital of the Pacific Honolulu, HI $116 -$30
3 Queens Medical Center - West Oahu Ewa Beach, HI $177 +$31
4 Queens Medical Center Honolulu, HI $177 +$31
5 The Queens Medical Center - Wahiawa Wahiawa, HI $177 +$31

Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.

Quick take

  • Shriners Childrens - Honolulu is the lowest-cost option at $48 - $98 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 $146, and it's often lower than what insurance pays before your deductible is satisfied.
  • This dataset covers hospitals only - freestanding ASCs, which routinely run 30-60% cheaper for the same procedure, aren't included, so it's worth asking your doctor whether one is an option.

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 $146 versus $116 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.

Your situation Estimated out-of-pocket
Deductible not yet met ~$146
Deductible met - 20% coinsurance ~$29
Out-of-network provider $321+

Frequently asked questions: X-ray costs in Honolulu, HI

How much does an X-ray cost in Honolulu, HI?

Across 6 Honolulu, HI hospitals that publish prices, an X-ray ranges from $19 to $177, with a median of $146. Most facilities fall between $65 and $177. 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 Honolulu, HI?

Based on declared prices, the lowest-cost facility in our Honolulu, HI data is Kahuku Medical Center in Kahuku at about $19. 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 Honolulu, HI hospitals?

Prices vary up to 9.3× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Honolulu, HI, the median cash (self-pay) price is $146 versus a median negotiated rate of $17 - about 8.6× 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 X-ray in Honolulu, HI?

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 Honolulu, HI

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

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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 June 12, 2026

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