How Much Does a Chest X-Ray Cost in Hawaii?
X-ray exam chest 2 views
$99Hospital outpatient total2026 Medicare, physician + facilityUnder 2026 Medicare rates, a chest x-ray costs up to about $99 in total at a hospital outpatient department, counting both the physician and the facility (national rates). Outside a hospital, at an independent imaging center, lab or office, Medicare's full rate in Hawaii averages $33.
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- ✓The add-on codes that typically land on the bill
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- ✓Everything in the Premium report
- ✓15 nearby hospitals instead of five
- ✓Filled good-faith-estimate request letter
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Hawaii Medicare physician rate (2026)
+0.2% vs nationalSingle statewide locality.
What the whole procedure costs
The office rate above is what an imaging center, lab or office is paid for the whole test. In a hospital, the facility bills its own fee and the physician bills only the reading. These are 2026 national Medicare amounts.
Medicare may pay the facility separately for this code or package it into another service on the same day, so treat the facility share as an upper bound. For a test like this the physician in a hospital bills only the reading (the professional component); outside a hospital one global fee covers the whole test, shown in the office rate above. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.
Your ZIP in Hawaii
Enter your ZIP code for Hawaii figures, whether you live on Oahu, in Hilo or Kona on the Big Island, or on Maui or Kauai where a Honolulu trip is often part of the plan.
What chest x-ray costs at hospitals near you
Everything above is a national average. The hospital you pick in Hawaii moves the bill more than anything else you control.
Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.
For example 96701.
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What these numbers are
Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery center rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again. In Hawaii the office and hospital physician lines for this CPT differ by $23.09.
National vs Hawaii
Where Hawaii ranks for this CPT
Chest X-Ray and how Hawaii is priced
Hawaii is priced through a single locality with geographic adjustments well above the mainland norm, driven largely by the practice expense side: rent, staff wages, and supplies all cost more across the islands. Unlike Alaska, Hawaii does not carry a special statutory floor, but its indices still place it among the higher-cost states in the fee schedule. Every island shares the same locality, so Honolulu and Hilo publish the same Medicare-approved amounts. The real variable for residents is which island the care is on, not the rate itself.
Oahu holds the bulk of Hawaii's hospital capacity and nearly all of its subspecialty care, so neighbor island residents routinely fly to Honolulu for procedures, adding airfare and hotel costs to the medical bill. A small number of systems dominate the market, and physician recruitment to the islands is a chronic challenge. For complex or rare conditions, some patients travel on to the mainland West Coast.
This procedure: A two-view chest X-ray takes front and side pictures of your lungs, heart, and ribs in about five minutes of actual room time. It is among the most commonly ordered imaging tests, used for coughs that will not quit, suspected pneumonia, shortness of breath, or pre-operative checks. You stand against a plate, take a deep breath and hold it for each view, and there is no preparation, no needles, and only a minimal radiation dose.
What Is Chest X-Ray?
A two-view chest X-ray takes front and side pictures of your lungs, heart, and ribs in about five minutes of actual room time. It is among the most commonly ordered imaging tests, used for coughs that will not quit, suspected pneumonia, shortness of breath, or pre-operative checks. You stand against a plate, take a deep breath and hold it for each view, and there is no preparation, no needles, and only a minimal radiation dose.
What Affects the Cost
- –Emergency department chest X-rays cost several times more than the same two views at an urgent care or imaging center.
- –The radiologist's interpretation is a separate professional fee from the technical charge for taking the images.
- –Hospital-owned clinics can attach facility fees that independent offices do not.
- –If findings prompt a follow-up chest CT, that next test costs an order of magnitude more, so where the X-ray leads matters.
- –Some urgent care visit charges bundle the X-ray while others itemize it, changing the apparent price.
Questions to Ask Before Booking
- 1.Can I get this done at an imaging center or urgent care rather than the hospital?
- 2.Is the radiologist's reading included in the quoted price?
- 3.Will this be billed separately from my visit charge today?
- 4.What is your cash price if I have a high deductible?
- 5.If something shows up, what follow-up imaging would you order and what does that cost?
Other featured procedures in Hawaii
Chest X-Ray in other states
Chest X-Ray in Hawaii: questions
Under 2026 Medicare rates, a chest x-ray costs up to about $99 in total at a hospital outpatient department, counting both the physician and the facility (national rates). Outside a hospital, at an independent imaging center, lab or office, Medicare's full rate in Hawaii averages $33. Hawaii is a single Medicare locality, so the physician rate is the same statewide.
Not on the physician fee schedule. Hawaii uses one locality, so the Medicare physician rate is the same from one end of the state to the other. What still changes is site of service (office vs hospital) and any facility fee the hospital bills on its own claim.
After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $7 for the office physician line or $2 for the hospital physician line in Hawaii. Medigap may cover that 20%. This is not the hospital facility fee.
It depends on where the test is done. At an independent imaging center, lab or office, $33.14 is Medicare's full rate in Hawaii, covering the test and the reading. In a hospital outpatient department the physician is paid only for the reading (about $10.05) and the hospital is paid separately, which brings the national total to up to about $99. Hawaii ranks #36 of 51 states on the non-hospital rate (within 2% of the national office rate of $33.07).