How Much Does a Knee X-Ray Cost in Hawaii?
X-ray exam of knee 1 or 2
$97Hospital outpatient total2026 Medicare, physician + facilityUnder 2026 Medicare rates, a knee x-ray costs up to about $97 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 $34.
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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 knee 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 $26.43.
National vs Hawaii
Where Hawaii ranks for this CPT
Knee 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 knee X-ray takes one or two views of the knee joint, checking for fractures, arthritis, alignment problems, and fluid. It is the recommended first test for most knee pain, especially in patients over 50 where arthritis is likely, and often the only imaging needed. The technologist positions your leg for each quick exposure; standing views may be taken because they show arthritis narrowing better than lying down. The whole visit takes minutes.
What Is Knee X-Ray?
A knee X-ray takes one or two views of the knee joint, checking for fractures, arthritis, alignment problems, and fluid. It is the recommended first test for most knee pain, especially in patients over 50 where arthritis is likely, and often the only imaging needed. The technologist positions your leg for each quick exposure; standing views may be taken because they show arthritis narrowing better than lying down. The whole visit takes minutes.
What Affects the Cost
- –Orthopedic and primary care offices with in-house X-ray typically cost less than hospital radiology departments.
- –Weight-bearing or additional specialized views can be billed as expanded series under related codes.
- –A separate radiologist reading fee may apply where images are sent out for interpretation.
- –A normal X-ray in a younger patient with mechanical symptoms often leads to a knee MRI at many times the price.
- –Imaging both knees for comparison doubles the studies billed.
Questions to Ask Before Booking
- 1.Can the X-ray be done here in the office today, and what will it add to my bill?
- 2.Are standing views needed, and are they billed differently?
- 3.Is an outside radiologist reading the film for a separate fee?
- 4.Based on my age and symptoms, is an MRI likely to be needed, or should the X-ray settle it?
- 5.If you want to compare both knees, is that one charge or two?
Other featured procedures in Hawaii
Knee X-Ray in other states
Knee X-Ray in Hawaii: questions
Under 2026 Medicare rates, a knee x-ray costs up to about $97 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 $34. 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, $34.48 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 $8.05) and the hospital is paid separately, which brings the national total to up to about $97. Hawaii ranks #36 of 51 states on the non-hospital rate (within 2% of the national office rate of $34.40).