How Much Does an MRI Knee Cost in Hawaii?
Mri jnt of lwr extre w/o dye
$307Hospital outpatient total2026 Medicare, physician + facilityUnder 2026 Medicare rates, an MRI knee costs up to about $307 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 $205.
- ✓Your ZIP's wage-adjusted hospital and surgery center rates
- ✓Five nearby hospitals by name, with CMS star ratings
- ✓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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- ✓Printable PDF download
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 MRI knee 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 $141.71.
National vs Hawaii
Where Hawaii ranks for this CPT
MRI Knee 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 MRI without contrast (the lower extremity joint MRI code) shows the menisci, ligaments including the ACL, cartilage, and bone marrow, none of which appear on X-ray. It is the definitive test for suspected meniscus tears and ligament injuries. You lie on your back with the knee in a small coil for 20 to 40 minutes of painless but noisy scanning, and results typically reach your doctor within a couple of days.
What Is MRI Knee?
A knee MRI without contrast (the lower extremity joint MRI code) shows the menisci, ligaments including the ACL, cartilage, and bone marrow, none of which appear on X-ray. It is the definitive test for suspected meniscus tears and ligament injuries. You lie on your back with the knee in a small coil for 20 to 40 minutes of painless but noisy scanning, and results typically reach your doctor within a couple of days.
What Affects the Cost
- –The hospital versus freestanding center price gap for knee MRI is large and well documented; this is a scan worth shopping.
- –Insurer authorization rules often require an X-ray and a trial of conservative care first, adding upstream visits.
- –A confirmed meniscus or ligament tear frequently leads to arthroscopy, so the MRI often begins a bigger spending episode.
- –In patients over about 50, MRI often shows incidental degenerative findings that can prompt further, sometimes unnecessary, care.
- –The radiologist's interpretation fee is a distinct component of the price.
Questions to Ask Before Booking
- 1.Has my insurer approved this scan, and does my chart show the X-ray and conservative care they require?
- 2.What is the all-in price at the freestanding centers near me?
- 3.Given my age, could therapy first make this MRI unnecessary?
- 4.Is the authorization tied to a specific facility?
- 5.If the MRI shows a tear, what are the typical next steps and their costs?
Other featured procedures in Hawaii
MRI Knee in other states
MRI Knee in Hawaii: questions
Under 2026 Medicare rates, an MRI knee costs up to about $307 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 $205. 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 $41 for the office physician line or $13 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, $204.74 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 $63.03) and the hospital is paid separately, which brings the national total to up to about $307. Hawaii ranks #36 of 51 states on the non-hospital rate (within 2% of the national office rate of $204.41).