X-ray, pelvis cost in HI
What a x-ray, pelvis costs at HI hospitals — and the fair price to aim for.
Typical commercial prices here are 27% below the fair benchmark (0.73×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Loss-Leader / Captive Ancillary Cross-Subsidizer
Kau Hospital prices routine shoppable procedures near 0.6× Medicare (p50 0.71×) while skewing captive emergency, lab, and upper-quartile codes to 1.5× Medicare (p75 1.17×, +65% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 18% below peer Fair BaseRate (0.82×)
- Self-pay cash beats commercial insurance on 49% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (85/100 safety score) with 72% patient recommendation
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (0.73× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Captive ER (0.9×) & laboratory (1.4×) services average 2.50× higher multiples than routine shoppable care (0.6×)
- Upper-quartile procedures (Q75 1.17×) jump +65% above the median procedure ratio (Q50 0.71×)
- Consolidated metro market (HHI 4,475) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
In general, HI hospitals charge about the fair price for this. how we calculate the BaseRate →
Compared with the rest of the country, HI’s fair BaseRate ($82) is below the national fair price of $110.
Cheapest HI hospitals for a x-ray, pelvis
- Kau Hospital · Pahala $22
- Hilo Benioff Medical Center · Hilo $27
- Kohala Hospital · Kapaau $32
- Rehabilitation Hospital of the Pacific · Honolulu $34
- Molokai General Hospital · Kaunakakai $35
- Kula Hospital · Kula $38
- Lanai Community Hospital · Lanai City $38
- Straub Clinic and Hospital · Honolulu $56
- The Queens Medical Center · Honolulu $61
- Shriners Hospital for Children · Honolulu $99
- Pali Momi Medical Center · Aiea $104
- Wilcox Memorial Hospital · Lihue $104
- Kapiolani Medical Center for Women & Children · Honolulu $104
- Kuakini Medical Center · Honolulu $107
- Adventist Health Castle · Kailua $124
Audit a Bill or Quote at HI Hospital Benchmark (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $70
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $70).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask HI Hospital Benchmark's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $82 Fair BaseRate ($48 Medicare)
Your bill ($192) is $110 above the denoised Fair BaseRate ($82) and 4.0× the $48 Medicare rate.