Alpha-fetoprotein (AFP) test cost in Hawaii

Prices at 9 hospitals in Hawaii, from their machine-readable files. Here the median cash price is $116 — 34% above the US median ($87), roughly 6.9× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Molokai General Hospital Kaunakakai, HI $64 $40 — 88 min —
Kau Hospital Pahala, HI $85 — — 79 min —
Lanai Community Hospital Lanai City, HI $87 $40 — 81 min —
Kula Hospital Kula, HI $87 $40 — 54 min —
Kauai Veterans Memorial Hospital Waimea, HI $116 $40 — 79 min —
Kona Community Hospital Kealakekua, HI $128 $19 ★ 2/5 179 min —
North Hawaii Community Hospital, Inc Kamuela, HI $142 $17 ★ 3/5 135 min —
Kohala Hospital Kapaau, HI $154 $40 — 82 min —
Shriners Hospital for Children Honolulu, HI $175 $122 — — —

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated October 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

Price comparison (median)

Chargemaster (list price)
$197
Cash / self-pay
$116
Insurer-negotiated
$40
Medicare pays
$17
$80$158
Median cash $116  ·  Medicare $17  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $116 — about 6.9× the Medicare rate ($17). High vs Medicare. A fair cash price is usually within ~2× Medicare ($34).

💡 Asking for the cash price instead of the $197 list price could save about $81 (41%).

Estimate what you’ll pay
Quick fill:

Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Alpha-fetoprotein (AFP) test cost in other states

All Alpha-fetoprotein (AFP) test prices (national) → · All hospitals in Hawaii →