CA 19-9 tumor marker test cost in Hawaii

Prices at 7 hospitals in Hawaii, from their machine-readable files. Here the median cash price is $144 — 48% above the US median ($97), roughly 6.9× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Kau Hospital Pahala, HI $105 — — 79 min —
Lanai Community Hospital Lanai City, HI $114 $49 — 81 min —
Kula Hospital Kula, HI $114 $49 — 54 min —
Kauai Veterans Memorial Hospital Waimea, HI $144 $49 — 79 min —
Samuel Mahelona Memorial Hospital Kapaa, HI $144 $49 — 61 min —
North Hawaii Community Hospital, Inc Kamuela, HI $173 $21 ★ 3/5 135 min —
Kona Community Hospital Kealakekua, HI $175 $24 ★ 2/5 179 min —

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)
$247
Cash / self-pay
$144
Insurer-negotiated
$49
Medicare pays
$21
$110$174
Median cash $144  ·  Medicare $21  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $144 — about 6.9× the Medicare rate ($21). High vs Medicare. A fair cash price is usually within ~2× Medicare ($42).

💡 Asking for the cash price instead of the $247 list price could save about $103 (42%).

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

CA 19-9 tumor marker test cost in other states

All CA 19-9 tumor marker test prices (national) → · All hospitals in Hawaii →