X-ray of the lower back (lumbar spine) (2 views) cost in Hawaii

Prices at 10 hospitals in Hawaii, from their machine-readable files. Here the median cash price is $298 — about the US median ($297), roughly 7.4× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Kau Hospital Pahala, HI $252 — — 79 min —
Lanai Community Hospital Lanai City, HI $254 $49 — 81 min —
Kula Hospital Kula, HI $254 $49 — 54 min —
North Hawaii Community Hospital, Inc Kamuela, HI $281 $132 ★ 3/5 135 min —
Kona Community Hospital Kealakekua, HI $298 $138 ★ 2/5 179 min —
Kauai Veterans Memorial Hospital Waimea, HI $298 $49 — 79 min —
Samuel Mahelona Memorial Hospital Kapaa, HI $298 $49 — 61 min —
Shriners Hospital for Children Honolulu, HI $329 $56 — — —
Molokai General Hospital Kaunakakai, HI $347 $47 — 88 min —
Kohala Hospital Kapaau, HI $352 $49 — 82 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)
$458
Cash / self-pay
$298
Insurer-negotiated
$49
Medicare pays
$40
$254$347
Median cash $298  ·  Medicare $40  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $298 — about 7.4× the Medicare rate ($40). High vs Medicare. A fair cash price is usually within ~2× Medicare ($81).

💡 Asking for the cash price instead of the $458 list price could save about $160 (35%).

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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.

X-ray of the lower back (lumbar spine) (2 views) cost in other states

All X-ray of the lower back (lumbar spine) (2 views) prices (national) → · All hospitals in Hawaii →