Prices at 10 hospitals in Hawaii, from their machine-readable files. Here the median cash price is $372 — 9% above the US median ($341), roughly 7.9× the Medicare rate.
Lowest cash prices
| Hospital | Location | Cash | Insurer | CMS rating | ER wait | Readmit |
|---|---|---|---|---|---|---|
| Kau Hospital | Pahala, HI | $252 | — | — | 79 min | — |
| Lanai Community Hospital | Lanai City, HI | $274 | $49 | — | 81 min | — |
| Kula Hospital | Kula, HI | $274 | $49 | — | 54 min | — |
| North Hawaii Community Hospital, Inc | Kamuela, HI | $283 | $132 | ★ 3/5 | 135 min | — |
| Kona Community Hospital | Kealakekua, HI | $360 | $138 | ★ 2/5 | 179 min | — |
| Kauai Veterans Memorial Hospital | Waimea, HI | $384 | $54 | — | 79 min | — |
| Samuel Mahelona Memorial Hospital | Kapaa, HI | $384 | $54 | — | 61 min | — |
| Kohala Hospital | Kapaau, HI | $410 | $49 | — | 82 min | — |
| Molokai General Hospital | Kaunakakai, HI | $420 | $54 | — | 88 min | — |
| Shriners Hospital for Children | Honolulu, HI | $440 | $67 | — | — | — |
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)
Typical cash price here is $372 — about 7.9× the Medicare rate ($47). High vs Medicare. A fair cash price is usually within ~2× Medicare ($94).
💡 Asking for the cash price instead of the $590 list price could save about $218 (37%).
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) cost in other states
All X-ray of the lower back (lumbar spine) prices (national) → · All hospitals in Hawaii →