Wilcox Memorial Hospital

3-3420 Kuhio Highway, Lihue, HI 96766 · (808) 245-1100

Acute Care HospitalsGovernment - FederalCMS rating 2/5Kapaa, HI metro Website ↗

Price file

Prices published

File dated 2026-02-12

6,826 price rows for 68 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 4 lines · metro median $76

$56

cash

$8 to $80

192 negotiated rates

$94

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 4 lines · metro median $337

$2,090

cash

$181 to $2,961

50 negotiated rates

$3,484

list

CT scan of the head, no contrast

CPT 70450 · lowest of 4 lines · metro median $1,041

$904

cash

$74 to $1,280

52 negotiated rates

$1,506

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 4 lines · metro median $1,011

$824

cash

$162 to $1,168

52 negotiated rates

$1,374

list

Cataract surgery with lens implant

CPT 66984

—

cash

$350 to $10,290

42 negotiated rates

—

list

Cesarean delivery with prenatal and postpartum care

CPT 59510

—

cash

$1,500 to $2,816

10 negotiated rates

—

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$1,700 to $42,812

28 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 44 lines · metro median $237

$63

cash

$30 to $258

768 negotiated rates

$105

list

Colonoscopy (diagnostic)

CPT 45378

—

cash

$470 to $5,681

42 negotiated rates

—

list

Colonoscopy with biopsy

CPT 45380

—

cash

$470 to $5,681

42 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$470 to $5,681

42 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 12 lines · metro median $74

$43

cash

$8 to $63

192 negotiated rates

$71

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 4 lines · metro median $92

$68

cash

$10 to $97

96 negotiated rates

$114

list

Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 6 lines · metro median $90

$417

cash

$104 to $591

50 negotiated rates

$695

list

Electrocardiogram (ECG) with interpretation

CPT 93000

—

cash

$16 to $42

12 negotiated rates

—

list

Established patient office visit (about 40 minutes)

CPT 99215

—

cash

$84 to $155

10 negotiated rates

—

list

Family psychotherapy with the patient

CPT 90847

—

cash

$83 to $210

26 negotiated rates

—

list

Family psychotherapy without the patient

CPT 90846

—

cash

$72 to $210

26 negotiated rates

—

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$678 to $10,869

36 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 46 lines · metro median $109

$63

cash

$30 to $258

770 negotiated rates

$105

list

Group psychotherapy

CPT 90853

—

cash

$25 to $121

26 negotiated rates

—

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$1,641 to $45,822

28 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$1,230 to $18,520

28 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$1,641 to $48,678

28 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$664 to $8,000

42 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$664 to $8,000

42 negotiated rates

—

list

Laser treatment after cataract surgery (YAG)

CPT 66821

—

cash

$538 to $715

16 negotiated rates

—

list

Left heart catheterization

CPT 93452

—

cash

$1,004 to $4,194

22 negotiated rates

—

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 12 lines · metro median $100

$28

cash

$13 to $135

100 negotiated rates

$47

list

Liver function panel

CPT 80076 · lowest of 4 lines · metro median $78

$54

cash

$8 to $77

48 negotiated rates

$90

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 4 lines · metro median $1,636

$1,636

cash

$223 to $2,317

52 negotiated rates

$2,726

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 4 lines · metro median $1,241

$1,241

cash

$143 to $1,758

52 negotiated rates

$2,068

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 4 lines · metro median $1,240

$1,240

cash

$134 to $1,757

52 negotiated rates

$2,067

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 4 lines · metro median $1,060

$1,060

cash

$133 to $1,502

52 negotiated rates

$1,767

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$1,641 to $57,995

28 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 4 lines · metro median $800

$1,309

cash

$350 to $4,233

52 negotiated rates

$2,182

list

New patient office visit (about 30 minutes)

CPT 99203

—

cash

$69 to $87

10 negotiated rates

—

list

New patient office visit (about 45 minutes)

CPT 99204

—

cash

$99 to $142

10 negotiated rates

—

list

New patient office visit (about 60 minutes)

CPT 99205

—

cash

$122 to $194

10 negotiated rates

—

list

PSA test (prostate)

CPT 84153 · lowest of 24 lines · metro median $90

$51

cash

$18 to $94

288 negotiated rates

$85

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 28 lines · metro median $54

$16

cash

$6 to $56

432 negotiated rates

$26

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 4 lines · metro median $108

$108

cash

$18 to $144

36 negotiated rates

$180

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 4 lines · metro median $495

$551

cash

$61 to $781

52 negotiated rates

$919

list

Preventive visit, new patient age 18 to 39

CPT 99385

—

cash

$62 to $100

10 negotiated rates

—

list

Preventive visit, new patient age 40 to 64

CPT 99386

—

cash

$60 to $121

10 negotiated rates

—

list

Prostate biopsy

CPT 55700

—

cash

$2,008 to $2,671

16 negotiated rates

—

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$1,230 to $13,576

22 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 12 lines · metro median $44

$11

cash

$4 to $46

240 negotiated rates

$19

list

Psychotherapy, 30 minutes

CPT 90832

—

cash

$47 to $210

26 negotiated rates

—

list

Psychotherapy, 45 minutes

CPT 90834

—

cash

$75 to $210

26 negotiated rates

—

list

Psychotherapy, 60 minutes

CPT 90837

—

cash

$110 to $210

26 negotiated rates

—

list

Removal of a breast lump (biopsy by excision)

CPT 19120

—

cash

$537 to $6,487

42 negotiated rates

—

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 12 lines · metro median $74

$227

cash

$85 to $354

100 negotiated rates

$378

list

Shoulder arthroscopy with decompression

CPT 29826

—

cash

$537 to $6,060

18 negotiated rates

—

list

Sleep study (overnight, attended)

CPT 95810

—

cash

$421 to $1,327

32 negotiated rates

—

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 4 lines · metro median $793

$638

cash

$84 to $4,233

52 negotiated rates

$1,064

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 4 lines · metro median $638

$914

cash

$107 to $4,233

52 negotiated rates

$1,523

list

TSH test (thyroid)

CPT 84443 · lowest of 12 lines · metro median $111

$64

cash

$16 to $117

192 negotiated rates

$106

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$537 to $7,714

42 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830 · lowest of 4 lines · metro median $42

$420

cash

$50 to $595

52 negotiated rates

$700

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 4 lines · metro median $493

$502

cash

$65 to $711

52 negotiated rates

$836

list

Upper endoscopy (EGD)

CPT 43235

—

cash

$350 to $4,233

42 negotiated rates

—

list

Upper endoscopy with biopsy

CPT 43239

—

cash

$470 to $5,681

42 negotiated rates

—

list

Urinalysis with microscope

CPT 81001 · lowest of 16 lines · metro median $36

$20

cash

$3 to $31

240 negotiated rates

$33

list

Vaginal delivery after a previous cesarean

CPT 59610

—

cash

$1,094 to $2,652

10 negotiated rates

—

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$1,700 to $52,450

28 negotiated rates

—

list

Vaginal delivery with prenatal and postpartum care

CPT 59400

—

cash

$1,114 to $2,553

10 negotiated rates

—

list

X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 4 lines · metro median $377

$377

cash

$32 to $534

52 negotiated rates

$628

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://hph.pt.panaceainc.com/MRFDownload/hph/wilcox/990074365_Wilcox-Medical-Center_standardcharges.csv
Wilcox Medical Center · parsed · tall v3.0.0 · file dated 2026-02-12 · 191.4 MB · 3413 price rows read · read Nov 2026
https://hph.pt.panaceainc.com/MRFDownload/hph/wilcox/990074365_Wilcox-Medical-Center_standardcharges.csv
Wilcox Medical Center · parsed · tall v3.0.0 · file dated 2026-02-12 · 191.4 MB · 3413 price rows read · read Nov 2026
https://hph.pt.panaceainc.com/MRFDownload/hph/kapiolani/990177350_Kapiolani-Medical-Center-for-Women-and-Children_standardcharges.csv
discovered
https://hph.pt.panaceainc.com/MRFDownload/hph/straub/912151670_Straub-Benioff-Medical-Center_standardcharges.csv
Straub Benioff Medical Center · discovered