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Wilcox Memorial Hospital

Lihue, HI · 71 beds · 100 procedures priced

Sourced from this hospital's machine-readable file, posted Thu Jun 04 2026 00:00:00 GMT+0000 (Coordinated Universal Time) · data quality 70/100 · source file ↗

Category

Procedure ▲	Negotiated i	Cash i	Gross i
Abdominal Hysterectomy	$4,433$806$12k	—	—
ACL Reconstruction (Arthroscopic)	$4,126$537$11k	—	—
Allergy Skin Testing	$4$3$4	—	—
Anesthesia for Screening Colonoscopy	$23$23$24	—	—
Anesthesia for Upper Endoscopy	$23$23$24	—	—
Basic Metabolic Panel	$10$8$22	$36	$90
Bone Marrow Biopsy	$479$73$4.2k	$1,001	$2,503
Breast Biopsy (Ultrasound-guided)	$685$151$5.7k	$919	$2,297
Bunion Correction Surgery	$4,126$537$7.4k	—	—
Cardiac Ablation for Atrial Fibrillation	$6,732$1.1k$23k	—	—
Cardiac Catheterization (Left Heart)	$4,433$921$12k	—	—
Cardiac Stress Test (Treadmill)	$88$80$149	—	—
Carpal Tunnel Release Surgery	$3,614$470$5.7k	—	—
Cataract Surgery with Lens Implant	$6,945$664$18k	—	—
Cervical Spinal Fusion (Anterior)	$5,865$921$18k	—	—
Cesarean Delivery (Global Package)	$2,736$1.5k$2.8k	—	—
Chemotherapy Infusion (First Hour)	$114$90$552	$472	$1,180
Chest X-ray (2 Views)	$24$20$67	$154	$384
Colonoscopy with Biopsy	$3,614$470$5.7k	—	—
Complete Abdominal Ultrasound	$124$65$323	$334	$836
Complete Blood Count (CBC) with Differential	$9$8$20	$29	$73
Comprehensive Metabolic Panel	$13$10$27	$45	$112
Coronary Angioplasty with Stent	$5,865$921$18k	—	—
Critical Care, First Hour	$220$144$1.3k	$3,056	$7,640
CT Abdomen and Pelvis with Contrast	$411$181$901	$1,394	$3,484
CT Cardiac Calcium Scoring	$72$31$148	$84	$209
CT Chest without Contrast	$242$93$600	$670	$1,676
CT Head without Contrast	$174$74$463	$602	$1,506
DEXA Bone Density Scan	$88$27$275	$166	$416
Diagnostic Colonoscopy	$3,614$470$5.7k	—	—
Diagnostic Mammogram (Both Breasts)	$137$78$386	$278	$695
Ear Tube Placement (Tympanostomy)	$4,033$537$6.5k	—	—
Echocardiogram (Complete with Doppler)	$338$133$2.6k	$984	$2,460
EKG (Electrocardiogram, 12-lead)	$20$16$42	—	—
Emergency Room Visit (Level 3)	$74$48$1.3k	$657	$1,642
Group Therapy Session	$26$25$27	—	—
Hemodialysis Treatment	$108$106$109	—	—
Hemoglobin A1c (Diabetes Test)	$12$10$25	$32	$80
HIV Antibody Test	$11$9$23	$38	$94
Holter Monitor (24-48 Hour Heart Monitor)	$85$82$141	—	—
Home Sleep Study	$118$114$231	—	—
Individual Therapy Session (45 Minutes)	$94$75$96	—	—
Inguinal Hernia Repair (Open)	$5,052$664$8.0k	—	—
Initial Hospital Admission (Level 1)	$85$53$87	—	—
Initial Psychiatric Diagnostic Evaluation	$153$104$157	—	—
Initial Psychiatric Evaluation with Medication Management	$175$104$181	—	—
Intensity-modulated Radiation Therapy (IMRT) Treatment	$794$434$1.2k	—	—
IUD Insertion	$2,418$602$4.2k	—	—
IUD Removal	$2,418$602$4.2k	—	—
Knee Arthroscopy with Meniscectomy	$5,052$664$8.0k	—	—
Laparoscopic Appendectomy	$3,126$695$12k	—	—
Laparoscopic Gallbladder Removal	$3,126$695$11k	—	—
Laparoscopic Tubal Ligation	$5,992$664$11k	—	—
Lipid Panel (Cholesterol Test)	$16$13$34	$42	$105
Lumbar Epidural Steroid Injection	$479$101$4.2k	$609	$1,523
Lumbar Puncture (Spinal Tap)	$583$51$4.2k	$564	$1,410
Lumbar Spinal Fusion (Posterior)	$7,897$921$27k	—	—
Lumpectomy (Partial Mastectomy)	$4,126$537$7.4k	—	—
MRI Abdomen with and without Contrast	$922$238$1.7k	$1,070	$2,674
MRI Brain with and without Contrast	$886$223$1.7k	$1,090	$2,726
MRI Brain with Contrast	$522$190$1.4k	$1,002	$2,504
MRI Brain without Contrast	$421$137$1.1k	$790	$1,975
MRI Cervical Spine (Neck) without Contrast	$406$133$1.1k	$707	$1,767
MRI Knee without Contrast	$414$143$1.1k	$827	$2,068
MRI Lower Back (Lumbar Spine) without Contrast	$451$134$1.1k	$827	$2,067
MRI Thoracic Spine (Mid-back) without Contrast	$427$133$1.1k	$590	$1,475
Newborn Circumcision	$2,687$350$4.8k	—	—
Nuclear Cardiac Stress Test	$521$165$1.4k	$1,857	$4,643
Office Visit, Established Patient (Level 3)	$69$36$71	$180	$450
Office Visit, New Patient (Level 3)	$85$69$87	—	—
Pacemaker Insertion (Dual Chamber)	$3,087$848$9.3k	—	—
PET/CT Scan, Whole Body	$1,850$1.1k$3.3k	—	—
Pregnancy Ultrasound (Second or Third Trimester)	$134$61$311	$368	$919
Prostate Biopsy	$3,614$470$4.8k	—	—
PSA Prostate Cancer Screening	$22$18$47	$39	$98
Pulmonary Function Test with Bronchodilator	$45$31$386	$282	$705
Rotator Cuff Repair (Arthroscopic)	$5,992$664$11k	—	—
Screening Mammogram	$113$81$319	$159	$397
Septoplasty (Deviated Septum Repair)	$5,052$664$8.0k	—	—
Sinus Surgery (Endoscopic, with Tissue Removal)	$5,992$664$9.3k	—	—
Skin Biopsy (Tangential)	$602	—	—
Skin Lesion Removal (Benign, up to 0.5 cm)	$2,418$602$4.2k	—	—
Sleep Study (In-lab Polysomnography)	$720$421$1.6k	—	—
Spinal Cord Stimulator Trial	$3,614$470$5.7k	—	—
Spirometry (Breathing Test)	$31$16$323	$199	$498
Tonsillectomy and Adenoidectomy (Age 12 and Over)	$5,333$664$9.3k	—	—
Tonsillectomy and Adenoidectomy (Under Age 12)	$4,126$537$6.5k	—	—
Total Hip Replacement	$5,865$1.1k$18k	—	—
Total Knee Replacement	$4,433$1.1k$12k	—	—
Total Mastectomy	$5,052$664$8.8k	—	—
TSH Thyroid Function Test	$20$16$43	$53	$132
TURP (Transurethral Prostate Resection)	$5,052$664$8.8k	—	—
Umbilical Hernia Repair	$5,165$664$8.0k	—	—
Upper GI Endoscopy (EGD)	$2,500$350$4.2k	—	—
Urinalysis with Microscopy	$4$3$8	$14	$35
Vaginal Birth After Cesarean (VBAC) Global Package	$2,577$1.1k$2.7k	—	—
Vaginal Delivery (Global Package)	$2,481$1.1k$2.6k	—	—
Vaginal Hysterectomy	$4,433$806$12k	—	—
Vasectomy	$3,696$470$5.7k	—	—
Vitamin D Blood Test	$36$29$75	$89	$224

Median facility price per procedure. Negotiated shows the median across payers with the full range. Figures as reported in the hospital's file — not a quote.