Hawaii · 74018

X-Ray Of Abdomen, 1 View in Hawaii

Hawaii Medicare Avg
$7.87
10% below national avg
National Medicare Avg
$8.78
All states combined
Billed Charge (HI)
$36.50
What providers submit
Est. Commercial (HI)
$25.80
National avg: $26.15
Est. Cash / Self-Pay (HI)
$17.94
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

7.1K
Services in HI
210
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Hawaii

Provider Medicare Services
Meyermann, Mark D.O. $6.70 1.5K
Meyermann, Mark D.O. $6.59 1.3K

Hawaii Pricing in Context

In Hawaii, CPT code 74018 (X-Ray Of Abdomen, 1 View) carries an average Medicare payment of $7.87 — 10% below the national benchmark of $8.78. 210 providers across the state submitted claims for this procedure in 2023, performing 7.1K total services. Individual payments in HI ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in Hawaii is $36.50, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Hawaii sits below the national Medicare average, commercial rates in the state may also run lower than the US median.

Using RAND 2024 commercial-to-Medicare ratios for X-Ray procedures, the estimated commercial insurance price in Hawaii lands near $25.80, with self-pay cash prices typically around $17.94. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does X-Ray Of Abdomen, 1 View cost in Hawaii?

The average Medicare payment for X-Ray Of Abdomen, 1 View in Hawaii is $7.87, which is 10% below the national average of $8.78. Providers in HI typically bill $36.50 for this procedure.

What does X-Ray Of Abdomen, 1 View cost with insurance in Hawaii?

With commercial insurance in Hawaii, X-Ray Of Abdomen, 1 View costs an estimated $25.80. Without insurance, the estimated cash price is $17.94. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform X-Ray Of Abdomen, 1 View in Hawaii?

210 providers in Hawaii billed Medicare for X-Ray Of Abdomen, 1 View in 2023, performing 7.1K total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is X-Ray Of Abdomen, 1 View cheaper in Hawaii than the national average?

Yes — X-Ray Of Abdomen, 1 View costs 10% below the national average in Hawaii. The state average Medicare payment is $7.87 compared to $8.78 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial