Wilcox Medical Center

Lihue, HI

Posts prices for 32 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-28.

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ProcedureCash priceGross charge× Medicare
Epidural injection, lumbar/sacral (with imaging) (62322) $638.40 $1,064 0.6×
Transforaminal epidural injection, lumbar/sacral (64483) $1,309.20 $2,182 1.3×
CT head/brain without contrast (70450) $903.60 $1,506 7.3×
MRI brain without contrast (70551) $1,184.70 $1,974.50 4.2×
MRI brain with contrast (70552) $1,502.40 $2,504 3.6×
MRI brain without and with contrast (70553) $1,635.60 $2,726 4.0×
X-ray lower spine, 4+ views (72110) $376.80 $628 3.1×
MRI lumbar spine without contrast (72148) $1,240.20 $2,067 4.4×
CT pelvis with contrast (72193) $824.40 $1,374 4.0×
MRI lower-extremity joint without contrast (73721) $1,240.80 $2,068 4.4×
CT abdomen and pelvis with contrast (74177) $2,090.40 $3,484 5.1×
Ultrasound, abdomen complete (76700) $501.60 $836 4.1×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $551.40 $919 4.5×
Ultrasound, transvaginal (76830) $420 $700 3.4×
Mammography, one breast (diagnostic) (77065) $299.40 $499 3.5×
Mammography, both breasts (diagnostic) (77066) $417 $695 3.8×
Mammography, screening (bilateral) (77067) $238.20 $397 2.6×
Basic metabolic panel (80048) $54 $90 6.4×
Comprehensive metabolic panel (80053) $66.90 $111.50 6.3×
Obstetric panel (80055) $393 $655 8.2×
Lipid panel (80061) $62.70 $104.50 4.7×
Renal function panel (80069) $54.60 $91 6.3×
Hepatic function panel (80076) $54 $90 6.6×
Urinalysis, non-automated, with microscopy (81000) $19.20 $32 4.8×
Urinalysis, non-automated, without microscopy (81002) $43.80 $73 12.6×
PSA, total (84153) $66.60 $111 3.6×
Thyroid stimulating hormone (TSH) (84443) $81 $135 4.8×
CBC with automated differential (85025) $42.60 $71 5.5×
CBC, automated (85027) $36.60 $61 5.7×
Prothrombin time (PT) (85610) $30.90 $51.50 7.2×
Partial thromboplastin time (PTT) (85730) $32.10 $53.50 5.3×
Physical therapy, therapeutic exercise (per 15 min) (97110) $108 $180 3.7×

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