Supplies, drugs & other prices at Wilcox Medical Center
Lihue, HI · every code in this section with a posted price and a Medicare benchmark.
46 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) range across 2 matching MRF lines |
$1,317–$1,419.60 | $2,195–$2,366 | varies |
| 2d tte w or w/o fol w/con,fu (C8924) range across 2 matching MRF lines |
$716.40–$822.60 | $1,194–$1,371 | varies |
| Admin influenza virus vac (G0008) | $84.60 | $141 | 1.5× |
| Admin pneumococcal vaccine (G0009) | $84.60 | $141 | 1.5× |
| Alcohol/sub misuse assess (G2011) | $36 | $60 | 1.1× |
| Alcohol/subs interv 15-30mn (G0396) | $42.60 | $71 | 1.0× |
| Alcohol/subs interv >30 min (G0397) | $208.80 | $348 | 1.0× |
| Catheterize for urine spec (P9612) range across 2 matching MRF lines |
$179.40–$183 | $299–$305 | varies |
| Chemo extend iv infus w/pump (G0498) | $708 | $1,180 | 1.8× |
| Covid-19 lab test non-cdc (U0002) range across 3 matching MRF lines |
$81–$87.60 | $135–$146 | varies |
| Diab manage trn per indiv (G0108) | $123 | $205 | 2.2× |
| Direct refer hospital observ (G0379) | $78.60 | $131 | 0.1× |
| Drug test def 1-7 classes (G0480) range across 58 matching MRF lines |
$46.80–$338.40 | $78–$564 | varies |
| Drug test def 8-14 classes (G0481) range across 4 matching MRF lines |
$54–$267 | $90–$445 | varies |
| Ekg tracing for initial prev (G0404) | $31.80 | $53 | 0.9× |
| Elec stim other than wound (G0283) | $62.40 | $104 | 4.9× |
| Hospital outpt clinic visit (G0463) range across 6 matching MRF lines |
$113.40–$270 | $189–$450 | varies |
| Hpv combo assay ca screen (G0476) range across 2 matching MRF lines |
$72.60–$75.60 | $121–$126 | varies |
| Inj for sacroiliac jt anesth (G0260) | $603 | $1,005 | 0.7× |
| Mra w/cont, abd (C8900) | $1,566 | $2,610 | 3.8× |
| Mra w/cont, chest (C8909) | $1,566 | $2,610 | 3.8× |
| Mra w/cont, lwr ext (C8912) | $1,566 | $2,610 | 3.8× |
| Mra w/cont, pelvis (C8918) | $1,566 | $2,610 | 3.8× |
| Mra w/o cont, abd (C8901) | $1,475.40 | $2,459 | 5.2× |
| Mra w/o cont, chest (C8910) | $1,475.40 | $2,459 | 5.2× |
| Mra w/o cont, lwr ext (C8913) | $1,475.40 | $2,459 | 5.2× |
| Mra w/o fol w/cont, abd (C8902) | $1,675.20 | $2,792 | 4.1× |
| Mra w/o fol w/cont, chest (C8911) | $1,675.20 | $2,792 | 4.1× |
| Mra w/o fol w/cont, lwr ext (C8914) | $1,675.20 | $2,792 | 4.1× |
| Mra w/o fol w/cont, pelvis (C8920) | $1,675.20 | $2,792 | 4.1× |
| Mra, w/dye, upper extremity (C8934) | $1,323.60 | $2,206 | 3.2× |
| Mra, w/o dye, upper extr (C8935) | $1,242 | $2,070 | 4.4× |
| Mra, w/o&w/dye, upper extr (C8936) | $1,422 | $2,370 | 3.5× |
| Neuro csf prion prtn qual (0035U) | $789 | $1,315 | 1.5× |
| Prostate biopsy, any mthd (G0416) | $301.80 | $503 | 0.7× |
| Psa screening (G0103) | $66.60 | $111 | 3.4× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $134.40 | $224 | 5.1× |
| Screen cerv/vag thin layer (G0123) range across 3 matching MRF lines |
$48–$76.20 | $80–$127 | varies |
| Screen pap by tech w md supv (P3000) range across 5 matching MRF lines |
$24.60–$34.20 | $41–$57 | varies |
| Tomosynthesis, mammo (G0279) range across 2 matching MRF lines |
$30–$48 | $50–$80 | varies |
| Tte w or w/o contr, cont ecg (C8930) range across 4 matching MRF lines |
$1,269.60–$1,352.40 | $2,116–$2,254 | varies |
| Tte w or w/o fol w/con,stres (C8928) range across 4 matching MRF lines |
$1,268.40–$1,386 | $2,114–$2,310 | varies |
| Tte w or w/o fol w/cont, com (C8921) range across 2 matching MRF lines |
$1,327.20–$1,410.60 | $2,212–$2,351 | varies |
| Tte w or w/o fol w/cont, f/u (C8922) range across 2 matching MRF lines |
$1,153.20–$1,270.20 | $1,922–$2,117 | varies |
| Tte w or wo fol wcon,doppler (C8929) range across 2 matching MRF lines |
$1,476–$1,560 | $2,460–$2,600 | varies |
| Unsched dialysis esrd pt hos (G0257) range across 6 matching MRF lines |
$189.72–$592.88 | $316.20–$988.13 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.