Visits & medical services prices at Wilcox Medical Center
Lihue, HI · every code in this section with a posted price and a Medicare benchmark.
138 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $45.60 | $76 | 0.9× |
| Airway Inhalation Treatment (94640) range across 11 matching MRF lines |
$99.60–$333 | $166–$555 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $66 | $110 | 4.6× |
| Application on-body injector (96377) | $99.60 | $166 | 1.8× |
| Assessment of aphasia per hr (96105) | $205.20 | $342 | 2.1× |
| Behavral qualit analys voice (92524) | $219.60 | $366 | 2.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $423 | $705 | 1.0× |
| Canalith repositioning proc (95992) | $96 | $160 | 2.4× |
| Car seat/bed test 60 min (94780) | $249 | $415 | 5.6× |
| Cardiac Stress Tst,Tracing Only (93017) | $611.40 | $1,019 | 2.4× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$661.80–$681 | $1,103–$1,135 | varies |
| Cardioversion (92960) | $1,338 | $2,230 | 1.7× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $126 | $210 | 4.8× |
| Cbt 1st hour (94644) range across 2 matching MRF lines |
$146.40–$277.20 | $244–$462 | varies |
| Chemo Anti-Neopl Sq/Im (96401) | $193.80 | $323 | 2.3× |
| Chemo Hormon Antineopl Sq/Im (96402) | $170.40 | $284 | 2.0× |
| Chemo IV infusion addl hr (96415) | $213 | $355 | 2.5× |
| Chemo IV push addl drug (96411) | $201.60 | $336 | 2.4× |
| Chemother Prolong Infuse W/Pump (96416) | $708 | $1,180 | 1.8× |
| Chemotherapy Unspecified (96549) | $218.40 | $364 | 3.9× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $155.40 | $259 | 1.8× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $708 | $1,180 | 1.8× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $447 | $745 | 1.1× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $427.80 | $713 | 1.1× |
| Chest Wall Manipulation (94668) | $133.20 | $222 | 0.8× |
| Color/duplex Doppler, complete (93975) | $783.60 | $1,306 | 2.8× |
| Color/duplex Doppler, limited (93976) | $592.20 | $987 | 4.8× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 7 matching MRF lines |
$58.80–$1,066.20 | $98–$1,777 | varies |
| Cpt initial (94667) | $156 | $260 | 1.0× |
| Critical care first hour (99291) | $4,584 | $7,640 | 4.7× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $637.20 | $1,062 | 2.3× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $385.80 | $643 | 3.1× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $537.60 | $896 | 1.9× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $501 | $835 | 4.1× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $822.60 | $1,371 | 2.9× |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$283.80–$430.20 | $473–$717 | varies |
| Duplex Scan Hemodialysis Access (93990) | $275.40 | $459 | 2.2× |
| Duplex up extrem art bilat (93930) | $555.60 | $926 | 2.0× |
| Duplex up extrem art unilat/ltd (93931) | $345.60 | $576 | 2.8× |
| Echo Congenital Complete (93303) range across 3 matching MRF lines |
$1,170–$1,410.60 | $1,950–$2,351 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 4 matching MRF lines |
$382.20–$822.60 | $637–$1,371 | varies |
| Echo transesophageal (93312) range across 3 matching MRF lines |
$1,275.60–$1,419.60 | $2,126–$2,366 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) | $1,170 | $1,950 | 1.8× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 3 matching MRF lines |
$1,059–$1,191.60 | $1,765–$1,986 | varies |
| EEG awake and asleep (95819) | $707.40 | $1,179 | 2.8× |
| EEG awake drowsy (95816) | $707.40 | $1,179 | 2.8× |
| EEG cerebral death evaluation (95824) | $640.80 | $1,068 | 1.5× |
| Eeg Sleep Only (95822) | $659.40 | $1,099 | 2.6× |
| Electrical Stimulation Ea 15 Min (97032) | $79.80 | $133 | 5.4× |
| Electrocardiogram Tracing (93005) | $249 | $415 | 3.6× |
| Emergency Dept Visit Level 2 (99282) | $466.80 | $778 | 2.6× |
| Emergency Dept Visit Level 3 (99283) | $985.20 | $1,642 | 3.1× |
| Emergency Dept Visit Level 4 (99284) | $1,534.80 | $2,558 | 3.1× |
| Er level 1 (99281) | $222 | $370 | 2.2× |
| Er level v (99285) | $2,757.60 | $4,596 | 3.9× |
| Evaluate pt use of inhaler (94664) | $133.80 | $223 | 0.5× |
| Evaluate Speech Production (92522) | $219 | $365 | 2.0× |
| Evaluate Swallowing Function (92610) | $279.60 | $466 | 3.3× |
| Evaluation of speech fluency (92521) | $247.20 | $412 | 1.9× |
| Exercise test for bronchospasm (94617) | $355.80 | $593 | 2.3× |
| External ECG rec>48hr<7d recording (93242) | $62.40 | $104 | 1.4× |
| External ECG rec>7d<15d recording (93246) | $144 | $240 | 3.3× |
| External Ecg Scanning Analysis Report (93226) | $438.60 | $731 | 6.3× |
| Extracranial Bilat Study (93880) | $761.40 | $1,269 | 2.7× |
| Extracranial Uni/Ltd Study (93882) | $597.60 | $996 | 4.8× |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 3 matching MRF lines |
$1,092–$1,270.20 | $1,820–$2,117 | varies |
| Flexible endoscopic eval swallow c/v rec (92612) | $570.60 | $951 | 2.9× |
| Holter monitor recording (93225) | $295.20 | $492 | 1.9× |
| Immunization administration (90471) range across 3 matching MRF lines |
$78.60–$84.60 | $131–$141 | varies |
| Irrig Drug Delivery Device (96523) | $126.60 | $211 | 1.8× |
| IV infusion hydration each additional hour (96361) | $184.80 | $308 | 3.3× |
| IV infusion hydration initial 31 min-1 hour (96360) | $418.80 | $698 | 1.7× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $198 | $330 | 2.3× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $195.60 | $326 | 3.5× |
| IV push initial (96374) | $250.20 | $417 | 1.0× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $34.80 | $58 | 1.1× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $42 | $70 | 1.1× |
| Methacholine challenge (94070) | $658.20 | $1,097 | 1.5× |
| Motion Fluoroscopy/Swallow (92611) | $210 | $350 | 2.3× |
| Neuromuscular Reeducation (97112) | $112.20 | $187 | 3.4× |
| Oral Function Therapy (92526) | $220.80 | $368 | 2.6× |
| Oral Speech Device Eval (92597) range across 2 matching MRF lines |
$104.40–$155.40 | $174–$259 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $126 | $210 | 2.5× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$102–$103.80 | $170–$173 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $40.20 | $67 | 1.6× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $61.20 | $102 | 2.4× |
| Ot eval high complexity (97167) | $253.80 | $423 | 2.5× |
| Ot Eval Low Complex (97165) | $214.80 | $358 | 2.1× |
| Ot Eval Moderate Complexity (97166) | $240.60 | $401 | 2.4× |
| Ot manual therapy 15 min (97140) | $125.40 | $209 | 4.5× |
| Ot Prosthetic Training, Each 15 Min (97761) | $92.40 | $154 | 2.3× |
| Ot Re-Eval Est Plan Care (97168) | $160.20 | $267 | 2.3× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $268.80 | $448 | 1.8× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $268.80 | $448 | 1.8× |
| Penile Vascular Study,Ltd or F/U (93981) | $232.80 | $388 | 1.9× |
| Phlebotomy therapeutic (99195) | $280.80 | $468 | 1.8× |
| Physical Performance Test (97750) | $87 | $145 | 2.6× |
| Plethysmography (94726) | $389.40 | $649 | 0.9× |
| Pt Eval High Complex (97163) | $253.80 | $423 | 2.6× |
| Pt eval low complex 20 min (97161) | $229.80 | $383 | 2.3× |
| Pt Eval Mod Complex (97162) | $232.80 | $388 | 2.4× |
| Pt gait training 15 min (97116) | $88.20 | $147 | 3.0× |
| Pt group caregiver training (97552) | $81.60 | $136 | 3.7× |
| Pt mechanical traction (97012) | $62.40 | $104 | 4.3× |
| Pt Re-Eval Est Plan Care (97164) | $149.40 | $249 | 2.2× |
| Pulm function test by gas (94727) | $253.80 | $423 | 1.0× |
| Pulmonary service/procedure (94799) range across 5 matching MRF lines |
$55.80–$297.60 | $93–$496 | varies |
| Pulmonary Stress Testing (94618) | $293.40 | $489 | 1.9× |
| Refill/Maint Portable Pump (96521) | $315.60 | $526 | 1.3× |
| Remote 30 Day Ecg Rev/Report (93270) | $69.60 | $116 | 1.6× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $253.80 | $423 | 2.1× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $93.60 | $156 | 2.0× |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$84.60–$88.20 | $141–$147 | varies |
| Sensory Integration Ea 15 Min (97533) | $109.20 | $182 | 1.8× |
| Slp caregiver training 1st 30 min (97550) | $165.60 | $276 | 3.1× |
| Speech sound lang comprehen (92523) | $262.80 | $438 | 1.2× |
| Spirometry (94010) | $298.80 | $498 | 1.2× |
| Standardized Cognitive Performance Testing (96125) | $322.80 | $538 | 3.1× |
| Stress Tte Only (93350) range across 3 matching MRF lines |
$1,097.40–$1,225.20 | $1,829–$2,042 | varies |
| Surfactant Admin Thru Tube (94610) | $202.20 | $337 | 0.8× |
| Temp transcutaneous pacing (92953) | $869.40 | $1,449 | 1.1× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
$83.40–$84.60 | $139–$141 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 2 matching MRF lines |
$84–$87 | $140–$145 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) range across 2 matching MRF lines |
$120–$301.20 | $200–$502 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) | $123.60 | $206 | 1.5× |
| Ther/Proph/Diag Iv Inf Init (96365) | $414 | $690 | 1.6× |
| Therapeutic Activities (97530) | $106.80 | $178 | 3.0× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $69 | $115 | 1.6× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $63.60 | $106 | 1.4× |
| Tte w/doppler, complete (93306) range across 3 matching MRF lines |
$1,428–$1,560 | $2,380–$2,600 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $171 | $285 | 2.2× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $95.40 | $159 | 4.0× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $134.40 | $224 | 2.4× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$150.60–$252 | $251–$420 | varies |
| Vasopneumatic device (97016) | $139.20 | $232 | 11.6× |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$1,249.20–$1,540.80 | $2,082–$2,568 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$951–$1,386 | $1,585–$2,310 | varies |
| Vital capacity, total (94150) | $232.20 | $387 | 1.5× |
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.