Does Wilcox Memorial Hospital publish its standard charges and chargemaster?

Yes. Wilcox Memorial Hospital publishes a machine-readable file with 2,130 standard-charge rows — gross charges, cash prices, and payer-negotiated rates, earning a CMS price transparency compliance grade of A. Browse the negotiated rates by procedure and payer on this page.

How much does Wilcox Memorial Hospital charge for procedures?

Wilcox Memorial Hospital (Lihue, HI) publishes a separately negotiated rate for each insurance payer, plus a discounted cash price and a gross (list) charge, for every procedure in its price transparency file. This page compares each procedure's negotiated median against the national median so you can see whether a price is above or below market.

▸ Hospital · HI · CCN 120014

Wilcox Memorial Hospital

Lihue, HI, 96766-

72 bedsAcute Care Hospitals2

Compliance grade

100/100

Rates published

2,130

last crawl 2026-05-23

Procedures tracked

130

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All HI hospitalsJSON

The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.

Source MRF: https://hph.pt.panaceainc.com/MRFDownload/hph/wilcox/990074365_Wilcox-Medical-Center_standardcharges.csv · CSV

Procedures & rates

vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	vs nat'l	Neg max
behavioral
Psychoses	MS-DRG	885	12	—	—	$1,230	$15,804	1.2×	$49,300
emergency
ED visit level 1	CPT	99281	12	$370	$148	$11.52	$80	0.57×	$848
ED visit level 2	CPT	99282	12	$778	$311.2	$23.95	$80	0.34×	$848
ED visit level 3	CPT	99283	12	$1,642	$656.8	$47	$80	0.20×	$1,342
ED visit level 4	CPT	99284	12	$2,558	$1,023.2	$47	$80	0.12×	$1,834
ED visit level 5	CPT	99285	12	$4,596	$1,838.4	$47	$80	0.08×	$2,778
Critical care, first hour	CPT	99291	11	$7,640	$3,056	$47	$80	0.07×	$1,342
imaging
CT head without contrast	CPT	70450	13	$1,506	$602.4	$73.85	$139.1	0.67×	$462.59
CT head with contrast	CPT	70460	13	$1,825	$730	$80	$186.48	0.80×	$601.17
CT head with and without contrast	CPT	70470	13	$2,090	$836	$80	$232.9	0.87×	$631.97
CT neck with contrast	CPT	70491	13	$2,023	$809.2	$80	$186.48	0.68×	$735.34
MRI brain without contrast	CPT	70551	13	$2,250	$900	$80	$396.85	0.98×	$1,092.79
MRI brain with contrast	CPT	70552	13	$2,504	$1,001.6	$80	$442.34	0.93×	$1,408.43
MRI brain with and without contrast	CPT	70553	13	$2,726	$1,090.4	$80	$760.83	1.3×	$1,725.19
Chest X-ray single view	CPT	71045	10	$321	$128.4	$15.78	$31.02	0.33×	$85
Chest X-ray 2 views	CPT	71046	10	$384	$153.6	$20.4	$41.09	0.42×	$85
Chest X-ray 3 views	CPT	71047	10	$468	$187.2	$24.39	$49.29	0.51×	$85
CT chest without contrast	CPT	71250	13	$1,801	$720.4	$80	$194.84	0.91×	$600.06
CT chest with contrast	CPT	71260	13	$2,115	$846	$80	$232.9	0.83×	$749.64
CT chest with and without contrast	CPT	71270	13	$2,545	$1,018	$80	$291.1	1.00×	$939.91
MRI chest without contrast	CPT	71550	13	$2,397	$958.8	$80	$372.23	0.86×	$1,092.79
MRI chest with contrast	CPT	71551	13	$2,810	$1,124	$80	$414.97	0.51×	$1,408.43
MRI chest with and without contrast	CPT	71552	13	$2,877	$1,150.8	$80	$704.71	1.2×	$1,725.19
Lumbosacral spine X-ray	CPT	72100	13	$484	$193.6	$21.96	$54.02	0.52×	$85
CT cervical spine without contrast	CPT	72125	13	$1,464	$585.6	$80	$194.84	0.97×	$605.56
CT thoracic spine without contrast	CPT	72128	13	$1,945	$778	$80	$194.84	0.98×	$603.38
CT lumbar spine without contrast	CPT	72131	13	$1,032	$412.8	$80	$177.96	0.88×	$601.17
MRI cervical spine without contrast	CPT	72141	13	$1,767	$706.8	$80	$381.36	0.96×	$1,092.79
MRI thoracic spine without contrast	CPT	72146	13	$1,475	$590	$80	$388.54	1.0×	$1,092.79
MRI lumbar spine without contrast	CPT	72148	13	$2,067	$826.8	$80	$401.86	1.1×	$1,092.79
MRI lumbar spine with and without contrast	CPT	72149	13	$2,283	$913.2	$80	$442.34	0.97×	$1,407.34
MRI cervical spine with and without contrast	CPT	72156	13	$2,578	$1,031.2	$80	$733.84	1.4×	$1,718.58
MRI lumbar spine with contrast	CPT	72158	13	$2,413	$965.2	$80	$731.66	1.3×	$1,715.28
CT pelvis without contrast	CPT	72192	13	$1,108	$443.2	$80	$194.84	0.97×	$564.87
CT pelvis with contrast	CPT	72193	13	$1,374	$549.6	$80	$235.33	0.84×	$711.14
Shoulder X-ray	CPT	73030	13	$598	$239.2	$18.84	$42.46	0.46×	$85
Humerus X-ray	CPT	73060	13	$524	$209.6	$18.84	$42.22	0.47×	$85
Hand X-ray 3 views	CPT	73130	13	$734	$293.6	$19.08	$45.68	0.49×	$85
MRI upper extremity joint without contrast	CPT	73221	13	$2,100	$840	$80	$414	0.99×	$1,092.79
MRI upper extremity joint with and without contrast	CPT	73223	13	$2,706	$1,082.4	$80	$918.98	1.5×	$1,707.58
Knee X-ray 1-2 views	CPT	73560	13	$644	$257.6	$17.04	$41.36	0.44×	$85
Ankle X-ray 3 views	CPT	73610	13	$625	$250	$17.34	$44.93	0.49×	$85
MRI lower extremity joint without contrast	CPT	73721	13	$2,068	$827.2	$80	$396.1	0.85×	$1,092.79
MRI lower extremity joint with and without contrast	CPT	73723	13	$3,126	$1,250.4	$80	$707.76	1.1×	$1,710.89
CT abdomen without contrast	CPT	74150	13	$1,839	$735.6	$80	$186.48	0.99×	$562.69
CT abdomen with contrast	CPT	74160	13	$2,147	$858.8	$80	$235.33	0.82×	$822.25
CT abdomen with and without contrast	CPT	74170	13	$2,272	$908.8	$80	$279.37	0.84×	$1,079.59
CT abdomen and pelvis without contrast	CPT	74176	11	$2,830	$1,132	$80	$128.25	0.35×	$760.47
CT abdomen and pelvis with contrast	CPT	74177	11	$3,484	$1,393.6	$80	$216.98	0.40×	$900.93
CT abdomen and pelvis with and without contrast	CPT	74178	11	$3,722	$1,488.8	$80	$243.48	0.42×	$1,155.48
MRI abdomen without contrast	CPT	74181	13	$2,167	$866.8	$80	$369.03	0.95×	$1,092.79
MRI abdomen with and without contrast	CPT	74183	13	$2,674	$1,069.6	$80	$709.06	1.3×	$1,725.19
Abdominal ultrasound complete	CPT	76700	13	$836	$334.4	$64.94	$85	0.57×	$323.48
Abdominal ultrasound limited	CPT	76705	13	$593	$237.2	$46.98	$85	0.58×	$262.41
Retroperitoneal ultrasound complete	CPT	76770	13	$714	$285.6	$64.94	$85	0.59×	$310.83
Obstetric ultrasound first trimester	CPT	76801	13	$742	$296.8	$55.49	$85	0.60×	$269.03
Obstetric ultrasound after first trimester	CPT	76805	13	$919	$367.6	$61.23	$93.79	0.61×	$310.94
Obstetric ultrasound with fetal anatomy	CPT	76811	13	$938	$375.2	$80	$127.03	0.54×	$320.71
Transvaginal ultrasound	CPT	76830	13	$700	$280	$50.35	$85	0.58×	$307.53
Pelvic ultrasound complete	CPT	76856	13	$745	$298	$50.35	$85	0.59×	$304.22
Scrotal ultrasound	CPT	76870	13	$582	$232.8	$50.35	$85	0.65×	$308.62
Diagnostic mammography unilateral	CPT	77065	10	$499	$199.6	$64.13	$85.82	0.57×	$301.28
Diagnostic mammography bilateral	CPT	77066	10	$695	$278	$77.83	$108.6	0.57×	$385.7
Screening mammography bilateral	CPT	77067	10	$416	$166.4	$80	$90.39	0.57×	$318.64
EKG tracing only	CPT	93005	8	$415	$166	$7.28	$80	0.68×	$274.5
Transthoracic echocardiogram complete	CPT	93306	8	$2,600	$1,040	$80	$132.88	0.22×	$977.26
Stress echocardiogram	CPT	93350	7	$2,042	$816.8	$58.9	$82.5	0.16×	$339.09
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	8	—	—	$1,230	$5,521	0.27×	$47,773
Intracranial hemorrhage/CVA w CC	MS-DRG	065	8	—	—	$1,230	$5,521	0.52×	$24,000
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	8	—	—	$1,230	$5,521	0.72×	$16,258
Respiratory infections & inflammations w MCC	MS-DRG	177	12	—	—	$1,230	$17,921	1.2×	$41,953
COPD w MCC	MS-DRG	190	12	—	—	$1,230	$12,564	1.1×	$31,224
COPD w CC	MS-DRG	191	12	—	—	$1,230	$9,589.11	1.1×	$19,145
COPD w/o CC/MCC	MS-DRG	192	12	—	—	$1,230	$7,259.77	1.0×	$14,930
Simple pneumonia & pleurisy w CC	MS-DRG	194	12	—	—	$1,230	$9,159.24	1.1×	$22,547
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	12	—	—	$1,230	$7,040.83	1.1×	$17,014
AMI discharged alive w MCC	MS-DRG	280	12	—	—	$1,230	$18,287	1.2×	$21,892
AMI discharged alive w CC	MS-DRG	281	12	—	—	$1,230	$10,364	1.1×	$17,178
AMI discharged alive w/o CC/MCC	MS-DRG	282	12	—	—	$1,230	$8,153.38	1.0×	$47,055
Heart failure & shock w MCC	MS-DRG	291	12	—	—	$1,230	$14,582	1.1×	$20,169
Heart failure & shock w CC	MS-DRG	292	12	—	—	$1,230	$9,632.93	1.1×	$13,446
Heart failure & shock w/o CC/MCC	MS-DRG	293	12	—	—	$1,230	$6,481.51	1.0×	$37,104
Cardiac arrhythmia w MCC	MS-DRG	308	12	—	—	$1,230	$13,567	1.1×	$16,674
Cardiac arrhythmia w CC	MS-DRG	309	12	—	—	$1,230	$8,304.98	1.1×	$20,705
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	12	—	—	$1,230	$6,547.23	1.1×	$17,104
GI hemorrhage w CC	MS-DRG	378	12	—	—	$1,230	$11,073	1.1×	$23,297
GI hemorrhage w/o CC/MCC	MS-DRG	379	12	—	—	$1,230	$7,135.86	1.0×	$14,976
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	12	—	—	$1,230	$8,781.59	1.1×	$18,520
Fractures of femur w/o MCC	MS-DRG	533	12	—	—	$1,230	$17,390	1.1×	$20,338
Kidney/UTI w MCC	MS-DRG	689	12	—	—	$1,230	$13,124	1.1×	$19,230
Kidney/UTI w/o MCC	MS-DRG	690	12	—	—	$1,230	$9,071.98	1.1×	$31,940
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	12	—	—	$1,230	$21,989	1.2×	$26,169
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	12	—	—	$1,230	$11,568	1.1×	$91,813
lab
Basic metabolic panel (BMP)	CPT	80048	14	$94	$37.6	$8.29	$12.05	0.37×	$85
General health panel	CPT	80050	7	$347	$138.8	$41.19	$77.7	0.72×	$85
Electrolyte panel	CPT	80051	14	$78	$31.2	$6.87	$9.98	0.42×	$85
Comprehensive metabolic panel	CPT	80053	14	$114	$45.6	$10.35	$15.05	0.34×	$85
Lipid panel	CPT	80061	14	$159	$63.6	$13.12	$19.07	0.50×	$85
Renal function panel	CPT	80069	14	$94	$37.6	$8.51	$12.36	0.45×	$85
Hepatic function panel	CPT	80076	14	$90	$36	$8.01	$11.63	0.44×	$85
Urinalysis non-automated	CPT	81002	14	$73	$29.2	$3.41	$4.18	0.60×	$85
Urinalysis automated	CPT	81003	14	$30	$12	$2.21	$3.19	0.23×	$85
Glucose quantitative	CPT	82947	14	$45	$18	$3.85	$5.58	0.32×	$85
Hemoglobin A1c	CPT	83036	14	$85	$34	$9.52	$13.82	0.51×	$85
Thyroid stimulating hormone (TSH)	CPT	84443	14	$138	$55.2	$16.46	$23.91	0.51×	$85
Complete blood count with automated differential	CPT	85025	14	$74	$29.6	$7.61	$11.06	0.42×	$85
Complete blood count without differential	CPT	85027	14	$64	$25.6	$6.34	$9.22	0.43×	$85
Urine culture bacterial	CPT	87086	14	$84	$33.6	$7.91	$11.49	0.49×	$85
Urine culture identification	CPT	87088	14	$80	$32	$7.93	$10.87	0.49×	$85
Tissue exam by pathologist level IV	CPT	88305	7	$317	$126.8	$40.64	$64.84	0.63×	$92.17
maternity
Fetal non-stress test	CPT	59025	8	$715	$286	$8.21	$54.31	0.29×	$437.16
office
Office visit, established patient, 5 min	CPT	99211	6	$260	$104	$9.13	$80	1.2×	$85
Office visit, established patient, 10-19 min	CPT	99212	6	$350	$140	$24.13	$80	1.0×	$85
Office visit, established patient, 20-29 minutes	CPT	99213	6	$450	$180	$36.31	$80	0.70×	$85
surgery
Major small/large bowel procedures w MCC	MS-DRG	329	12	—	—	$1,641	$43,769	1.0×	$61,244
Major small/large bowel procedures w CC	MS-DRG	330	12	—	—	$1,641	$26,786	1.2×	$86,012
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	12	—	—	$1,641	$18,753	1.1×	$55,641
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	12	—	—	$1,641	$18,843	1.1×	$40,185
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	12	—	—	$1,641	$15,084	1.1×	$32,446
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	12	—	—	$1,641	$39,105	1.2×	$80,938
Major joint replacement w MCC	MS-DRG	469	12	—	—	$1,641	$35,583	1.2×	$72,056
Major joint replacement w/o MCC	MS-DRG	470	12	—	—	$1,641	$21,453	1.1×	$45,822
Hip & femur procedures except major joint w MCC	MS-DRG	480	12	—	—	$1,641	$32,964	1.2×	$69,184
Hip & femur procedures except major joint w CC	MS-DRG	481	12	—	—	$1,641	$23,462	1.2×	$49,756
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	12	—	—	$1,641	$18,092	1.1×	$38,746
OR procedure for obesity w MCC	MS-DRG	619	12	—	—	$1,641	$31,529	1.2×	$38,016
OR procedure for obesity w CC	MS-DRG	620	12	—	—	$1,641	$17,997	1.1×	$35,833
OR procedure for obesity w/o CC/MCC	MS-DRG	621	12	—	—	$1,641	$16,699	1.1×	$84,551
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	12	—	—	$1,641	$13,882	1.1×	$48,678
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	12	—	—	$1,641	$22,492	1.2×	$27,022

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 20)

Payer	Codes covered	Median rate
Kaiser Permanente	130	$80
UnitedHealthcare	130	$285.24
alohacare	127	$79.28
verdegard	121	$1,092.79
hcha	121	$594.99
medical cost containment professionals	87	$85
ohana health plan	87	$70.55
Multiplan	87	$82.5
hawaii medical service association (hmsa)	78	$180.62
mdx hawaii	78	$34.87
hawaii medical assurance association (hmaa)	72	$217.9
university health alliance	71	$407.25
pacific administrators inc	69	$175.97
ohana	55	$11,943
uha	43	$5,479
pac admin	43	$5,525
hwmg/hmaa	43	$6,285
mdx	43	$11,362
devoted	40	$17,488
hmsa	40	$16,305

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