Every state, kept current
The Rates plan
$29/mo7-day free trialThese pages show common-procedure samples per category. The complete all-codes Hawaii schedules export as CSV with the Rates plan.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
- Email alerts when a state changes its rates
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Hawaii's published schedules by category
Codes on the current schedule, the newest effective date, the median published rate as a percentage of national Medicare where a comparator exists, and one recognizable procedure's rate per category. Open a category for its common-procedure table.
| Category | Codes | Effective | Median % of Medicare | Example rate | PA required |
|---|---|---|---|---|---|
| Physician | 6,785 | 2025 | 104.3% | $66.56 Office visit, established patient, low complexity (20-29 min) (99213) | -- |
| Lab & Imaging | 2,075 | 2025 | 71.3% | $22.29 Chest X-ray, 2 views (71046) | -- |
| DME & Supplies | 1,728 | 2025 | 52.7% | -- | -- |
| Vision | 163 | 2025 | 57.4% | $95.94 Eye exam, new patient, comprehensive (92004) | -- |
| Behavioral Health | 23 | 2025 | 80.1% | $134.02 Psychotherapy, 60 minutes (90837) | -- |
| Anesthesia | 283 | 2025 | -- | -- | -- |
| Hearing | 9 | 2025 | -- | -- | -- |
| Transport | 9 | 2025 | -- | $204.74 Ambulance service, basic life support, non-emergency transport, (bls) (A0428) | -- |
| State-Specific Services | 99 | 2025 | 55.8% | $20.00 Telehealth originating site facility fee (Q3014) | -- |
| Dental | Hawaii's dental Medicaid rates live in the dental section, with their own per-state page. | ||||
Hawaii also publishes 3 drugs codes (2025), too few or too old to summarize here.
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one.
Where Hawaii publishes its fee schedules
- Publisher
- Hawaii Department of Human Services, Med-QUEST Division (DHS)
- Program
- Med-QUEST
- Official source
- https://medquest.hawaii.gov/en/plans-providers/rates-fee-schedule.html
- Last checked
- Aug 21, 2026
ProviderSignal collects every category from the state's publication, standardizes the rows and labels each code in its own plain language. Rates are the published amounts; the state's page remains the legal source.
These are common-procedure samples. The complete Hawaii schedules, every category and every code, export as CSV on the Rates plan.
Compare Hawaii nationally
Frequently asked questions
Does Hawaii publish a Medicaid fee schedule?
Yes. Hawaii publishes 11,174 Medicaid fee-for-service procedure rates across 9 service categories, effective through 2025, all collected and normalized here with plain-language procedure names. Hawaii Department of Human Services, Med-QUEST Division (DHS) publishes Hawaii's Medicaid fee schedules for Med-QUEST.
Who publishes Hawaii's Medicaid fee schedule?
Hawaii Department of Human Services, Med-QUEST Division (DHS) publishes Hawaii's Medicaid fee schedules for Med-QUEST. The state's own fee-schedule page is https://medquest.hawaii.gov/en/plans-providers/rates-fee-schedule.html. ProviderSignal collects every category from it, standardizes the rows and re-checks the source on a rolling cadence (last checked Aug 21, 2026).
What does Hawaii Medicaid pay for common services?
An established-patient office visit (99213) pays $66.56, a two-view chest X-ray (71046) $22.29 and a new-patient comprehensive eye exam (92004) $95.94. Every figure is the state's published fee-for-service amount for the code's benchmark locality; managed-care plans can pay differently. The category pages list common procedures with plain-language names, and the complete all-codes schedules export as CSV on the Rates plan.
How do Hawaii's Medicaid rates compare with Medicare?
Pooled across categories with a national Medicare comparator, Hawaii's published rates run a median 99.9% of the Medicare amount, ranking 9 of 49 jurisdictions with a comparable basis.
What service categories does Hawaii publish?
Physician (6,785 codes), Lab & Imaging (2,075 codes), DME & Supplies (1,728 codes), Vision (163 codes), Behavioral Health (23 codes), Anesthesia (283 codes), Hearing (9 codes), Transport (9 codes), State-Specific Services (99 codes). Dental rates have their own section with per-state pages.
How current are these rates?
Rates come from Hawaii's currently published fee schedules, the newest effective 2025, and are re-collected on a rolling monthly cadence. This page updates automatically after each collection sweep.