The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Hawaii lab & imaging schedule has 2,075 codes.
- Every code on all 51 published schedules
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Published codes
2,075
Lab & Imaging procedures on the 2025 schedule
Median % of Medicare
71.3%
vs national Medicare, GPCI-neutral
Effective vintage
2025
latest effective year on the schedule
Common lab & imaging procedures and what Hawaii Medicaid pays
A curated sample of recognizable procedures from the 2,075-code schedule. Rates are the state's published fee-for-service amounts; the percentage compares each rate with the national Medicare amount for the same code.
| Code | Procedure | Hawaii rate | % of Medicare |
|---|---|---|---|
| 70100 | Jaw (mandible) X-ray, up to 3 views | $26.08 | 64.5% |
| 70110 | Jaw (mandible) X-ray, 4 or more views | $29.08 | 67.5% |
| 70140 | Facial bone X-ray, under 3 views | $21.23 | 66.9% |
| 70150 | Facial bone X-ray, complete, 3 or more views | $31.58 | 67.5% |
| 70160 | Nasal bone X-ray | $25.19 | 67.3% |
| 70200 | Eye socket X-ray, complete, 4 or more views | $31.98 | 68.4% |
| 70210 | Sinus X-ray, up to 2 views | $21.52 | 66.4% |
| 70220 | Sinus X-ray, 3 or more views | $25.04 | 66.3% |
| 70250 | Skull X-ray, up to 3 views | $24.01 | 67.2% |
| 70328 | Jaw joint (TMJ) X-ray, one side | $23.10 | 67.8% |
| 70330 | Jaw joint (TMJ) X-ray, both sides | $35.54 | 66.5% |
| 70360 | Neck soft tissue X-ray | $20.80 | 67% |
| 70450 | CT scan of the head without contrast | $71.70 | 67.3% |
| 70480 | CT scan of the eye socket or inner ear without contrast | $107.35 | 67.8% |
| 70486 | CT scan of the face and sinuses without contrast | $87.30 | 68.1% |
| 70491 | CT scan of neck soft tissue with contrast | $124.95 | 68.1% |
| 70551 | MRI of the brain without contrast | $133.26 | 68.2% |
| 70553 | MRI of the brain without then with contrast | $216.78 | 68.4% |
| 71045 | Chest X-ray, 1 view | $16.90 | 66.6% |
| 71046 | Chest X-ray, 2 views | $22.29 | 67.4% |
| 71047 | Chest X-ray, 3 views | $28.11 | 68.4% |
| 71048 | Chest X-ray, 4 or more views | $30.28 | 67.2% |
| 71100 | Rib X-ray, one side | $24.35 | 67.5% |
| 71101 | Rib X-ray, one side, with chest view | $28.11 | 67.3% |
| 71110 | Rib X-ray, both sides, 3 views | $29.19 | 68.3% |
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. Rows marked * show the schedule's representative published variant.
This table is the common-procedure sample. Every Hawaii lab & imaging code, plus all 51 jurisdictions, exports as CSV on the Rates plan.
More Hawaii Medicaid fee schedules
- Hawaii fee schedule overview
- Hawaii physician fee schedule · 6,785 codes
- Hawaii dme & supplies fee schedule · 1,728 codes
- Hawaii anesthesia fee schedule · 283 codes
- Hawaii vision fee schedule · 163 codes
- Hawaii other services fee schedule · 99 codes
- Hawaii behavioral health fee schedule · 23 codes
Lab & Imaging rates in neighboring states
Frequently asked questions
What does Hawaii Medicaid pay for laboratory tests and imaging?
Hawaii Medicaid publishes 2,075 lab & imaging procedure rates effective 2025, paying a median 71.3% of the national Medicare amount for the same services. The schedule covers blood panels, urinalysis, X-rays, CT, MRI, and ultrasound. The table on this page shows published rates for common procedures; the complete all-codes schedule is available as a CSV download with a ProviderSignal Rates subscription.
How do Hawaii's lab & imaging rates compare with Medicare?
Across lab & imaging codes with a national Medicare comparator, Hawaii Medicaid pays a median 71.3% of the Medicare amount (GPCI-neutral national comparison). Individual codes vary widely, so check the per-code percentage in the table.
Do lab & imaging services need prior authorization in Hawaii?
Hawaii does not publish prior-authorization indicators on this fee schedule, so PA requirements must be confirmed through the state's provider manual or portal. Absence of a flag here means "not published", never "no PA required".
Where do these rates come from?
Directly from Hawaii's published Medicaid fee-for-service schedule (effective 2025), collected and normalized by ProviderSignal across all 50 states + DC. Rates are re-collected on a rolling schedule and this page updates automatically. Procedure descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.