Cost of a Carpal Tunnel Surgery Visit
in Hawaii
Reviewed by Momentary Medical Group West PC
Hawaii's isolated island geography creates unique healthcare delivery challenges, with specialized surgical care concentrated in Honolulu while outer islands face significant access barriers. Carpal Tunnel Surgery patients across the Hawaiian Islands typically pay between $357 and $1040, with a median out-of-pocket cost of $603 based on negotiated insurance rates. Hawaii maintains 41 active Carpal Tunnel Surgery providers serving the state's population, though distribution varies significantly between Oahu's urban centers and the more remote areas of neighboring islands.
Average
$667
Median
$604
Lowest
$358
Highest
$1,040
Providers
41
12% below national average
Compare Similar Procedures
How does carpal tunnel surgery compare to related procedures in Hawaii?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,018 | $1,894 | $2,946 | 46 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $90 | $1,896 | $2,947 | 50 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $85 | $746 | $1,386 | 51 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $80 | $752 | $1,287 | 52 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $80 | $929 | $1,507 | 68 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $80 | $846 | $1,376 | 75 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $1,235 | $1,929 | 46 |
| Septoplasty Nasal septum repair | 30520 | $80 | $858 | $1,376 | 47 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $85 | $399 | $665 | 45 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $426 | $734 | $1,149 | 42 |
| Mastectomy Partial or simple mastectomy | 19301 | $85 | $922 | $1,475 | 45 |
Important: These are cost estimates only — not a quote and not medical advice.
The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 64721 — Neuroplasty and/or transposition; median nerve at carpal tunnel). They represent what a patient might pay without insurance.
Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.
This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.
Where this data comes from & what CPT 64721 covers
Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 64721 (Neuroplasty and/or transposition; median nerve at carpal tunnel), as mandated by the CMS Price Transparency Rule.
What CPT 64721 covers: the provider's professional fee for carpal tunnel surgery. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.
How to read this data
Negotiated Rate
The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.
P5, Median, P95
P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.
What this does not tell you
These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.
Why Carpal Tunnel Surgery Visit Costs Vary Across Hawaii
Healthcare costs in Hawaii run approximately 16% above national averages due to the state's isolated location, high cost of living, and limited competition among providers. The island geography creates natural monopolies in healthcare delivery, particularly for specialized surgical services that require significant capital investment in equipment and facilities.
Urban vs. Rural Provider Availability
Oahu concentrates the majority of Hawaii's hand surgeons, with Honolulu medical centers like Queen's Medical Center and Straub Medical Center offering the most options and competitive pricing. Neighbor islands including Maui, Big Island, and Kauai have very limited specialist availability, often requiring patients to travel to Oahu for surgery. This geographic maldistribution drives up costs for outer island residents who must factor in travel and lodging expenses.
Facility Type and Overhead Costs
Hospital-based outpatient surgery centers typically charge higher facility fees than independent ambulatory surgery centers, reflecting Hawaii's high real estate and operational costs. Major health systems like Hawaii Pacific Health and Kaiser Permanente operate most surgical facilities, with limited independent competition. The state's strict certificate of need laws and high barriers to entry help maintain higher pricing across facility types.
Insurance Market Competition in Hawaii
Hawaii's insurance market is highly concentrated with HMSA Blue Cross dominating commercial coverage, followed by Kaiser's integrated model and United Healthcare's limited presence. This limited insurer competition reduces pressure on negotiated rates with providers, contributing to higher healthcare costs statewide. The state's small population and geographic isolation make it difficult for new insurers to enter and compete effectively.
Physician Supply and Demand in Hawaii
With 41 active Carpal Tunnel Surgery providers serving Hawaii's 1.4 million residents, the state faces a relative shortage of hand surgeons compared to mainland markets. Many specialists trained at University of Hawaii leave for higher-paying mainland positions, creating ongoing supply constraints. Limited supply combined with steady demand from an aging population and active outdoor lifestyle maintains upward pressure on surgical pricing and extends wait times for non-urgent procedures.
Jayant Panwar
CEO, Momentary Labs · San Francisco, CA
Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.
The cost figures on this page reflect his ongoing work to make this data accessible to patients.
Frequently Asked Questions — Carpal Tunnel Surgery Costs in Hawaii
What is the average cost of a Carpal Tunnel Surgery visit in Hawaii without insurance?
Does Hawaii Medicaid cover Carpal Tunnel Surgery visits?
How do I find an affordable Carpal Tunnel Surgery near me in Hawaii?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a Carpal Tunnel Surgery visit in Hawaii?
How does telemedicine affect the cost of seeing a Carpal Tunnel Surgery in Hawaii?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 64721)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $85 – $5,357 | $2,063 |
| 2 | North Dakota Range: $319 – $2,591 | $1,168 |
| 3 | Rhode Island Range: $364 – $1,957 | $1,066 |
| 4 | Massachusetts Range: $338 – $1,957 | $1,005 |
| 5 | Minnesota Range: $358 – $1,930 | $1,003 |
| 6 | Delaware Range: $354 – $1,957 | $974 |
| 7 | Georgia Range: $344 – $1,930 | $973 |
| 8 | West Virginia Range: $342 – $2,006 | $972 |
| 9 | New York Range: $320 – $1,963 | $969 |
| 10 | New Jersey Range: $265 – $2,119 | $968 |
| 11 | Connecticut Range: $311 – $1,957 | $962 |
| 12 | Alaska Range: $364 – $1,957 | $961 |
| 13 | Kentucky Range: $340 – $1,957 | $954 |
| 14 | Pennsylvania Range: $317 – $1,957 | $937 |
| 15 | District of Columbia Range: $328 – $1,686 | $917 |
| 16 | Oregon Range: $90 – $1,930 | $888 |
| 17 | Wyoming Range: $519 – $1,358 | $865 |
| 18 | Nebraska Range: $513 – $1,068 | $840 |
| 19 | New Hampshire Range: $429 – $1,267 | $838 |
| 20 | Washington Range: $490 – $1,221 | $793 |
| 21 | Iowa Range: $361 – $1,068 | $787 |
| 22 | California Range: $80 – $1,930 | $757 |
| 23 | Maine Range: $519 – $888 | $753 |
| 24 | Utah Range: $265 – $988 | $728 |
| 25 | North Carolina Range: $349 – $1,241 | $727 |
| 26 | Colorado Range: $364 – $1,110 | $701 |
| 27 | New Mexico Range: $385 – $1,031 | $683 |
| 28 | Illinois Range: $372 – $1,070 | $679 |
| 29 | Hawaii Range: $358 – $1,040 | $667 |
| 30 | South Dakota Range: $296 – $1,068 | $662 |
| 31 | Indiana Range: $291 – $1,070 | $640 |
| 32 | Vermont Range: $338 – $1,053 | $637 |
| 33 | Michigan Range: $359 – $1,068 | $628 |
| 34 | South Carolina Range: $334 – $1,030 | $610 |
| 35 | Louisiana Range: $294 – $979 | $593 |
| 36 | Alabama Range: $294 – $910 | $590 |
| 37 | Missouri Range: $402 – $726 | $581 |
| 38 | Idaho Range: $90 – $1,031 | $567 |
| 39 | Virginia Range: $309 – $920 | $564 |
| 40 | Arkansas Range: $294 – $790 | $560 |
| 41 | Maryland Range: $318 – $920 | $552 |
| 42 | Tennessee Range: $332 – $804 | $546 |
| 43 | Oklahoma Range: $345 – $823 | $531 |
| 44 | Kansas Range: $402 – $670 | $526 |
| 45 | Mississippi Range: $332 – $826 | $520 |
| 46 | Montana Range: $90 – $979 | $513 |
| 47 | Nevada Range: $352 – $746 | $512 |
| 48 | Ohio Range: $268 – $797 | $506 |
| 49 | Texas Range: $90 – $895 | $484 |
| 50 | Arizona Range: $352 – $729 | $482 |
| 51 | Florida Range: $35 – $733 | $274 |