Transparent pricing · Hilo, Big Island
How much does PRP cost in Hawaii?
Most clinics make you call to find out. We don't. Here's the real, published price for ultrasound-guided PRP with a board-certified orthopedic surgeon, and an honest look at insurance, Medicare, and whether it's worth it for your injury.
The short answer
$1,200–$3,000
per treatment area, cash-pay. The exact figure depends on the area treated and how many sessions you need, most patients need one to three sessions, spaced four to six weeks apart. PRP is generally not covered by insurance, but HSA/FSA funds usually qualify.
What you're paying for
What's included in a PRP treatment
Your price covers the whole episode of care, not just the injection. A surgeon does the work, and the platelets go in under live ultrasound.
Surgeon-led consultation
Dr. Hock evaluates your injury in person, exam, imaging review, and an honest read on whether PRP is the right call.
Your blood draw & processing
A small sample is drawn and concentrated in a centrifuge to multiply your platelets, the active healing fraction.
Ultrasound-guided injection
Dr. Hock places the PRP precisely into the injured tissue under live ultrasound, not a blind injection.
Aftercare & follow-up
Clear recovery instructions and a follow-up plan so we can track how your tissue responds over the next weeks.
Detailed receipt / superbill
Itemized documentation you can submit to your HSA, FSA, or insurer for possible reimbursement.
The honest part
Why we publish our prices
Hiding the price is a sales tactic. We'd rather you arrive informed. Cash-pay isn't a catch, it's what lets us put your injury first.
No mystery quotes
Almost no PRP clinic publishes its prices, you have to call, sit through a sales pitch, and only then learn the cost. We put it right here so you can decide on your own terms.
No surprise billing
Because this is cash-pay with a clear price, there's no insurance denial six months later and no statement you didn't expect. You know the number before you commit.
Your injury drives the plan
When care isn't gated by what an insurer will approve, the right treatment for your body is the only thing on the table, including being told PRP isn't worth it for you.
Does insurance cover PRP?
In almost all cases, no. Most insurers classify PRP as "investigational" or experimental for joints and tendons, which means it's excluded from coverage. You'll pay out of pocket, but you'll also skip prior authorizations and the risk of a denial after the fact.
Medicare
Medicare covers PRP only for chronic, non-healing diabetic wounds, not for joint, tendon, or ligament injections. PRP for arthritis, tendonitis, or plantar fasciitis is not a covered Medicare benefit.
Can I use HSA or FSA funds?
Generally, yes. PRP is a physician-delivered medical treatment, so HSA and FSA dollars are typically eligible as a qualified medical expense, which effectively lets you pay with pre-tax money.
- Confirm eligibility with your specific plan administrator first, rules vary.
- We provide detailed receipts and superbills for your records and claims.
- Some plans may also allow partial reimbursement, your superbill is what you'd submit.
This is general information, not tax advice, check with your plan.
Where you'll land in the range
How many sessions will I need?
The $1,200–$3,000 range reflects two things: how many areas are treated, and how many sessions your condition typically needs. Here's how that tends to break down, Dr. Hock confirms the plan at your consult.
Lower end
~$1,200–$1,600
A single area that responds to one session, for example, many cases of tennis or golfer's elbow.
Middle
~$1,600–$2,400
A condition that does best with a short series, for example, moderate knee arthritis often treated with two to three injections.
Higher end
~$2,400–$3,000
Multiple areas, or a fuller series of sessions spaced four to six weeks apart for the best odds of a durable result.
Not sure how many sessions your injury needs? The condition guides spell out the typical protocol for each.
The honest comparison
PRP vs. surgery vs. steroid shots
Price is only part of the picture. Here's the full trade-off, for the right candidate. For the wrong one, Dr. Hock will point you to surgery instead.
Surgery
$15K–50K
- 6–12 months recovery
- General anesthesia & hospital stay
- Extensive physical therapy
- Permanent changes to anatomy
- Months off work
PRP Therapy
$1,200–3,000
- Back to light activity in days
- 45-minute office procedure
- Uses your own blood, no rejection
- Ultrasound-guided precision
- Rebuilds tissue, lasting relief
Steroid Shots
$200–500
- Relief lasts only 6–12 weeks
- Masks pain, doesn't heal
- Weakens tissue over time
- Limited to 3–4 shots per year
- Pain often returns worse
Steroid shots are cheaper up front, but a few rounds a year that weaken tissue can cost more, in money and outcome, than one PRP series that heals.
Cost questions, answered
Frequently asked questions
How much does PRP cost in Hawaii?
At Island Orthobiologics, PRP runs $1,200–$3,000 per treatment area. The exact price depends on which area is treated and how many sessions you need, most patients need one to three sessions spaced four to six weeks apart. We publish this range up front; there are no mystery quotes or surprise bills.
Does insurance cover PRP?
Usually not. Most insurers classify PRP as 'investigational' or 'experimental' and exclude it from coverage for joints and tendons. That's why we're a transparent cash-pay practice, you get the right treatment without waiting on an insurance approval. We provide detailed receipts and superbills you can submit to your plan.
Is PRP covered by Medicare?
Medicare covers PRP only for chronic, non-healing diabetic wounds, not for joint, tendon, or ligament injections. So PRP for knee arthritis, tennis elbow, plantar fasciitis, or a shoulder is not a covered Medicare benefit and is paid out of pocket.
Can I use my HSA or FSA for PRP?
Generally, yes. PRP is a legitimate medical treatment delivered by a physician, so HSA and FSA funds are typically eligible as a qualified medical expense. Rules vary by plan, so confirm with your administrator first, we provide detailed receipts and superbills to support your claim.
Why is PRP cash-pay instead of billed to insurance?
Because insurers label PRP investigational, billing it through insurance would mean denials, delays, and surprise bills. Cash-pay keeps it simple and honest: a clear price published on our site, no prior authorizations, no surprise statements months later, and your care decisions are driven by your injury, not by what an insurer will approve.
Is PRP worth the cost?
It depends on your specific injury, which is exactly the conversation to have with Dr. Hock. For conditions where the evidence is strong (knee arthritis, tennis/golfer's elbow, chronic plantar fasciitis), PRP can be a far cheaper, lower-risk alternative to surgery ($15K–$50K plus months of recovery) and more durable than repeat steroid shots. If PRP won't help you, Dr. Hock will tell you that honestly rather than take your money.
Your next step
See if PRP is worth it for your specific injury
Take the 2-minute assessment, or talk to Dr. Hock directly. He'll give you an honest answer, even if that answer is “this won't work for you.”
or call (808) 980-1196