Emergency department visit (level 1) cost in Hawaii

Prices at 7 hospitals in Hawaii, from their machine-readable files. Here the median cash price is $340 — 64% above the US median ($208), roughly 30.8× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Kau Hospital Pahala, HI $168 — — 79 min —
Kauai Veterans Memorial Hospital Waimea, HI $303 $588 — 79 min —
Samuel Mahelona Memorial Hospital Kapaa, HI $303 $703 — 61 min —
Kona Community Hospital Kealakekua, HI $340 $111 ★ 2/5 179 min —
North Hawaii Community Hospital, Inc Kamuela, HI $389 $106 ★ 3/5 135 min —
Molokai General Hospital Kaunakakai, HI $464 $1,137 — 88 min —
Kohala Hospital Kapaau, HI $471 $703 — 82 min —

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated October 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

Price comparison (median)

Chargemaster (list price)
$523
Cash / self-pay
$340
Insurer-negotiated
$646
Medicare pays
$11
$249$467
Median cash $340  ·  Medicare $11  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $340 — about 30.8× the Medicare rate ($11). High vs Medicare. A fair cash price is usually within ~2× Medicare ($22).

💡 Asking for the cash price instead of the $523 list price could save about $183 (35%).

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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Emergency department visit (level 1) cost in other states

All Emergency department visit (level 1) prices (national) → · All hospitals in Hawaii →