Emergency department visit (level 4) cost in Hawaii

Prices at 7 hospitals in Hawaii, from their machine-readable files. Here the median cash price is $1,572 — 66% above the US median ($949), roughly 13.3× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Kau Hospital Pahala, HI $842 — — 79 min —
Kauai Veterans Memorial Hospital Waimea, HI $1,534 $588 — 79 min —
Samuel Mahelona Memorial Hospital Kapaa, HI $1,534 $703 — 61 min —
Kona Community Hospital Kealakekua, HI $1,572 $554 ★ 2/5 179 min —
Kohala Hospital Kapaau, HI $2,079 $703 — 82 min —
North Hawaii Community Hospital, Inc Kamuela, HI $2,183 $525 ★ 3/5 135 min —
Molokai General Hospital Kaunakakai, HI $2,372 $1,137 — 88 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)
$2,418
Cash / self-pay
$1,572
Insurer-negotiated
$646
Medicare pays
$118
$1,257$2,258
Median cash $1,572  ·  Medicare $118  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $1,572 — about 13.3× the Medicare rate ($118). High vs Medicare. A fair cash price is usually within ~2× Medicare ($236).

💡 Asking for the cash price instead of the $2,418 list price could save about $846 (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 4) cost in other states

All Emergency department visit (level 4) prices (national) → · All hospitals in Hawaii →