Prices at 4 hospitals in Hawaii, from their machine-readable files. Here the median cash price is $4,219 — 82% above the US median ($2,313), roughly 44.8× the Medicare rate.
Lowest cash prices
| Hospital | Location | Cash | Insurer | CMS rating | ER wait | Readmit |
|---|---|---|---|---|---|---|
| Kona Community Hospital 🍼 | Kealakekua, HI | $3,705 | $3,914 | ★ 2/5 | 179 min | — |
| Kauai Veterans Memorial Hospital 🍼 | Waimea, HI | $4,149 | $375 | — | 79 min | — |
| North Hawaii Community Hospital, Inc 🍼 | Kamuela, HI | $4,289 | $3,709 | ★ 3/5 | 135 min | — |
| Kau Hospital | Pahala, HI | $6,072 | — | — | 79 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. 🍼 = CMS Birthing-Friendly hospital. 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)
Typical cash price here is $4,219 — about 44.8× the Medicare rate ($94). High vs Medicare. A fair cash price is usually within ~2× Medicare ($188).
💡 Asking for the cash price instead of the $6,255 list price could save about $2,036 (33%).
Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.
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