Prices at 6 hospitals in Hawaii, from their machine-readable files. Here the median cash price is $40,375 — 46% below the US median ($74,742), roughly 26.7× the Medicare rate.
Lowest cash prices
| Hospital | Location | Cash | Insurer | CMS rating | ER wait | Readmit |
|---|---|---|---|---|---|---|
| Adventist Health Castle | Kailua, HI | $40,375 | $40,722 | ★ 4/5 | 156 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)
Typical cash price here is $40,375 — about 26.7× the Medicare rate ($1,511). High vs Medicare. A fair cash price is usually within ~2× Medicare ($3,021).
💡 Asking for the cash price instead of the $126,171 list price could save about $85,797 (68%).
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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