Prices at 4 hospitals in Hawaii, from their machine-readable files. Here the median cash price is $13,941 — 52% above the US median ($9,144), roughly 10.7× the Medicare rate.
Lowest cash prices
| Hospital | Location | Cash | Insurer | CMS rating | ER wait | Readmit |
|---|---|---|---|---|---|---|
| North Hawaii Community Hospital, Inc | Kamuela, HI | $26,275 | $22,075 | ★ 3/5 | 135 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 $13,941 — about 10.7× the Medicare rate ($1,300). High vs Medicare. A fair cash price is usually within ~2× Medicare ($2,601).
💡 Asking for the cash price instead of the $20,106 list price could save about $6,166 (31%).
Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.
Shoulder replacement cost in other states
All Shoulder replacement prices (national) → · All hospitals in Hawaii →