Hawaii / Kaiser Foundation Hospital
CMS certification 120011 · Honolulu, HI · 3 entries in CMS's price-transparency list
Kaiser Foundation Hospital: charges and Medicare payments
Kaiser Foundation Hospital reported 270 Medicare inpatient stays across 8 DRGs in 2024. Across them it charged 2.25 times what it was paid — among the lower ratios in Hawaii, number 9 of 11 hospitals with at least 100 stays (state median 2.84×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 124 stays at an average charge of $55,578, 38% below the national average. It also billed 208 outpatient services, charging 4.92 times what Medicare paid.
- 1Medicare inpatient stays 270
- 2Charge ÷ paid, inpatient 2.25×
- 3Rank in HI (highest ratio = 1) 9 of 11
- 4CMS price-transparency actions 3
Inpatient stays
For the 8 DRGs that can be compared with the national average, Kaiser Foundation Hospital charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 124 | $55,578 | -38% | $24,256 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 38 | $27,121 | -45% | $12,437 |
| 189 Pulmonary Edema and Respiratory Failure | 21 | $43,502 | -24% | $15,862 |
| 291 Heart Failure and Shock with MCC | 21 | $42,399 | -25% | $18,567 |
| 177 Respiratory Infections and Inflammations with MCC | 20 | $39,180 | -44% | $16,664 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 17 | $38,325 | -49% | $19,117 |
| 193 Simple Pneumonia and Pleurisy with MCC | 16 | $37,409 | -37% | $14,429 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 13 | $92,222 | -60% | $50,781 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 79 | $18,009 | $2,812 |
| Level 2 Endovascular Procedures | 36 | $13,120 | $5,881 |
| Level 3 Vascular Procedures | 28 | $18,088 | $3,087 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 21 | $6,391 | $1,359 |
| Level 3 Endovascular Procedures | 20 | $25,838 | $12,390 |
| Level 1 Endovascular Procedures | 13 | $12,974 | $3,275 |
| Level 4 Urology and Related Services | 11 | $14,623 | $2,793 |
Against the Hawaii average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Kaiser Foundation Hospital charged $55,578 on average, 20% less than the Hawaii average of $69,229, and was paid $24,256 against a state average of $23,514. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Kaiser Foundation Hospital charged $27,121 on average, 37% less than the Hawaii average of $42,964, and was paid $12,437 against a state average of $14,095. For Pulmonary Edema and Respiratory Failure (DRG 189), Kaiser Foundation Hospital charged $43,502 on average, 9% less than the Hawaii average of $48,044, and was paid $15,862 against a state average of $16,250. For Heart Failure and Shock with MCC (DRG 291), Kaiser Foundation Hospital charged $42,399 on average, 18% less than the Hawaii average of $51,774, and was paid $18,567 against a state average of $16,264. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $18,009 was 2% below the state average of $18,402. For Level 2 Endovascular Procedures (outpatient APC 5192), its average charge of $13,120 was 41% below the state average of $22,110. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $18,088 was 16% above the state average of $15,603. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $6,391 was 20% below the state average of $8,002.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Kaiser Foundation Hospital in Honolulu, HI, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-15 (CMS case 3839)
- Warning Notice — 2026-04-21 (CMS case 7539)
- Closure Notice — 2026-06-23 (CMS case 7539)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.