Hawaii / Maui Memorial Medical Center
CMS certification 120002 · Wailuku, HI · 4 entries in CMS's price-transparency list
Maui Memorial Medical Center: charges and Medicare payments
Maui Memorial Medical Center reported 693 Medicare inpatient stays across 27 DRGs in 2024. Across them it charged 1.91 times what it was paid — among the lower ratios in Hawaii, number 11 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: 112 stays at an average charge of $59,607, 34% below the national average. It also billed 552 outpatient services, charging 5.5 times what Medicare paid.
- 1Medicare inpatient stays 693
- 2Charge ÷ paid, inpatient 1.91×
- 3Rank in HI (highest ratio = 1) 11 of 11
- 4CMS price-transparency actions 4
Inpatient stays
For the 27 DRGs that can be compared with the national average, Maui Memorial Medical Center 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 | 112 | $59,607 | -34% | $32,117 |
| 291 Heart Failure and Shock with MCC | 73 | $42,696 | -24% | $20,618 |
| 177 Respiratory Infections and Inflammations with MCC | 50 | $49,213 | -30% | $27,338 |
| 193 Simple Pneumonia and Pleurisy with MCC | 49 | $42,188 | -29% | $21,342 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 30 | $45,366 | -25% | $21,081 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 30 | $35,888 | -27% | $16,551 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 29 | $49,815 | -50% | $32,070 |
| 378 Gastrointestinal Hemorrhage with CC | 27 | $40,976 | -16% | $16,162 |
| 377 Gastrointestinal Hemorrhage with MCC | 23 | $52,511 | -39% | $28,428 |
| 689 Kidney and Urinary Tract Infections with MCC | 22 | $31,320 | -39% | $18,770 |
| 481 Hip and Femur Procedures except Major Joint with CC | 20 | $72,357 | -28% | $33,513 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 19 | $41,762 | -43% | $26,359 |
| 603 Cellulitis without MCC | 18 | $23,688 | -36% | $14,215 |
| 690 Kidney and Urinary Tract Infections without MCC | 18 | $21,404 | -43% | $13,036 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 16 | $46,425 | -17% | $17,104 |
| 189 Pulmonary Edema and Respiratory Failure | 16 | $41,798 | -27% | $21,318 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 16 | $66,812 | -35% | $33,976 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 16 | $162,377 | -29% | $84,284 |
| 885 Psychoses | 16 | $28,727 | -35% | $22,003 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 12 | $49,242 | -35% | $25,817 |
| 312 Syncope and Collapse | 12 | $31,779 | -30% | $13,938 |
| 329 Major Small and Large Bowel Procedures with MCC | 12 | $119,742 | -44% | $66,745 |
| 389 Gastrointestinal Obstruction with CC | 12 | $20,007 | -49% | $12,758 |
| 552 Medical Back Problems without MCC | 12 | $33,899 | -31% | $17,817 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $21,581 | -46% | $13,062 |
| 602 Cellulitis with MCC | 11 | $52,930 | -12% | $24,074 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 11 | $26,934 | -27% | $12,558 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 152 | $20,731 | $3,302 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 42 | $9,475 | $1,921 |
| Level 2 Musculoskeletal Procedures | 41 | $9,751 | $1,980 |
| Level 1 Laparoscopy and Related Services | 41 | $32,797 | $6,831 |
| Level 5 Urology and Related Services | 31 | $31,541 | $6,374 |
| Level 3 Vascular Procedures | 30 | $12,640 | $3,926 |
| Level 1 Endovascular Procedures | 28 | $21,219 | $3,917 |
| Level 2 Upper GI Procedures | 28 | $11,541 | $2,139 |
| Level 4 Musculoskeletal Procedures | 27 | $34,296 | $8,562 |
| Level 5 Musculoskeletal Procedures | 25 | $42,882 | $14,484 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 25 | $19,118 | $4,126 |
| Level 3 Endovascular Procedures | 24 | $42,404 | $13,529 |
| Level 2 Vascular Procedures | 18 | $8,128 | $1,852 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 16 | $16,941 | $3,500 |
| Level 4 Vascular Procedures | 12 | $31,354 | $6,769 |
| Level 2 Endovascular Procedures | 12 | $21,081 | $7,041 |
Against the Hawaii average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Maui Memorial Medical Center charged $59,607 on average, 14% less than the Hawaii average of $69,229, and was paid $32,117 against a state average of $23,514. For Heart Failure and Shock with MCC (DRG 291), Maui Memorial Medical Center charged $42,696 on average, 18% less than the Hawaii average of $51,774, and was paid $20,618 against a state average of $16,264. For Respiratory Infections and Inflammations with MCC (DRG 177), Maui Memorial Medical Center charged $49,213 on average, 20% less than the Hawaii average of $61,878, and was paid $27,338 against a state average of $19,768. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Maui Memorial Medical Center charged $42,188 on average, 16% less than the Hawaii average of $50,424, and was paid $21,342 against a state average of $16,146. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $20,731 was 13% above the state average of $18,402. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,475 was 18% above the state average of $8,002. For Level 2 Musculoskeletal Procedures (outpatient APC 5112), its average charge of $9,751 was 6% above the state average of $9,172. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $32,797 was 15% above the state average of $28,603.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Maui Memorial Medical Center in Wailuku, HI, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2025-04-23 (CMS case 4017)
- CAP Request — 2025-07-31 (CMS case 4017)
- Closure Notice — 2025-09-03 (CMS case 4017)
- Warning Notice — 2026-05-20 (CMS case 7832)
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.