Hawaii / Pali Momi Medical Center
CMS certification 120026 · Aiea, HI
Pali Momi Medical Center: charges and Medicare payments
Pali Momi Medical Center reported 990 Medicare inpatient stays across 33 DRGs in 2024. Across them it charged 3.07 times what it was paid — mid-range in Hawaii, number 4 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: 149 stays at an average charge of $59,351, 34% below the national average. It also billed 1,622 outpatient services, charging 4.02 times what Medicare paid.
- 1Medicare inpatient stays 990
- 2Charge ÷ paid, inpatient 3.07×
- 3Rank in HI (highest ratio = 1) 4 of 11
- 4CMS price-transparency actions 0
Inpatient stays
For the 33 DRGs that can be compared with the national average, Pali Momi 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 | 149 | $59,351 | -34% | $19,907 |
| 291 Heart Failure and Shock with MCC | 96 | $52,716 | -6% | $15,086 |
| 193 Simple Pneumonia and Pleurisy with MCC | 79 | $47,557 | -20% | $14,246 |
| 177 Respiratory Infections and Inflammations with MCC | 77 | $56,011 | -21% | $18,320 |
| 377 Gastrointestinal Hemorrhage with MCC | 50 | $45,249 | -47% | $17,530 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 44 | $57,812 | -24% | $16,939 |
| 378 Gastrointestinal Hemorrhage with CC | 39 | $33,543 | -31% | $10,612 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 35 | $35,020 | -42% | $13,910 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 32 | $41,466 | -26% | $13,002 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 27 | $158,753 | -31% | $51,299 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 26 | $56,483 | -43% | $20,918 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 22 | $119,636 | -27% | $30,539 |
| 689 Kidney and Urinary Tract Infections with MCC | 21 | $36,142 | -30% | $12,072 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 20 | $78,712 | -31% | $23,657 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 18 | $24,849 | -33% | $8,974 |
| 690 Kidney and Urinary Tract Infections without MCC | 18 | $25,722 | -32% | $8,219 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 17 | $59,691 | -47% | $23,720 |
| 481 Hip and Femur Procedures except Major Joint with CC | 17 | $56,720 | -44% | $20,440 |
| 603 Cellulitis without MCC | 17 | $29,484 | -21% | $10,353 |
| 189 Pulmonary Edema and Respiratory Failure | 16 | $42,867 | -26% | $14,950 |
| 194 Simple Pneumonia and Pleurisy with CC | 16 | $35,578 | -7% | $8,552 |
| 389 Gastrointestinal Obstruction with CC | 16 | $23,380 | -40% | $8,859 |
| 643 Endocrine Disorders with MCC | 16 | $33,686 | -55% | $16,096 |
| 252 Other Vascular Procedures with MCC | 15 | $85,120 | -50% | $34,477 |
| 393 Other Digestive System Diagnoses with MCC | 14 | $52,792 | -31% | $16,554 |
| 070 Other Cerebrovascular Disorders with MCC | 13 | $60,839 | -20% | $16,628 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 13 | $59,572 | -42% | $21,243 |
| 329 Major Small and Large Bowel Procedures with MCC | 12 | $152,174 | -29% | $48,580 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 11 | $31,168 | -38% | $10,223 |
| 242 Permanent Cardiac Pacemaker Implant with MCC | 11 | $104,389 | -35% | $38,666 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 11 | $29,317 | -19% | $8,784 |
| 444 Disorders of The Biliary Tract with MCC | 11 | $46,395 | -44% | $16,729 |
| 445 Disorders of The Biliary Tract with CC | 11 | $50,078 | -14% | $12,651 |
Outpatient services
Against the Hawaii average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Pali Momi Medical Center charged $59,351 on average, 14% less than the Hawaii average of $69,229, and was paid $19,907 against a state average of $23,514. For Heart Failure and Shock with MCC (DRG 291), Pali Momi Medical Center charged $52,716 on average, 2% more than the Hawaii average of $51,774, and was paid $15,086 against a state average of $16,264. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Pali Momi Medical Center charged $47,557 on average, 6% less than the Hawaii average of $50,424, and was paid $14,246 against a state average of $16,146. For Respiratory Infections and Inflammations with MCC (DRG 177), Pali Momi Medical Center charged $56,011 on average, 9% less than the Hawaii average of $61,878, and was paid $18,320 against a state average of $19,768. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $15,407 was 16% below the state average of $18,402. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,861 was 18% above the state average of $1,583. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $5,919 was 26% below the state average of $8,002. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $5,897 was 32% below the state average of $8,717.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
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.