Hawaii / Straub Clinic and Hospital
CMS certification 120022 · Honolulu, HI · 1 entry in CMS's price-transparency list
Straub Clinic and Hospital: charges and Medicare payments
Straub Clinic and Hospital reported 1,256 Medicare inpatient stays across 45 DRGs in 2024. Across them it charged 3.22 times what it was paid — among the higher ratios in Hawaii, number 3 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: 154 stays at an average charge of $71,255, 21% below the national average. It also billed 2,317 outpatient services, charging 3.91 times what Medicare paid.
- 1Medicare inpatient stays 1,256
- 2Charge ÷ paid, inpatient 3.22×
- 3Rank in HI (highest ratio = 1) 3 of 11
- 4CMS price-transparency actions 1
Inpatient stays
For the 45 DRGs that can be compared with the national average, Straub Clinic and Hospital charged more than the national average in 2 (4%). 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 | 154 | $71,255 | -21% | $19,353 |
| 177 Respiratory Infections and Inflammations with MCC | 117 | $64,406 | -9% | $17,409 |
| 291 Heart Failure and Shock with MCC | 88 | $52,486 | -7% | $14,531 |
| 193 Simple Pneumonia and Pleurisy with MCC | 59 | $53,559 | -10% | $14,155 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 58 | $129,560 | -41% | $49,731 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 51 | $78,020 | -50% | $32,443 |
| 603 Cellulitis without MCC | 36 | $27,214 | -27% | $9,917 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 33 | $184,174 | -35% | $65,996 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 29 | $45,838 | -24% | $13,785 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 28 | $42,212 | -24% | $9,801 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 28 | $50,947 | -33% | $15,560 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 28 | $228,596 | 0% | $65,883 |
| 378 Gastrointestinal Hemorrhage with CC | 27 | $33,672 | -31% | $13,841 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 25 | $40,059 | -18% | $14,207 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 24 | $84,531 | -15% | $21,138 |
| 235 Coronary Bypass without Cardiac Catheterization with MCC | 22 | $173,501 | -41% | $63,889 |
| 377 Gastrointestinal Hemorrhage with MCC | 22 | $74,927 | -12% | $20,410 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 21 | $78,176 | -32% | $23,584 |
| 602 Cellulitis with MCC | 21 | $61,657 | +3% | $15,737 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 20 | $132,324 | -19% | $31,286 |
| 481 Hip and Femur Procedures except Major Joint with CC | 20 | $68,627 | -32% | $23,412 |
| 682 Renal Failure with MCC | 20 | $48,111 | -27% | $14,554 |
| 689 Kidney and Urinary Tract Infections with MCC | 20 | $34,455 | -33% | $12,073 |
| 219 Cardiac Valve and Other Major Cardiothoracic Procedures... | 18 | $271,941 | -32% | $91,274 |
| 690 Kidney and Urinary Tract Infections without MCC | 18 | $35,528 | -6% | $8,832 |
| 329 Major Small and Large Bowel Procedures with MCC | 17 | $114,025 | -47% | $43,999 |
| 462 Bilateral or Multiple Major Joint Procedures of Lower... | 17 | $90,083 | -35% | $35,644 |
| 643 Endocrine Disorders with MCC | 17 | $53,447 | -28% | $20,090 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 14 | $90,342 | -61% | $41,776 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 14 | $55,926 | -50% | $24,815 |
| 330 Major Small and Large Bowel Procedures with CC | 14 | $79,750 | -33% | $27,328 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 14 | $48,694 | -20% | $13,540 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 14 | $67,263 | -34% | $20,517 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 14 | $39,729 | +7% | $10,250 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 13 | $88,044 | -35% | $22,470 |
| 270 Other Major Cardiovascular Procedures with MCC | 13 | $257,685 | -1% | $54,978 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 13 | $49,903 | -12% | $12,074 |
| 482 Hip and Femur Procedures except Major Joint without CC/MCC | 13 | $54,951 | -29% | $15,654 |
| 683 Renal Failure with CC | 13 | $31,121 | -24% | $10,747 |
| 189 Pulmonary Edema and Respiratory Failure | 12 | $38,656 | -33% | $15,807 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 12 | $71,100 | -37% | $22,828 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 12 | $29,674 | -18% | $7,633 |
| 271 Other Major Cardiovascular Procedures with CC | 11 | $125,311 | -28% | $34,799 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 11 | $67,413 | -8% | $16,266 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 11 | $297,382 | -8% | $76,919 |
Outpatient services
Against the Hawaii average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Straub Clinic and Hospital charged $71,255 on average, 3% more than the Hawaii average of $69,229, and was paid $19,353 against a state average of $23,514. For Respiratory Infections and Inflammations with MCC (DRG 177), Straub Clinic and Hospital charged $64,406 on average, 4% more than the Hawaii average of $61,878, and was paid $17,409 against a state average of $19,768. For Heart Failure and Shock with MCC (DRG 291), Straub Clinic and Hospital charged $52,486 on average, 1% more than the Hawaii average of $51,774, and was paid $14,531 against a state average of $16,264. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Straub Clinic and Hospital charged $53,559 on average, 6% more than the Hawaii average of $50,424, and was paid $14,155 against a state average of $16,146. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,116 was 30% below the state average of $1,583. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,473 was 5% below the state average of $18,402. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $19,939 was 13% above the state average of $17,589. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $53,236 was 2% below the state average of $54,220.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Straub Clinic and 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 — 2025-04-22 (CMS case 3970)
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.