Hawaii / The Queens Medical Center
CMS certification 120001 · Honolulu, HI · 4 entries in CMS's price-transparency list
The Queens Medical Center: charges and Medicare payments
The Queens Medical Center reported 5,399 Medicare inpatient stays across 158 DRGs in 2024. Across them it charged 3.99 times what it was paid — among the higher ratios in Hawaii, number 1 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: 553 stays at an average charge of $86,064, 5% below the national average. It also billed 4,044 outpatient services, charging 5.68 times what Medicare paid.
- 1Medicare inpatient stays 5,399
- 2Charge ÷ paid, inpatient 3.99×
- 3Rank in HI (highest ratio = 1) 1 of 11
- 4CMS price-transparency actions 4
Inpatient stays
For the 158 DRGs that can be compared with the national average, The Queens Medical Center charged more than the national average in 75 (47%). 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 | 553 | $86,064 | -5% | $24,307 |
| 291 Heart Failure and Shock with MCC | 243 | $63,446 | +13% | $15,498 |
| 177 Respiratory Infections and Inflammations with MCC | 161 | $79,045 | +12% | $20,204 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 142 | $53,445 | +9% | $14,976 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 139 | $85,137 | +12% | $19,356 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 134 | $134,317 | +34% | $27,170 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 128 | $242,827 | +6% | $65,630 |
| 378 Gastrointestinal Hemorrhage with CC | 107 | $48,379 | 0% | $12,587 |
| 193 Simple Pneumonia and Pleurisy with MCC | 94 | $61,644 | +3% | $16,004 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 90 | $67,760 | +22% | $14,979 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 84 | $83,680 | +39% | $17,677 |
| 603 Cellulitis without MCC | 75 | $41,426 | +11% | $11,746 |
| 312 Syncope and Collapse | 64 | $47,424 | +4% | $9,883 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 63 | $92,920 | 0% | $21,588 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 63 | $40,216 | +9% | $9,060 |
| 682 Renal Failure with MCC | 62 | $80,308 | +22% | $19,518 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 59 | $218,361 | -6% | $60,127 |
| 683 Renal Failure with CC | 59 | $37,957 | -7% | $12,601 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 59 | $81,973 | +12% | $20,141 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 57 | $274,388 | -2% | $70,367 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 53 | $103,357 | -10% | $24,615 |
| 377 Gastrointestinal Hemorrhage with MCC | 52 | $76,777 | -10% | $19,755 |
| 690 Kidney and Urinary Tract Infections without MCC | 52 | $38,069 | +1% | $10,015 |
| 194 Simple Pneumonia and Pleurisy with CC | 51 | $51,553 | +34% | $14,723 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 51 | $51,066 | +1% | $11,428 |
| 481 Hip and Femur Procedures except Major Joint with CC | 49 | $87,523 | -13% | $22,133 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 47 | $54,072 | +7% | $12,857 |
| 885 Psychoses | 47 | $87,544 | +99% | $16,438 |
| 189 Pulmonary Edema and Respiratory Failure | 46 | $61,565 | +7% | $15,895 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 45 | $190,896 | -14% | $53,369 |
| 329 Major Small and Large Bowel Procedures with MCC | 43 | $291,958 | +36% | $57,125 |
| 252 Other Vascular Procedures with MCC | 42 | $138,848 | -19% | $37,657 |
| 552 Medical Back Problems without MCC | 39 | $38,252 | -22% | $11,569 |
| 689 Kidney and Urinary Tract Infections with MCC | 39 | $71,803 | +40% | $18,236 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 38 | $226,723 | +5% | $47,191 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 37 | $53,641 | +34% | $10,165 |
| 330 Major Small and Large Bowel Procedures with CC | 35 | $100,634 | -15% | $30,176 |
| 178 Respiratory Infections and Inflammations with CC | 34 | $49,069 | +8% | $11,974 |
| 180 Respiratory Neoplasms with MCC | 33 | $80,282 | -9% | $22,870 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 32 | $92,497 | -6% | $47,553 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 31 | $77,453 | +27% | $17,614 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 30 | $142,051 | +2% | $32,418 |
| 652 Kidney Transplant | 30 | $482,433 | +43% | $50,412 |
| 253 Other Vascular Procedures with CC | 29 | $123,949 | -6% | $32,246 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 29 | $54,849 | +52% | $14,253 |
| 460 Spinal Fusion except Cervical without MCC | 29 | $113,804 | -33% | $45,398 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 28 | $113,865 | -16% | $33,920 |
| 394 Other Digestive System Diagnoses with CC | 28 | $43,334 | -8% | $11,469 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 28 | $39,688 | -16% | $12,303 |
| 024 Craniotomy with Major Device Implant or Acute Complex Cns... | 27 | $164,454 | -15% | $40,395 |
| 100 Seizures with MCC | 27 | $128,855 | +37% | $24,964 |
| 390 Gastrointestinal Obstruction without CC/MCC | 27 | $29,750 | +6% | $7,757 |
| 472 Cervical Spinal Fusion with CC | 27 | $156,845 | +10% | $41,878 |
| 638 Diabetes with CC | 27 | $36,825 | -12% | $10,350 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 26 | $72,026 | +27% | $14,133 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 26 | $183,689 | +12% | $37,308 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 26 | $95,802 | -6% | $23,472 |
| 551 Medical Back Problems with MCC | 26 | $67,159 | -15% | $18,920 |
| 643 Endocrine Disorders with MCC | 26 | $55,230 | -25% | $18,591 |
| 571 Skin Debridement with CC | 25 | $58,185 | -22% | $19,173 |
Showing the 60 most frequent of 158 DRGs.
Outpatient services
Against the Hawaii average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), The Queens Medical Center charged $86,064 on average, 24% more than the Hawaii average of $69,229, and was paid $24,307 against a state average of $23,514. For Heart Failure and Shock with MCC (DRG 291), The Queens Medical Center charged $63,446 on average, 23% more than the Hawaii average of $51,774, and was paid $15,498 against a state average of $16,264. For Respiratory Infections and Inflammations with MCC (DRG 177), The Queens Medical Center charged $79,045 on average, 28% more than the Hawaii average of $61,878, and was paid $20,204 against a state average of $19,768. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), The Queens Medical Center charged $53,445 on average, 24% more than the Hawaii average of $42,964, and was paid $14,976 against a state average of $14,095. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,072 was 7% below the state average of $18,402. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,876 was 23% above the state average of $8,002. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $19,368 was 24% above the state average of $15,603. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $13,267 was 15% above the state average of $11,560.
Price-transparency record
CMS's enforcement list records these actions for a hospital named The Queens Medical Center in Honolulu, HI, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-08-25 (CMS case 321)
- Closure Notice — 2022-02-10 (CMS case 321)
- Warning Notice — 2025-04-16 (CMS case 3835)
- Closure Notice — 2025-04-28 (CMS case 3835)
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.