States / Hawaii
HI · 13 hospitals · #46 of 51 by charge gap
Hospital prices in Hawaii
11 Hawaii hospitals reported 11,470 Medicare inpatient stays in 2024. The median hospital charged 2.84 times what it was paid — below the national median of 4.15×, number 46 of 51. The widest gap was at The Queens Medical Center (3.99×), the narrowest at Maui Memorial Medical Center (1.91×). CMS's price-transparency list records 38 enforcement actions involving 16 Hawaii hospitals.
- 1Median charge ÷ paid 2.84×
- 2Hospitals reporting 13
- 3Medicare inpatient stays 11,470
- 4Price-transparency actions 38
Most common stays in Hawaii
| DRG | Stays | HI avg charge | US avg charge | HI avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with... | 1,722 | $69,229 | $90,297 | $23,514 |
| 291 Heart Failure and Shock with MCC | 745 | $51,774 | $56,380 | $16,264 |
| 177 Respiratory Infections and Inflammations with MCC | 638 | $61,878 | $70,592 | $19,768 |
| 193 Simple Pneumonia and Pleurisy with MCC | 475 | $50,424 | $59,757 | $16,146 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 342 | $65,543 | $75,821 | $18,690 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without... | 340 | $42,964 | $49,049 | $14,095 |
| 378 Gastrointestinal Hemorrhage with CC | 309 | $42,130 | $48,550 | $12,623 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures... | 296 | $194,806 | $228,948 | $61,936 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 289 | $93,745 | $99,864 | $26,106 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC... | 246 | $49,467 | $55,724 | $13,975 |
Every hospital
| Hospital | Stays | Ratio | Actions |
|---|---|---|---|
| The Queens Medical Center Honolulu | 5,399 | 3.99× | 4 |
| Straub Clinic and Hospital Honolulu | 1,256 | 3.22× | 1 |
| Hilo Benioff Medical Center Hilo | 1,094 | 2.57× | – |
| Pali Momi Medical Center Aiea | 990 | 3.07× | – |
| Adventist Health Castle Kailua | 775 | 2.84× | 3 |
| Maui Memorial Medical Center Wailuku | 693 | 1.91× | 4 |
| Kuakini Medical Center Honolulu | 510 | 2.96× | 4 |
| Kaiser Foundation Hospital Honolulu | 270 | 2.25× | 3 |
| Wilcox Memorial Hospital Lihue | 201 | 2.2× | – |
| Kona Community Hospital Kealakekua | 161 | 2.37× | 2 |
| North Hawaii Community Hospital, Inc Kamuela | 121 | 3.3× | – |
| Kapiolani Medical Center for Women & Children Honolulu | 0 | – | – |
| Wahiawa General Hospital Wahiawa | 0 | – | 1 |
Price-transparency enforcement in Hawaii
13 warning notices, 11 closure notices, 10 “met requirements” findings, 3 corrective-action-plan requests, 1 administrative closure — CMS's actions under the hospital price-transparency rule since 2021. See the enforcement page for what each step means.
Sources: CMS Medicare Inpatient 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.