Honolulu, HI 96813 · CMS Certification Number 120001. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $21,588 | $92,920 | 4.3× | $14,376 |
| Shoulder replacement | — | — | — | $20,418 |
| Hip replacement after a fracture (DRG 522) | $23,472 | $95,802 | 4.1× | — |
Complications after hip or knee replacement: 4% (no different from the national rate). Readmissions: 6.1%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 585 beds
Hawaii requires a certificate of need for new surgery centers.
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In 2024 Medicare paid The Queens Medical Center an average of $21,588 per inpatient hip or knee replacement stay (MS-DRG 470, 63 stays) and $14,376 per outpatient case (APC 5115, 185 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $92,920, 4.3× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Surgicare of Hawaii, an orthopedic surgery center same ZIP away, is paid about $10,450 by Medicare for a knee replacement (CPT 27447), $11,138 less than an inpatient stay at The Queens Medical Center. Not every patient is a surgery-center candidate.
Medicare paid The Queens Medical Center more than 100% of the 2 Hawaii hospitals that report inpatient hip or knee replacement.