Hilo, HI 96720 · CMS Certification Number 120005. 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 | — | — | — | $15,774 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $26,344 | $61,453 | 2.3× | — |
Readmissions: 5.6%. Overall Care Compare rating: 3 of 5 stars. Government · Acute · 142 beds
Hawaii requires a certificate of need for new surgery centers.
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Medicare allowed an average of $15,774 per outpatient hip or knee replacement case (APC 5115, 36 cases) in 2024. Inpatient stays were too few to report.
Yes for Medicare facility payments. Hilo Community Surgery Center, an orthopedic surgery center same ZIP away, is paid about $9,736 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.