Honolulu, HI 96817 · CMS Certification Number 120007. 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 | $19,776 | $35,647 | 1.8× | — |
| Shoulder replacement | — | — | — | — |
Complications after hip or knee replacement: 3.7% (no different from the national rate). Readmissions: 5.3%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 212 beds
Hawaii requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Kuakini Medical Center an average of $19,776 per inpatient hip or knee replacement stay (MS-DRG 470, 51 stays).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $35,647, 1.8× 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 3.1 mi away, is paid about $10,450 by Medicare for a knee replacement (CPT 27447), $9,326 less than an inpatient stay at Kuakini Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Kuakini Medical Center less than 50% of the 2 Hawaii hospitals that report inpatient hip or knee replacement.