Price AtlasInteractive atlas · All states · techysurgeon.comWilcox Memorial Hospital: what a joint replacement costs
Lihue, HI 96766 · CMS Certification Number 120014. 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.
Medicare prices at Wilcox Memorial Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $15,494 |
| Shoulder replacement | — | — | — | $21,714 |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $38,631 | — | $31,440–$45,822 | 2 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Kaiser Permanente | $45,822 | — | 1 |
| HMSA (BCBS Hawaii) | $31,440 | — | 1 |
From the hospital's price-transparency file (2026-02-12); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-02-12); commercial plans, dollar-amount contracts only.
Quality
Overall Care Compare rating: 2 of 5 stars. Government · Acute · 71 beds
Hawaii requires a certificate of need for new surgery centers.
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Questions
How much does Medicare pay Wilcox Memorial Hospital for a knee or hip replacement?
The Medicare allowed amount averaged $15,494 per outpatient hip or knee replacement case (APC 5115, 85 cases) in 2024. Inpatient stays were too few to report.
What do commercial insurers pay Wilcox Memorial Hospital for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $38,631 across 2 insurers, ranging from $31,440 to $45,822.