Price AtlasInteractive atlas · All states · techysurgeon.comNorth Hawaii Community Hospital, Inc: what a joint replacement costs
Kamuela, HI 96743 · CMS Certification Number 120028. 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 North Hawaii Community Hospital, Inc
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $15,948 |
| Shoulder replacement | — | — | — | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $43,133 | — | $26,865–$59,401 | 2 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Kaiser Permanente | $59,401 | — | 1 |
| HMSA (BCBS Hawaii) | $26,865 | — | 1 |
From the hospital's price-transparency file (2026-03-09); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-03-09); commercial plans, dollar-amount contracts only.
Quality
Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 33 beds
Hawaii requires a certificate of need for new surgery centers.
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Questions
How much does Medicare pay North Hawaii Community Hospital, Inc for a knee or hip replacement?
The Medicare allowed amount averaged $15,948 per outpatient hip or knee replacement case (APC 5115, 63 cases) in 2024. Inpatient stays were too few to report.
Is a knee replacement cheaper at a surgery center near North Hawaii Community Hospital, Inc?
Yes for Medicare facility payments. Ali'I Ambulatory Surgery Center, an orthopedic surgery center 20.6 mi away, is paid about $9,736 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
What do commercial insurers pay North Hawaii Community Hospital, Inc 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 $43,133 across 2 insurers, ranging from $26,865 to $59,401.