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Hawaii: one knee, three prices

What Medicare pays Hawaii hospitals and surgery centers for knee, hip and shoulder replacement, what hospitals list, and which cost the most and the least.

Surgery center
$9,736
Median Medicare knee rate, 9 orthopedic surgery centers
Hospital, same day
$15,108
Median outpatient allowed
Hospital, overnight
$20,682
Median inpatient paid, 2 hospitals

Hawaii requires a certificate of need for new surgery centers.

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Lowest Medicare payment

HospitalCityInpatient paidList priceOutpatient
Kuakini Medical CenterHonolulu$19,776$35,647—
The Queens Medical CenterHonolulu$21,588$92,920$14,376

Highest Medicare payment

HospitalCityInpatient paidList priceOutpatient
The Queens Medical CenterHonolulu$21,588$92,920$14,376
Kuakini Medical CenterHonolulu$19,776$35,647—

Every Hawaii hospital (10)

Orthopedic surgery centers (9)

Questions

How much does Medicare pay for a knee replacement in Hawaii?

In 2024 Medicare paid Hawaii hospitals a median $20,682 per inpatient hip or knee replacement stay (MS-DRG 470, 2 hospitals) and a median $15,108 per outpatient case. An orthopedic surgery center is paid about $9,736 for a knee.

Which Hawaii hospitals does Medicare pay least for a joint replacement?

Kuakini Medical Center ($19,776), The Queens Medical Center ($21,588).

What do Hawaii hospitals list for a joint replacement?

The median list (chargemaster) price is $64,284, about 3.1× what Medicare pays.

Does Hawaii have a certificate-of-need law?

Hawaii requires a certificate of need for new surgery centers. CON covers new health care facilities and services including ASCs; 2026 exemption proposals did not remove ASCs.