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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 Medicare allowed amount
Hospital, overnight
$20,682
Median avg total payment (incl. patient share), 2 hospitals

Hawaii requires a certificate of need for new surgery centers.

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Lowest average total payment per stay

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

Highest average total payment per stay

HospitalCityInpatient avg total paymentList priceOutpatient allowed
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 the median average total payment to Hawaii hospitals was $20,682 per Medicare inpatient hip or knee replacement stay (MS-DRG 470, 2 hospitals; Medicare's payment plus the patient's share), and the median Medicare allowed amount was $15,108 per outpatient case. An orthopedic surgery center is paid about $9,736 for a knee.

Which Hawaii hospitals have the lowest Medicare payment for a joint replacement?

Kuakini Medical Center ($19,776), The Queens Medical Center ($21,588) (average total payment per inpatient stay, patient share included).

What do Hawaii hospitals list for a joint replacement?

The median list (chargemaster) price is $64,284, about 3.1× the median average total payment for a Medicare stay.

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.