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.
Hawaii requires a certificate of need for new surgery centers.
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| Hospital | City | Inpatient avg total payment | List price | Outpatient allowed |
|---|---|---|---|---|
| Kuakini Medical Center | Honolulu | $19,776 | $35,647 | — |
| The Queens Medical Center | Honolulu | $21,588 | $92,920 | $14,376 |
| Hospital | City | Inpatient avg total payment | List price | Outpatient allowed |
|---|---|---|---|---|
| The Queens Medical Center | Honolulu | $21,588 | $92,920 | $14,376 |
| Kuakini Medical Center | Honolulu | $19,776 | $35,647 | — |
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.
Kuakini Medical Center ($19,776), The Queens Medical Center ($21,588) (average total payment per inpatient stay, patient share included).
The median list (chargemaster) price is $64,284, about 3.1× the median average total payment for a Medicare stay.
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.