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States Procedures Methodology Search
State Price Transparency Index 20 Mapped Hospitals 128 Shoppable Procedures −2% vs. U.S. Median (near the U.S. average)

Hawaii Hospital Rates

Compare cash discount rates, commercial insurance prices, and fair price benchmarks across all 20 Hawaii hospitals.

Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.Near Fair BaseRate Benchmark
0.98×vs. U.S. Fair Price Average
Position vs. 1.00× Fair PriceRight at U.S. Average (0%) 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

Across 20 Hawaii hospitals, typical commercial prices match the U.S. fair price average (0.98×) after accounting for local wages and patient complexity.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).86/100 · Verified
86/100Hover Any Check Below to See How Prices Were Audited
File Completeness90Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic88Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment86Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing83Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount84Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Hawaii Market & Best ValueSummarizes statewide hospital price coverage across Hawaii, the average commercial markup over federal Medicare rates, and the #1 best-value hospital in the state.20 Hospitals · 128 Procedures
Hospitals Priced20 in HITotal hospitals in Hawaii with verified machine-readable price disclosures indexed in the Crystal.
Avg vs. Medicare1.3× MedicareAverage commercial insurance negotiated rate across Hawaii hospitals compared to what federal Medicare pays for the same procedure.
Best Value in HI0.80× FairLowest confounder-adjusted hospital in Hawaii: Hilo Benioff Medical Center (Hilo) at 0.80× fair market price.

Most affordable Hawaii hospital: Hilo Benioff Medical Center (Hilo) at 0.80× the fair price (20% below benchmark).

Statewide Hospital Pricing Fingerprint20 Hawaii Hospitals Analyzed

Hawaii Statewide Hospital Pricing Summary

Across 20 reporting hospitals and 128 shoppable procedures in Hawaii, typical commercial insurance rates sit at 0.98× the U.S. fair price average (1.3× federal Medicare rates). However, prices vary by 1.8× across the state — from 0.80× fair price at the most affordable hospitals up to 1.47× at high-markup facilities.

State Price Index: 0.98× U.S. Fair AverageAvg Commercial Rate: 1.3× Medicare
Advantage

Best Value in Hawaii (Lowest-Priced Hospitals & Patient Edge)

  • Best-value hospital in Hawaii: Hilo Benioff Medical Center (Hilo) prices care at 0.80× the fair price benchmark.
  • Additional low-cost leaders include Kau Hospital (Pahala, 0.82× fair) and Samuel Mahelona Memorial Hospital (0.85× fair).
  • Bottom-quartile Hawaii hospitals (Q25) charge 0.92× the fair price or less — comparing quotes before scheduling elective care saves 25%–45%.
  • Nonprofit 501(c)(3) hospitals across Hawaii must provide free or discounted charity care under federal 26 U.S.C. § 501(r) income rules.
Watchout

Where Hawaii Patients Get Burned (High-Markup Traps)

  • Highest-markup Hawaii facilities reach 1.7× Medicare (Kapiolani Medical Center for Women & Children in Honolulu, Pali Momi Medical Center).
  • Prices for the exact same procedure swing 1.8× between the lowest-priced (0.80×) and highest-priced (1.47×) hospitals in Hawaii.
  • Emergency room, lab, and outpatient surgery facility fees carry significantly higher markups than pre-scheduled imaging or freestanding centers.
Most Affordable HI Hospitals (Bottom 25%)Best Value Tier
0.80× – 0.92× Fair

Led by Hilo Benioff Medical Center (Hilo) at 0.80× fair price.

Typical Hawaii Hospital (State Median)1.3× Medicare
1.04× Fair Price

Middle-of-the-pack commercial rate across all 20 Hawaii hospitals.

Highest-Markup HI Hospitals (Top 25%)1.8× State Spread
1.24× – 1.47× Fair

Highest-priced quarter of Hawaii hospitals where shopping around saves the most.

Hawaii County Price & Affordability Heatmap 4 of 5 Counties with MRF Hospital Data

Hawaii County-Level Hospital Price & Affordability Heatmap

Hospital price index, Medicare markup, and household affordability burden across 5 counties in Hawaii

<0.94× Affordable 0.94–1.06× Near Avg 1.06–1.20× Elevated >1.20× High-Markup

All Hospitals in Hawaii (20)

Ranked by how their commercial prices compare to the fair BaseRate — best value first. Select any hospital to inspect its full procedure price list.

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Compare Prices by Procedure in Hawaii (128)

High-impact surgeries, scans, and hospital stays are listed first with the typical Hawaii price. Search any procedure below.

Browse Hawaii by Metro Area

Local hospital comparison pages for each Hawaii regional market.

Which Insurers Negotiate Prices in Hawaii

Across the 20 Hawaii hospitals that publish negotiated rates, here is how many hospitals each major insurance carrier has an in-network contract with.

UnitedHealthcare 19 of 20 hospitals
Kaiser Permanente 17 of 20 hospitals
Humana 7 of 20 hospitals
Aetna 2 of 20 hospitals
Cigna 1 of 20 hospitals

Also negotiating in Hawaii: Devoted Health (10) · Providence Health Plan (1) · WellCare (1).

Prices are sourced from each hospital's federally-required public price file, most recently published October 2026. The BaseRate is a modeled fair-price estimate — not a bill or quote. How we build these numbers →