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County Price & Affordability Audit 8 of 10 Hospitals Priced Pop. 1,003,666 $104,264 Median Income

Honolulu County, HI Hospital Rates

Compare hospital price transparency compliance, fair price benchmarks, and local household charity-care eligibility across all 10 mapped hospitals in Honolulu County.

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.Above Fair Market · Negotiate
1.08×vs. Fair Market Price
Position vs. 1.00× Fair Price+8% Above Fair Price 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.

Typical commercial prices here are +8% above the fair benchmark (1.08×) even after accounting for local nurse/doctor 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 · Honolulu County Affordability & CoverageSummarizes local hospital price disclosure compliance in Honolulu County, U.S. Census median household income, local uninsured rate, and federal 200%–400% FPL charity-care income thresholds.8 of 10 Hospitals Priced
Hospitals Priced8 of 10Number of CMS-certified hospitals located inside Honolulu County that have published machine-readable price files out of all 10 local facilities.
Median Income$104.3k / yrU.S. Census ACS median annual household income in Honolulu County ($104,264/yr), used to measure medical bill burden and charity-care eligibility.
Uninsured Rate3.4%Percentage of Honolulu County residents without health insurance who rely on self-pay cash discounts and 501(r) nonprofit hospital financial assistance.

Local charity-care income cutoffs (200%–400% FPL): up to $36,720 (single) and $147,920 (family of 4) qualify for free or discounted hospital care.

County Hospital Pricing & Affordability Audit8 of 10 Local Hospitals Priced

Honolulu County, HI Hospital Price & Affordability Summary

Honolulu County, Hawaii (pop. 1,003,666) has 10 CMS-certified hospitals (8 publishing verified machine-readable price files) with a local price index of 1.08× the U.S. fair price benchmark and a $104,264 median household income.

County Price Index: 1.08× Fair MarketMedian Income: $104,264/yr
Advantage

Best Value & Patient Protections in Honolulu County

  • 8 of 10 hospitals in Honolulu County publish verified 45 CFR § 180 price files (Pali Momi Medical Center, Adventist Health Castle, Straub Clinic and Hospital).
  • High-rated local clinical care: Pali Momi Medical Center (4/5 CMS Stars) and Adventist Health Castle (4/5 CMS Stars).
  • Under federal 26 U.S.C. § 501(r), nonprofit hospitals must provide discounted Financial Assistance Policy (FAP) rates for Honolulu County families earning up to $147,920/yr (400% FPL).
Watchout

Where Honolulu County Patients Get Burned (Billing Watchouts)

  • 2 facilities in Honolulu County (Kahuku Medical Center, Kahi Mohala) lack an indexed MRF price schedule — always demand a written Good Faith Estimate before scheduling.
  • With a 3.4% local uninsured rate and $104,264 median household income, an unnegotiated $5,000 hospital bill equals 2.5 weeks of typical Honolulu County family take-home pay.
  • Emergency department and inpatient ancillary charges vary significantly across Hawaii counties — inspect each hospital's profile below before paying a full chargemaster bill.
County MRF Price Coverage80% Published
8 of 10 Hospitals

Includes Pali Momi Medical Center & Adventist Health Castle.

Free Care Income Cutoff (200% FPL)Nonprofit 501(r) Rule
$36,720 – $73,960

Single ($36,720) to Family of 4 ($73,960) threshold for 100% free charity care.

Discounted Care Cutoff (400% FPL)AGB Billing Cap
Up to $147,920/yr

4-person household income cap qualifying for statutory AGB billing limits in Honolulu County.

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 Honolulu County (10)

Select any published hospital below to inspect its procedure price list, insurer discounts, and official MRF verification links.

MRF Compliance: 8 of 10 Published

Compare Procedure Prices Across All Hawaii Hospitals

View statewide surgical, imaging, colonoscopy, and ER price rankings across all Hawaii facilities.

Browse All Hawaii Hospitals & Procedures →