CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Leahi Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$27,552

about 2.0× the $14,044 Medicare rate · typically $13,732–$36,014

modeled estimate · not a bill or quote

What this hospital charges insurers

$19,446

Below the fair price — a good deal

about $8,106 under the fair price · 1.4× Medicare

Medicare pays $14,044 Fair price $27,552 This hospital $19,446

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

A typical price — 5 charge more and 3 charge less, among the 9 HI hospitals compared.

Cheapest $17,574 Priciest $19,978

Black dot = this hospital, among the 9 HI hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $27,552 (about 2.0× the $14,044 Medicare rate). Leahi Hospital charges insurers about $19,446 — below the fair price — a good deal. Located in Honolulu, HI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Humana✓ Kaiser Permanente Blue Cross Blue ShieldAetnaCigna

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$19,446	138%
Humanamajor	$19,446	138%
Kaiser Permanentemajor	$19,446	138%
+ 4 smaller / regional plans	$10,400 - $27,802

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 470.

Insurance Before you use insurance

Call your insurance company to confirm Leahi Hospital is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 470.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Leahi Hospital

Compare: Hip or knee replacement (inpatient stay) at other HI hospitals

Shriners Hospital for Children · Honolulu $17,574
Kau Hospital · Pahala $19,101
Samuel Mahelona Memorial Hospital · Kapaa $19,101
Straub Clinic and Hospital · Honolulu $19,557
Kohala Hospital · Kapaau $19,629
Kuakini Medical Center · Honolulu $19,751
Pali Momi Medical Center · Aiea $19,922
The Queens Medical Center · Honolulu $19,978

Insurance negotiated median for the same procedure, sorted lowest first.