Level 1 ER visit cost in Hawaii
In Hawaii, 12 hospitals publish a cash price for emergency room visit, level 1 of 5, minor problem that may not need a doctor: from $222.00 to $470.60, with a median of $374.60. The lowest price is at Wilcox Memorial Hospital (Lihue). The highest price is 2.1× the lowest.
- The median here, $374.60, is 68% above the US median of $222.62.
- That is 4.3× Medicare's 2026 national rate for the same service ($86.15).
- Hawaii ranks 45th of 50 states by median, cheapest first.
- Every hospital here lists a cash price below its full list price.
Outpatient cash prices, one line per hospital — its lowest listed price for code 99281. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 4, 2026. See them on a map
Lowest$222.00Wilcox Memorial Hospital
Median$374.60half of hospitals charge less
Highest$470.60in Hawaii
Lowest saves$152.60vs the median
Hospitals in Hawaii, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Wilcox Memorial Hospital lowest Lihue · Kapaa, HI ED FACILITY I | $222.00 | $370.00 | Feb 12, 2026 source file |
| Pali Momi Medical Center Aiea · Urban Honolulu, HI ED FACILITY I | $286.20 | $477.00 | Feb 12, 2026 source file |
| Straub Clinic & Hospital Honolulu · Urban Honolulu, HI ED FACILITY I | $292.80 | $488.00 | Feb 12, 2026 source file |
| Kona Community Hospital Kealakekua · Hilo-Kailua, HI EMERGENCY FEE 1 NON-URGENT | $339.95 | $523.00 | Jul 28, 2025 source file |
| Kapiolani Medical Center for Women & Children Honolulu · Urban Honolulu, HI ED FACILITY I | $358.80 | $598.00 | Feb 12, 2026 source file |
| Kaiser Foundation Hospital - Moanalua Honolulu · Urban Honolulu, HI EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP | $360.00 | $480.00 | Apr 1, 2026 source file |
| Queens North Hawaii Community Hospital Waimea · Hilo-Kailua, HI EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD SEVERITY | $389.20 | $556.00 | Mar 9, 2026 source file |
| Queens Medical Center - West Oahu Ewa Beach · Urban Honolulu, HI EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD SEVERITY | $391.30 | $559.00 | Mar 11, 2026 source file |
| The Queens Medical Center Honolulu · Urban Honolulu, HI EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD SEVERITY | $391.30 | $559.00 | Mar 11, 2026 source file |
| The Queens Medical Center - Wahiawa Wahiawa · Urban Honolulu, HI EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD SEVERITY | $391.30 | $559.00 | Mar 9, 2026 source file |
| Molokai General Hospital Kaunakakai · Kahului-Wailuku, HI EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD SEVERITY | $464.10 | $663.00 | Feb 16, 2026 source file |
| Kohala Hospital Kapaau · Hilo-Kailua, HI EMERGENCY FEE 1 NON-URGENT | $470.60 | $724.00 | Jul 23, 2025 source file |
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Urban Honolulu, HI | 7 | $286.20 | $360.00 |
| Hilo-Kailua, HI | 3 | $339.95 | $389.20 |
| Kahului-Wailuku, HI | 1 | $464.10 | $464.10 |
| Kapaa, HI | 1 | $222.00 | $222.00 |
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More
What level 1 ER visit is, what the price covers and why prices differ: Level 1 ER visit explained.
Emergency room visit, level 1 of 5, minor problem that may not need a doctor in other states
- Alabama$143.00
- Alaska$371.28
- Arizona$249.12
- Arkansas$179.40
- California$420.68
- Colorado$254.58
- Connecticut$557.50
- Delaware$408.02
- District of Columbia$409.70, 3 hospitals
- Florida$495.62
- Georgia$231.28
- Idaho$223.60
- Illinois$224.00
- Indiana$217.70
- Iowa$181.50
- Kansas$209.77
- Kentucky$199.16
- Louisiana$133.19
- Maine$105.61
- Maryland$132.02
- Massachusetts$416.33
- Michigan$186.50
- Minnesota$203.65
- Mississippi$103.74
- Missouri$238.55
- Montana$208.80
- Nebraska$207.00
- Nevada$329.08
- New Hampshire$192.09
- New Jersey$218.39
- New Mexico$201.00
- New York$249.31
- North Carolina$190.70
- North Dakota$177.00
- Ohio$312.00
- Oklahoma$163.25
- Oregon$238.55
- Pennsylvania$304.05
- Puerto Rico$1,005.00, 4 hospitals
- Rhode Island$314.40
- South Carolina$299.50
- South Dakota$274.40
- Tennessee$147.23
- Texas$233.36
- Utah$316.15
- Vermont$267.00
- Virginia$188.00
- Washington$251.94
- West Virginia$158.91
- Wisconsin$187.50
- Wyoming$259.83
Median cash price across the state's hospitals.