Critical care (first hour) cost in Hawaii
In Hawaii, 12 hospitals publish a cash price for critical care, first 30 to 74 minutes: from $2,801.50 to $5,140.50, with a median of $4,407.90. The lowest price is at Kona Community Hospital (Kealakekua). The highest price is 1.8× the lowest.
- The median here, $4,407.90, is 118% above the US median of $2,018.81.
- That is 5.2× Medicare's 2026 national rate for the same service ($843.92).
- Hawaii ranks 46th of 49 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 99291. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 4, 2026. See them on a map
Lowest$2,801.50Kona Community Hospital
Median$4,407.90half of hospitals charge less
Highest$5,140.50in Hawaii
Lowest saves$1,606.40vs the median
Hospitals in Hawaii, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Kona Community Hospital lowest Kealakekua · Hilo-Kailua, HI EMERGENCY FEE 6 CRITICAL CARE | $2,801.50 | $4,310.00 | Jul 28, 2025 source file |
| Pali Momi Medical Center Aiea · Urban Honolulu, HI ED CRITICAL CARE VI | $3,713.40 | $6,189.00 | Feb 12, 2026 source file |
| Straub Clinic & Hospital Honolulu · Urban Honolulu, HI ED CRITICAL CARE VI | $3,713.40 | $6,189.00 | Feb 12, 2026 source file |
| Kapiolani Medical Center for Women & Children Honolulu · Urban Honolulu, HI ED CRITICAL CARE VI | $3,955.20 | $6,592.00 | Feb 12, 2026 source file |
| Queens North Hawaii Community Hospital Waimea · Hilo-Kailua, HI CRITICAL CARE FIRST HOUR | $4,379.90 | $6,257.00 | Mar 9, 2026 source file |
| Queens Medical Center - West Oahu Ewa Beach · Urban Honolulu, HI CRITICAL CARE; FIRST 30-74 MINUTES | $4,407.90 | $6,297.00 | Mar 11, 2026 source file |
| The Queens Medical Center Honolulu · Urban Honolulu, HI CRITICAL CARE; FIRST 30-74 MINUTES | $4,407.90 | $6,297.00 | Mar 11, 2026 source file |
| The Queens Medical Center - Wahiawa Wahiawa · Urban Honolulu, HI CRITICAL CARE; FIRST 30-74 MINUTES | $4,407.90 | $6,297.00 | Mar 9, 2026 source file |
| Kohala Hospital Kapaau · Hilo-Kailua, HI EMERGENCY FEE 6 CRITICAL CARE | $4,425.85 | $6,809.00 | Jul 23, 2025 source file |
| Molokai General Hospital Kaunakakai · Kahului-Wailuku, HI CRITICAL CARE FIRST HOUR | $4,480.00 | $6,400.00 | Feb 16, 2026 source file |
| Wilcox Memorial Hospital Lihue · Kapaa, HI ED CRITICAL CARE VI | $4,584.00 | $7,640.00 | Feb 12, 2026 source file |
| Kaiser Foundation Hospital - Moanalua Honolulu · Urban Honolulu, HI CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN | $5,140.50 | $6,854.00 | Apr 1, 2026 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 | $3,713.40 | $4,407.90 |
| Hilo-Kailua, HI | 3 | $2,801.50 | $4,379.90 |
| Kahului-Wailuku, HI | 1 | $4,480.00 | $4,480.00 |
| Kapaa, HI | 1 | $4,584.00 | $4,584.00 |
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 critical care (first hour) is, what the price covers and why prices differ: Critical care (first hour) explained.
Critical care, first 30 to 74 minutes in other states
- Alabama$1,100.89
- Alaska$3,451.85
- Arizona$2,785.88
- Arkansas$1,183.00
- California$5,487.56
- Colorado$3,532.47
- Connecticut$2,324.30
- Delaware$2,590.56
- District of Columbia$3,604.98, 3 hospitals
- Florida$4,877.40
- Georgia$1,827.90
- Idaho$2,324.95
- Illinois$2,083.68
- Indiana$2,123.10
- Iowa$1,268.96
- Kansas$1,420.00
- Kentucky$2,051.24
- Louisiana$838.66
- Maine$1,000.20
- Maryland$2,144.19, 2 hospitals
- Massachusetts$2,675.75
- Michigan$1,973.78
- Minnesota$1,598.02
- Mississippi$1,064.57
- Missouri$2,057.75
- Montana$1,850.40
- Nebraska$1,691.50
- Nevada$2,843.12
- New Hampshire$2,095.71
- New Jersey$1,084.44
- New Mexico$2,103.56
- New York$1,717.00
- North Carolina$2,368.20
- North Dakota$1,895.87
- Ohio$2,937.75
- Oklahoma$1,211.94
- Oregon$2,663.78
- Pennsylvania$1,876.80
- Puerto Rico$300.00, 1 hospital
- Rhode Island$1,746.15
- South Carolina$2,819.40
- South Dakota$2,462.40
- Tennessee$1,213.08
- Texas$2,540.23
- Utah$8,005.32
- Vermont$1,750.00
- Virginia$2,535.00
- Washington$3,221.55
- West Virginia$1,258.14
- Wisconsin$1,785.95
- Wyoming$2,312.00
Median cash price across the state's hospitals.