74/100
#505 nationally
Adventist Health Castle
640 Ulukahiki St, Kailua, HI 96734 · (808) 263-5015
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Adventist Health Castle billed $3.18 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 3.2x
- volume-weighted across all its priced work
- Procedures priced
- 44
- inpatient and outpatient combined
- Rank in HI
- #5
- lower markup ranks higher
- CMS quality stars
- 4/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 75% of U.S. hospitals.
Better than 80% of U.S. hospitals.
Better than 64% of U.S. hospitals.
Better than 80% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
147 | $19,341 | $3,099 | about average |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
145 | $50,846 | $19,327 | -22% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
101 | $2,082 | $769 | -34% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
80 | $31,216 | $13,913 | -13% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
71 | $48,801 | $15,108 | -22% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
61 | $48,899 | $16,444 | -11% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
61 | $19,903 | $3,621 | -21% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
52 | $6,864 | $1,808 | -32% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
51 | $56,648 | $17,297 | -8% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
47 | $7,101 | $1,952 | -38% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$23,856 | $4,010 | +16% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$14,916 | $2,286 | +15% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
$98,683 | $20,118 | +3% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$54,168 | $14,465 | about average |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$32,988 | $10,729 | about average |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$19,341 | $3,099 | about average |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
$39,468 | $10,708 | -4% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
$28,882 | $10,252 | -5% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$7,972 | $3,268 | -55% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
$18,407 | $6,574 | -47% |
|
Cranial and Peripheral Nerve Disorders without Major Complications
MS-DRG 074 · Inpatient stay |
$25,987 | $10,225 | -45% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$27,735 | $12,807 | -43% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
$7,101 | $1,952 | -38% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$35,666 | $15,644 | -37% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$2,082 | $769 | -34% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$6,864 | $1,808 | -32% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.