71/100
#609 nationally
Hilo Benioff Medical Center
1190 Waianuenue Avenue, Hilo, HI 96720 · (808) 932-3000
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Hilo Benioff Medical Center billed $2.86 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
- 2.9x
- volume-weighted across all its priced work
- Procedures priced
- 68
- inpatient and outpatient combined
- Rank in HI
- #7
- lower markup ranks higher
- CMS quality stars
- 3/5
- 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 80% of U.S. hospitals.
Better than 83% of U.S. hospitals.
Better than 60% of U.S. hospitals.
Better than 42% 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 |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
177 | $58,769 | $24,514 | -10% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
103 | $14,959 | $3,964 | -41% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
78 | $40,932 | $16,965 | -6% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
64 | $50,002 | $16,865 | +7% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
63 | $13,645 | $3,828 | -29% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
63 | $28,028 | $7,041 | -19% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
59 | $45,005 | $12,768 | +9% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
58 | $64,693 | $13,529 | -4% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
58 | $14,787 | $6,374 | -46% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
55 | $19,474 | $6,808 | -45% |
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 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$32,438 | $3,500 | +83% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$17,606 | $1,930 | +75% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$19,671 | $2,509 | +52% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$4,430 | $842 | +41% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$54,571 | $13,894 | +30% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$60,245 | $13,133 | +17% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$55,150 | $16,459 | +14% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
$45,005 | $12,768 | +9% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
$59,159 | $35,454 | -59% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
$46,020 | $23,408 | -55% |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
$17,460 | $7,383 | -55% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
$9,278 | $3,851 | -49% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
$16,449 | $9,973 | -47% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$6,053 | $2,378 | -47% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
$41,970 | $24,451 | -46% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$14,787 | $6,374 | -46% |
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.