71/100
#613 nationally
Kona Community Hospital
79-1019 Haukapila Street, Kealakekua, HI 96750 · (808) 322-9311
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Kona Community Hospital billed $2.88 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
- 18
- inpatient and outpatient combined
- Rank in HI
- #8
- lower markup ranks higher
- CMS quality stars
- 2/5
- 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 83% of U.S. hospitals.
Better than 82% of U.S. hospitals.
Better than 49% of U.S. hospitals.
Better than 62% 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 |
46 | $16,018 | $3,268 | -18% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
45 | $78,383 | $34,520 | +20% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
39 | $60,684 | $15,432 | about average |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
27 | $66,058 | $26,562 | +20% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
24 | $45,526 | $20,323 | +5% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
19 | $62,026 | $22,716 | +33% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
17 | $17,456 | $3,742 | -9% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
17 | $28,550 | $7,107 | -19% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
16 | $8,603 | $2,344 | -27% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
16 | $9,863 | $1,980 | -12% |
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 |
|---|---|---|---|
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$62,026 | $22,716 | +33% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$78,383 | $34,520 | +20% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$66,058 | $26,562 | +20% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$46,764 | $8,809 | +17% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$45,970 | $18,268 | +17% |
|
Stroke (uncomplicated)
MS-DRG 066 · Inpatient stay |
$39,106 | $12,854 | +9% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$90,600 | $22,895 | +9% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$45,526 | $20,323 | +5% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$18,301 | $6,374 | -33% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$22,107 | $12,369 | -31% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$14,252 | $4,031 | -31% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$8,603 | $2,344 | -27% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$28,550 | $7,107 | -19% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$16,018 | $3,268 | -18% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
$25,400 | $12,358 | -17% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$9,863 | $1,980 | -12% |
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.