74/100
#516 nationally
Kuakini Medical Center
347 North Kuakini Street, Honolulu, HI 96817 · (808) 536-2236
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Kuakini Medical Center billed $3.05 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
- 3.1x
- volume-weighted across all its priced work
- Procedures priced
- 31
- inpatient and outpatient combined
- Rank in HI
- #6
- 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 72% of U.S. hospitals.
Better than 91% of U.S. hospitals.
Better than 74% of U.S. hospitals.
Better than 36% 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 |
196 | $64,159 | $21,010 | about average |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
145 | $27,896 | $3,148 | +44% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
83 | $13,924 | $8,227 | -65% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
57 | $4,615 | $1,799 | -54% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
56 | $6,925 | $3,617 | -66% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
52 | $56,092 | $17,296 | about average |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
51 | $35,647 | $19,776 | -55% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
40 | $12,863 | $4,384 | -46% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
38 | $52,738 | $17,698 | -14% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
34 | $24,521 | $7,324 | -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 |
|---|---|---|---|
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$63,034 | $14,770 | +45% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$27,896 | $3,148 | +44% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$52,381 | $12,890 | +12% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$43,258 | $10,700 | +10% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$49,992 | $12,391 | +3% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$56,092 | $17,296 | about average |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$64,159 | $21,010 | about average |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
$39,263 | $11,108 | -5% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$6,925 | $3,617 | -66% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
$11,994 | $6,574 | -65% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$13,924 | $8,227 | -65% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$19,966 | $12,264 | -61% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$8,005 | $3,666 | -58% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$11,004 | $3,754 | -56% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
$35,647 | $19,776 | -55% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
$30,829 | $12,634 | -54% |
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.