61/100
#926 nationally
North Hawaii Community Hospital, Inc
67 1125 Mamalahoa Highway, Kamuela, HI 96743 · (808) 885-4444
Charges well above the national norm
For every $1 of care Medicare actually paid for here, North Hawaii Community Hospital, Inc billed $3.86 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
- 3.9x
- volume-weighted across all its priced work
- Procedures priced
- 18
- inpatient and outpatient combined
- Rank in HI
- #10
- 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 65% of U.S. hospitals.
Better than 76% of U.S. hospitals.
Better than 38% of U.S. hospitals.
Better than 82% 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 |
|---|---|---|---|---|
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
63 | $54,405 | $15,948 | -13% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
55 | $10,207 | $1,968 | about average |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
49 | $22,002 | $3,324 | +13% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
33 | $11,473 | $1,938 | about average |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
27 | $60,402 | $17,440 | +39% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
27 | $25,334 | $4,143 | +9% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
21 | $94,943 | $24,664 | +46% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
20 | $48,691 | $18,305 | +5% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
20 | $21,281 | $3,770 | +11% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
19 | $44,459 | $8,054 | +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 |
|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$94,943 | $24,664 | +46% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$60,402 | $17,440 | +39% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$62,653 | $15,501 | +29% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
$55,206 | $15,793 | +21% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$22,002 | $3,324 | +13% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$36,193 | $10,004 | +12% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$44,459 | $8,054 | +12% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$21,281 | $3,770 | +11% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$54,405 | $15,948 | -13% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$30,890 | $7,107 | -12% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
$39,437 | $8,033 | about average |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$10,207 | $1,968 | about average |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$11,473 | $1,938 | about average |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$57,204 | $24,006 | +4% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$48,691 | $18,305 | +5% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$18,959 | $3,332 | +7% |
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.