76/100
#469 nationally
Pali Momi Medical Center
98-1079 Moanalua Road, Aiea, HI 96701 · (808) 486-6000
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Pali Momi Medical Center billed $3.17 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
- 66
- inpatient and outpatient combined
- Rank in HI
- #4
- 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 70% of U.S. hospitals.
Better than 92% of U.S. hospitals.
Better than 71% of U.S. hospitals.
Better than 69% 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 |
172 | $15,407 | $3,043 | -21% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
156 | $1,861 | $774 | -41% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
149 | $59,351 | $19,907 | -9% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
148 | $5,919 | $1,802 | -41% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
104 | $5,897 | $2,275 | -54% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
96 | $52,716 | $15,086 | +21% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
79 | $47,557 | $14,246 | about average |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
77 | $56,011 | $18,320 | about average |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
74 | $10,638 | $3,510 | -44% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
64 | $15,885 | $3,627 | -37% |
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 |
$52,716 | $15,086 | +21% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
$35,578 | $8,552 | +12% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$12,398 | $2,132 | +6% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$47,557 | $14,246 | about average |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$56,011 | $18,320 | about average |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
$20,318 | $4,676 | about average |
|
Disorders of the Biliary Tract with Complications
MS-DRG 445 · Inpatient stay |
$50,078 | $12,651 | about average |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
$29,484 | $10,353 | -3% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
$10,986 | $6,574 | -68% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
$36,334 | $20,119 | -62% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
$30,790 | $12,634 | -54% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$5,897 | $2,275 | -54% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$11,329 | $3,893 | -51% |
|
Endocrine Disorders with Major Complications
MS-DRG 643 · Inpatient stay |
$33,686 | $16,096 | -49% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
$18,765 | $6,011 | -48% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$5,914 | $1,735 | -47% |
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.