83/100
#285 nationally
Wilcox Memorial Hospital
3-3420 Kuhio Highway, Lihue, HI 96766 · (808) 245-1100
Charges close to what care is actually paid for
For every $1 of care Medicare actually paid for here, Wilcox Memorial Hospital billed $2.83 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
- 2.8x
- volume-weighted across all its priced work
- Procedures priced
- 22
- inpatient and outpatient combined
- Rank in HI
- #1
- 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 86% of U.S. hospitals.
Better than 90% of U.S. hospitals.
Better than 69% of U.S. hospitals.
Better than 95% 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 |
167 | $15,465 | $3,323 | -20% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
85 | $49,057 | $15,494 | -21% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
76 | $10,168 | $2,871 | -14% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
64 | $7,777 | $1,931 | -31% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
55 | $27,256 | $8,418 | -32% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
46 | $54,739 | $25,913 | -16% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
46 | $6,011 | $1,875 | -40% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
32 | $30,713 | $17,834 | -29% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
29 | $12,690 | $3,899 | -38% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
27 | $40,573 | $16,488 | -13% |
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 |
|---|---|---|---|
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
$29,269 | $11,015 | -4% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$50,361 | $20,977 | -8% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$73,371 | $21,714 | -12% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$40,573 | $16,488 | -13% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$10,168 | $2,871 | -14% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$54,739 | $25,913 | -16% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$15,465 | $3,323 | -20% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$60,021 | $24,830 | -21% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$6,011 | $1,875 | -40% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$12,690 | $3,899 | -38% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$13,006 | $4,294 | -37% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$33,867 | $18,618 | -36% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$15,838 | $4,262 | -32% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$27,256 | $8,418 | -32% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$7,777 | $1,931 | -31% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$30,713 | $17,834 | -29% |
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.