HI CMS Medicare PUF 2023 Avg payment #44 of 56

Hawaii procedure costs

24 hospitals · 309 Medicare providers · 2,247 procedure codes with Hawaii locality adjustments.

The short answer

Hawaii has 24 hospitals and 309 Medicare-billing providers across 2,247 procedure codes. The average Medicare payment per procedure is $182.11; the average submitted (billed) charge is $798.80.

Procedure codes
2,247
Providers per hospital
12.9
Billed-to-Medicare ratio
4.4x
Markup rank
#54 of 56

Source: CMS Medicare Physician & Other Practitioners, 2023.

About this dataset, nationwide

According to the Centers for Medicare & Medicaid Services (CMS), the 2023 Medicare Physician & Other Practitioners dataset records payments for 9,297 procedure codes billed across 5,426 hospitals in 56 states and territories; see our methodology for how each figure is sourced and computed.

24
Hospitals
309
Providers
$182.11
Avg Medicare Payment
$798.80
Avg Billed Charge

Hawaii against every US state

Where the state's average Medicare payment per procedure falls, all 56 tracked jurisdictions

$182 higher than 21% of 56 states

$75–$100: 3 states (5%). Below this entry. $100–$125: 1 states (2%). Below this entry. $125–$150: 2 states (4%). Below this entry. $150–$175: 5 states (9%). Below this entry. $175–$200: 7 states (13%). This entry sits in this band. $200–$225: 9 states (16%). Above this entry. $225–$250: 9 states (16%). Above this entry. $250–$275: 11 states (20%). Above this entry. $275–$300: 4 states (7%). Above this entry. $300–$325: 4 states (7%). Above this entry. $325–$350: 1 states (2%). Above this entry. This state $75 $350 every US state, bucketed by value

Each bar is a $25-wide band; taller bars hold more states. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Physician & Other Practitioners, 2023

The priciest procedures in Hawaii

Highest average Medicare payment per procedure billed in Hawaii. Hover any bar for the exact figure; even these top procedures are billed well above what Medicare reimburses.

Top procedures by Medicare payment - Hawaii

Insertion Of Spinal Neurosti…9895Removal Of Plaque And Insert…8913Cystourethroscopy, With Inse…6568Removal Of Plaque In Artery …5333Ambulance Service, Conventio…5169Ambulance Service, Conventio…4406Dilation Of Sphenoid And Fro…4178Processing, Preserving And T…3630
Top procedures by Medicare payment - Hawaii-Average Medicare payment per procedure (CMS 2023)

Top Procedures by Volume

Procedure Medicare Services
Therapy Procedure Using Exercise To Develop Strength, Endurance, Range Of Motion, And Flexibility, Each 15 Minutes $18.94 289.1K
Established Patient Office Or Other Outpatient Visit, 30-39 Minutes $80.18 278.4K
Provision Of Covid-19 Test, Nonprescription Self-Administered And Self-Collected Use, Fda Approved, Authorized Or Cleared, One Test Count $10.87 272.0K
Insertion Of Needle Into Vein For Collection Of Blood Sample $8.12 228.8K
Established Patient Office Or Other Outpatient Visit, 20-29 Minutes $58.48 215.0K
Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Administered Under The Direct Supervision Of A Physician, Not For Use When Drug Is Self Administered) $3.83 169.2K
Injection, Romosozumab-Aqqg, 1 Mg $7.74 157.3K
Injection, Gadoterate Meglumine, 0.1 Ml $0.11 150.0K
Low Osmolar Contrast Material, 300-399 Mg/ml Iodine Concentration, Per Ml $0.11 137.7K
Therapy Procedure Using Manual Technique, Each 15 Minutes $16.53 135.5K
Blood Test, Comprehensive Group Of Blood Chemicals $10.31 134.3K
Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test And Automated Differential White Blood Cell Count $7.58 133.7K
Ground Mileage, Per Statute Mile $8.33 122.9K
Blood Test, Lipids (cholesterol And Triglycerides) $13.06 120.0K
Injection, Denosumab, 1 Mg $18.07 108.2K
Hemoglobin A1c Level $9.47 95.7K
Injection, Onabotulinumtoxina, 1 Unit $4.77 93.1K
Therapy Procedure Using Functional Activities $25.90 85.3K
Injection, Faricimab-Svoa, 0.1 Mg $28.54 82.9K
Therapy Procedure To Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes $22.77 78.8K
Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, At Least 35 Minutes $61.55 58.2K
Established Patient Complete Exam Of Visual System $85.83 58.2K
Destruction Of Precancer Skin Growth, 2-14 Growths $5.11 58.0K
Blood Test, Thyroid Stimulating Hormone (tsh) $16.42 57.2K
Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, At Least 50 Minutes $93.04 56.9K
Fixed Wing Air Mileage, Per Statute Mile $11.74 48.9K
Manual Urinalysis Test With Examination Using Microscope, Automated $3.09 48.7K
Hyaluronan Or Derivitive, Genvisc 850, For Intra-Articular Injection, 1 Mg $7.09 48.0K
X-Ray Of Chest, 1 View $6.89 46.2K
Blood Test, Basic Group Of Blood Chemicals (calcium, Total) $8.25 44.5K

Hawaii Healthcare Cost Landscape

CMS lists 24 hospitals in Hawaii across 19 cities. HONOLULU holds 6 (25%). The three densest cities together hold 33% of the state roster. Statewide that is 309 Medicare-billing providers, 12.9 per listed hospital.

11 hospitals carry a CMS overall star rating (1 five-star, 3 four-star, 3 three-star, 4 two-star, 0 one-star) ; five-star share among rated facilities is 9%. 13 hospitals in this extract have no published overall rating.

Facility-type mix: Acute Care Hospitals 11 (46%); Critical Access Hospitals 9 (38%); Childrens 2 (8%); Acute Care - Department of Defense 1 (4%).

Among the 30 highest-volume procedure codes billed in Hawaii, Drugs (Administered) leads with 658.6K services (18% of this top-volume slice) across 6 codes. Next is Medicine at 16%.

Submitted charges average $798.80 against $182.11 Medicare payment (4.4x billed-to-Medicare). That ratio ranks #54 of 56 jurisdictions with both figures in this extract. Average Medicare payment itself is #44 of 56.

Volume leaders are not the high-payment codes. Therapy Procedure Using Exercise To Develop Strength, Endurance, Range Of Motion, And Flexibility, Each 15 Minutes is in the top volume slice but not the highest Medicare payments; Insertion Of Spinal Neurostimulator Generator Or Receiver is in the high-payment set without matching volume rank.

These are CMS roster and claims aggregates for Hawaii, not a quote for any patient, plan, or visit. See the methodology and CMS Medicare Provider Charge Data.

Where Hawaii hospitals sit

City of the CMS hospital roster, not a travel or care recommendation. 19 distinct cities appear on 24 listed facilities.

City Hospitals Share of state roster
HONOLULU 6 25%
AIEA 1 4%
EWA BEACH 1 4%
HILO 1 4%
HONOKAA 1 4%
Honolulu 1 4%
KAHUKU 1 4%
KAILUA 1 4%

Nationwide states with similar hospital scale or Medicare payment

Two CMS-extract-derived peer sets for Hawaii: nearest hospital inventory and nearest statewide average Medicare payment. Not clinical substitutes: registry-scale and payment neighborhoods only.

Similar CMS hospital count

Nearest states with ≥5 hospitals (24 here).

Similar average Medicare payment

Nearest states with published averages ($182.11 here).

How Hawaii Compares Nationally

Hawaii's average Medicare payment is #44 of 56 in this extract. Submitted-over-Medicare markup ranks #54 of 56 (4.4x). Hospital-count peers (nearest CMS roster size to 24): Alaska 25, New Hampshire 28, Wyoming 30, Vermont 17. Payment peers (nearest average Medicare payment to $182.11): Idaho $183.99, New Mexico $178.42, Montana $191.94, Rhode Island $170.38.

Those peer sets are registry neighborhoods, not clinical substitutes. Markup rank and payment rank can diverge: a jurisdiction can sit high on billed-to-Medicare while sitting mid-pack on payment, or the reverse. Figures remain CMS averages for Hawaii, not an out-of-pocket quote.

Related registry pages

Hawaii averages sit on two maps: Medicare payment and submitted-over-Medicare markup.

Figures here are Hawaii CMS averages, not a quote for any patient, plan, or visit.

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure  · Verify with CMS →

Every figure on PlainProcedure is rendered directly from CMS Medicare Physician & Other Practitioners data, no number is typed in by an editor. This page draws directly on CMS Medicare Physician & Other Practitioners data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, the data changelog, or report a data error.