Emergency Room Visit Cost in Hawaii (2026): Average Prices & What You'll Pay

What does a emergency room visit cost in Hawaii?

A typical emergency room visit in Hawaii costs $450–$667 for a commercially insured patient, including facility and physician fees. The median reported facility price across 7 hospitals is $391. This estimate is based on CMS fee schedules and hospital price transparency data published under federal law.

Hawaii's island geography creates isolated health economies - each island is effectively its own market, and most specialized care on neighbor islands requires inter-island travel. Kaiser Permanente Hawaii and Hawaii Pacific Health cover most of the Oahu market. Transport and logistics costs embedded in hospital operating expenses push prices well above the mainland average for comparable services. Emergency room costs are driven by two separate charges: the facility fee (which varies by ER level, E1–E5) and the physician fee (billed by an independent emergency medicine group). Most patients are unaware that ER physicians are frequently out-of-network even when the hospital itself is in-network - the No Surprises Act limits your liability in this case, but billing disputes still occur. Using an urgent care center for non-emergency conditions typically costs 80–90% less than an ER visit for equivalent care.

Example: two commercially insured patients in the same area could pay ~$346 and ~$391 for the identical procedure - a $45 difference driven entirely by facility choice.

Where emergency room visit costs vary in Hawaii

Pins show hospitals with price-transparency data (colored by vs. state average) and nearby ambulatory surgery centers, imaging centers, and other facilities (colored by type). Click any pin for facility name and estimated cost range.

Estimate YOUR exact out-of-pocket cost →

Cheapest Emergency Room Visit Providers in Hawaii

Based on declared cash/self-pay prices from CMS hospital price transparency files.

#	Facility	City	Price	vs Median
1	Hilo Medical Center	Hilo, HI	$176	-$215
2	Queens North Hawaii Community Hospital	Waimea, HI	$389	-$2
3	Queens Medical Center - West Oahu	Ewa Beach, HI	$391	+$0
4	Queens Medical Center	Honolulu, HI	$391	+$0
5	The Queens Medical Center - Wahiawa	Wahiawa, HI	$391	+$0
6	Molokai General Hospital	Kaunakakai, HI	$464	+$73

Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.

How where you go changes what you pay for emergency room visit

The same emergency room visit bundles different services depending on the setting - facility fee, surgeon fee, and anesthesia each arrive as separate bills. Estimated ranges below reflect the typical full bundled cost, including all expected charges.

Hospital Outpatient

$169–$1,296

• Facility fee $152–$464
• Professional fee $17–$832

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient

$193–$1,008

• Facility fee $176–$176
• Professional fee $17–$832

Estimated from CMS fee schedules + commercial rate multipliers

Hawaii Emergency Room Visit prices by facility

All prices below come from hospital chargemasters - the official price lists each hospital must publish under federal law. Gross charge is the undiscounted list price; cash price is the self-pay rate; negotiated range covers the spread across insurance contracts.

How we calculate "Your Price"

We prioritize cash price (the self-pay rate) over the negotiated rate, and only fall back to the gross charge, the inflated list price few people actually pay, when nothing else is reported.

Source: CMS hospital price transparency machine-readable files. vs Median = savings or premium relative to the state median price. Gross Charge = undiscounted list price for reference.

Received a bill? Check it for errors → Estimate YOUR cost before you go →

Why prices vary - and what it means for your coverage

Setting matters too: the median outpatient price is $391 versus $176 inpatient, so where a procedure happens often matters more than which hospital you pick. Facility fees for emergency care scale with the severity level the hospital assigns your visit, which is why two visits that look similar from the exam table can bill very differently.

None of the prices above are what you'll necessarily owe: your deductible, out-of-pocket maximum, and each provider's network status all still apply.

Frequently asked questions: emergency room visit costs in Hawaii

How much does an emergency room visit cost in Hawaii?

Across 7 Hawaii hospitals that publish prices, an emergency room visit ranges from $70 to $7,267, with a median of $391. Most facilities fall between $282 and $391. What you pay depends on the facility, your insurance, and whether you have met your deductible.

Where is the cheapest place to get an emergency room visit in Hawaii?

Based on declared prices, the lowest-cost facility in our Hawaii data is Kahuku Medical Center in Kahuku at about $152. Freestanding ambulatory surgery and imaging centers are often cheaper still and may not appear in hospital price data - ask your doctor whether one is an option.

Why is an emergency room visit so much cheaper at some Hawaii hospitals?

Prices vary up to 103.8× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Hawaii, the median cash (self-pay) price is $391 versus a median negotiated rate of $48 - about 8.1× higher. Asking for the cash price or your insurer's negotiated rate is often the single biggest lever on what you pay.

How much will I actually pay out of pocket for an emergency room visit in Hawaii?

Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network - not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.

Other Hawaii Hospitals for Emergency Room Visit

These hospitals are registered in the CMS National Provider Identifier (NPI) registry as active hospitals in Hawaii. Cost estimates use the bundled service model for each place of service. Contact them directly for a formal quote.

Provider	City	Type	Est. Cost
ACPAYUMO MD LLC 8089839648	HONOLULU, HI	General Acute Care Hospital	$169–$1,296 bundled est.
ANDREW MAEDA MD LLC 8085311116	HONOLULU, HI	General Acute Care Hospital	$169–$1,296 bundled est.
BLUDOC PEDIATRICS, INC. 8087228792	MILILANI, HI	Children's Hospital	$169–$1,296 bundled est.
CASTLE MEDICAL CENTER 8083635176	KAILUA, HI	General Acute Care Hospital	$169–$1,296 bundled est.
COMMUNITY CLINIC OF MAUI, INC. 8082449056	WAILUKU, HI	General Acute Care Hospital	$169–$1,296 bundled est.
GRACE LIU, MD, LLC 8085474682	HONOLULU, HI	General Acute Care Hospital	$169–$1,296 bundled est.
HAWAII HEALTHCARE SYSTEM CORPORATION 8082449056	WAILUKU, HI	General Acute Care Hospital	$169–$1,296 bundled est.
HAWAII MEDICAL CENTER EAST 8085476000	HONOLULU, HI	General Acute Care Hospital	$169–$1,296 bundled est.
HAWAII MEDICAL CENTER EAST 8085476011	HONOLULU, HI	General Acute Care Hospital	$169–$1,296 bundled est.
HAWAII MEDICAL CENTER WEST 8086787100	EWA BEACH, HI	General Acute Care Hospital	$169–$1,296 bundled est.
HAWAII MEDICAL CENTER, LLC 8085476762	HONOLULU, HI	General Acute Care Hospital	$169–$1,296 bundled est.
HILO BENIOFF MEDICAL CENTER 8089746709	HILO, HI	General Acute Care Hospital	$169–$1,296 bundled est.
▼ Show 56 more Hawaii hospitals HILO BENIOFF MEDICAL CENTER 8089323000 HILO, HI General Acute Care Hospital $169–$1,296 bundled est. HONOKAA HOSPITAL & SKILLED NURSING 8087757211 HONOKAA, HI Critical Access Hospital $169–$1,296 bundled est. HONOLULU VAMC 7023413020 HONOLULU, HI General Acute Care Hospital $169–$1,296 bundled est. KAHUKU MEDICAL CENTER 8082939221 KAHUKU, HI Critical Access Hospital $169–$1,296 bundled est. KAISER FOUNDATION HOSPITALS 8084320000 HONOLULU, HI General Acute Care Hospital $169–$1,296 bundled est. KAISER PERMANANTE 8084320000 HONOLULU, HI General Acute Care Hospital $169–$1,296 bundled est. KAISER PERMANENTE 8084327785 HONOLULU, HI General Acute Care Hospital $169–$1,296 bundled est. KAPIOLANI MEDICAL CENTER 8082226188 PEARL CITY, HI Children's Hospital $169–$1,296 bundled est. KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN 8089836000 HONOLULU, HI Women's Hospital $169–$1,296 bundled est. KAPIOLANI MEDICAL CENTER FOR WOMEN AND CHILDREN 8089838219 HONOLULU, HI Children's Hospital $169–$1,296 bundled est. KAU HOSPITAL 8089282050 PAHALA, HI Critical Access Hospital $169–$1,296 bundled est. KAUAI VETERANS MEMORIAL HOSPITAL 8083389431 WAIMEA, HI Critical Access Hospital $169–$1,296 bundled est. KOHALA HOSPITAL 8088896211 KAPAAU, HI Critical Access Hospital $169–$1,296 bundled est. KONA HOSPITAL 8083229311 KEALAKEKUA, HI General Acute Care Hospital $169–$1,296 bundled est. KUAKINI MEDICAL CENTER 8085362236 HONOLULU, HI General Acute Care Hospital $169–$1,296 bundled est. KULA HOSPITAL 8088764301 KULA, HI Long Term Care Hospital $169–$1,296 bundled est. KULA HOSPITAL 8088781221 KULA, HI Rural Acute Care Hospital $169–$1,296 bundled est. KULA HOSPITAL 8088781221 KULA, HI Critical Access Hospital $169–$1,296 bundled est. LANAI COMMUNITY HOSPITAL 8085656411 LANAI, HI Critical Access Hospital $169–$1,296 bundled est. LEAHI HOSPITAL 8087337932 HONOLULU, HI General Acute Care Hospital $169–$1,296 bundled est. MAGLINAO MEDICAL MANAGEMENT LLC 8085362236 HONOLULU, HI General Acute Care Hospital $169–$1,296 bundled est. MALAMA FIRST HEALTHCARE, INC. 8083750465 WAIMANALO, HI Rural Acute Care Hospital $169–$1,296 bundled est. MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC 8085456411 LANA'I CITY, HI Critical Access Hospital $169–$1,296 bundled est. MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC 8082449056 WAILUKU, HI General Acute Care Hospital $169–$1,296 bundled est. MAUI MEMORIAL MEDICAL CENTER 8082433030 WAILUKU, HI General Acute Care Hospital $169–$1,296 bundled est. MAUI MEMORIAL MEDICAL CENTER 8082422457 WAILUKU, HI General Acute Care Hospital $169–$1,296 bundled est. MAUI MEMORIAL MEDICAL CENTER 8084425700 WAILUKU, HI General Acute Care Hospital $169–$1,296 bundled est. MAUI MEMORIAL MEDICAL CENTER 8082704236 WAILUKU, HI General Acute Care Hospital $169–$1,296 bundled est. MOLOKAI GENERAL HOSPITAL 8085535331 KAUNAKAKAI, HI Critical Access Hospital $169–$1,296 bundled est. NORTH HAWAII COMMUNITY HOSPITAL 8088814406 KAMUELA, HI General Acute Care Hospital $169–$1,296 bundled est. NORTH HAWAII COMMUNITY HOSPITAL, INC 8088814406 KAMUELA, HI General Acute Care Hospital $169–$1,296 bundled est. NORTH HAWAII COMMUNITY HOSPITAL, INC. 8088854400 KAMUELA, HI General Acute Care Hospital $169–$1,296 bundled est. PALI MOMI MEDICAL CENTER 8084866000 AIEA, HI General Acute Care Hospital $169–$1,296 bundled est. QUEENS MEDICAL CENTER 8082240629 PEARL CITY, HI General Acute Care Hospital $169–$1,296 bundled est. ROBERT WONG, MD, L.L.C. 8084860449 AIEA, HI General Acute Care Hospital $169–$1,296 bundled est. RYAN RAO, LLC 8085242575 HONOLULU, HI General Acute Care Hospital $169–$1,296 bundled est. SAMUEL MAHELONA MEMORIAL HOSPITAL 8083389431 KAPAA, HI Critical Access Hospital $169–$1,296 bundled est. SATOMI FUJII MD LLC 5592866043 HONOLULU, HI General Acute Care Hospital $169–$1,296 bundled est. SHRINERS HOSPITALS FOR CHILDREN 8089414466 HONOLULU, HI Children's Hospital $169–$1,296 bundled est. ST. FRANCIS HOSPITAL - EWA 8085478001 EWA BEACH, HI General Acute Care Hospital $169–$1,296 bundled est. ST. FRANCIS HOSPITAL - LILIHA 8085478001 HONOLULU, HI General Acute Care Hospital $169–$1,296 bundled est. ST. FRANCIS LILIHA LIVER CENTER 8085478001 HONOLULU, HI General Acute Care Hospital $169–$1,296 bundled est. ST. FRANCIS MEDICAL CENTER 8085476000 HONOLULU, HI General Acute Care Hospital $169–$1,296 bundled est. ST. FRANCIS MEDICAL CENTER - WEST 8086787000 EWA BEACH, HI General Acute Care Hospital $169–$1,296 bundled est. STATE OF HAWAII DEPARTMENT OF HEALTH 8089842154 WAILUKU, HI General Acute Care Hospital $169–$1,296 bundled est. STATE OF HAWAII DEPARTMENT OF HEALTH 8082413130 KAPAA, HI General Acute Care Hospital $169–$1,296 bundled est. STATE OF HAWAII DEPARTMENT OF HEALTH 8083224818 KEALAKEKUA, HI General Acute Care Hospital $169–$1,296 bundled est. STATE OF HAWAII DEPARTMENT OF HEALTH 8089330409 HILO, HI General Acute Care Hospital $169–$1,296 bundled est. STRAUB CLINIC & HOSPITAL 8085224000 HONOLULU, HI General Acute Care Hospital $169–$1,296 bundled est. THE QUEEN'S MEDICAL CENTER 8086913000 EWA BEACH, HI General Acute Care Hospital $169–$1,296 bundled est. THE QUEEN'S MEDICAL CENTER 8085389011 HONOLULU, HI General Acute Care Hospital $169–$1,296 bundled est. THE QUEEN'S MEDICAL CENTER 8085389011 HONOLULU, HI General Acute Care Hospital $169–$1,296 bundled est. THE QUEEN'S MEDICAL CENTER 8085474311 HONOLULU, HI General Acute Care Hospital $169–$1,296 bundled est. WAHIAWA GENERAL HOSPITAL 8086218411 WAHIAWA, HI General Acute Care Hospital $169–$1,296 bundled est. YD SAITO MD LLC 8087563710 HONOLULU, HI General Acute Care Hospital $169–$1,296 bundled est. YOSHIMURA MEDICAL LLC 8085224000 HONOLULU, HI General Acute Care Hospital $169–$1,296 bundled est.

Est. cost = bundled estimate (facility fee + professional fee + anesthesia where applicable) based on CMS fee schedules and commercial rate multipliers. Contact each provider for an actual quote.

Source: CMS NPPES NPI Registry. NPI numbers can be verified at npiregistry.cms.hhs.gov.

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