Hip Replacement Cost in Hawaii (2026): Average Prices & What You'll Pay

What does a hip replacement cost in Hawaii?

A typical hip replacement in Hawaii costs $5,039–$16,231 for a commercially insured patient, including facility and physician fees. The median reported facility price across 9 hospitals is $5,323. 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.

Hip replacement is one of the highest-cost elective procedures in orthopedic surgery, with total episode costs (surgery, implant, anesthesia, facility, and 90-day follow-up) ranging from $20,000–$50,000+. The implant device alone accounts for 30–40% of the facility charge. Medicare Advantage plans increasingly carve out joint replacement to preferred facilities using bundled payment arrangements, which can significantly lower your out-of-pocket costs if you use a designated center of excellence.

The same hip replacement that costs $636 at Hawaii Pacific Health reaches $66,552 at Queens North Hawaii Community Hospital in Waimea — a 104.6× gap across the 9 Hawaii hospitals reporting prices. A typical Hawaii facility lands around $5,323 — most sit in the $2,344–$9,691 band. Self-pay patients are quoted more than insurers actually pay: the median cash price is $5,323 versus a median negotiated rate of $257 — about 20.7× higher, so asking for the cash or insurer-negotiated rate is often the single biggest lever on your bill.

Where hip replacement 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.

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The facility you choose matters more than almost anything else — the same procedure, same quality, same state can cost 5× more at one hospital versus the one down the road.

→ Compare all procedure costs   → Hip Replacement costs nationwide

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Lower-cost options in Hawaii start around $2,344 or below. Most hospitals cluster between $2,344 and $9,691. A smaller group reports prices above that — often academic medical centers or high-cost markets.

If you're comparing specific hospitals, the lowest self-pay rates reported in this dataset include: Hale Ho'ola Hamakua in Honokaa (cash price from $2,100); Kau Hospital in Pahala (cash price from $2,100); Hilo Medical Center in Hilo (cash price from $5,323). These are declared cash prices — contact each facility for a formal quote before scheduling.

Hawaii Hip Replacement 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.

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 →

Compare other procedures in Hawaii:

• Appendectomy Cost in Hawaii
• Cataract Surgery Cost in Hawaii

Where you can save the most on hip replacement in Hawaii

These facilities have the lowest declared prices relative to the state median — they represent the best opportunities to reduce your out-of-pocket cost for this procedure.

Most expensive hip replacement providers in Hawaii

These facilities report the highest prices for this procedure. Academic medical centers and specialty hospitals often top this list — their gross charges rarely reflect what anyone actually pays, but understanding the spread helps you negotiate.

Why prices vary this much

Setting drives much of the gap in Hawaii: the median outpatient price is $6,502 versus $2,587 inpatient, so where a procedure is performed often matters more than which hospital you choose. Of the Hawaii facilities reporting prices, 3 fall in a low-cost tier (up to $2,344) while 4 sit in a high-cost tier ($9,691 and up) — a lower-priced option almost always exists within the same state.

The spread comes from how each hospital sets its chargemaster (the undiscounted list price), what cash discounts it applies, and what rates it negotiates with each insurer. Facility classification matters too — a hospital-owned outpatient center adds a facility fee that a freestanding clinic does not. Understanding these mechanics is the first step to paying less.

Learn more:
→ Allowed amount vs negotiated rate — what your EOB is really saying
→ How to read your medical bill
→ Why hospital prices are so hard to find — and what to do about it

How insurance changes what you actually pay

Hospital list prices are only part of the picture. What you pay out of pocket depends on your deductible, your plan's out-of-pocket maximum, whether the facility is in-network, and whether your plan classifies the visit as outpatient or inpatient. A lower gross charge doesn't guarantee a lower bill if the facility is out-of-network or adds facility fees your plan doesn't cover.

Understand your cost before you go:
→ Deductible vs out-of-pocket max
→ EOB vs medical bill — complete guide
→ How to stop medical bill problems before they start (in-network vs out-of-network)

Hip Replacement Costs by Metro Area in Hawaii

Prices vary across Hawaii metro areas based on local hospital competition, wage adjustments, and facility mix. Explore detailed facility price data for each metro area:

• Hip Replacement Cost in Honolulu, HI

Compare hip replacement costs in nearby states

• New York
• California
• Texas
• Florida

Frequently asked questions: hip replacement costs in Hawaii

How much does a hip replacement cost in Hawaii?

Across 9 Hawaii hospitals that publish prices, a hip replacement ranges from $636 to $66,552, with a median of $5,323. Most facilities fall between $2,344 and $9,691. What you pay depends on the facility, your insurance, and whether you have met your deductible.

Where is the cheapest place to get a hip replacement in Hawaii?

Based on declared prices, the lowest-cost facility in our Hawaii data is Hale Ho'ola Hamakua in Honokaa at about $2,100. 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 a hip replacement so much cheaper at some Hawaii hospitals?

Prices vary up to 104.6× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Hawaii, the median cash (self-pay) price is $5,323 versus a median negotiated rate of $257 — about 20.7× 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 a hip replacement 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.

Explore all hip replacement cost data

→ See hip replacement costs across all states

CostKits compiles hospital price transparency data to help families make informed decisions. If you've received a bill for this procedure:
→ Analyze your medical bill for errors
→ How to negotiate your medical bills
→ Track and manage your healthcare costs (free account)