Hysterectomy Cost in Hawaii (2026): Average Prices & What You'll Pay
What does a hysterectomy cost in Hawaii?
For a commercially insured patient, a hysterectomy in Hawaii typically runs $3,489–$12,811 once facility and physician fees are combined. The median reported facility price across 9 hospitals is $5,191. The figures draw on CMS fee schedules and hospital price transparency data published under federal law.
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Where hysterectomy 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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Cheapest Hysterectomy Providers in Hawaii
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs Median |
|---|---|---|---|---|
| 1 | Kau Hospital | Pahala, HI | $1,763 | -$3,428 |
| 2 | Hale Ho'ola Hamakua | Honokaa, HI | $1,763 | -$3,428 |
| 3 | Hilo Medical Center | Hilo, HI | $1,770 | -$3,421 |
| 4 | Hawaii Pacific Health | HI | $2,022 | -$3,169 |
| 5 | Kahuku Medical Center | Kahuku, HI | $5,191 | +$0 |
| 6 | Queens Medical Center | Honolulu, HI | $8,495 | +$3,304 |
| 7 | Queens Medical Center - West Oahu | Ewa Beach, HI | $8,495 | +$3,304 |
| 8 | The Queens Medical Center - Wahiawa | Wahiawa, HI | $8,495 | +$3,304 |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
Quick take
- Kau Hospital is the lowest-cost option at $1,763 - $3,428 below the state median, just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $8,495, and it's often lower than what insurance pays before your deductible is satisfied.
- Ask whether this procedure can be done at a freestanding ambulatory surgical center - they're typically 30-60% cheaper than a hospital for identical care, and most aren't in this hospital-only dataset.
How where you go changes what you pay for hysterectomy
The same hysterectomy 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.
- Facility fee $1,763–$17,717
- Professional fee $1,083–$7,432
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $1,763–$1,770
- Professional fee $1,083–$7,432
Estimated from CMS fee schedules + commercial rate multipliers
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. Hysterectomy costs vary primarily by surgical approach (open, laparoscopic, or robotic) and inpatient vs. outpatient classification. Robotic-assisted procedures carry higher facility fees and may not offer better outcomes for routine cases. Most commercial plans cover medically necessary hysterectomy after the deductible; elective or fertility-related procedures may face different coverage rules. Anesthesia and pathology are billed separately from the facility and surgeon.
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Why prices vary - and what it means for your coverage
Setting matters too: the median outpatient price is $5,191 versus $1,763 inpatient, so where a procedure happens often matters more than which hospital you pick.
On top of the facility price, your actual bill depends on your deductible, your out-of-pocket maximum, and whether every provider involved - not just the facility - is in-network.
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met | ~$7,889 |
| Deductible met - 20% coinsurance | ~$1,578 |
| Out-of-network provider | $17,356+ |
Frequently asked questions: hysterectomy costs in Hawaii
How much does a hysterectomy cost in Hawaii?
The typical insurer-negotiated rate is $612, with most facilities between $308 and $785 (based on 6 hospitals reporting negotiated rates). Full market pricing - including cash rates, gross charges, and outlier facilities - ranges more widely, from $504 to $39,206 across all 9 Hawaii hospitals that publish prices. What you pay depends on the facility, your insurance, and whether you have met your deductible.
Where is the cheapest place to get a hysterectomy in Hawaii?
Based on declared prices, the lowest-cost facility in our Hawaii data is Kau Hospital in Pahala at about $1,763. 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 hysterectomy so much cheaper at some Hawaii hospitals?
Prices vary up to 77.8× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Hawaii, the median cash (self-pay) price is $8,495 versus a median negotiated rate of $612 - about 13.9× 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 hysterectomy 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.
Before you book
- Deductible vs out-of-pocket max
- How to negotiate your medical bills
- EOB vs medical bill: complete guide
- Already have a bill? Check it for errors
- Understanding your UnitedHealthcare EOB
Other procedures in Hawaii
Hysterectomy, elsewhere
What matters before you schedule
ASC vs. hospital
Hospital outpatient departments typically charge 2-4x more than ASCs or independent centers for the same hysterectomy - same outcome, very different bill. Call ahead and ask for a self-pay or cash quote at each setting you're considering.
What's on your bill
A hysterectomy involves multiple providers who bill separately - typically Facility Fee, Ob Gyn Surgeon Professional Fee, Anesthesia. Check each line item against your Explanation of Benefits to catch billing errors.
Cost by type
Which type your doctor orders for this hysterectomy changes the billing code, and what you pay. For example: A recognized variation that can change the billing code and what you owe.
What to ask before you book
Get the CPT code from your doctor, confirm every provider involved (not just the facility) is in-network, ask for the cash-pay rate if you're uninsured or haven't met your deductible, and request a written estimate for hysterectomy before you schedule.
CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).
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About the Author
John Caruso, FSA, MAAA
Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.
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