ACL Surgery (ACL Reconstruction) Cost in Hawaii (2026)
16.4% above average — premium pricing market · HI
What Drives Pricing Here
Three factors explain most of why acl surgery (acl reconstruction) costs what it does in Hawaii.
Regional Price Parity
Hawaii's cost-of-living index sits at 116.4 — above the national benchmark (100). This directly scales facility and staffing overhead, which flow through to every procedure price.
Specialist Availability
8 facilities perform this procedure in Hawaii — competition keeps pricing honest and gives you real leverage to shop quotes.
Vs. National Benchmark
At +16.4% above the national average ($20,000), Hawaii sits in premium territory. Likely drivers: high demand, metro concentration, or tier-one facility networks.
ACL Surgery (ACL Reconstruction) in Hawaii: What to Know
Honolulu is a hub for ACL reconstruction in Hawaii, with Kuakini Medical Center, The Queen's Medical Center, and Straub Clinic and Hospital being major providers. However, Hawaii's Certificate of Need (CON) laws, some of the strictest in the US, can restrict healthcare expansion and potentially limit access to facilities. These laws require healthcare providers to gain state approval before making significant changes or offering new services, impacting the availability of medical services throughout the state.
If you're willing to travel, consider seeking treatment on a neighboring island, as CON laws may disproportionately affect healthcare access in rural areas. While interisland travel may incur additional costs, exploring options outside of Honolulu could provide more choices or potentially lower expenses. Verify current pricing directly with providers.
Estimated Cost Breakdown in Hawaii
Patients in Hawaii face some of the highest acl surgery (acl reconstruction) costs nationwide. Here's how the premium distributes across the bill.
Facility Fee
OR time and hospital staffing
Most significant cost
Surgeon Fee
Expertise and experience level
Implants & Supplies
Post-Op Care
Recovery and aftercare
Anesthesia
Anesthesiologist or CRNA fee
Total Estimated Cost
Hawaii all-in range
Financing Options
Many Hawaii clinics partner with CareCredit or Alphaeon. A typical 24-month, 0% APR term on $23,280 looks like:
- Soft credit check — no hard pull
- Instant approval decisions
- HSA/FSA eligible for qualifying cases
Cost estimates are adjusted for regional pricing. See how we calculate state-level costs →
Ranges adjusted for Hawaii's regional price parity (116.4). See the national percentage breakdown →
Facility Costs in Hawaii
These Hawaii facilities handle the most acl surgery (acl reconstruction) cases. The negotiated rate reflects what's actually paid after insurer discounts.
| Facility | City | Negotiated Rate | Medicare | Volume |
|---|---|---|---|---|
| Kuakini Medical Center | Honolulu | $3,458 | $2,747 | 66 |
| The Queens Medical Center | Honolulu | $3,397 | $2,670 | 52 |
| Wilcox Memorial Hospital | Lihue | $3,376 | $2,662 | 40 |
| Pali Momi Medical Center | Aiea | $3,500 | $2,789 | 28 |
| North Hawaii Community Hospital, Inc | Kamuela | $3,386 | $2,669 | 22 |
| Adventist Health Castle | Kailua | $3,190 | $2,479 | 18 |
| Maui Memorial Medical Center | Wailuku | $3,813 | $3,038 | 13 |
| Hilo Medical Center | Hilo | $3,259 | $2,545 | 11 |
Expert Answers for Hawaii Patients
Local regulations, insurance nuance, and surgical standards specific to Hawaii.
Compare Hawaii with any other state
See national pricing, all 50 state comparisons, and detailed cost factors in the main acl surgery (acl reconstruction) cost guide.
View full acl surgery (acl reconstruction) guideWhat should I expect to pay for acl surgery (acl reconstruction) in Hawaii?
What makes acl surgery (acl reconstruction) cost more in Hawaii?
Can I use insurance for acl surgery (acl reconstruction) in Hawaii?
When can I return to work after acl surgery (acl reconstruction)?
Are payment plans available for acl surgery (acl reconstruction) in Hawaii?
What should I look for in a Hawaii acl surgery (acl reconstruction) provider?
Does Hawaii Medicaid cover acl surgery (acl reconstruction)?
How we calculate acl surgery (acl reconstruction) costs in Hawaii
Cost estimates combine procedure-specific pricing data with regional cost-of-living and provider-supply adjustments. Primary sources:
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Hospital pricing transparency files — CMS-required machine-readable data published by hospitals under the CMS Hospital Price Transparency rule (effective January 2021). Provides actual negotiated rates between hospitals and insurers.
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HCUP (Healthcare Cost & Utilization Project) — AHRQ's HCUP databases provide nationally-representative procedure cost data by state, payer, and patient demographics.
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Bureau of Labor Statistics — Healthcare Practitioner Occupational Wages — BLS OEWS data on surgeon, anesthesiologist, and surgical staff wages by state, used to model regional labor-cost differences in procedure pricing.
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BEA Regional Price Parities (RPP) — U.S. Bureau of Economic Analysis state-level price-level indices, used to adjust national procedure averages for Hawaii's cost-of-living relative to the national mean.
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FAIR Health Consumer Cost Lookup — the FAIR Health database aggregates billed and allowed amounts from over 36 billion claim records, providing a check on procedure-cost ranges by ZIP code.
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Medicare Provider Utilization & Payment Data — CMS public-use files on Medicare-allowed amounts and submitted charges by HCPCS/CPT code and state, used as a baseline for procedure-cost ranges.
Estimates are illustrative and reflect typical pricing ranges; actual costs depend on insurance coverage, surgical complexity, anesthesia type, hospital vs. ambulatory setting, and individual patient factors. Always confirm pricing directly with providers and your insurance carrier. See our methodology page for full calculation details.