Hip Replacement Surgery Cost in Hawaii (2026)
High-cost market · RPP 116.4 · HI
What Drives Pricing Here
Three factors explain most of why hip replacement surgery 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
18 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 ($32,000), Hawaii sits in premium territory. Likely drivers: high demand, metro concentration, or tier-one facility networks.
Hip Replacement Surgery in Hawaii: What to Know
Considering hip replacement in Hawaii? The Queen's Medical Center in Honolulu holds advanced certification for total hip replacement, while Hawaii Pacific Health offers robust programs at Straub Medical Center and Wilcox Medical Center. Wilcox, on Kauai, even attracts international patients and those from other islands for innovative anterior hip resurfacing. Robotic-assisted hip replacement, like the Rosa system, is available at Honolulu Spine Center and various Ambulatory Surgery Centers (ASCs).
For potential savings, explore ASCs in Hawaii, such as those associated with Excel Health, which generally offer lower costs and shorter stays compared to hospital outpatient departments. These centers provide advanced robotic procedures. You might also consider Tripler Army Medical Center if eligible, serving a broad patient base. Verify current pricing directly with providers.
Estimated Cost Breakdown in Hawaii
Hawaii is among the priciest states for hip replacement surgery. The elevated costs reflect the state's higher cost of living across these components.
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 $37,248 looks like:
- Soft credit check — no hard pull
- Instant approval decisions
- HSA/FSA eligible for qualifying cases
Prices reflect regional cost-of-living adjustments. How we calculate these numbers →
Ranges adjusted for Hawaii's regional price parity (116.4). See the national percentage breakdown →
Facility Costs in Hawaii
Facilities in Hawaii offer hip replacement surgery in different settings, each with distinct pricing. These are actual negotiated rates from Medicare claims, not billed charges.
| Facility | City | Negotiated Rate | Medicare | Volume |
|---|---|---|---|---|
| The Queens Medical Center | Honolulu | $7,616 | $6,014 | 107 |
| Kuakini Medical Center | Honolulu | $7,666 | $6,092 | 90 |
| Wilcox Memorial Hospital | Lihue | $7,616 | $6,030 | 62 |
| Straub Clinic And Hospital | Honolulu | $7,023 | $5,463 | 38 |
| Adventist Health Castle | Kailua | $7,778 | $6,197 | 30 |
| Pali Momi Medical Center | Aiea | $7,557 | $5,976 | 28 |
| Maui Memorial Medical Center | Wailuku | $8,470 | $6,870 | 23 |
| North Hawaii Community Hospital, Inc | Kamuela | $7,518 | $5,923 | 20 |
| Hilo Medical Center | Hilo | $7,345 | $5,759 | 12 |
| Facility | City | Negotiated Rate | Medicare | Volume |
|---|---|---|---|---|
| The Queens Medical Center | Honolulu | $24,064 | $19,210 | 40 |
| The Queens Medical Center | Honolulu | $36,546 | $29,378 | 28 |
| Pali Momi Medical Center | Aiea | $22,550 | $16,826 | 25 |
| Maui Memorial Medical Center | Wailuku | $32,858 | $30,858 | 21 |
| Adventist Health Castle | Kailua | $20,310 | $16,915 | 21 |
| Wilcox Memorial Hospital | Lihue | $29,595 | $25,071 | 18 |
| Hilo Medical Center | Hilo | $25,623 | $23,383 | 14 |
| Straub Clinic And Hospital | Honolulu | $22,211 | $16,849 | 13 |
| The Queens Medical Center | Honolulu | $20,343 | $12,558 | 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 hip replacement surgery cost guide.
View full hip replacement surgery guideHow much does hip replacement surgery cost in Hawaii?
Why is hip replacement surgery so expensive in Hawaii?
Does insurance cover hip replacement surgery?
How long is recovery after hip replacement surgery?
Are payment plans available for hip replacement surgery in Hawaii?
What should I look for in a Hawaii hip replacement surgery provider?
Can Medicaid help pay for hip replacement surgery in Hawaii?
How we calculate hip replacement surgery 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.