Open Heart Surgery Cost in Hawaii (2026)
Among the most expensive states for open heart surgery · HI
What Drives Pricing Here
Three factors explain most of why open heart 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
Limited local facility options in Hawaii can reduce price competition. Consider quotes from neighboring states if the travel is feasible.
Vs. National Benchmark
At +16.4% above the national average ($150,000), Hawaii sits in premium territory. Likely drivers: high demand, metro concentration, or tier-one facility networks.
Open Heart Surgery in Hawaii: What to Know
Open heart surgery in Hawaii boasts a rich history, with the first successful procedure performed at Queen's Hospital in December 1959. Today, The Queen's Medical Center – Punchbowl leads in adult cases, performing 360 in 2023, followed by Straub Clinic & Hospital (250) and Kaiser Foundation Hospital (165). For pediatric needs, Kapiolani Medical Center is Hawaii's sole provider, offering comprehensive services and performing 35 surgeries last year, including pioneering transcatheter valve alternatives.
While open heart surgery is typically hospital-based due to its complexity, Hawaii's costs exceed the national average. Patients seeking more affordable options might consider traveling to the mainland for care. Many patients already travel to Oahu from neighbor islands for specialized heart conditions. Verify current pricing directly with providers.
Estimated Cost Breakdown in Hawaii
Open Heart Surgery costs run 16.4% above the national average in Hawaii, driven largely by higher facility and provider rates. Here's the full breakdown.
Hospital Stay
Per-night inpatient cost
Most significant cost
Surgeon Fee
Expertise and experience level
Implants & Supplies
Operating Room
OR and equipment time
Anesthesia
Anesthesiologist or CRNA fee
Post-Op Care
Recovery and aftercare
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 $174,600 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
Hawaii has fewer high-volume open heart surgery facilities than most states. The rates below are from CMS Medicare claims.
| Facility | City | Negotiated Rate | Medicare | Volume |
|---|---|---|---|---|
| The Queens Medical Center | Honolulu | $95,465 | $67,766 | 31 |
| Straub Clinic And Hospital | Honolulu | $95,006 | $68,585 | 22 |
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 open heart surgery cost guide.
View full open heart surgery guideHow much does open heart surgery cost in Hawaii?
What makes open heart surgery cost more in Hawaii?
Will my health insurance pay for open heart surgery?
When can I return to work after open heart surgery?
What payment options exist for open heart surgery in Hawaii?
Does Hawaii Medicaid cover open heart surgery?
Can I pay for open heart surgery with pre-tax health savings?
How we calculate open heart 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.