Hawaii Health Systems Corporation · Hilo, HI
3 of 5
CMS star rating
246
Beds
8,891
Inpatient discharges a year
$316.8M
Net patient revenue a year
26
In-network payers
Hilo Medical Center is a 246-bed government - state hospital in Hilo, HI, affiliated with Hawaii Health Systems Corporation. Below you'll find publicly disclosed negotiated rates and facility details, including 26 in-network payers and 240 disclosed rate categories.
The 24 services Hilo Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
Childbirth · Inpatient
MS-DRG 807
$8,353
negotiated rate
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
CT imaging
CPT 74177
$1,473 - $2,437
from 4 insurers · median $1,496
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$1,627 - $2,660
from 4 insurers · median $2,580
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$2,392 - $3,711
from 4 insurers · median $3,599
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$2,433 - $4,416
from 4 insurers · median $2,471
12 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Digestive procedures
CPT 43239
$2,279 - $3,651
from 4 insurers · median $3,541
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$3,020 - $3,718
from 4 insurers · median $3,606
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$316 - $398
from 4 insurers · median $386
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$420 - $456
from 4 insurers · median $442
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$609 - $979
from 4 insurers · median $950
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$2,785 - $3,688
from 4 insurers · median $2,828
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$6,737
negotiated rate
55 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
MRI imaging
CPT 70553
$1,596 - $2,073
from 4 insurers · median $1,621
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$735 - $933
from 4 insurers · median $747
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$368
negotiated rate
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$8,353
negotiated rate
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Nuclear imaging
CPT 78452
$3,873 - $4,977
from 4 insurers · median $3,933
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$7,994
negotiated rate
Typical for a hospital with this service line
Ultrasound
CPT 76642
$234 - $438
from 4 insurers · median $425
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 72100
$363 - $529
from 4 insurers · median $513
Common here, based on CMS Medicare volume
Ultrasound
CPT 76856
$411 - $481
from 4 insurers · median $467
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$43,217
negotiated rate
Hospital reports orthopedic surgery services to CMS
MRI imaging
CPT 70551
$617 - $1,084
from 4 insurers · median $1,051
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 73030
$326 - $398
from 4 insurers · median $386
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 21 | 426% | 17 | 1 |
| Insurer B* | 18 | 414% | 0 | 0 |
| Insurer C* | 18 | 414% | 14 | 0 |
| Insurer D* | 21 | 339% | 4 | 5 |
How we chose these services: 2 appear in this hospital's own Medicare claims, 18 are common here based on CMS Medicare volume, and 4 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Hilo Medical Center, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
3 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$316.8M net patient revenue
Ownership and leadership
Owned by Hawaii Health Systems Corporation
The employer identification numbers (EINs) health plans and networks list for Hilo Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 94-3282424Hilo Medical Center | 42Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 37 more | 1962584060 Hilo Benioff Medical Center1780757856 Hilo Benioff Medical Center1609949775 Hilo Benioff Medical Centerand 7 more |
Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.
1190 Waianuenue Avenue, Hilo, HI 96720
(808) 932-3000
How Hilo Medical Center compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
3 of 5
Lower than 42% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 7 measures
0 better, 7 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Better on 2 of 6 measures
2 better, 4 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 3 of 9 measures
0 better, 6 no different, 3 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
3 of 5
Lower than 40% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
63%
Lower than 79% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
1.4
Higher than 96% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
148 min
Lower than 50% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
67%
Higher than 53% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 3 of 5 | |
| Death rates | No different on 7 measures | |
| Safety | Better on 2 of 6 measures | |
| Readmissions | Worse on 3 of 9 measures | |
| Patient survey ratingCMS: Summary star rating | 3 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 63% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 1.4 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 148 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 67% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Hilo Medical Center's inpatient payments for its readmissions, quality and cost results.
-0.24% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+1.00% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Hilo Medical Center, beside the US median and the average of HI hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | Hilo Medical Center | US median | HI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.2 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 2,159 cases | 3.9 | 3.9 | 3.677 | Better than 49% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 142 cases | 10.8 | 11.8 | 11.4 | Better than 81% of US hospitals | |
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 1.9 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 97 cases | 7.3 | 8.5 | 8.983 | Better than 82% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 224 cases | 10.1 | 11 | 10.66 | Better than 67% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 363 cases | 18.5 | 15.2 | 15.07 | Worse than 89% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 285 cases | 10.2 | 11.6 | 10.71 | Better than 76% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 2,705 cases | 1.77 | 0.51 | 0.8555 | Worse Than the National Rate | Worse than 97% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 · 43 cases | 192 | 173 | 174 | No Different Than the National Rate | Worse than 80% of US hospitals |
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 3,185 cases | 0.35 | 0.2 | 0.2464 | No Different Than the National Rate | Worse than 98% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 3,121 cases | 0.37 | 0.27 | 0.2773 | No Different Than the National Rate | Worse than 97% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 540 cases | 2.63 | 2.29 | 2.417 | No Different Than the National Rate | Worse than 84% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 32 cases | 1.66 | 1.63 | 1.579 | No Different Than the National Rate | Worse than 64% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 35 cases | 8.72 | 8.88 | 8.895 | No Different Than the National Rate | Better than 54% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 596 cases | 4.47 | 3.4 | 3.842 | No Different Than the National Rate | Worse than 91% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 26 cases | 5.17 | 5.105 | 5.092 | No Different Than the National Rate | Worse than 55% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 144 cases | 2.37 | 1.72 | 1.765 | No Different Than the National Rate | Worse than 98% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 613 cases | 1.44 | 1.02 | 1.22 | No Different Than the National Rate | Worse than 94% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Hilo Medical Center | US median | HI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 · 129 cases | 39.5 | 4.2 | 9.6 | Worse than 90% of US hospitals | |
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 246 cases | 51.2 | 1.25 | 21.92 | Worse than 92% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 353 cases | 15.5 | 3.85 | 5.255 | Worse than 66% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 196 cases | 12.9 | 12.9 | 12.99 | No Different Than the National Rate | Better than 50% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 152 cases | 9.8 | 10.7 | 10.2 | No Different Than the National Rate | Better than 78% of US hospitals |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 152 cases | 7.5 | 5.3 | 6.222 | No Different Than the National Rate | Worse than 99% of US hospitals |
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 264 cases | 1.5 | 1 | 1.118 | Worse than expected | Worse than 99% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 201 cases | 14.4 | 14.4 | 14.19 | Worse than 50% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 10.83 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 198 cases | 19.8 | 19.8 | 19.52 | Better than 47% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 406 cases | 22.5 | 21.3 | 21.05 | Worse than 83% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 27 cases | 5.6 | 5.8 | 5.68 | Better than 58% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 645 cases | 17.8 | 17.2 | 16.64 | Worse than 70% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Hilo Medical Center | US median | HI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2329 | Better than the National Benchmark | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.671 | 1.504 | 2.335 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 5,671 | 1,370 | 5,053 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 4.466 | 0.9835 | 4.482 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.5 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 0 | 0.484 | 0.7274 | Better than the National Benchmark | The best result, shared by 21% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.103 | 0.138 | 0.2057 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.1 | 1.392 | 2.329 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 9,212 | 1,799 | 4,489 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 7.424 | 1.377 | 4.821 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 3 | 0 | 3.429 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.404 | 0.399 | 0.7816 | No Different than National Benchmark | Worse than 50% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.026 | 0.2345 | 0.3714 | No Different than National Benchmark | |
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.529 | 2.135 | 2.964 | No Different than National Benchmark | |
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 76 | 61 | 84.83 | No Different than National Benchmark | |
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 1.95 | 1.591 | 2.192 | No Different than National Benchmark | |
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 1 | 1 | 2.333 | No Different than National Benchmark | |
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | 0.513 | 0.7155 | 1.054 | No Different than National Benchmark | Better than 63% of US hospitals |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | ||||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | ||||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 23 | 38 | 30.17 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.201 | 0.328 | 0.2526 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 0.3333 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | ||||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.0446 | No Different than National Benchmark | ||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.092 | 1.855 | 2.003 | No Different than National Benchmark | |
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 61,860 | 14,451 | 43,478 | No Different than National Benchmark | |
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 2.744 | 0.567 | 2.397 | No Different than National Benchmark | |
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 0.6429 | No Different than National Benchmark | |
| MRSA Bacteremia2024-10-01 to 2025-09-30 | 0 | 0.597 | 0.2263 | No Different than National Benchmark | The best result, shared by 18% of US hospitals |
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.25 | 0.127 | 0.2111 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.749 | 0.747 | 1.026 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 60,061 | 13,646 | 44,003 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 28.93 | 5.683 | 21.87 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 13 | 2 | 8.429 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.449 | 0.279 | 0.4274 | Better than the National Benchmark | Worse than 71% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Hilo Medical Center | US median | HI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 758 cases | 72 | 73 | 76.47 | Worse than 53% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 758 cases | 7 | 8 | 6.733 | Better than 56% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 758 cases | 21 | 18 | 16.8 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 758 cases | 87 | 87 | 88.46 | Better than 47% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 758 cases | 4 | 4 | 3.923 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 758 cases | 77 | 80 | 79.2 | Worse than 65% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 758 cases | 91 | 91 | 91.85 | Worse than 49% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 758 cases | 5 | 4 | 4.2 | Worse than 61% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 758 cases | 3 | 3 | 3.769 | Worse than 49% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 758 cases | 18 | 16 | 16.6 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 758 cases | 77 | 79 | 79.73 | Worse than 63% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 758 cases | 90 | 91 | 91.62 | Worse than 55% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 758 cases | 7 | 5 | 5.267 | Worse than 72% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 758 cases | 3 | 3 | 3.462 | Worse than 37% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 758 cases | 16 | 16 | 15 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 758 cases | 58 | 61 | 61.8 | Worse than 66% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 758 cases | 75 | 77 | 78.62 | Worse than 63% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 758 cases | 22 | 19 | 17.13 | Worse than 65% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 758 cases | 2 | 3 | 3 | Worse than 53% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 758 cases | 20 | 19 | 21.07 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 758 cases | 85 | 86 | 86.46 | Worse than 57% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 758 cases | 15 | 13 | 13.27 | Worse than 63% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 758 cases | 3 | 3 | 3.462 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 758 cases | 85 | 87 | 86.73 | Worse than 63% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 758 cases | 17 | 14 | 14.85 | Worse than 68% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 758 cases | 83 | 86 | 85.15 | Worse than 68% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 758 cases | 73 | 74 | 75.38 | Worse than 52% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 758 cases | 8 | 7 | 6.538 | Worse than 63% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 758 cases | 19 | 19 | 18.08 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 758 cases | 75 | 77 | 78.92 | Worse than 64% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 758 cases | 8 | 6 | 5.154 | Worse than 77% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 758 cases | 17 | 17 | 15.92 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 758 cases | 83 | 85 | 85.31 | Worse than 66% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 758 cases | 4 | 3 | 3.385 | Worse than 51% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 758 cases | 13 | 11 | 11.31 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 758 cases | 13 | 8 | 8 | Worse than 85% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 758 cases | 25 | 20 | 21.2 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 758 cases | 62 | 72 | 70.8 | Worse than 84% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 758 cases | 84 | 88 | 88.38 | Worse than 85% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 758 cases | 2 | 3 | 3.308 | Worse than 78% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 758 cases | 71 | 74 | 74.46 | Worse than 69% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 758 cases | 11 | 9 | 8.615 | Worse than 62% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 758 cases | 18 | 16 | 16.92 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 758 cases | 73 | 75 | 75.46 | Worse than 60% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 758 cases | 6 | 5 | 5.538 | Worse than 51% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 758 cases | 21 | 20 | 19 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 758 cases | 75 | 77 | 76.62 | Worse than 58% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 758 cases | 4 | 4 | 4.077 | Better than 45% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 758 cases | 21 | 19 | 19.31 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 758 cases | 83 | 86 | 86 | Worse than 72% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 758 cases | 3 | 3 | 2.385 | Worse than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 758 cases | 14 | 11 | 11.62 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 758 cases | 36 | 59 | 53.73 | Worse than 99% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 758 cases | 26 | 9 | 12.33 | Worse than 98% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 758 cases | 38 | 31 | 33.93 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 758 cases | 67 | 82 | 78.54 | Worse than 98% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 758 cases | 1 | 3 | 2.769 | The lowest rating, shared by 4% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 758 cases | 7 | 5 | 5 | Worse than 67% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 758 cases | 63 | 71 | 71.93 | Worse than 79% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 758 cases | 84 | 87 | 88.31 | Worse than 74% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 758 cases | 30 | 23 | 23.07 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 758 cases | 3 | 4 | 3.923 | Worse than 58% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 758 cases | 46 | 47 | 49.69 | Worse than 53% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 758 cases | 33 | 30 | 27.62 | Worse than 62% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 758 cases | 21 | 22 | 22.69 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 758 cases | 3 | 3 | 3.462 | Worse than 40% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 758 cases | 12 | 12 | 11.92 | Better than 48% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 758 cases | 88 | 88 | 88.08 | Better than 48% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Hilo Medical Center | US median | HI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | high | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 4.6 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 0.25 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 2,118 cases | 77 | 79 | 65.63 | Worse than 54% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 497 cases | 149 | 154 | 119 | Better than 54% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 481 cases | 148 | 148 | 120 | Better than 50% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 16 cases | 196 | 247 | 196 | Better than 70% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 277 | |||
| Left before being seen2024-01-01 to 2024-12-31 · 51,878 cases | 1 | 1 | 0.8824 | Better than 42% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 24 cases | 83 | 74 | 68.14 | Better than 71% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 147 cases | 97 | 97 | 91.73 | Better than 46% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | ||||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | ||||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 1,672 cases | 10 | 15 | 11.31 | Better than 82% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 826 cases | 67 | 65 | 76.08 | Better than 53% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 274 cases | 70 | 73 | 85 | Worse than 56% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 146 cases | 84 | 88 | 87.36 | Worse than 63% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 827 cases | 88 | 82 | 90.67 | Better than 73% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 546 cases | 91 | 94 | 92.92 | Worse than 68% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 253 cases | 100 | 98 | 95.7 | The best result, shared by 14% of US hospitals | |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 71.75 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 92.86 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 5,097 cases | 96 | 90 | 70.5 | Better than 74% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 940 cases | 100 | 97 | 88.33 | The best result, shared by 14% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Hilo Medical Center | US median | HI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 4.2 | 5 | 4.446 | Better than 59% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | Not Available | 6.189 |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Hilo Medical Center | US median | HI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.89 | 0.99 | 0.8855 | Better than 90% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Hilo Medical Center | US median | HI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 27.5 | 20 | 20.86 | Better than 64% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 6.875 | 5 | 5.216 | Better than 64% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 70 | 10 | 61.82 | Better than 92% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 17.5 | 2.5 | 15.45 | Better than 91% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 18 | 34 | 38.64 | Worse than 83% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 4.5 | 8.75 | 9.659 | Worse than 83% of US hospitals | |
| VBP safety domain scoreFY 2026 | 58.33 | 40 | 42.33 | Better than 79% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 14.58 | 10 | 10.58 | Better than 78% of US hospitals | |
| VBP total performance scoreFY 2026 | 43.46 | 29.5 | 40.91 | Better than 86% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 28 | 46 | 26.67 | 15 | 15 | 27.5 |
| VBP clinical outcomes weighted domain score | 7 | 11.5 | 6.667 | 3.75 | 3.75 | 6.875 |
| VBP efficiency and cost reduction domain score | 70 | Not Available | 60 | 40 | 40 | 70 |
| VBP efficiency and cost reduction weighted domain score | 17.5 | Not Available | 15 | 10 | 10 | 17.5 |
| VBP person and community engagement domain score | 46 | Not Available | Not Available | 11 | 8 | 18 |
| VBP person and community engagement weighted domain score | 11.5 | Not Available | Not Available | 2.75 | 2 | 4.5 |
| VBP safety domain score | 62 | Not Available | Not Available | 4 | 50 | 58.33 |
| VBP safety weighted domain score | 15.5 | Not Available | Not Available | 1 | 12.5 | 14.58 |
| VBP total performance score | 51.5 | Not Available | Not Available | 17.5 | 28.25 | 43.46 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Hilo Medical Center | US median | HI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 · 127 cases | 1.075 | 0.9995 | 1.005 | Worse than 88% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9704 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 72 cases | 1.022 | 0.9969 | 0.9963 | Worse than 70% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 252 cases | 0.9991 | 0.9983 | 1.003 | Worse than 50% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9556 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 290 cases | 0.8996 | 0.9955 | 0.9561 | Better than 95% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 0.9338 | 0.9549 | 1.013 | 1.036 | 1.071 | 1.075 |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 0.9645 | 0.9739 | 0.9693 | 1.039 | 1.044 | 1.022 |
| READM-30-HF-HRRP | 1.051 | 1.005 | 0.9747 | 0.9124 | 0.9839 | 0.9991 |
| READM-30-HIP-KNEE-HRRP | 0.9216 | 0.9738 | N/A | N/A | N/A | N/A |
| READM-30-PN-HRRP | 0.9158 | 0.95 | 1.034 | 0.9909 | 0.9532 | 0.8996 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Hilo Medical Center | US median | HI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.358 | 0.489 | 0.9801 | Better than 64% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.504 | 0.346 | 0.5455 | Worse than 73% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.559 | 0.8835 | The best result, shared by 14% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0.895 | 0.6405 | 0.4982 | Worse than 70% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 1.403 | 0.9628 | 1.068 | Worse than 96% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.241 | 0.7945 | 1.393 | Better than 85% of US hospitals | |
| Total HAC scoreFY 2026 | 0.0846 | -0.0453 | 0.4309 | Worse than 58% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | Yes | Yes | No |
| Total HAC score | -0.4753 | -0.5486 | 0 | 0.6264 | 0.5429 | 0.0846 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 2011)
Accreditation
None
Medical school affiliation
State
Ownership type
142
Medicare-certified beds
244
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Hilo Medical Center reported to Medicare in its latest cost report, covering Jul 1, 2024 to Jun 30, 2025.
8,891
Inpatient discharges
Medicare 20%, Medicaid 27%
60,237
Inpatient days
85% of available bed days used
1,358
Employees (full-time equivalent)
17
Interns and residents (full-time equivalent)
Source: CMS cost report (HCRIS) (report 825508). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Hilo Medical Center reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 11,397 | 16,593 | 32,247 | 60,237 |
| Discharges | 1,745 | 2,384 | 4,762 | 8,891 |
| Average length of stay | 6.5 days | 7.0 days | 6.8 days | 6.8 days |
| Average daily census | 31.2 | 45.5 | 88.3 | 165.0 |
15,574
Medicare Advantage days
2,446 discharges
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 183 | 54,038 | 10,750 | 81% |
| Intensive care unit | 11 | 4,015 | 647 | 100% |
| Nursery | 1,654 | |||
| Skilled nursing facility | 52 | 18,034 | 80 | 95% |
Source: CMS cost report (HCRIS, Form 2552-10), report 825508, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Hilo Medical Center treats Medicare patients for most often, in 2024. 1,094 Medicare discharges in 40 published DRGs; 9% surgical; 71% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 177 | $58,769 | $21,999 | $23,449 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 78 | $40,932 | $13,728 | $16,332 | 1.28 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 64 | $50,002 | $14,351 | $19,951 | 1.33 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 59 | $45,005 | $9,862 | $17,957 | 0.98 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 49 | $30,852 | $10,423 | $12,310 | 1.02 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 45 | $37,917 | $11,099 | $15,129 | 1.03 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 35 | $54,571 | $11,374 | $21,774 | 1.10 |
| PsychosesMS-DRG 885, medical | 35 | $31,005 | $15,501 | $12,371 | 1.37 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 34 | $59,919 | $20,523 | $23,908 | 1.70 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 28 | $79,013 | $26,694 | $31,526 | 2.00 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 26 | $22,724 | $8,156 | $9,067 | 0.78 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 24 | $178,810 | $60,063 | $71,345 | 5.00 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 23 | $34,387 | $12,576 | $13,720 | 1.17 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 22 | $46,020 | $18,939 | $18,362 | 1.82 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 21 | $40,333 | $13,567 | $16,093 | 1.23 |
| Cellulitis without MCCMS-DRG 603, medical | 21 | $22,616 | $9,594 | $9,024 | 0.88 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 21 | $55,150 | $14,880 | $22,005 | 1.32 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 20 | $22,198 | $6,833 | $8,857 | 0.74 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 19 | $61,514 | $21,560 | $24,544 | 2.07 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 18 | $75,309 | $19,227 | $30,048 | 1.79 |
See all 40 Medicare inpatient DRGs at Hilo Medical Center
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Hilo Medical Center billed Medicare for most in 2024: 871 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 1 Endovascular ProceduresAPC 5191 | 103 | 103 | $14,959 | $2,829 | $2,208 |
| Level 3 Vascular ProceduresAPC 5183 | 63 | 61 | $13,645 | $3,029 | $2,405 |
| Level 2 Endovascular ProceduresAPC 5192 | 63 | 45 | $28,028 | $5,601 | $4,338 |
| Level 3 Endovascular ProceduresAPC 5193 | 58 | 55 | $64,693 | $11,890 | $8,874 |
| Level 5 Urology and Related ServicesAPC 5375 | 58 | 47 | $14,787 | $5,075 | $3,918 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 55 | 55 | $19,474 | $5,363 | $4,358 |
| Level 4 Urology and Related ServicesAPC 5374 | 51 | 39 | $14,308 | $3,286 | $2,629 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 47 | 46 | $17,606 | $1,517 | $1,220 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 40 | 38 | $32,438 | $2,787 | $2,141 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 36 | 35 | $45,150 | $14,142 | $10,772 |
See all 28 Medicare outpatient services at Hilo Medical Center
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at Hilo Medical Center in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 2,855 in 2020 to 3,919 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 96720 | 1,821 | 46% | 12,284 | $101.6M | 85% | 85% |
| 96749 | 502 | 13% | 3,258 | $29M | 89% | 88% |
| 96778 | 495 | 13% | 3,314 | $29M | 90% | 87% |
| 96771 | 204 | 5% | 1,421 | $11.7M | 100% | 89% |
| 96760 | 132 | 3% | 1,296 | $8.5M | 90% | 85% |
| 96785 | 109 | 3% | 894 | $7.4M | 100% | 72% |
| 96721 | 101 | 3% | 648 | $5.2M | 100% | 100% |
| 96783 | 82 | 2% | 497 | $4.8M | 100% | 100% |
| 96772 | 72 | 2% | 506 | $5.2M | 72% | 100% |
| 96777 | 62 | 2% | 536 | $4.7M | 100% | 79% |
| 96781 | 55 | 1% | 335 | $2.6M | 100% | 100% |
| 96740 | 44 | 1% | 267 | $3.1M | 5% | 3% |
| 96737 | 36 | 1% | 234 | $1.9M | 29% | |
| 96727 | 28 | 1% | 159 | $1.7M | 23% | 18% |
| 96764 | 25 | 1% | 131 | $1.1M | 100% | 100% |
| 96780 | 24 | 1% | 126 | $1.1M | 100% | |
| 96738 | 21 | 1% | 147 | $1M | 19% | |
| 96710 | 19 | 0% | 93 | $984,370 | 100% | 100% |
| 96728 | 19 | 0% | 88 | $862,500 | 100% | 100% |
| 96743 | 17 | 0% | 110 | $866,303 | 8% | 9% |
| 96745 | 15 | 0% | 111 | $835,024 | 10% | |
| 96704 | 12 | 0% | 70 | $843,083 | 7% | |
| 96755 | 12 | 0% | 113 | $935,358 | 19% | |
| 96807 | 12 | 0% | 641 | $1M | 21% |
Source: CMS Hospital Service Area file. Shares are of the 3,919 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Hilo Medical Center reported at its latest Medicare certification survey (2011). Counts are people, not full-time equivalents.
8
Off-site locations
8
Off-site emergency departments
244
Registered nurses
17
Licensed practical nurses
11
Physicians
1
Nurse practitioners
1
Nurse anesthetists (CRNAs)
10
Pharmacists
14
Respiratory therapists
7
Physical therapists
5
Occupational therapists
1
Speech pathologists and audiologists
9
Radiology technicians
2
Nuclear medicine technicians
7
Medical technologists
4
Dietitians
2
Social workers
492
Other personnel
Source: CMS Provider of Services file.
329 clinicians who bill Medicare list Hilo Medical Center as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Karl Hurst-Wicker, M.D.
Interventional Pain Medicine Physician
NPI 1962698654
See commercial rates for Karl Hurst-Wicker, M.D.Ming Peng, MD
Diagnostic Radiology Physician
NPI 1316904634
See commercial rates for Ming Peng, MDRobert Saito, MD
Diagnostic Radiology Physician
NPI 1770540312
See commercial rates for Robert Saito, MDLori Wilhelm, MD
Diagnostic Radiology Physician
NPI 1609825728
See commercial rates for Lori Wilhelm, MDMatthew Fleishman, M.D.
Diagnostic Radiology Physician
NPI 1205813045
See commercial rates for Matthew Fleishman, M.D.Eric Wyatt, MD
Diagnostic Radiology Physician
NPI 1538126008
See commercial rates for Eric Wyatt, MDPeter Matsuura, M.D.
Orthopaedic Surgery Physician
NPI 1053368373
See commercial rates for Peter Matsuura, M.D.Scott Grosskreutz, MD
Diagnostic Radiology Physician
NPI 1326004987
See commercial rates for Scott Grosskreutz, MDRyan Smith, DO, FACC
Cardiovascular Disease Physician
NPI 1639157365
See commercial rates for Ryan Smith, DO, FACCNathaniel Valin, M.D.
Cardiovascular Disease Physician
NPI 1588646616
See commercial rates for Nathaniel Valin, M.D.Samuel Huang, MD
Urology Physician
NPI 1679574081
See commercial rates for Samuel Huang, MDDavid Camacho, MD
Diagnostic Radiology Physician
NPI 1265499826
See commercial rates for David Camacho, MDMichael Seu, MD
Diagnostic Radiology Physician
NPI 1164489555
See commercial rates for Michael Seu, MDOwen Chan, MD, PHD
Anatomic Pathology & Clinical Pathology Physician
NPI 1629309620
See commercial rates for Owen Chan, MD, PHDBrandon Kai, M.D.
Interventional Cardiology Physician
NPI 1285913632
See commercial rates for Brandon Kai, M.D.Sydney Tatsuno, MD
Internal Medicine Physician
NPI 1467547307
See commercial rates for Sydney Tatsuno, MDBrett Bartz, M.D.
Diagnostic Radiology Physician
NPI 1518132521
See commercial rates for Brett Bartz, M.D.Robert Frankel, PA-C
Physician Assistant
NPI 1225020118
See commercial rates for Robert Frankel, PA-CMatthew Dykema, D.O.
Family Medicine Physician
NPI 1255566816
See commercial rates for Matthew Dykema, D.O.Clayton Yamada, MD
Diagnostic Radiology Physician
NPI 1134166739
See commercial rates for Clayton Yamada, MDDavid Blood, MD
Diagnostic Radiology Physician
NPI 1710097001
See commercial rates for David Blood, MDNicholas Kennedy, M.D.
Vascular & Interventional Radiology Physician
NPI 1447416235
See commercial rates for Nicholas Kennedy, M.D.Jeremy Docekal, M.D.
Cardiovascular Disease Physician
NPI 1003170556
See commercial rates for Jeremy Docekal, M.D.Sharon Lawler, M.D.
Internal Medicine Physician
NPI 1346297926
See commercial rates for Sharon Lawler, M.D.Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Hilo Medical Center reported to Medicare for Jul 1, 2024 to Jun 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $868.3M | 274.1% |
| Inpatient | $404.2M | 127.6% |
| Outpatient | $464.1M | 146.5% |
| Contractual allowances and discounts | -$551.5M | -174.1% |
| Net patient revenue | $316.8M | 100.0% |
| Operating expenses | -$374.2M | -118.1% |
| Operating income from patient care | -$57.4M | -18.1% |
| Other income | $109.8M | 34.7% |
| Other expenses | -$19.3M | -6.1% |
| Net income | $33.1M | 10.4% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $124.4M | 15.4% |
| Medicaid (including managed care) | $209.5M | 25.9% |
| Other payers and self-pay | $476.6M | 58.8% |
| Total charges | $810.6M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 825508, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Hilo Medical Center's latest cost report.
-18.1%
Operating margin
Operating income from patient care / net patient revenue
7.8%
Total margin
Net income / net patient revenue plus other income
8.7%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
54% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$43.43
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
7.9%
Return on assets
Net income for a year / total assets
3.77
Current ratio
Current assets / current liabilities
2.17
Quick ratio
Cash, temporary investments and net receivables / current liabilities
81 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
59 days
Days in patient receivables
Net patient receivables / daily net patient revenue
61 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.02
Asset turnover
Total revenue for a year / total assets
33.8 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 825508, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Hilo Medical Center owned and owed at the end of its reporting period (Jun 2025), across all fund types: $416.4M in total assets and a -$126.4M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $82.1M | 19.7% |
| Patient receivables, net | $51.5M | 12.4% |
| Inventory | $6.3M | 1.5% |
| Total current assets | $231.6M | 55.6% |
| Property and equipment, net of depreciation | $126.6M | 30.4% |
| Investments and other assets | $58.2M | 14.0% |
| Total assets | $416.4M | 100.0% |
| Current liabilities | $61.5M | 14.8% |
| Long-term debt | $13M | 3.1% |
| Total liabilities | $542.8M | 130.4% |
| Fund balance (net assets) | -$126.4M | -30.4% |
Source: CMS cost report (HCRIS, Form 2552-10), report 825508, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Hilo Medical Center provided without full payment, as reported on Worksheet S-10 of its cost report.
$38,626
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$11.9M
Bad debt
Patient bills written off as uncollectible, at charges
$42.6M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$17.8M
Total unreimbursed and uncompensated care
4.7% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
$75M
Government grants and appropriations
Government grants or transfers supporting hospital operations
Source: CMS cost report (HCRIS, Form 2552-10), report 825508, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Hilo Medical Center's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Jun 2020 | Jun 2021 | Jun 2022 | Jun 2023 | Jun 2024 | Jun 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $191.8M | $208.3M | $234.2M | $263.6M | $295.6M | $316.8M |
| Operating expenses | $252.4M | $248.5M | $281.7M | $314.9M | $347.3M | $374.2M |
| Operating margin | -31.6% | -19.3% | -20.3% | -19.5% | -17.5% | -18.1% |
| Net income | $6.6M | $30.4M | $31.9M | $32.7M | $40.1M | $33.1M |
| Total assets | $216.3M | $219.8M | $241.3M | $292.4M | $335.7M | $416.4M |
| Discharges | 8,578 | 8,057 | 7,152 | 7,777 | 8,023 | 8,891 |
| Inpatient days | 40,982 | 44,303 | 50,333 | 57,259 | 57,023 | 60,237 |
| Medicare Advantage days | 6,913 | 8,344 | 11,904 | 14,314 | 14,265 | 15,574 |
| Beds | 276 | 192 | 211 | 239 | 246 | 246 |
| Employees (FTE) | 1,076 | 1,018 | 1,077 | 1,198 | 1,239 | 1,358 |
Source: CMS cost report (HCRIS, Form 2552-10), report 825508, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Hilo Medical Center reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Radiology-therapeutic | $4.2M | $34.4M | $45.4M | 0.76 | |
| Emergency | $10.4M | $32.9M | $117.4M | 0.28 | 7,320 |
| Radiology-diagnostic | $7.1M | $28.7M | $63.4M | 0.45 | 10,106 |
| Operating room | $7.6M | $23.6M | $63.1M | 0.37 | 20,792 |
| Laboratory | $151,240 | $16.5M | $72.9M | 0.23 | 14,066 |
| Impl. dev. charged to patients | $15.3M | $18.8M | 0.82 | ||
| Drugs charged to patients | $11.4M | $31.4M | 0.36 | ||
| Delivery room & labor room | $7.9M | $7.3M | 1.07 | 12,008 | |
| Respiratory therapy | $1.2M | $7M | $45.4M | 0.15 | 4,972 |
| Medical supplies charged to patient | $7M | $23.4M | 0.30 | ||
| Ct scan | $780,660 | $5.1M | $30.2M | 0.17 | 3,058 |
| Clinic | $995,843 | $3.6M | $3.8M | 0.94 | |
| Physical therapy | $1.2M | $3.2M | $2.7M | 1.18 | 4,248 |
| Renal dialysis | $2.2M | $6.6M | 0.34 | ||
| Mri | $716,314 | $2.1M | $6.6M | 0.32 | 1,658 |
| Occupational therapy | $428,661 | $1.7M | $2.2M | 0.75 | 500 |
| Blood storing processing & trans. | $1.6M | $9.3M | 0.17 | 620 | |
| Anesthesiology | $119,774 | $1.3M | $19.1M | 0.07 | 664 |
| Cardiac catheterization | $418,599 | $977,490 | $28M | 0.03 | |
| Cardiac rehabilitation | $316,130 | $1.6M | 0.20 | 2,093 | |
| Speech pathology | $20,000 | $246,761 | $581,757 | 0.42 | 184 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $37.9M | $93.3M | $167.4M | 0.56 | 48,053 |
| Intensive care unit | $6.2M | $16.4M | $18.8M | 0.87 | 8,567 |
| Skilled nursing facility | $4M | $15.1M | $19.2M | 0.78 | |
| Nursery | $4.5M | $5.9M | 0.77 | 1,885 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $6.5M | $53.9M | 421,247 | $43.03 | 18,674 |
| Maintenance & repairs | $3.5M | $14.8M | 100,071 | $31.62 | 21,098 |
| Nursing administration | $5.9M | $8.9M | 125,431 | $42.08 | 1,989 |
| Housekeeping | $3.5M | $7.4M | 134,047 | $23.84 | 1,592 |
| Employee benefits department | $4.4M | $5.5M | 58,487 | $67.36 | 2,022 |
| Pharmacy | $3.3M | $5.2M | 66,763 | $44.72 | 2,349 |
| Social service | $2.9M | $5M | 58,289 | $45.75 | 1,604 |
| Dietary | $4M | $4.1M | 65,167 | $24.21 | 9,140 |
| Medical records & library | $1.1M | $3.8M | 50,161 | $20.60 | 478 |
| Central services & supply | $1.9M | $3.3M | 62,390 | $26.81 | 10,545 |
| Cap rel costs-bldg & fixt | $3.3M | 242,380 | |||
| Cafeteria | $3.1M | 66,096 | $30.21 | 4,263 | |
| I&r services-other prgm costs apprv | $2.6M | ||||
| Laundry & linen service | $1.1M | $2.1M | 43,815 | $22.87 | |
| New crc oncology | $478,205 | ||||
| New crc-building 1 | $259,141 | ||||
| Cap rel costs-mvble equip | $166,610 | ||||
| I&r services-salary & fringes apprv | $105,702 |
Source: CMS cost report (HCRIS, Form 2552-10), report 825508, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Hilo Medical Center for an inpatient stay.
1.63
Case mix index
Higher than 44% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
Teaching hospital
Teaching status
0.09 residents per bed
Medicare-funded interns and residents per bed (FY 2027).
34.9%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
1,790
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Rural
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.56 | 1.56 | 1.69 | 1.73 | 1.65 | 1.68 | 1.63 |
| Wage index | 1.256 | 1.201 | 1.200 | 1.378 | 1.309 | 1.260 | 1.198 |
| Readmissions adjustment | -0.22% | -0.10% | 0.00% | -0.03% | -0.12% | -0.23% | -0.24% |
| Value-based purchasing adjustment | -0.09% | +1.30% | +1.30% | +0.69% | -0.34% | +0.53% | +1.00% |
| Medicare inpatient stays | 1,885 | 1,885 | 1,675 | 1,580 | 1,584 | 1,686 | 1,790 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Hilo Medical Center reports to Medicare as owners or with operational control.
Hawaii Health Systems Corporation
Operational/managerial control, since 1996
Sources: CMS Hospital All Owners.
The officers and board members on Hilo Medical Center's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 17 of 18 are shown.
340B drug pricing program
Participating since 2004
340B ID DSH120005, registered as a disproportionate share hospital; 3 registered outpatient sites; 1 active contract pharmacies. Authorizing official: Dan Brinkman, CEO.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Hilo medical center
CCN 120005, certified 1966
Hilo medical center
CCN 125002, certified 1967, Medicare prospective payment
Hilo medical center hha
CCN 127002, certified 1969, Medicare prospective payment
Source: Worksheet S-2 Part I of Hilo Medical Center's latest Medicare cost report (HCRIS).
About Hilo Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Hilo Medical Center range from $1,596 to $2,073 across 4 insurers. Cigna's rate is $1,596. The median at nearby comparable hospitals is $1,292. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Hilo Medical Center range from $1,473 to $2,437 across 4 insurers. Aetna's rate is $2,437. The median at nearby comparable hospitals is $809. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Hilo Medical Center range from $2,392 to $3,711 across 4 insurers. Aetna's rate is $2,392. The median at nearby comparable hospitals is $1,779. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Hilo Medical Center range from $8,353 to $8,353 across 1 insurers. HMSA Blue Cross Blue Shield's rate is $8,353. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Hilo Medical Center range from $368 to $368 across 1 insurers. Aetna's rate is $368. The median at nearby comparable hospitals is $352. What a patient pays depends on their plan's deductible, coinsurance and network status.
Hilo Medical Center has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.
Yes. CMS counts 0.09 Medicare-funded residents per bed at Hilo Medical Center for fiscal year 2027, so it is a teaching hospital.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Hilo Medical Center's base inpatient payments by an estimated 0.24% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (177 discharges), heart failure and shock with mcc (78 discharges), simple pneumonia and pleurisy with mcc (64 discharges).
Hilo Medical Center's Medicare case mix index is 1.63 for fiscal year 2027, higher than 44% of hospitals paid under the inpatient prospective payment system.
Hilo Medical Center reported 8,891 inpatient discharges and 60,237 inpatient days from Jul 1, 2024 to Jun 30, 2025.
Hilo Medical Center reported 1,358 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.
Hilo Medical Center reported $316.8M in net patient revenue on $868.3M of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of -18.1%, and net income of $33.1M.
Hilo Medical Center reported $17.8M of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025, including $38,626 of charity care at cost.
Hilo Medical Center's Medicare enrollment lists Daniel John Brinkman as CEO since 2015.
Insurers' price transparency files list Hilo Medical Center under employer identification number 94-3282424 (Hilo Medical Center). 42 health plans and networks list 94-3282424 for it.
Yes. HRSA's 340B database lists Hilo Medical Center (340B ID DSH120005) as a participating disproportionate share hospital since 2004, with 1 active contract pharmacies.
329 clinicians who bill Medicare list Hilo Medical Center as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family medicine physician (38), emergency medicine physician (31), internal medicine physician (30).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Hilo Medical Center, effective 2011.
In its Medicare enrollment, Hilo Medical Center reports Hawaii Health Systems Corporation as Operational/managerial control.
CMS lists 37 services at Hilo Medical Center, including Acute Renal Dialysis, Adult Inpatient Psychiatric Care, Anesthesia, Audiology, Cardiac Catheterization Lab, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation).
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Hilo Medical Center came from ZIP codes 96720 (1,821), 96749 (502), 96778 (495).
Hilo Medical Center has 246 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 142 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Hilo Medical Center is located at 1190 Waianuenue Avenue, Hilo, HI 96720. Its main phone number is (808) 932-3000.
Hilo Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 120005.
The National Provider Identifier (NPI) on file for Hilo Medical Center is 1780757856.
Hilo Medical Center is affiliated with Hawaii Health Systems Corporation.
Hilo Medical Center lists 26 in-network payers, including Aetna, Aspirus Health Plan, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
240 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers