CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$1,090 - $2,437
from 4 insurers · median $1,107
Typical for a hospital with this service line
Hawaii Health Systems Corporation · Pahala, HI
Not rated by CMS
CMS star rating
21
Beds
1
Inpatient discharges a year
$49.9M
Net patient revenue a year
30
In-network payers
Kau Hospital is a 21-bed government - state hospital in Pahala, HI, affiliated with Hawaii Health Systems Corporation. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 254 disclosed rate categories.
The 24 services Kau Hospital 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.
CT imaging
CPT 74177
$1,090 - $2,437
from 4 insurers · median $1,107
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$308 - $375
from 4 insurers · median $364
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$1,132 - $1,758
from 4 insurers · median $1,149
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$1,905 - $2,448
from 4 insurers · median $1,934
Typical for a hospital with this service line
CT imaging
CPT 70450
$328 - $420
from 4 insurers · median $333
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$1,647 - $3,491
from 4 insurers · median $1,672
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$1,639 - $2,751
from 4 insurers · median $1,665
Typical for a hospital with this service line
CT imaging
CPT 74176
$621 - $935
from 4 insurers · median $630
Typical for a hospital with this service line
Mammography
CPT 77067
$339
negotiated rate
Typical for a hospital with this service line
Ultrasound
CPT 76705
$407 - $475
from 4 insurers · median $460
Typical for a hospital with this service line
CT imaging
CPT 71275
$507 - $702
from 4 insurers · median $515
Typical for a hospital with this service line
MRI imaging
CPT 70553
$892 - $2,073
from 4 insurers · median $906
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$7,994
negotiated rate
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$1,261 - $3,492
from 4 insurers · median $1,281
Typical for a hospital with this service line
MRI imaging
CPT 72148
$861 - $1,410
from 4 insurers · median $875
Typical for a hospital with this service line
X-ray and bone density
CPT 73630
$237 - $375
from 4 insurers · median $364
Typical for a hospital with this service line
X-ray and bone density
CPT 73030
$326 - $375
from 4 insurers · median $364
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$86 - $126
from 4 insurers · median $88
Typical for a hospital with this service line
Ultrasound
CPT 76830
$415 - $475
from 4 insurers · median $460
Typical for a hospital with this service line
X-ray and bone density
CPT 72100
$363 - $529
from 4 insurers · median $513
Typical for a hospital with this service line
MRI imaging
CPT 73721
$489 - $888
from 4 insurers · median $861
Typical for a hospital with this service line
Ultrasound
CPT 76856
$411 - $475
from 4 insurers · median $460
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$380 - $523
from 4 insurers · median $386
Typical for a hospital with this service line
Medicine & Surgery
CPT 64483
$2,519 - $3,359
from 4 insurers · median $3,258
Typical for a hospital with this service line
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* | 24 | 367% | 0 | 0 |
| Insurer B* | 22 | 364% | 8 | 0 |
| Insurer C* | 22 | 353% | 0 | 0 |
| Insurer D* | 22 | 353% | 0 | 0 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 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 Kau Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.





Quality
Not rated by CMS
Doctors and services
7 services
Finances
$49.9M net patient revenue
Ownership and leadership
Owned by Hawaii Health Systems Corporation
The employer identification numbers (EINs) health plans and networks list for Kau Hospital 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 |
|---|---|---|
| 99-0262198Kau Hospital | 50Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 45 more | 1558441311 Kau Hospital1649876913 Kau Hospital1164083374 Kau Hospitaland 11 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.
1 Kamani Street, Pahala, HI 96777
(808) 928-8331
How Kau Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Time in the ER before going home
79 min
Lower than 98% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
| Measure | Result | Period |
|---|---|---|
| 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 | 79 min | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-09-30. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
Each result CMS publishes for Kau Hospital, 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 | Kau Hospital | 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 | Not Available | 3.677 | |||
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.4 | |||
| 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 | Not Available | 8.983 | |||
| Death rate for heart failure patients2022-07-01 to 2025-06-30 | Not Available | 10.66 | |||
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 | Not Available | 15.07 | |||
| Death rate for stroke patients2023-07-01 to 2025-06-30 | Not Available | 10.71 | |||
| Pressure ulcer rate2022-07-01 to 2024-06-30 | Not Available | 0.8555 | |||
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 174 | |||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 | Not Available | 0.2464 | |||
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 | Not Available | 0.2773 | |||
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 | Not Available | 2.417 | |||
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 | Not Available | 1.579 | |||
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 | Not Available | 8.895 | |||
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 | Not Available | 3.842 | |||
| Postoperative sepsis rate2022-07-01 to 2024-06-30 | Not Available | 5.092 | |||
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 | Not Available | 1.765 | |||
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 | Not Available | 1.22 | |||
| CMS Medicare PSI 90: Patient safety and adverse events composite2022-07-01 to 2024-06-30 | Not Available | 1.068 |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Kau Hospital | US median | HI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 9.6 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 | Not Available | 21.92 | |||
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 | Not Available | 5.255 | |||
| 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 | Not Available | 12.99 | |||
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.2 | Number of Cases Too Small | ||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 6.222 | Number of Cases Too Small | ||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 | Not Available | 1.118 | |||
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.19 | |||
| 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 | Not Available | 19.52 | |||
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 21.05 | |||
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 5.68 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 16.64 |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Kau Hospital | 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 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.335 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | Not Available | 5,053 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 4.482 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | Not Available | 2.5 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.7274 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2057 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.329 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | Not Available | 4,489 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 4.821 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | Not Available | 3.429 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.7816 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3714 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.964 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | Not Available | 84.83 | |||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 2.192 | |||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 2.333 | |||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 1.054 | |||
| 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 | Not Available | 30.17 | |||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 0.2526 | |||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 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 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.003 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | Not Available | 43,478 | |||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 2.397 | |||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 0.6429 | |||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.2263 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2111 | |||
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.026 | |||
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | Not Available | 44,003 | |||
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 21.87 | |||
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | Not Available | 8.429 | |||
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | Not Available | 0.4274 |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Kau Hospital | US median | HI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 | Not Available | 76.47 | |||
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 | Not Available | 6.733 | |||
| Room was "usually" clean2024-10-01 to 2025-09-30 | Not Available | 16.8 | |||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 88.46 | |||
| Cleanliness - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.923 | |||
| Nurses "always" communicated well2024-10-01 to 2025-09-30 | Not Available | 79.2 | |||
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 91.85 | |||
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 | Not Available | 4.2 | |||
| Nurse communication - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.769 | |||
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 | Not Available | 16.6 | |||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 | Not Available | 79.73 | |||
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 91.62 | |||
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 | Not Available | 5.267 | |||
| Doctor communication - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.462 | |||
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 | Not Available | 15 | |||
| Staff "always" explained2024-10-01 to 2025-09-30 | Not Available | 61.8 | |||
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 78.62 | |||
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 | Not Available | 17.13 | |||
| Communication about medicines - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3 | |||
| Staff "usually" explained2024-10-01 to 2025-09-30 | Not Available | 21.07 | |||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 86.46 | |||
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 | Not Available | 13.27 | |||
| Discharge information - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.462 | |||
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 | Not Available | 86.73 | |||
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 | Not Available | 14.85 | |||
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 | Not Available | 85.15 | |||
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 75.38 | |||
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 6.538 | |||
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 18.08 | |||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 | Not Available | 78.92 | |||
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 | Not Available | 5.154 | |||
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 | Not Available | 15.92 | |||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 85.31 | |||
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 3.385 | |||
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 11.31 | |||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 | Not Available | 8 | |||
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 | Not Available | 21.2 | |||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 | Not Available | 70.8 | |||
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 88.38 | |||
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.308 | |||
| Staff "always" explained new medications2024-10-01 to 2025-09-30 | Not Available | 74.46 | |||
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 | Not Available | 8.615 | |||
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 | Not Available | 16.92 | |||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 75.46 | |||
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 5.538 | |||
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 19 | |||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 | Not Available | 76.62 | |||
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 | Not Available | 4.077 | |||
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 | Not Available | 19.31 | |||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 86 | |||
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 2.385 | |||
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 11.62 | |||
| "Always" quiet at night2024-10-01 to 2025-09-30 | Not Available | 53.73 | |||
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 | Not Available | 12.33 | |||
| "Usually" quiet at night2024-10-01 to 2025-09-30 | Not Available | 33.93 | |||
| Quietness - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 78.54 | |||
| Quietness - star rating2024-10-01 to 2025-09-30 | Not Applicable | 2.769 | |||
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 | Not Available | 5 | |||
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 | Not Available | 71.93 | |||
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 88.31 | |||
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 | Not Available | 23.07 | |||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.923 | |||
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 | Not Available | 49.69 | |||
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 | Not Available | 27.62 | |||
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 | Not Available | 22.69 | |||
| Summary star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.462 | |||
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 | Not Available | 11.92 | |||
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 | Not Available | 88.08 |
How often the hospital gave recommended care, and how fast.
| Measure | Kau Hospital | US median | HI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | low | ||||
| 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 · 72 cases | 53 | 79 | 65.63 | Worse than 84% 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 · 346 cases | 80 | 154 | 119 | Better than 98% 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 · 344 cases | 79 | 148 | 120 | Better than 98% 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 | Not Available | 196 | |||
| 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 · 3,388 cases | 0 | 1 | 0.8824 | The best result, shared by 23% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 68.14 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 | Not Available | 91.73 | |||
| 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 | Not Available | 11.31 | |||
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 | Not Available | 76.08 | |||
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 85 | |||
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 87.36 | |||
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 90.67 | |||
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 92.92 | |||
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 95.7 | |||
| 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 | Not Available | 70.5 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 88.33 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Kau Hospital | US median | HI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | Not Available | 4.446 | |||
| 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 | Kau Hospital | US median | HI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | Not Available | 0.8855 |
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.
Not accredited
Accreditation
None
Medical school affiliation
State
Ownership type
21
Medicare-certified beds
10
Registered nurses (full-time equivalent)
2001
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Kau Hospital reported to Medicare in its latest cost report, covering Jul 1, 2024 to Jun 30, 2025.
1
Inpatient discharges
6,027
Inpatient days
79% of available bed days used
86
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 825509). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Kau Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 247 | 4,407 | 1,373 | 6,027 |
| Discharges | 0 | 0 | 1 | 1 |
| Average length of stay | 1373.0 days | 6027.0 days | ||
| Average daily census | 0.7 | 12.1 | 3.8 | 16.5 |
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 21 | 1 | 0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 825509, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
Staff by profession and the rooms and units Kau Hospital reported at its latest Medicare certification survey (2021). Counts are people, not full-time equivalents.
10
Registered nurses
4
Licensed practical nurses
1
Physical therapists
1
Occupational therapists
2
Radiology technicians
55
Other personnel
Source: CMS Provider of Services file.
118 clinicians who bill Medicare list Kau Hospital 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.
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, 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, MDFahd Abdullah Syed, M.D., M.P.H.
Interventional Cardiology Physician
NPI 1457619702
See commercial rates for Fahd Abdullah Syed, M.D., M.P.H.Taher Mandviwala, M.D.
Interventional Cardiology Physician
NPI 1316327679
See commercial rates for Taher Mandviwala, M.D.Michael Aldridge, M.D.
Cardiovascular Disease Physician
NPI 1033427067
See commercial rates for Michael Aldridge, M.D.Sayf Altabaqchali, M.D.
Interventional Cardiology Physician
NPI 1902105463
See commercial rates for Sayf Altabaqchali, M.D.Kapil Yadav, MD, RPVI, FACC
Interventional Cardiology Physician
NPI 1265729537
See commercial rates for Kapil Yadav, MD, RPVI, FACCMouhamed Kannass, M.D.
Internal Medicine Physician
NPI 1316036247
See commercial rates for Mouhamed Kannass, M.D.Chelestes Lee Grace, M.D.
Anatomic Pathology & Clinical Pathology Physician
NPI 1982866539
See commercial rates for Chelestes Lee Grace, M.D.Stephen Smith, M.D.
Specialist
NPI 1841223740
See commercial rates for Stephen Smith, M.D.Erin Kalua, M.D.
Family Medicine Physician
NPI 1710272430
See commercial rates for Erin Kalua, M.D.John Kristofich, M.D.
Cardiovascular Disease Physician
NPI 1336237916
See commercial rates for John Kristofich, M.D.James Ameika, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
NPI 1851354393
See commercial rates for James Ameika, M.D.Jorge Gonzalez, M.D.
Neurology Physician
NPI 1609924174
See commercial rates for Jorge Gonzalez, M.D.Stephen Davis, MD
Cardiovascular Disease Physician
NPI 1124026588
See commercial rates for Stephen Davis, MDOlivia Kapono, M.D.
Family Medicine Physician
NPI 1902240245
See commercial rates for Olivia Kapono, M.D.Govindarajan Venkatesh, MD
Cardiovascular Disease Physician
NPI 1356317648
See commercial rates for Govindarajan Venkatesh, MDKenneth Otah, MD MSC FACC
Interventional Cardiology Physician
NPI 1093704827
See commercial rates for Kenneth Otah, MD MSC FACCSource: 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 Kau Hospital reported to Medicare for Jul 1, 2024 to Jun 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $62.4M | 125.2% |
| Inpatient | $6.9M | 13.8% |
| Outpatient | $55.5M | 111.4% |
| Contractual allowances and discounts | -$12.6M | -25.2% |
| Net patient revenue | $49.9M | 100.0% |
| Operating expenses | -$67.7M | -135.8% |
| Operating income from patient care | -$17.9M | -35.8% |
| Other income | $21.2M | 42.5% |
| Net income | $3.3M | 6.7% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $4.2M | 6.8% |
| Medicaid (including managed care) | $10.7M | 17.4% |
| Other payers and self-pay | $46.7M | 75.8% |
| Total charges | $61.6M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 825509, 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 Kau Hospital's latest cost report.
-35.8%
Operating margin
Operating income from patient care / net patient revenue
4.7%
Total margin
Net income / net patient revenue plus other income
5.9%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
30% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
9.7%
Return on assets
Net income for a year / total assets
1.63
Current ratio
Current assets / current liabilities
0.45
Quick ratio
Cash, temporary investments and net receivables / current liabilities
8 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
17 days
Days in patient receivables
Net patient receivables / daily net patient revenue
44 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
2.07
Asset turnover
Total revenue for a year / total assets
13.3 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 825509, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Kau Hospital owned and owed at the end of its reporting period (Jun 2025), across all fund types: $34.4M in total assets and a -$30M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $1.4M | 4.0% |
| Patient receivables, net | $2.3M | 6.6% |
| Inventory | $116,300 | 0.3% |
| Total current assets | $13.2M | 38.3% |
| Property and equipment, net of depreciation | $10M | 29.1% |
| Investments and other assets | $11.2M | 32.6% |
| Total assets | $34.4M | 100.0% |
| Current liabilities | $8.1M | 23.5% |
| Total liabilities | $64.4M | 187.4% |
| Fund balance (net assets) | -$30M | -87.4% |
Source: CMS cost report (HCRIS, Form 2552-10), report 825509, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Kau Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$2,361
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$63,688
Bad debt
Patient bills written off as uncollectible, at charges
$8.5M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$5.7M
Total unreimbursed and uncompensated care
8.5% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
$6.3M
Government grants and appropriations
Government grants or transfers supporting hospital operations
Source: CMS cost report (HCRIS, Form 2552-10), report 825509, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Kau Hospital'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 | $12.2M | $18.4M | $31.6M | $34M | $44.8M | $49.9M |
| Operating expenses | $16.7M | $30.2M | $35.4M | $46.1M | $61.6M | $67.7M |
| Operating margin | -37.5% | -63.8% | -12.2% | -35.6% | -37.7% | -35.8% |
| Net income | -$335,222 | -$7.1M | $3.9M | -$2.5M | -$7.3M | $3.3M |
| Total assets | $11.5M | $14.1M | $12.7M | $15.6M | $22.1M | $34.4M |
| Discharges | 57 | 26 | 14 | 1 | 1 | 1 |
| Inpatient days | 6,321 | 6,608 | 6,712 | 6,436 | 6,108 | 6,027 |
| Medicare Advantage days | 3 | |||||
| Beds | 8 | 5 | 21 | 21 | 21 | 21 |
| Employees (FTE) | 62 | 135 | 71 | 73 | 78 | 86 |
Source: CMS cost report (HCRIS, Form 2552-10), report 825509, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Kau Hospital 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 |
|---|---|---|---|---|---|
| Rural health clinic iv | $5.1M | $22.3M | $13.5M | 1.66 | |
| Rural health clinic iii | $5.3M | $20.1M | $13.4M | 1.50 | |
| Rural health clinic v | $1.3M | $5.7M | $4.5M | 1.27 | |
| Rural health clinic ii | $1M | $5M | $4.1M | 1.21 | |
| Emergency | $640,499 | $3.8M | $5.9M | 0.63 | 1,157 |
| Rural health clinic | $598,654 | $2.8M | $2.1M | 1.30 | 1,534 |
| Radiology-diagnostic | $332,028 | $1.5M | $10.3M | 0.14 | 616 |
| Laboratory | $355,465 | $1.4M | 0.26 | 406 | |
| Drugs charged to patients | $308,873 | $180,688 | 1.71 | ||
| Physical therapy | $23,410 | $151,343 | $124,034 | 1.22 | |
| Occupational therapy | $110,050 | $125,538 | 0.88 | ||
| Medical supplies charged to patient | $20,378 | $30,801 | 0.66 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $2.4M | $8.7M | $5.9M | 1.48 | 4,486 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $1.8M | $15.6M | 1,261 | ||
| Operation of plant | $273,406 | $970,846 | 1,293 | ||
| Employee benefits department | $91,395 | $944,203 | 423 | ||
| Dietary | $385,693 | $713,053 | 1,385 | ||
| Nursing administration | $326,750 | $664,631 | 416 | ||
| Cap rel costs-mvble equip | $487,147 | ||||
| Housekeeping | $221,122 | $396,647 | 518 | ||
| Cap rel costs-bldg & fixt | $378,429 | 14,553 | |||
| Medical records & library | $86,119 | $134,412 | 86 | ||
| Laundry & linen service | $106,701 | 432 | |||
| Pharmacy | $2,496 | $74,469 | |||
| Central services & supply | $113 | 540 |
Source: CMS cost report (HCRIS, Form 2552-10), report 825509, 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.
Organizations Kau Hospital reports to Medicare as owners or with operational control. 2 individuals also hold ownership interests; they are not listed here.
Hawaii Health Systems Corporation
Operational/managerial control, since 1996
Sources: CMS Hospital All Owners.
The officers and board members on Kau Hospital'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 13 of 15 are shown.
340B drug pricing program
Participating since 2021
340B ID CAH121301-00, registered as a critical access hospital; 17 registered outpatient sites; 1 active contract pharmacies. Authorizing official: Dan Brinkman, CEO.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Kau hospital
CCN 12Z301, certified 2001, Medicare cost reimbursed
Kau hospital
CCN 12Z301, certified 2001
Kau rural health clinic
CCN 123976, certified 2003, Medicare cost reimbursed
Pcmc rhc
CCN 123979, certified 2018, Medicare cost reimbursed
Puuhonu rhc
CCN 123984, certified 2020, Medicare cost reimbursed
Ehhc rhc
CCN 123983, certified 2020, Medicare cost reimbursed
Keaau rhc
CCN 123991, certified 2021, Medicare not participating
Source: Worksheet S-2 Part I of Kau Hospital's latest Medicare cost report (HCRIS).
About Kau Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Kau Hospital range from $892 to $2,073 across 4 insurers. Cigna's rate is $892. 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 Kau Hospital range from $1,090 to $2,437 across 4 insurers. Aetna's rate is $2,437. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Kau Hospital range from $1,647 to $3,491 across 4 insurers. Aetna's rate is $3,491. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Kau Hospital range from $339 to $339 across 1 insurers. Aetna's rate is $339. What a patient pays depends on their plan's deductible, coinsurance and network status.
Kau Hospital reported 1 inpatient discharges and 6,027 inpatient days from Jul 1, 2024 to Jun 30, 2025.
Kau Hospital reported 86 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.
Kau Hospital reported $49.9M in net patient revenue on $62.4M of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of -35.8%, and net income of $3.3M.
Kau Hospital reported $5.7M of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025, including $2,361 of charity care at cost.
Kau Hospital's Medicare enrollment lists Daniel John Brinkman as Chief Executive Officer since 2014.
Insurers' price transparency files list Kau Hospital under employer identification number 99-0262198 (Kau Hospital). 50 health plans and networks list 99-0262198 for it.
Yes. HRSA's 340B database lists Kau Hospital (340B ID CAH121301-00) as a participating critical access hospital since 2021, with 1 active contract pharmacies.
118 clinicians who bill Medicare list Kau Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family medicine physician (18), emergency medicine physician (13), family nurse practitioner (13).
CMS's Provider of Services file lists no accrediting organization for Kau Hospital; it is certified for Medicare through state survey.
In its Medicare enrollment, Kau Hospital reports Hawaii Health Systems Corporation as Operational/managerial control.
CMS lists 7 services at Kau Hospital, including CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Clinical Laboratory, Diagnostic Radiology, Dietary Care, Emergency Department, Outpatient.
Kau Hospital has 21 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. Facility type: Critical Access Hospital.
Kau Hospital is located at 1 Kamani Street, Pahala, HI 96777. Its main phone number is (808) 928-8331.
Kau Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 121301.
The National Provider Identifier (NPI) on file for Kau Hospital is 1558441311.
Kau Hospital is affiliated with Hawaii Health Systems Corporation.
Kau Hospital lists 30 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.
254 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