Medicine & Surgery · Inpatient
Spinal fusion except cervical without MCC
MS-DRG 460
$61,358
negotiated rate
HMSA$61,358
Medicare $27,950
Hospital reports orthopedic surgery services to CMS
Short Term Acute Care HospitalVoluntary Non-Profit - Private
Wahiawa General Hospital
Wahiawa, HI
128 Lehua Street, Wahiawa, HI 96786(808) 621-8411
66
Beds
462
Inpatient discharges a year
$15.8M
Net patient revenue a year
24
In-network payers
About this hospital
Wahiawa General Hospital is a 66-bed voluntary non-profit - private hospital in Wahiawa, HI. Below you'll find publicly disclosed negotiated rates and facility details, including 24 in-network payers and 185 disclosed rate categories.
- Disproportionate share hospital
- CCN
- 120004
- NPI
- 1689643553
- Website
- queens.org
- Teaching
- Teaching hospital
- Medicare contractor
- Jurisdiction E, Noridian Healthcare Solutions (01011)
Prices for common services
The 24 services Wahiawa General 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.
Medicine & Surgery · Inpatient
Cervical spinal fusion without CC or MCC
MS-DRG 473
$34,566
negotiated rate
HMSA$34,566
Medicare $16,162
Hospital reports orthopedic surgery services to CMS
CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$398 - $2,655
from 4 insurers · median $1,778
Aetna$398
Insurer A*$901
Insurer B*est.$2,655
Insurer C*est.$2,655
Medicare $426
Common here, based on CMS Medicare volume
Digestive procedures
Colonoscopy with biopsy
CPT 45380
$926 - $4,277
from 3 insurers · median $4,138
UnitedHealthcare$4,277
Insurer A*$926
Insurer B*$4,138
Medicare $1,461
Common here, based on CMS Medicare volume
CT imaging
CT head or brain without contrast
CPT 70450
$133 - $1,468
from 4 insurers · median $889
Aetna$133
Insurer A*$311
Insurer B*est.$1,468
Insurer C*est.$1,468
Medicare $128
Common here, based on CMS Medicare volume
Digestive procedures
Upper GI endoscopy with biopsy
CPT 43239
$926 - $4,277
from 3 insurers · median $4,138
UnitedHealthcare$4,277
Insurer A*$926
Insurer B*$4,138
Medicare $1,108
Common here, based on CMS Medicare volume
Digestive procedures
Colonoscopy with polyp removal
CPT 45385
$926 - $4,277
from 3 insurers · median $4,138
UnitedHealthcare$4,277
Insurer A*$926
Insurer B*$4,138
Medicare $1,461
Common here, based on CMS Medicare volume
CT imaging
CT of the abdomen and pelvis, without contrast
CPT 74176
$228 - $2,386
from 4 insurers · median $1,573
Aetna$228
Insurer A*$760
Insurer B*est.$2,386
Insurer C*est.$2,386
Medicare $291
Common here, based on CMS Medicare volume
Cardiology and vascular testing
Complete echocardiogram with Doppler and color flow
CPT 93306
$994 - $2,520
from 3 insurers · median $1,638
Aetna$1,638
Insurer A*est.$994
Insurer B*$2,520
Medicare $667
Common here, based on CMS Medicare volume
Digestive procedures
Diagnostic colonoscopy
CPT 45378
$926 - $4,346
from 4 insurers · median $3,915
UnitedHealthcare$4,277
Insurer A*$926
Insurer B*$3,553
Insurer C*est.$4,346
Medicare $1,136
Common here, based on CMS Medicare volume
CT imaging
CT angiography of chest blood vessels
CPT 71275
$338 - $1,999
from 4 insurers · median $1,402
Aetna$338
Insurer A*$804
Insurer B*est.$1,999
Insurer C*est.$1,999
Medicare $214
Common here, based on CMS Medicare volume
Medicine & Surgery
Cataract removal with lens insertion
CPT 66984
$4,817 - $7,994
from 3 insurers · median $6,364
HMSA$6,364
Insurer A*$4,817
Insurer B*$7,994
Medicare $2,358
Typical for a hospital with this service line
Mammography
Screening mammography, bilateral
CPT 77067
$156 - $305
from 3 insurers · median $166
HMSA$156
Insurer A*$166
Insurer B*est.$305
Medicare $111
Common here, based on CMS Medicare volume
MRI imaging
MRI brain before and after contrast
CPT 70553
$398 - $2,223
from 4 insurers · median $1,930
Aetna$398
Insurer A*$1,637
Insurer B*est.$2,223
Insurer C*est.$2,223
Medicare $426
Common here, based on CMS Medicare volume
Medicine & Surgery
Laparoscopic cholecystectomy
CPT 47562
$6,737 - $11,572
from 3 insurers · median $7,726
HMSA$11,572
Insurer A*$6,737
Insurer B*$7,726
Medicare $6,176
Typical for a hospital with this service line
Gynecology
Laparoscopic hysterectomy with tube or ovary removal, uterus up to 250 g
CPT 58571
$5,961 - $11,572
from 3 insurers · median $7,726
HMSA$11,572
Insurer A*$5,961
Insurer B*$7,726
Medicare $10,860
Typical for a hospital with this service line
Gynecology
Laparoscopic removal of an ovary or fallopian tube
CPT 58661
$7,726 - $11,572
from 2 insurers · median $9,649
HMSA$11,572
Insurer A*$7,726
Medicare $6,176
Typical for a hospital with this service line
MRI imaging
MRI of the brain, without contrast
CPT 70551
$252 - $1,621
from 4 insurers · median $1,179
Aetna$252
Insurer A*$737
Insurer B*est.$1,621
Insurer C*est.$1,621
Medicare $291
Common here, based on CMS Medicare volume
Ear, nose and throat
Ear-tube insertion under general anesthesia
CPT 69436
$1,059 - $4,277
from 3 insurers · median $4,138
UnitedHealthcare$4,277
Insurer A*$1,059
Insurer B*$4,138
Medicare $1,585
Typical for a hospital with this service line
Gynecology
Laparoscopic removal of pelvic lesions
CPT 58662
$7,726 - $11,572
from 2 insurers · median $9,649
HMSA$11,572
Insurer A*$7,726
Medicare $6,176
Typical for a hospital with this service line
Gynecology
Hysteroscopy with sampling of the uterine lining
CPT 58558
$1,059 - $6,364
from 3 insurers · median $4,817
HMSA$6,364
Insurer A*$1,059
Insurer B*$4,817
Medicare $3,307
Typical for a hospital with this service line
Urology
Shock-wave treatment of kidney stones
CPT 50590
$6,011 - $9,575
from 3 insurers · median $9,493
UnitedHealthcare$9,493
Insurer A*est.$6,011
Insurer B*$9,575
Medicare $3,601
Typical for a hospital with this service line
Orthopedics and pain
Lower-back disc decompression, one interspace
CPT 63030
$7,726 - $18,743
from 3 insurers · median $14,374
Aetna$18,743
Insurer A*$7,726
Insurer B*$14,374
Medicare $7,413
Typical for a hospital with this service line
Ultrasound
Limited ultrasound of the abdomen
CPT 76705
$99 - $638
from 4 insurers · median $376
Cignaest.$638
Insurer A*$99
Insurer B*$114
Insurer C*est.$638
Medicare $128
Common here, based on CMS Medicare volume
How the insurers pay at Wahiawa General Hospital
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* | 8 | 705% | 0 | 0 |
| Insurer B* | 22 | 313% | 0 | 0 |
| Insurer C* | 24 | 268% | 0 | 0 |
| Insurer D* | 20 | 108% | 0 | 0 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 11 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 Wahiawa General Hospital, or start a free trial.
Insurance Accepted
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Ameri HealthAspirus Health PlanBanner HealthCenteneEMI HealthHarvard Pilgrim Health Care (Point32Health)
More about this hospital
Quality
No Medicare readmissions penalty
See quality ratingsDoctors and services
Teaching hospital
- 27 services
Finances
$15.8M net patient revenue
- Operating margin on patient care -84.5%
- $3.5M unreimbursed and uncompensated care
- -$578,319 net income
Ownership and leadership
Brian Cunningham, chief executive
See ownership and leadership
Tax IDs and NPIs insurers list
The employer identification numbers (EINs) health plans and networks list for Wahiawa General 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 |
|---|---|---|
| 99-0269825Wahiawa General Hospital | 44Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 39 more | 1689643553 Wahiawa General Hospital1629032164 Wahiawa General Hospital1174589014 Wahiawa General Hospitaland 3 more |
| 99-0073524The Queens Medical Center | 11Asuris Northwest Health, BridgeSpan, Centene, Hawaii Western Management Group, Healthcare Management Administrators and 6 more | 1184612764 The Queens Medical Center1801298708 The Queen's Medical Center1316703887 The Queens Medical Centerand 15 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.
Location
128 Lehua Street, Wahiawa, HI 96786
(808) 621-8411
Medicare quality penalties and bonuses
How Medicare adjusts Wahiawa General Hospital's inpatient payments for its readmissions, quality and cost results.
No penalty
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2026 IPPS final rule.
0.00% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2026 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2026).
Accreditation and services
27 services at Wahiawa General Hospital
- Emergency and trauma
- Emergency DepartmentEmergency Psychiatric Care
- Intensive care
- Surgical ICU (Medical Surgical Intensive Care Unit)
- Surgery
- AnesthesiaInpatient SurgicalOR (Operating Room)Orthopedic SurgeryOutpatient SurgeryPostoperative Recovery RoomReconstructive Surgery
- Imaging
- CT ScanDiagnostic RadiologyNuclear Medicine
- Cancer
- Chemotherapy
- Transplant and dialysis
- Acute Renal Dialysis
- Women and children
- Clinical Laboratory
- Behavioral health
- Geriatric Psychiatric
- Rehabilitation and therapy
- CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation)OT (Occupational Therapy)Outpatient RehabilitationPT (Physical Therapy)Respiratory CareSpeech Pathology
- Other services
- Dietary CareOutpatientPharmacySocial Care
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
Size and patient volume
What Wahiawa General Hospital reported to Medicare in its latest cost report, covering Jul 1, 2023 to Apr 1, 2024.
462
Inpatient discharges
Medicare 29%, Medicaid n/a
3,648
Inpatient days
20% of available bed days used
198
Employees (full-time equivalent)
0
Interns and residents (full-time equivalent)
Source: CMS cost report (HCRIS) (report 835068). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Utilization by payer and unit
Inpatient days and discharges Wahiawa General Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 670 | 0 | 2,978 | 3,648 |
| Discharges | 134 | 0 | 328 | 462 |
| Average length of stay | 5.0 days | 9.1 days | 7.9 days | |
| Average daily census | 2.4 | 0.0 | 10.8 | 13.2 |
729
Medicare Advantage days
161 discharges
482
Medicaid managed care days
96 discharges
449
Observation bed days
Beds and days by unit
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 61 | 3,555 | 645 | 21% |
| Intensive care unit | 5 | 93 | 25 | 7% |
Source: CMS cost report (HCRIS, Form 2552-10), report 835068, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
Medicare outpatient services
The comprehensive outpatient service groups (APCs) Wahiawa General Hospital billed Medicare for most in 2024: 11 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 11 | 11 | $11,587 | $2,508 | $2,090 |
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.
Income statement
Revenue, expenses and income Wahiawa General Hospital reported to Medicare for Jul 1, 2023 to Apr 1, 2024. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $59.1M | 374.0% |
| Inpatient | $15.8M | 99.9% |
| Outpatient | $43.3M | 274.2% |
| Contractual allowances and discounts | -$43.3M | -274.0% |
| Net patient revenue | $15.8M | 100.0% |
| Operating expenses | -$29.1M | -184.5% |
| Operating income from patient care | -$13.3M | -84.5% |
| Other income | $12.8M | 80.8% |
| Contributions and donations | $68,109 | 0.4% |
| Investment income | $2,609 | 0.0% |
| Other | $12.7M | 80.3% |
| Net income | -$578,319 | -3.7% |
Gross revenue by payer
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $7.2M | 12.1% |
| Medicaid (including managed care) | $14.6M | 24.8% |
| Other payers and self-pay | $37.3M | 63.1% |
| Total charges | $59.1M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 835068, settled without audit. 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.
Financial ratios
Computed from Wahiawa General Hospital's latest cost report, which covers 276 days; income and expense figures are scaled to a year.
-84.5%
Operating margin
Operating income from patient care / net patient revenue
-2.0%
Total margin
Net income / net patient revenue plus other income
1.5%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
49% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$34.82
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-9.8%
Return on assets
Net income for a year / total assets
0.58
Current ratio
Current assets / current liabilities
0.48
Quick ratio
Cash, temporary investments and net receivables / current liabilities
43 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
32 days
Days in patient receivables
Net patient receivables / daily net patient revenue
124 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
4.85
Asset turnover
Total revenue for a year / total assets
1.2 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 835068, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Balance sheet
What Wahiawa General Hospital owned and owed at the end of its reporting period (Apr 2024), across all fund types: $7.8M in total assets and a -$6.1M fund balance.
Show the balance sheetHide the balance sheet
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $4.4M | 56.4% |
| Patient receivables, net | $1.8M | 23.3% |
| Inventory | $2,484 | 0.0% |
| Total current assets | $7.5M | 96.0% |
| Property and equipment, net of depreciation | -$219,638 | -2.8% |
| Investments and other assets | $530,030 | 6.8% |
| Total assets | $7.8M | 100.0% |
| Current liabilities | $12.8M | 164.5% |
| Long-term debt | $52,091 | 0.7% |
| Total liabilities | $13.9M | 178.2% |
| Fund balance (net assets) | -$6.1M | -78.2% |
Source: CMS cost report (HCRIS, Form 2552-10), report 835068, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Charity care and uncompensated care
Care Wahiawa General Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$995,852
Bad debt
Patient bills written off as uncollectible, at charges
$3M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$3.5M
Total unreimbursed and uncompensated care
11.9% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 835068, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Financial trend
Wahiawa General Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
Show 5 yearsHide 5 years
| Fiscal year ending | Jun 2020 | Jun 2021 | Jun 2022 | Jun 2023 | Apr 2024 |
|---|---|---|---|---|---|
| Net patient revenue | $30.8M | $29.5M | $34.3M | $24.2M | $15.8M |
| Operating expenses | $41.7M | $40M | $44.2M | $38.4M | $29.1M |
| Operating margin | -35.2% | -35.8% | -28.6% | -58.5% | -84.5% |
| Net income | -$900,550 | -$2.1M | -$890,639 | -$1.8M | -$578,319 |
| Total assets | $25.5M | $25.7M | $23.9M | $20.9M | $7.8M |
| Discharges | 708 | 747 | 722 | 745 | 462 |
| Inpatient days | 3,552 | 4,516 | 5,189 | 6,625 | 3,648 |
| Medicare Advantage days | 1,065 | 1,183 | 1,891 | 1,986 | 729 |
| Beds | 150 | 160 | 157 | 27 | 66 |
| Employees (FTE) | 231 | 214 | 220 | 204 | 198 |
Source: CMS cost report (HCRIS, Form 2552-10), report 835068, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Departments
Each cost center Wahiawa General Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
Show all 30 departmentsHide all 30 departments
Ancillary and outpatient departments
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Emergency | $1.7M | $5M | $26M | 0.19 | 5,211 |
| Radiology-diagnostic | $893,978 | $2.7M | $3.4M | 0.79 | 1,099 |
| Laboratory | $706,506 | $2.7M | $5.9M | 0.45 | 2,195 |
| Drugs charged to patients | $1.9M | $3.3M | 0.60 | ||
| Respiratory therapy | $377,797 | $1.4M | $3M | 0.47 | 1,414 |
| Observation beds (non-distinct part | $978,690 | $363,334 | 2.69 | ||
| Physical therapy | $263,712 | $821,340 | $782,277 | 1.05 | 2,177 |
| Occupational therapy | $180,450 | $417,480 | $508,734 | 0.82 | |
| Ct scan | $402,993 | $6.8M | 0.06 | 1,868 | |
| Speech pathology | $144,563 | $326,923 | $129,908 | 2.52 | |
| Nuclear medicine - therapeutic | $77,778 | $211,076 | $296,105 | 0.71 | 117 |
| Medical supplies charged to patient | $184,588 | $256,618 | 0.72 | ||
| Whole blood & packed red blood cell | $41,247 | $55,785 | 0.74 | ||
| Electroencephalography | $10,902 | $11,822 | 0.92 |
Inpatient units
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $1.6M | $8.7M | $7.8M | 1.12 | 17,817 |
| Intensive care unit | $172,230 | $886,046 | $513,309 | 1.73 | 1,069 |
Overhead (general service) departments
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $1.8M | $5.5M | 58,867 | $28.52 | 7,792 |
| Employee benefits department | -$597,739 | $4.5M | 7,990 | $32.48 | |
| Maintenance & repairs | $202,962 | $1.6M | 9,241 | $19.79 | 28,459 |
| Nursing administration | $965,356 | $1M | 16,770 | $53.93 | 1,436 |
| Dietary | $358,192 | $872,134 | 22,456 | $14.18 | 4,252 |
| Cap rel costs-mvble equip | $718,700 | ||||
| Medical records & library | $459,530 | $471,530 | 15,489 | $27.12 | 1,358 |
| Housekeeping | $338,643 | $449,542 | 20,500 | $14.92 | 1,674 |
| Pharmacy | $412,367 | $425,632 | 9,984 | $37.84 | 1,499 |
| Cap rel costs-bldg & fixt | $404,247 | 80,615 | |||
| Laundry & linen service | $170,938 | 365 | $15.25 | ||
| Central services & supply | $36,917 | $56,538 | 2,230 | $15.36 | |
| I&r services-salary & fringes apprv | $47,647 | ||||
| I&r services-other prgm costs apprv | $1,107 |
Source: CMS cost report (HCRIS, Form 2552-10), report 835068, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
Medicare payment profile
The factors Medicare uses to set what it pays Wahiawa General Hospital for an inpatient stay.
1.22
Case mix index
Higher than 7% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2026); higher means more complex, costlier care.
Teaching hospital
Teaching status
0.02 residents per bed
Medicare-funded interns and residents per bed (FY 2026).
19.8%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2026).
83
Medicare inpatient stays
Medicare claims CMS based FY 2026 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2026).
Show FY 2021 to FY 2026Hide FY 2021 to FY 2026
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| Case mix index | 1.37 | 1.37 | 1.41 | 1.52 | 1.35 | 1.22 |
| Wage index | 1.245 | 1.283 | 1.325 | 1.378 | 1.309 | 1.260 |
| Readmissions adjustment | 0.00% | 0.00% | -0.11% | 0.00% | 0.00% | 0.00% |
| Value-based purchasing adjustment | +0.71% | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% |
| Medicare inpatient stays | 301 | 301 | 173 | 172 | 204 | 83 |
Source: CMS IPPS final rule Impact File (FY 2026).
Leadership
The officers and board members on Wahiawa General Hospital's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Officers and key employees (IRS Form 990, tax year 2023)
| Name | Title |
|---|---|
| David Seeholzer | Chairman |
| R Kalani Fronda | Vice Chair |
| John Kampfer | Treasurer |
| Joseph Francher | Secretary |
| Stacie Sasagawa | Secretary |
| Brian Cunningham | CEO |
Board members: Norberto Baysa MD, Bishop Michael Henderson, William Mckenzie MD, Jeffrey Alameida, Craig Thomas MD, Robert Bunda, Gordon Kanemaru DDS, Marcus Oshiro, Wendell Oda.
Source: IRS Form 990 Part VII filed by Wahiawa General Hospital (EIN 99-0269825), via the IRS e-file data. A health system's return can cover several hospitals.
Programs and facilities
340B drug pricing program
Not participating
340B ID DSH120004, registered as a disproportionate share hospital. Authorizing official: Doug DeGraaf, Chief Executive Officer.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Hospital-based units
Hospital-based units with their own Medicare certification
Wahiawa general hospital
CCN 12S004, certified 2000, Medicare prospective payment
Wahiawa general hospital
CCN 127026, certified 1996, Medicare prospective payment
Source: Worksheet S-2 Part I of Wahiawa General Hospital's latest Medicare cost report (HCRIS).
Frequently asked questions
About Wahiawa General Hospital's rates and hospital price transparency.
How much does an MRI cost at Wahiawa General Hospital?
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Wahiawa General Hospital range from $398 to $2,223 across 4 insurers. Aetna's rate is $398. What a patient pays depends on their plan's deductible, coinsurance and network status.
How much does a CT scan cost at Wahiawa General Hospital?
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Wahiawa General Hospital range from $398 to $2,655 across 4 insurers. Aetna's rate is $398. What a patient pays depends on their plan's deductible, coinsurance and network status.
How much does a colonoscopy cost at Wahiawa General Hospital?
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Wahiawa General Hospital range from $926 to $4,277 across 3 insurers. UnitedHealthcare's rate is $4,277. What a patient pays depends on their plan's deductible, coinsurance and network status.
How much does a mammogram cost at Wahiawa General Hospital?
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Wahiawa General Hospital range from $156 to $305 across 3 insurers. HMSA Blue Cross Blue Shield's rate is $156. What a patient pays depends on their plan's deductible, coinsurance and network status.
Is Wahiawa General Hospital a teaching hospital?
Yes. CMS counts 0.02 Medicare-funded residents per bed at Wahiawa General Hospital for fiscal year 2026, so it is a teaching hospital.
Does Medicare penalize Wahiawa General Hospital for readmissions?
No. Wahiawa General Hospital has no Hospital Readmissions Reduction Program penalty in fiscal year 2026.
What is Wahiawa General Hospital's case mix index?
Wahiawa General Hospital's Medicare case mix index is 1.22 for fiscal year 2026, higher than 7% of hospitals paid under the inpatient prospective payment system.
How many patients does Wahiawa General Hospital admit?
Wahiawa General Hospital reported 462 inpatient discharges and 3,648 inpatient days from Jul 1, 2023 to Apr 1, 2024.
How many employees does Wahiawa General Hospital have?
Wahiawa General Hospital reported 198 full-time-equivalent employees on payroll from Jul 1, 2023 to Apr 1, 2024.
How much revenue does Wahiawa General Hospital make?
Wahiawa General Hospital reported $15.8M in net patient revenue on $59.1M of gross charges for Jul 1, 2023 to Apr 1, 2024, an operating margin of -84.5%, and net income of -$578,319.
How much charity and uncompensated care does Wahiawa General Hospital provide?
Wahiawa General Hospital reported $3.5M of unreimbursed and uncompensated care for Jul 1, 2023 to Apr 1, 2024.
Who is the CEO of Wahiawa General Hospital?
Wahiawa General Hospital's 2023 IRS Form 990 lists Brian Cunningham as CEO.
What is Wahiawa General Hospital's tax ID (EIN)?
Insurers' price transparency files list Wahiawa General Hospital under employer identification number 99-0269825 (Wahiawa General Hospital), and 1 other tax ID. 44 health plans and networks list 99-0269825 for it.
Does Wahiawa General Hospital participate in the 340B drug pricing program?
HRSA's 340B database lists Wahiawa General Hospital (340B ID DSH120004) as no longer participating since 2018.
What services does Wahiawa General Hospital offer?
CMS lists 27 services at Wahiawa General Hospital, including Acute Renal Dialysis, Anesthesia, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Chemotherapy, Clinical Laboratory, CT Scan.
How many beds does Wahiawa General Hospital have?
Wahiawa General Hospital has 66 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. Facility type: Short Term Acute Care Hospital.
Where is Wahiawa General Hospital and what is its phone number?
Wahiawa General Hospital is located at 128 Lehua Street, Wahiawa, HI 96786. Its main phone number is (808) 621-8411.
What is Wahiawa General Hospital's CCN (Medicare provider number)?
Wahiawa General Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 120004.
What is Wahiawa General Hospital's NPI number?
The National Provider Identifier (NPI) on file for Wahiawa General Hospital is 1689643553.
Which insurance plans are in network at Wahiawa General Hospital?
Wahiawa General Hospital lists 24 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
What price transparency data is available for Wahiawa General Hospital?
185 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.
What is a hospital price transparency MRF?
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.
What is a chargemaster review?
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
Running price transparency at a hospital like this one?
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.
Publish a CMS-compliant machine-readable file
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
CMS v3 example: standard_charge_information[0]
{
"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
}
]
}]
}- CMS template layout, in JSON or CSV
- Gross, discounted cash, payer-specific and de-identified min / max charges
- cms-hpt.txt file and homepage footer link
- Refreshed when your contracts change
Get your chargemaster right for billing and payer contracts
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
CodingPricingPayer contractsCompliance
- CPT, HCPCS, revenue code and modifier errors flagged line by line
- Missing, duplicate and outdated charge lines identified
- Charges set below payer allowables caught before lesser-of clauses cut payment
- Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
- Your negotiated rates benchmarked against peer hospitals for the same payers