CPT 27447Hawaii

Knee Replacement Surgery Cost in Hawaii (2026)

Last updated: May 2026

Knee Replacement Surgery costs $19,747 on average without insurance in Hawaii, based on actual CMS data from 13 hospitals. Prices range from $3,196 to $50,576 depending on hospital, facility type, and whether you pay cash. These figures come from federally required hospital price transparency files — not estimates.

13 hospitals in Hawaii report pricing for knee replacement surgery. The average cash price is $19,747.

Compare Prices Near You

Hospitals

in Hawaii

Average List Price

$28,392

gross charge

Average Cash Price

$19,747

30% below list price

Price Range

$3,196 – $50,576

15.8x spread

Hospital Prices in Hawaii

Sorted by lowest cash price

Hospital	City	List Price	Cash Price	Negotiated Range	Grade
ADVENTIST HEALTH CASTLE Voluntary non-profit - Church	KAILUA	$3,196	$1,023-68%	$29 – $3,196	0.1/10
KAISER FOUNDATION HOSPITAL Voluntary non-profit - Private	HONOLULU	$11,537	$8,653-25%	$10,490 – $34,322	0.1/10
NORTH HAWAII COMMUNITY HOSPITAL, INC Voluntary non-profit - Private	KAMUELA	$30,984	$21,689-30%	$1,567 – $16,335	0.1/10
THE QUEENS MEDICAL CENTER Voluntary non-profit - Private	HONOLULU	$45,668	$31,968-30%	$1,567 – $28,217	0.1/10
KAHI MOHALA Voluntary non-profit - Private	EWA BEACH	$50,576	$35,403-30%	$1,802 – $28,217	0.1/10
STRAUB CLINIC AND HOSPITAL Proprietary	HONOLULU	N/A	N/A	$676 – $14,258	0.1/10
KAUAI VETERANS MEMORIAL HOSPITAL Government - State	WAIMEA	N/A	N/A	$676 – $19,500	0.1/10
KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN Voluntary non-profit - Private	HONOLULU	N/A	N/A	$676 – $14,906	0.1/10
KAHUKU MEDICAL CENTER Voluntary non-profit - Other	KAHUKU	N/A	N/A	$1,493 – $14,613	0.1/10
PALI MOMI MEDICAL CENTER Proprietary	AIEA	N/A	N/A	$676 – $12,605	0.1/10
KUAKINI MEDICAL CENTER Voluntary non-profit - Private	HONOLULU	N/A	N/A	$676 – $16,372	0.1/10
WILCOX MEMORIAL HOSPITAL Government - Federal	LIHUE	N/A	N/A	$676 – $10,610	0.1/10
KONA COMMUNITY HOSPITAL Government - State	KEALAKEKUA	N/A	N/A	$676 – $19,500	0.1/10

ADVENTIST HEALTH CASTLE

KAILUA, HI · Voluntary non-profit - Church

0.1/10

List Price

$3,196

Cash Price

$1,023-68%

Negotiated Range

$29 – $3,196

KAISER FOUNDATION HOSPITAL

HONOLULU, HI · Voluntary non-profit - Private

0.1/10

List Price

$11,537

Cash Price

$8,653-25%

Negotiated Range

$10,490 – $34,322

NORTH HAWAII COMMUNITY HOSPITAL, INC

KAMUELA, HI · Voluntary non-profit - Private

0.1/10

List Price

$30,984

Cash Price

$21,689-30%

Negotiated Range

$1,567 – $16,335

THE QUEENS MEDICAL CENTER

HONOLULU, HI · Voluntary non-profit - Private

0.1/10

List Price

$45,668

Cash Price

$31,968-30%

Negotiated Range

$1,567 – $28,217

KAHI MOHALA

EWA BEACH, HI · Voluntary non-profit - Private

0.1/10

List Price

$50,576

Cash Price

$35,403-30%

Negotiated Range

$1,802 – $28,217

STRAUB CLINIC AND HOSPITAL

HONOLULU, HI · Proprietary

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$676 – $14,258

KAUAI VETERANS MEMORIAL HOSPITAL

WAIMEA, HI · Government - State

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$676 – $19,500

KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN

HONOLULU, HI · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$676 – $14,906

KAHUKU MEDICAL CENTER

KAHUKU, HI · Voluntary non-profit - Other

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$1,493 – $14,613

PALI MOMI MEDICAL CENTER

AIEA, HI · Proprietary

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$676 – $12,605

KUAKINI MEDICAL CENTER

HONOLULU, HI · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$676 – $16,372

WILCOX MEMORIAL HOSPITAL

LIHUE, HI · Government - Federal

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$676 – $10,610

KONA COMMUNITY HOSPITAL

KEALAKEKUA, HI · Government - State

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$676 – $19,500

Knee Replacement Surgery Cost in Other States

Texas (149)California (122)Florida (94)Michigan (84)Pennsylvania (81)Ohio (78)New York (71)Wisconsin (69)Minnesota (65)Iowa (64)Indiana (55)Colorado (52)View all states

What Affects Knee Replacement Surgery Cost in Hawaii

The cost of knee replacement surgery in Hawaii depends on several factors, including the type of facility, whether you have insurance, and local market dynamics.

The total cost of knee replacement surgery includes more than the surgeon's fee. Facility charges, anesthesia, pre-operative testing, and post-operative care all contribute. Ambulatory surgery centers, where medically appropriate, can offer significant savings compared to hospital settings.

Based on data from 13 hospitals in Hawaii, knee replacement surgery prices range from $3,196 to $50,576 — a 15.8x difference. This wide variation underscores why comparing prices before scheduling is critical for controlling your out-of-pocket costs.

Hospital vs. Outpatient Center Pricing in Hawaii

The setting where knee replacement surgery is performed in Hawaii significantly impacts total cost. Hospital inpatient stays are the most expensive, followed by hospital outpatient departments, then ambulatory surgery centers.

For patients who are medically appropriate for outpatient surgery, ASCs offer a compelling combination of lower cost and shorter wait times. Many are physician-owned and focus exclusively on surgical care.

Discuss options with your surgeon and, if you're self-pay, ask about pricing at each available setting before scheduling.

Self-Pay vs. Insurance Cost Differences in Hawaii

Uninsured and self-pay patients can frequently access knee replacement surgery at a lower cost than insured rates. Many hospitals in Hawaii offer cash discounts of 30–70% off the standard chargemaster rate.

In Hawaii, the average cash price for knee replacement surgery is $19,747, which is 30% lower than the average list price of $28,392. This discount is typical of what self-pay patients can expect when asking for the hospital's uninsured rate.

For insured patients, the negotiated rate between your plan and the hospital determines your cost share. If you haven't met your deductible, you may pay more than the cash price. It's worth asking the hospital whether their self-pay rate is lower than what your insurance would charge — some patients save money by not filing a claim.

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Frequently Asked Questions About Knee Replacement Surgery Cost in Hawaii

How much does Knee Replacement Surgery cost in Hawaii?▼

The average cash price for knee replacement surgery in Hawaii is $19,747. Prices range from $3,196 to $50,576 depending on the hospital and whether you pay cash or use insurance.

Why do Knee Replacement Surgery prices vary so much in Hawaii?▼

Hospital prices for knee replacement surgery in Hawaii differ based on facility type (hospital vs. independent center), negotiated insurance rates, hospital overhead, and local market competition. Hospitals with less nearby competition tend to charge more.

Can I get a cheaper Knee Replacement Surgery by paying cash?▼

Yes. In Hawaii, the average cash price for knee replacement surgery is $19,747, which is 30% below the average list price of $28,392. Many hospitals offer additional discounts if you pay upfront.

What is the cheapest hospital for Knee Replacement Surgery in Hawaii?▼

The cheapest hospital depends on current published rates. Use the price comparison table above to see which facility in Hawaii offers the lowest cash price for knee replacement surgery. Prices can change, so verify directly with the hospital before scheduling.

Does insurance cover Knee Replacement Surgery?▼

Most health insurance plans cover knee replacement surgery when medically necessary and ordered by a physician. Your out-of-pocket cost depends on your deductible, copay, and coinsurance, and whether the provider is in-network. Contact your insurer for a pre-authorization estimate.

Want the true total cost of TOTAL KNEE ARTHROPLASTY?

Total Care Cost surfaces bundled facility and professional pricing so you can compare options and cut out-of-pocket surprises before you schedule.

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Data sourced from hospital machine-readable price transparency files as required by 45 CFR Parts 180 and 182. Prices are informational only and may not reflect current rates. Always confirm pricing directly with the hospital before scheduling.