Hospital · CCN 120006

Adventist Health Castle

640 Ulukahiki St, Kailua, HI 96734 · Honolulu County
Part of Adventist Health · 160 beds · 2
Metropolitan area high commuting: primary flow 30% or more to a urbanized area of 50,000 and greater

26 admission types 44 outpatient services

Billed per dollar paid, all admissions

2.84×

$36.3M billed against $12.8M paid across 775 Medicare discharges; the national figure is 5.03×.

1.2%

of adults in Honolulu County have medical debt in collections

4.0%

uninsured in the county · state 4.3%

$102K

median household income

3.6×

billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (8 in the inpatient or outpatient file)ⓘ

25.3%

obesity in the countyⓘ

12.4%

diagnosed diabetes (PLACES)

5.8%

coronary heart disease (PLACES)

—

median age · — below poverty (ACS)

01 · Admissions

What it billed Medicare, by admission type

Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.

DRG

Admission

Discharges

Charge

Paid

Billed ÷ paid

871

Septicemia or severe sepsis without mv >96 hours with mcc

145

$50,846

$19,327

2.6× st 2.9×

885

Psychoses

$31,216

$13,913

2.2× st 2.9×

177

Respiratory infections and inflammations with mcc

$48,899

$16,444

3.0× st 3.1×

280

Acute myocardial infarction, discharged alive with mcc

$56,648

$17,297

3.3× st 3.6×

291

Heart failure and shock with mcc

$31,390

$13,715

2.3× st 3.2×

872

Septicemia or severe sepsis without mv >96 hours without mcc

$31,714

$11,751

2.7× st 3.0×

853

Infectious and parasitic diseases with o.r. procedures with mcc

$128,619

$42,613

3.0× st 3.2×

481

Hip and femur procedures except major joint with cc

$56,955

$21,003

2.7× st 2.9×

193

Simple pneumonia and pleurisy with mcc

$42,071

$13,004

3.2× st 3.1×

378

Gastrointestinal hemorrhage with cc

$39,468

$10,708

3.7× st 3.3×

640

Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc

$27,735

$12,807

2.2× st 3.5×

377

Gastrointestinal hemorrhage with mcc

$60,198

$17,451

3.5× st 3.1×

281

Acute myocardial infarction, discharged alive with cc

$36,093

$8,960

4.0× st 4.4×

065

Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours

$39,546

$11,223

3.5× st 3.6×

683

Renal failure with cc

$32,988

$10,729

3.1× st 2.9×

189

Pulmonary edema and respiratory failure

$37,109

$14,216

2.6× st 3.0×

064

Intracranial hemorrhage or cerebral infarction with mcc

$52,014

$18,531

2.8× st 3.7×

522

Hip replacement with principal diagnosis of hip fracture without mcc

$64,644

$20,519

3.2× st 3.0×

389

Gastrointestinal obstruction with cc

$27,828

$8,481

3.3× st 2.5×

603

Cellulitis without mcc

$28,882

$10,252

2.8× st 2.9×

074

Cranial and peripheral nerve disorders without mcc

$25,987

$10,225

2.5× st 2.5×

641

Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc

$25,785

$7,842

3.3× st 3.3×

698

Other kidney and urinary tract diagnoses with mcc

$35,666

$15,644

2.3× st 3.3×

392

Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc

$28,666

$8,222

3.5× st 3.5×

682

Renal failure with mcc

$54,168

$14,465

3.7× st 3.6×

329

Major small and large bowel procedures with mcc

$129,453

$48,517

2.7× st 3.7×

02 · Outpatient

Outpatient services

Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.

APC

Service

Services

Charge

Allowed

Billed ÷ allowed

8011

Comprehensive Observation Services

147

$19,341

$3,099

6.2×

5372

Level 2 Urology and Related Services

101

$2,082

$769

2.7×

5115

Level 5 Musculoskeletal Procedures

$48,801

$15,108

3.2×

5191

Level 1 Endovascular Procedures

$19,903

$3,621

5.5×

5072

Level 2 Excision/ Biopsy/ Incision and Drainage

$6,864

$1,808

3.8×

5153

Level 3 Airway Endoscopy

$7,101

$1,952

3.6×

5114

Level 4 Musculoskeletal Procedures

$30,187

$8,035

3.8×

5361

Level 1 Laparoscopy and Related Services

$28,649

$6,481

4.4×

5373

Level 3 Urology and Related Services

$14,916

$2,286

6.5×

5193

Level 3 Endovascular Procedures

$55,643

$12,634

4.4×

5375

Level 5 Urology and Related Services

$24,855

$5,951

4.2×

5374

Level 4 Urology and Related Services

$23,856

$4,010

6.0×

5183

Level 3 Vascular Procedures

$16,387

$3,549

4.6×

5182

Level 2 Vascular Procedures

$5,997

$1,842

3.3×

5073

Level 3 Excision/ Biopsy/ Incision and Drainage

$7,972

$3,268

2.4×

5194

Level 4 Endovascular Procedures

$98,683

$20,118

4.9×

5155

Level 5 Airway Endoscopy

$27,429

$7,872

3.5×

5192

Level 2 Endovascular Procedures

$18,407

$6,574

2.8×

5431

Level 1 Nerve Procedures

—

5341

Level 1 Abdominal/Peritoneal/Biliary and Related Procedures

—

5113

Level 3 Musculoskeletal Procedures

—

5362

Level 2 Laparoscopy and Related Services

—

5414

Level 4 Gynecologic Procedures

—

5465

Level 5 Neurostimulator and Related Procedures

—

5376

Level 6 Urology and Related Services

—

5432

Level 2 Nerve Procedures

—

5415

Level 5 Gynecologic Procedures

—

5313

Level 3 Lower GI Procedures

—

5303

Level 3 Upper GI Procedures

—

5302

Level 2 Upper GI Procedures

—

5092

Level 2 Breast/Lymphatic Surgery and Related Procedures

—

5112

Level 2 Musculoskeletal Procedures

—

5116

Level 6 Musculoskeletal Procedures

—

5154

Level 4 Airway Endoscopy

—

5163

Level 3 ENT Procedures

—

5164

Level 4 ENT Procedures

—

5165

Level 5 ENT Procedures

—

5184

Level 4 Vascular Procedures

—

5213

Level 3 Electrophysiologic Procedures

—

5222

Level 2 Pacemaker and Similar Procedures

—

5223

Level 3 Pacemaker and Similar Procedures

—

5224

Level 4 Pacemaker and Similar Procedures

—

5232

Level 2 ICD and Similar Procedures

—

5091

Level 1 Breast/Lymphatic Surgery and Related Procedures

—

Sources for this hospital

the files read, as fetched — not our copy of them

Medicare Inpatient Hospitals - by Provider and Service · CMS · 2024
MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
Medicare Outpatient Hospitals - by Provider and Service · CMS · 2024
MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
AHRQ Compendium of U.S. Health Systems — hospital linkage file · AHRQ · 2023
chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
2020 ZCTA to County relationship file · US Census Bureau · 2020
tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)

Every figure on this page is computed from these files by pipeline/prices/; the same rows are in the API.

Source rows for this hospital as JSON: inpatient · outpatient. CMS, Medicare Inpatient and Outpatient Hospitals by Provider and Service, 2024.