Adventist Health Castle

640 Ulukahiki St, Kailua, HI 96734 · (808) 263-5015

General hospitalVoluntary non-profit - ChurchEmergency roomCMS rating ★★★★★

The money

$29what care cost the hospital for every $100 it billed

$6.5Mnet income, all sources

−10.4%margin on patient care alone

$3.2Mcost of charity care (1.6% of costs)

$4.5Munpaid bills written off (bad debt)

142beds

From the hospital's Medicare cost report for the year ending December 2024. Non-profit hospitals must have a financial assistance (charity care) policy; ask for it if a bill is hard to pay.

Hospital stays

Medicare figures are 2024 averages for this hospital; the bars show how much of the bill was actually paid.

Billed (list price)Actually paid (Medicare + patient)

Stay	Medicare stays	Billed	Paid
Sepsis, with major complications 871	145	$50,846	$19,327
Psychoses 885	80	$31,216	$13,913
Lung infection, with major complications 177	61	$48,899	$16,444
Heart attack, with major complications 280	51	$56,648	$17,297
Heart failure, with major complications 291	42	$31,390	$13,715
Sepsis 872	32	$31,714	$11,751
Infection needing surgery, with major complications 853	29	$128,619	$42,613
Hip or thigh bone surgery (not replacement), with complications 481	26	$56,955	$21,003
Pneumonia, with major complications 193	25	$42,071	$13,004
Stomach or intestinal bleeding, with complications 378	24	$39,468	$10,708
Dehydration and electrolyte problems, with major complications 640	23	$27,735	$12,807
Heart attack, with complications 281	21	$36,093	$8,960
Stomach or intestinal bleeding, with major complications 377	21	$60,198	$17,451
Stroke, with complications or clot-busting drug 065	19	$39,546	$11,223
Stroke, with major complications 064	17	$52,014	$18,531
Respiratory failure 189	17	$37,109	$14,216
Kidney failure, with complications 683	17	$32,988	$10,729
Bowel obstruction, with complications 389	16	$27,828	$8,481
Hip replacement after a hip fracture 522	16	$64,644	$20,519
Skin infection (cellulitis) 603	16	$28,882	$10,252
Cranial and Peripheral Nerve Disorders Without Mcc 074	15	$25,987	$10,225
Stomach and digestive disorders 392	13	$28,666	$8,222
Dehydration and electrolyte problems 641	13	$25,785	$7,842
Other kidney and urinary problems, with major complications 698	13	$35,666	$15,644
Kidney failure, with major complications 682	12	$54,168	$14,465
Bowel surgery, with major complications 329	11	$129,453	$48,517

Cash and insurer prices for this hospital haven't been added yet. Every US hospital must publish them; search the hospital's website for "price transparency" or "standard charges".