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Wilcox Memorial Hospital

WILCOX MEMORIAL HOSPITAL in Lihue, Hawaii charges 2.9x the Medicare reimbursement rate across analyzed procedures, reflecting typical pricing patterns for government-operated healthcare facilities.

Lihue, HI 96766 · Acute Care Hospitals · CMS Rating: 2/5

By Priya Iyengar , Senior Billing Analyst · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
About the analyst

Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.

12 procedures analyzed
CMS price transparency data
Updated 2026-04-03
Median 3.0x1.1x15.0x
2.9x
Medicare markup ratio
HI lowestWilcox Memorial HospitalHI highest
2.9x
Avg markup ratio
2.7x
Median markup
12
Procedures
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Billing patterns — government-federal

Federal Government Hospitals (VA/DoD) in our dataset show distinct billing patterns compared to other ownership types. These 14 facilities demonstrate an average markup of 4.1x Medicare rates, which falls within the mid-range compared to other hospital categories. VA and DoD hospitals typically operate under federal pricing structures that may differ significantly from private healthcare facilities. Patients should be aware that while these hospitals serve specific populations (veterans and military families), their charge patterns can still vary considerably from Medicare benchmarks. The billing structure at federal facilities often reflects government healthcare pricing models, which may include different cost accounting methods and reimbursement frameworks. Veterans eligible for VA care and military beneficiaries using DoD facilities should verify their coverage status and understand any potential differences between posted charges and their actual financial responsibility under federal healthcare programs.

Pricing grade

B

Good

Avg markup vs Medicare

2.85x

Charge / Medicare rate

Max markup

4.29x

Worst procedure

Procedures analyzed

12

With pricing data

Outlier procedures

0%

Above 90th percentile

Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.

ProcedureCodeGross chargeCash priceMedicareMarkup
CELLULITIS WITHOUT MCC603$35,149$17,5754.3x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$40,730$20,3653.6x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC066$23,295$11,6483.6x
GASTROINTESTINAL HEMORRHAGE WITH CC378$32,280$16,1403.3x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$73,435$36,7182.9x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC064$63,611$31,8062.9x
HEART FAILURE AND SHOCK WITH MCC291$35,801$17,9002.5x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$56,630$28,3152.5x
GASTROINTESTINAL OBSTRUCTION WITH CC389$18,234$9,1172.3x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC308$29,730$14,8652.2x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$30,511$15,2552.2x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC177$39,954$19,9772x

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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

FAQ — government-federal hospital billing

How do Federal Government Hospital (VA/DoD) billing rates compare to Medicare benchmarks?
Based on available data from 14 federal government hospitals, average charges are approximately 4.1 times Medicare benchmark rates. This represents the standard billing structure for these government-operated healthcare facilities.
What should I expect regarding billing transparency at VA or DoD hospitals?
Federal government hospitals operate under specific billing frameworks as government entities. Patients can request detailed billing information and should receive documentation of all charges and services provided during their care.
Are there billing advocacy services available for Federal Government Hospital charges?
Yes, billing advocacy services can review charges from federal government hospitals and identify potential differences between billed amounts and benchmark rates. These services analyze billing documentation to help patients understand their charges in the context of standard healthcare pricing.
How can I address concerns about charges from a VA or DoD hospital?
Patients can work with billing advocacy services to review their federal government hospital charges against Medicare benchmarks and other standards. Government hospitals have established processes for billing inquiries, and advocacy services can help navigate these procedures while identifying potential billing adjustments.

Related pricing data

Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.

Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.

This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use

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