Adventist Health Castle

640 Ulukahiki St · Kailua, HI 96734

🤖AI Overview

This hospital markup of 3.5x is near the national average. Patients without insurance may still face significantly higher bills.

Total Charges

$70.5M

Medicare Payments

$20.2M

Discharges

1,282

Avg Length of Stay

4.3 days

Markup Ratio

3.5x

Risk Score

2.00

Fairness Grade: C

Average — charges 3–4x what Medicare pays

Adventist Health Castle charges an average of $55,028 per discharge, but Medicare only pays $15,775 — a markup of 3.5x. Grades are based on this ratio: A (under 2x), B (2–3x), C (3–4x), D (4–5x), F (over 5x).

How This Hospital Compares

Markup Ratio

This Hospital

3.5x

State Avg

3.9x

National Avg

5.3x

Avg Charge per Discharge

This Hospital

$55,028

State Avg

$75,331

National Avg

$69,838

Avg Length of Stay

This Hospital

4.3 days

State Avg

6.8 days

National Avg

4.8 days

Patient Demographics

Age Distribution

Under 65

10.0%

65–74

28.8%

75–84

32.4%

85+

28.9%

Gender

50.1%

Female

49.9%

Male

Dual Eligibility

12.4%

Dual Eligible

87.6%

Non-Dual

Race & Ethnicity

White

35.3%

Black

1.1%

Hispanic

5.0%

Asian

43.4%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension

75.0%

High Cholesterol

75.0%

Diabetes

46.4%

Chronic Kidney Disease

44.3%

Ischemic Heart Disease

41.0%

Arthritis

39.0%

Atrial Fibrillation

36.7%

Heart Failure

34.0%

COPD

30.6%

Alzheimer's/Dementia

22.8%

Mood Disorders

22.7%

Stroke/TIA

21.9%

Anxiety

20.1%

Cancer

19.8%

Depression

19.2%

Osteoporosis

19.0%

Asthma

14.7%

Substance Use

12.5%

Tobacco Use

11.8%

Schizophrenia/Psychosis

6.1%

Bipolar Disorder

4.3%

Parkinson's

3.9%

PTSD

1.7%

Personality Disorders

1.5%

ADHD/Conduct Disorders

1.4%

Related from TheDataProject.ai

🔍 See Medicare provider data on OpenMedicare

⚠️ Important: Data reflects Medicare inpatient claims. Charges represent what hospitals bill — not what patients typically pay. Medicare payment amounts reflect negotiated rates. Individual patient costs depend on insurance coverage and specific services.