We have not yet read Hawaii’s own laws on hospital bills; this page covers each hospital’s own policy and the federal rules for nonprofit hospitals.
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21 Hawaii hospitals, by town.
Nonprofit and government hospitals
Hilo Medical Center
Hilo, Hawaii County · Government, general acute care · Hawaii Health Systems Corporation
- Free care
- Up to 200% of the federal poverty guidelines: about $75,900 a year for a family of four in Hawaii in 2026.
- Discounts
- Up to 400% of the federal poverty guidelines: about $151,800 a year for a family of four in Hawaii in 2026.
- Timing
- 120 days
The policy says
“If approved, applications will be valid for 120 days from the date of application on the same calendar year.”
Read on this document, 2026-11-09.
Financial assistance policyHospital’s financial assistance pageApplication
Hale Ho`ola Hamakua
Honokaa, Hawaii County · Government, critical access · Hawaii Health Systems Corporation
- Free care
- Up to 200% of the federal poverty guidelines: about $75,900 a year for a family of four in Hawaii in 2026.
- Discounts
- Up to 400% of the federal poverty guidelines: about $151,800 a year for a family of four in Hawaii in 2026.
- Timing
- 120 days
The policy says
“If approved, applications will be valid for 120 days from the date of application on the same calendar year.”
Read on this document, 2026-11-09.
Financial assistance policyHospital’s financial assistance pageApplication
Kapi‘olani Medical Center for Women & Children
Honolulu, Honolulu County · Nonprofit, childrens · Hawai‘i Pacific Health
- Free care
- Up to 200% of the federal poverty guidelines: about $75,900 a year for a family of four in Hawaii in 2026.
The policy says
“For income levels at 200% or less of Federal Poverty Guidelines for the state of Hawaii, eligible patients receive 100% discount (free care).”
Read on this document, 2026-11-09.
- Discounts
- Up to 400% of the federal poverty guidelines: about $151,800 a year for a family of four in Hawaii in 2026.
The policy says
“For income levels greater than 200% and less than or equal to 400% of Federal Poverty Guidelines, eligible patients receive 85% discount on current balances.”
Read on this document, 2026-11-09.
- Timing
- At least 240 days after the first post-discharge bill
The policy says
“This deadline shall be either 30 days from the written notice or 240 days after the first post discharge bill was issued, whichever is later.”
Read on this document, 2026-11-09.
Financial assistance policyPlain language summaryApplication
Kuakini Medical Center
Honolulu, Honolulu County · Nonprofit, general acute care
We could not read its financial assistance policy on 2026-11-09 (its website did not open for us). Ask the billing office for the policy and the application.
Moanalua Medical Center
Honolulu, Honolulu County · Nonprofit, general acute care · Kaiser Permanente
- Free care
- Up to 200% of the federal poverty guidelines: about $75,900 a year for a family of four in Hawaii in 2026.
- Discounts
- Up to 300% of the federal poverty guidelines: about $113,850 a year for a family of four in Hawaii in 2026.
- Timing
- At least 240 days from the first billing statement.
The policy says
“The patient has been provided at least 240 days from the first billing statement to apply for MFA.”
Read on this document, 2026-11-09.
Financial assistance policyPlain language summaryApplication
Shriners Children's Hawaii
Honolulu, Honolulu County · Nonprofit, childrens · Shriners Children's
- Free care
- Up to 400% of the federal poverty guidelines: about $151,800 a year for a family of four in Hawaii in 2026.
The policy says
“Family income is at or below 400% of the FPL are eligible to receive 100% discount under SHC’s Charity Care Program”
Read on this document, 2026-11-09.
The Queen's Medical Center
Honolulu, Honolulu County · Nonprofit, general acute care · The Queen's Health Systems
Kahuku Medical Center
Kahuku, Honolulu County · Nonprofit, critical access
We could not read its financial assistance policy on 2026-11-09 (its website did not open for us). Ask the billing office for the policy and the application.
Adventist Health Castle
Kailua, Honolulu County · Nonprofit, general acute care
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Queen's North Hawai'i Community Hospital
Kamuela, Hawaii County · Nonprofit, general acute care · The Queen's Health Systems
Samuel Mahelona Memorial Hospital
Kapaa, Kauai County · Government, critical access
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Kohala Hospital
Kapaau, Hawaii County · Government, critical access
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Molokai General Hospital
Kaunakakai, Maui County · Nonprofit, critical access · The Queen's Health Systems
Kona Community Hospital
Kealakekua, Hawaii County · Government, general acute care
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Kula Hospital
Kula, Maui County · Nonprofit, critical access · Maui Health System
- Free care
- Up to 200% of the federal poverty guidelines: about $75,900 a year for a family of four in Hawaii in 2026.
- Discounts
- Up to 300% of the federal poverty guidelines: about $113,850 a year for a family of four in Hawaii in 2026.
- Timing
- At least 240 days from the first billing statement
The policy says
“The patient has been provided at least 240 days from the first billing statement to apply for FAP.”
Read on this document, 2026-11-09.
Lanai Community Hospital
Lanai City, Maui County · Nonprofit, critical access · Maui Health System
- Free care
- Up to 200% of the federal poverty guidelines: about $75,900 a year for a family of four in Hawaii in 2026.
- Discounts
- Up to 300% of the federal poverty guidelines: about $113,850 a year for a family of four in Hawaii in 2026.
- Timing
- At least 240 days from the first billing statement
The policy says
“The patient has been provided at least 240 days from the first billing statement to apply for FAP.”
Read on this document, 2026-11-09.
Ka`u Hospital
Pahala, Hawaii County · Government, critical access · Hawaii Health Systems Corporation
- Free care
- Up to 200% of the federal poverty guidelines: about $75,900 a year for a family of four in Hawaii in 2026.
- Discounts
- Up to 400% of the federal poverty guidelines: about $151,800 a year for a family of four in Hawaii in 2026.
- Timing
- 120 days
The policy says
“If approved, applications will be valid for 120 days from the date of application on the same calendar year.”
Read on this document, 2026-11-09.
Financial assistance policyHospital’s financial assistance pageApplication
Maui Memorial Medical Center
Wailuku, Maui County · Government, general acute care · Maui Health System
- Free care
- Up to 200% of the federal poverty guidelines: about $75,900 a year for a family of four in Hawaii in 2026.
- Discounts
- Up to 300% of the federal poverty guidelines: about $113,850 a year for a family of four in Hawaii in 2026.
- Timing
- At least 240 days from the first billing statement
The policy says
“The patient has been provided at least 240 days from the first billing statement to apply for FAP.”
Read on this document, 2026-11-09.
Kauai Veterans Memorial Hospital
Waimea, Kauai County · Government, critical access
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
For-profit hospitals
The federal rules for nonprofit hospitals do not apply to a for-profit hospital. Ask whether it has a financial assistance or charity care policy.
Pali Momi Medical Center
Aiea, Honolulu County · For-profit, general acute care
Ask whether it has a financial assistance or charity care policy.
Straub Clinic and Hospital
Honolulu, Honolulu County · For-profit, general acute care
Ask whether it has a financial assistance or charity care policy.
Federal rules for nonprofit hospitals
- A nonprofit hospital must have a written financial assistance policy. There is no federal income level: the policy sets its own criteria.
- It must accept applications for at least 240 days after the first bill sent after you leave.
- For patients it finds eligible, charges for emergency and other medically necessary care are limited to the amounts generally billed to people with insurance.
- These rules apply to hospitals recognized as tax-exempt under section 501(c)(3), including government hospitals with that status.
More in the hospital charity care guide.
What to ask the billing office
- Ask for the financial assistance policy, the application and the plain language summary.
- Ask which income limit applies to your household and what counts as income.
- Ask whether the doctors who treated you are covered by the policy or bill separately.
- Ask until when you can still apply for the bill you have, and ask for the answer in writing.
The free financial assistance letter asks for all three papers. Denied? How to appeal or reapply. Already paid? How applying after you have paid works. Compare large health systems on the hospital list.
Helping people with hospital bills in Hawaii?
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Sources
The list of hospitals, their towns, counties and ownership come from Hospital General Information (CMS Provider Data Catalog), modified 2026-07-22. Ownership is CMS’s label, not a tax ruling. We left out the 2 hospitals the CMS file lists under federal ownership, such as VA and military hospitals.
Each figure comes from the hospital’s own policy, which every figure links to, with the policy’s words and the day we read it (2026-11-09). We used AI reading tools, and a second independent check compared each quote and figure with the policy text. A figure that was not confirmed is left out. Dollar amounts use the 2026 federal poverty guidelines for Hawaii (91 FR 1797).
We are not part of any of these hospitals. Policies change, and the hospital decides from its own form, with conditions such as assets or residency that the policy sets. If what you read here differs from the current policy, the policy counts. A correction? Tell us on the Support page.
MedBillCheckup provides informational assistance only. It does not determine whether a charge is medically necessary, fraudulent, illegal, or definitively incorrect, and it is not a substitute for advice from a lawyer, doctor, insurer, or certified medical billing specialist.