The Bill Rate Index What the hour costs, and who keeps it
33 facilities · most recent filing each

What Hawaii pays for an agency hour.

Hospitals and nursing homes in Hawaii, each against what it pays its own staff. Every figure below was filed by the facility itself.

Hospitals, FY2025
90% median premium
across 12 hospitals · national median 85%
Nursing homes, FY2024
142% median premium
across 21 nursing homes · national median 99%

Every hospital on record

12 hospitals, most recent filing each. In FY2025 the typical one paid 90% more for an hour of contract staff than for an hour of its own, against a national median of 85%.

HospitalCityEmployed hourContract hourPremiumYear
Wilcox Memorial HosptialLihue$48.54$102.86FY2024
Adventist Health CastleKailua$52.76$107.73FY2024
Queens North Hawaii Community HospiKamuela$59.88$115.76FY2024
Kfh-hawaiiHonolulu$59.13$112.29FY2025
Kuakini Medical CenterHonolulu$42.31$76.52FY2024
Kona Community HospitalKealakekua$53.84$95.03FY2024
Straub Clinic & HospitalHonolulu$47.02$81.99FY2024
The Queens Medical CenterHonolulu$57.35$98.90FY2024
Hilo Medical CenterHilo$43.43$73.08FY2024
Maui Memorial Medical CenterWailuku$52.87$85.79FY2024
Pali Momi Medical CenterAiea$50.33$48.10FY2024
Wahiawa General HospitalWahiawa$32.31$23.44FY2021

Every nursing home on record

21 nursing homes, most recent filing each. In FY2024 the typical one paid 142% more for an hour of contract staff than for an hour of its own, against a national median of 99%.

Nursing homeCityEmployed hourContract hourPremiumYear
Ka Punawai OlaKapolei$28.73$109.05FY2024
Hi-olani Care Center At Kahala NuiHonolulu$30.42$112.51FY2024
Hale Anuenue Restorative Care CenterHilo$27.60$97.87FY2024
Life Care Center Of HiloHilo$27.38$91.32FY2024
Kulana MalamaEwa Beach$31.65$98.15FY2024
Islands Skilled Nursing And RehabHonolulu$28.04$77.71FY2021
Hale Nani Rehab & Nursing CenterHonolulu$26.54$71.44FY2024
Aloha Nursing & Rehab CentreKaneohe$27.59$72.84FY2022
Nuuanu HaleHonolulu$29.04$74.92FY2024
Life Care Center Of KonaKailua-kona$30.95$76.58FY2024
Craigside Ret Res (15 Craigside)Honolulu$34.49$84.63FY2024
Kalakaua GardensHonolulu$26.90$64.28FY2024
Arcadia Retirement Center -hccHonolulu$32.41$76.28FY2024
Liliha Healthcare CenterHonolulu$24.04$56.23FY2024
Kauai Care CenterWaimea$28.76$66.93FY2024
Yukio Okutsu State Veterans HomeHilo$32.34$73.72FY2024
Maunalani Nursing CenterHonolulu$30.76$69.44FY2024
Hale Ola Kino By ArcadiaHonolulu$31.06$68.26FY2024
Gss-pohai NaniKaneohe$31.22$59.68FY2024
Avalon Care Center - Honolulu LlcHonolulu$33.67$62.68FY2024
Hale Ola KinoHonolulu$24.83$45.76FY2022

Working a contract in Hawaii?

See your own package against these figures.

Check your splitEvery state