How Much Does a Hawaiʻi 329 Medical Cannabis Card Cost in Hilo in 2026?

Hilo residents applying for a Hawaiʻi 329 card in 2026 should generally account for two main costs: the medical certification and the state registration charge.

Medical Cannabis Certification: A qualifying physician or APRN must evaluate and certify the patient. Hawaiʻi limits medical cannabis certification fees to no more than $105 for a one-year certification and $210 for a two-year certification. Those limits cover the medical cannabis evaluation and issuance of certification.

Hawaiʻi 329 Registration Fee: A first-time patient pays $38.50 for a one-year registration through the Hawaiʻi Medical Cannabis Registry. A two-year registration costs $77 but is available only to qualifying renewal applicants.

For a new Hilo patient receiving a one-year registration, the $38.50 state charge combined with the maximum $105 certification fee means those two components together would total no more than $143.50. The certifying medical provider may charge less than the maximum allowed.

Potential Ways Hilo Patients Can Reduce Their Costs

Hawaiʻi’s certification amount is a fee ceiling rather than a required price. A physician or APRN may charge below the $105 maximum for a one-year certification, so Hilo patients can ask about the provider’s fee before arranging the evaluation.

Certain renewal patients may also qualify for two-year registration when they remain with the same certifying provider and the provider determines that the patient satisfies Hawaiʻi’s requirements for the longer registration period. Although the two-year state charge is $77, it allows an eligible Hilo patient to maintain registration for a longer period before another renewal is necessary.