Last updated: October 1, 2026

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: Before applying for state registration, Hilo patients must obtain certification from an eligible physician or APRN. Hawaiʻi limits medical cannabis certification fees to a maximum of $105 for a one-year certification. This amount covers the medical evaluation and issuance of the certification. Patients interested in a longer certification period should confirm the applicable charge with their provider or the Hawaiʻi Department of Health.

Hawaiʻi 329 Registration Fee: Following medical certification, new Hilo applicants pay $38.50 for a one-year registration through the Hawaiʻi Medical Cannabis Registry. Under the updated program, eligible patients renewing their registration may qualify for a three-year period.

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.

Patients who meet Hawaiʻi’s eligibility requirements may qualify for an extended three-year renewal. This option provides eligible Hilo patients with a longer registration period, reducing how frequently they need to complete the renewal process.