US Health Care Costs

Bowel obstruction, with complications in Hawaii

MS-DRG 389: Gastrointestinal obstruction with cc

$23,380typical hospital bill
$9,973typical amount paid
$8,481–$12,759range paid across 5 hospitals

Hawaii hospitals billed Medicare a typical $23,380 for this stay in 2024, about 2.3 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.

Billed (list price)Actually paid (Medicare + patient)

HospitalCityMedicare staysBilledPaid
Adventist Health CastleKailua16$27,828$8,481
Pali Momi Medical CenterAiea16$23,380$8,859
Hilo Benioff Medical CenterHilo14$16,449$9,973
The Queens Medical CenterHonolulu23$31,781$10,517
Maui Memorial Medical CenterWailuku12$20,007$12,759

Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.