US Health Care Costs

Bowel surgery, with major complications in Hawaii

MS-DRG 329: Major small and large bowel procedures with mcc

$129,453typical hospital bill
$48,580typical amount paid
$43,999–$66,745range paid across 5 hospitals

Hawaii hospitals billed Medicare a typical $129,453 for this stay in 2024, about 2.7 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
Straub Clinic and HospitalHonolulu17$114,025$43,999
Adventist Health CastleKailua11$129,453$48,517
Pali Momi Medical CenterAiea12$152,174$48,580
The Queens Medical CenterHonolulu43$291,958$57,125
Maui Memorial Medical CenterWailuku12$119,742$66,745

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.