US Health Care Costs

COPD, with major complications in Hawaii

MS-DRG 190: Chronic obstructive pulmonary disease with mcc

$54,072typical hospital bill
$12,857typical amount paid
$10,223–$13,894range paid across 3 hospitals

Hawaii hospitals billed Medicare a typical $54,072 for this stay in 2024, about 4.2 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
Pali Momi Medical CenterAiea11$31,168$10,223
The Queens Medical CenterHonolulu47$54,072$12,857
Hilo Benioff Medical CenterHilo35$54,571$13,894

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.