US Health Care Costs

Dehydration and electrolyte problems in Hawaii

MS-DRG 641: Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc

$25,785typical hospital bill
$9,917typical amount paid
$7,842–$12,558range paid across 7 hospitals

Hawaii hospitals billed Medicare a typical $25,785 for this stay in 2024, about 2.6 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 CastleKailua13$25,785$7,842
Pali Momi Medical CenterAiea18$24,849$8,974
The Queens Medical CenterHonolulu63$40,216$9,060
Hilo Benioff Medical CenterHilo26$22,724$9,917
Straub Clinic and HospitalHonolulu14$39,729$10,250
Kona Community HospitalKealakekua11$25,400$12,358
Maui Memorial Medical CenterWailuku11$26,934$12,558

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.