Dehydration and electrolyte problems, with major complications in Hawaii

MS-DRG 640: Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc

$45,838typical hospital bill

$13,910typical amount paid

$12,391–$21,081range paid across 7 hospitals

Hawaii hospitals billed Medicare a typical $45,838 for this stay in 2024, about 3.3 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)

Hospital	City	Medicare stays	Billed	Paid
Kuakini Medical Center	Honolulu	12	$49,992	$12,391
Adventist Health Castle	Kailua	23	$27,735	$12,807
Straub Clinic and Hospital	Honolulu	29	$45,838	$13,785
Pali Momi Medical Center	Aiea	35	$35,020	$13,910
Hilo Benioff Medical Center	Hilo	21	$55,150	$16,459
The Queens Medical Center	Honolulu	84	$83,680	$17,677
Maui Memorial Medical Center	Wailuku	30	$45,366	$21,081

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.