Heart attack, with complications in Hawaii
MS-DRG 281: Acute myocardial infarction, discharged alive with cc
$43,580typical hospital bill
$10,194typical amount paid
$8,960–$11,428range paid across 2 hospitals
Hawaii hospitals billed Medicare a typical $43,580 for this stay in 2024, about 4.3 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 | |
|---|---|---|---|---|---|
| Adventist Health Castle | Kailua | 21 | $36,093 | $8,960 | |
| The Queens Medical Center | Honolulu | 51 | $51,066 | $11,428 |
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.