Heart attack, with major complications in Hawaii

MS-DRG 280: Acute myocardial infarction, discharged alive with mcc

$54,693typical hospital bill

$18,139typical amount paid

$15,560–$25,817range paid across 8 hospitals

Hawaii hospitals billed Medicare a typical $54,693 for this stay in 2024, about 3.0 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
Straub Clinic and Hospital	Honolulu	28	$50,947	$15,560
Pali Momi Medical Center	Aiea	44	$57,812	$16,939
Adventist Health Castle	Kailua	51	$56,648	$17,297
Kuakini Medical Center	Honolulu	38	$52,738	$17,698
Hilo Benioff Medical Center	Hilo	13	$61,898	$18,580
Kaiser Foundation Hospital	Honolulu	17	$38,325	$19,117
The Queens Medical Center	Honolulu	139	$85,137	$19,356
Maui Memorial Medical Center	Wailuku	12	$49,242	$25,817

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.