Heart failure, with major complications in Hawaii

MS-DRG 291: Heart failure and shock with mcc

$45,526typical hospital bill

$16,965typical amount paid

$13,715–$20,618range paid across 11 hospitals

Hawaii hospitals billed Medicare a typical $45,526 for this stay in 2024, about 2.7 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	42	$31,390	$13,715
Straub Clinic and Hospital	Honolulu	88	$52,486	$14,531
Kuakini Medical Center	Honolulu	21	$63,034	$14,770
Pali Momi Medical Center	Aiea	96	$52,716	$15,086
The Queens Medical Center	Honolulu	243	$63,446	$15,498
Hilo Benioff Medical Center	Hilo	78	$40,932	$16,965
North Hawaii Community Hospital, Inc	Kamuela	27	$60,402	$17,440
Wilcox Memorial Hospital	Lihue	32	$30,713	$17,834
Kaiser Foundation Hospital	Honolulu	21	$42,399	$18,567
Kona Community Hospital	Kealakekua	24	$45,526	$20,323
Maui Memorial Medical Center	Wailuku	73	$42,696	$20,618

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.