US Health Care Costs

Hip or thigh bone surgery (not replacement), with complications in Hawaii

MS-DRG 481: Hip and femur procedures except major joint with cc

$63,010typical hospital bill
$22,773typical amount paid
$20,440–$33,513range paid across 8 hospitals

Hawaii hospitals billed Medicare a typical $63,010 for this stay in 2024, about 2.8 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
Pali Momi Medical CenterAiea17$56,720$20,440
Kuakini Medical CenterHonolulu16$46,368$20,646
Adventist Health CastleKailua26$56,955$21,003
The Queens Medical CenterHonolulu49$87,523$22,133
Straub Clinic and HospitalHonolulu20$68,627$23,412
Hilo Benioff Medical CenterHilo19$61,514$25,591
Wilcox Memorial HospitalLihue15$64,507$27,198
Maui Memorial Medical CenterWailuku20$72,357$33,513

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.