US Health Care Costs

Hip or knee replacement in Hawaii

MS-DRG 470: Major hip and knee joint replacement or reattachment of lower extremity without mcc

$64,284typical hospital bill
$20,682typical amount paid
$19,776–$21,588range paid across 2 hospitals

Hawaii hospitals billed Medicare a typical $64,284 for this stay in 2024, about 3.1 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
Kuakini Medical CenterHonolulu51$35,647$19,776
The Queens Medical CenterHonolulu63$92,920$21,588

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.