Hip replacement after a hip fracture in Hawaii

MS-DRG 522: Hip replacement with principal diagnosis of hip fracture without mcc

$65,728typical hospital bill

$22,357typical amount paid

$20,517–$33,976range paid across 6 hospitals

Hawaii hospitals billed Medicare a typical $65,728 for this stay in 2024, about 2.9 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	14	$67,263	$20,517
Adventist Health Castle	Kailua	16	$64,644	$20,519
Pali Momi Medical Center	Aiea	13	$59,572	$21,243
The Queens Medical Center	Honolulu	26	$95,802	$23,472
Hilo Benioff Medical Center	Hilo	16	$61,453	$26,344
Maui Memorial Medical Center	Wailuku	16	$66,812	$33,976

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.