Infection needing surgery, with major complications in Hawaii

MS-DRG 853: Infectious and parasitic diseases with o.r. procedures with mcc

$161,630typical hospital bill

$61,634typical amount paid

$42,613–$84,284range paid across 8 hospitals

Hawaii hospitals billed Medicare a typical $161,630 for this stay in 2024, about 2.6 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	29	$128,619	$42,613
Kaiser Foundation Hospital	Honolulu	13	$92,222	$50,781
Pali Momi Medical Center	Aiea	27	$158,753	$51,299
Kuakini Medical Center	Honolulu	31	$160,883	$59,972
Hilo Benioff Medical Center	Hilo	24	$178,810	$63,297
The Queens Medical Center	Honolulu	128	$242,827	$65,630
Straub Clinic and Hospital	Honolulu	28	$228,596	$65,883
Maui Memorial Medical Center	Wailuku	16	$162,377	$84,284

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.