US Health Care Costs

Irregular heartbeat, with major complications in Hawaii

MS-DRG 308: Cardiac arrhythmia and conduction disorders with mcc

$49,903typical hospital bill
$14,133typical amount paid
$12,074–$16,936range paid across 3 hospitals

Hawaii hospitals billed Medicare a typical $49,903 for this stay in 2024, about 3.5 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
Straub Clinic and HospitalHonolulu13$49,903$12,074
The Queens Medical CenterHonolulu26$72,026$14,133
Hilo Benioff Medical CenterHilo14$49,070$16,936

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.