US Health Care Costs

Kidney failure, with major complications in Hawaii

MS-DRG 682: Renal failure with mcc

$48,111typical hospital bill
$18,618typical amount paid
$14,465–$19,518range paid across 5 hospitals

Hawaii hospitals billed Medicare a typical $48,111 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)

HospitalCityMedicare staysBilledPaid
Adventist Health CastleKailua12$54,168$14,465
Straub Clinic and HospitalHonolulu20$48,111$14,554
Wilcox Memorial HospitalLihue12$33,867$18,618
Hilo Benioff Medical CenterHilo11$44,274$18,979
The Queens Medical CenterHonolulu62$80,308$19,518

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.