Lung infection, with major complications in Hawaii
MS-DRG 177: Respiratory infections and inflammations with mcc
$56,092typical hospital bill
$20,204typical amount paid
$16,444–$27,338range paid across 11 hospitals
Hawaii hospitals billed Medicare a typical $56,092 for this stay in 2024, about 2.8 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 | 61 | $48,899 | $16,444 | |
| Kaiser Foundation Hospital | Honolulu | 20 | $39,180 | $16,665 | |
| Kuakini Medical Center | Honolulu | 52 | $56,092 | $17,296 | |
| Straub Clinic and Hospital | Honolulu | 117 | $64,406 | $17,409 | |
| Pali Momi Medical Center | Aiea | 77 | $56,011 | $18,320 | |
| The Queens Medical Center | Honolulu | 161 | $79,045 | $20,204 | |
| Wilcox Memorial Hospital | Lihue | 24 | $50,361 | $20,977 | |
| Hilo Benioff Medical Center | Hilo | 34 | $59,919 | $21,939 | |
| North Hawaii Community Hospital, Inc | Kamuela | 15 | $57,204 | $24,006 | |
| Kona Community Hospital | Kealakekua | 27 | $66,058 | $26,562 | |
| Maui Memorial Medical Center | Wailuku | 50 | $49,213 | $27,338 |
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.