Pneumonia, with complications in Hawaii
MS-DRG 194: Simple pneumonia and pleurisy with cc
$35,578typical hospital bill
$10,323typical amount paid
$8,552–$14,723range paid across 3 hospitals
Hawaii hospitals billed Medicare a typical $35,578 for this stay in 2024, about 3.4 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 | |
|---|---|---|---|---|---|
| Pali Momi Medical Center | Aiea | 16 | $35,578 | $8,552 | |
| Hilo Benioff Medical Center | Hilo | 14 | $27,028 | $10,323 | |
| The Queens Medical Center | Honolulu | 51 | $51,553 | $14,723 |
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.