Pneumonia, with major complications in Hawaii

MS-DRG 193: Simple pneumonia and pleurisy with mcc

$48,691typical hospital bill

$16,005typical amount paid

$12,890–$22,716range paid across 11 hospitals

Hawaii hospitals billed Medicare a typical $48,691 for this stay in 2024, about 3.0 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
Kuakini Medical Center	Honolulu	23	$52,381	$12,890
Adventist Health Castle	Kailua	25	$42,071	$13,004
Straub Clinic and Hospital	Honolulu	59	$53,559	$14,155
Pali Momi Medical Center	Aiea	79	$47,557	$14,246
Kaiser Foundation Hospital	Honolulu	16	$37,409	$14,429
The Queens Medical Center	Honolulu	94	$61,644	$16,005
Wilcox Memorial Hospital	Lihue	27	$40,573	$16,488
Hilo Benioff Medical Center	Hilo	64	$50,002	$16,865
North Hawaii Community Hospital, Inc	Kamuela	20	$48,691	$18,305
Maui Memorial Medical Center	Wailuku	49	$42,188	$21,342
Kona Community Hospital	Kealakekua	19	$62,026	$22,716

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.