Respiratory failure in Hawaii

MS-DRG 189: Pulmonary edema and respiratory failure

$42,332typical hospital bill

$15,835typical amount paid

$14,216–$21,318range paid across 8 hospitals

Hawaii hospitals billed Medicare a typical $42,332 for this stay in 2024, about 2.7 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	17	$37,109	$14,216
Pali Momi Medical Center	Aiea	16	$42,867	$14,950
North Hawaii Community Hospital, Inc	Kamuela	11	$62,653	$15,501
Straub Clinic and Hospital	Honolulu	12	$38,657	$15,807
Kaiser Foundation Hospital	Honolulu	21	$43,502	$15,862
The Queens Medical Center	Honolulu	46	$61,565	$15,895
Hilo Benioff Medical Center	Hilo	21	$40,333	$16,844
Maui Memorial Medical Center	Wailuku	16	$41,798	$21,318

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.