Sepsis, with major complications in Hawaii

MS-DRG 871: Septicemia or severe sepsis without mv >96 hours with mcc

$59,607typical hospital bill

$24,307typical amount paid

$19,327–$34,520range paid across 11 hospitals

Hawaii hospitals billed Medicare a typical $59,607 for this stay in 2024, about 2.5 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	145	$50,846	$19,327
Straub Clinic and Hospital	Honolulu	154	$71,255	$19,353
Pali Momi Medical Center	Aiea	149	$59,351	$19,907
Kuakini Medical Center	Honolulu	196	$64,159	$21,010
Kaiser Foundation Hospital	Honolulu	124	$55,578	$24,256
The Queens Medical Center	Honolulu	553	$86,064	$24,307
Hilo Benioff Medical Center	Hilo	177	$58,769	$24,514
North Hawaii Community Hospital, Inc	Kamuela	21	$94,943	$24,664
Wilcox Memorial Hospital	Lihue	46	$54,739	$25,913
Maui Memorial Medical Center	Wailuku	112	$59,607	$32,117
Kona Community Hospital	Kealakekua	45	$78,383	$34,520

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.