Heart valve replacement through a catheter (TAVR) in Hawaii
MS-DRG 267: Endovascular cardiac valve replacement and supplement procedures without mcc
$160,228typical hospital bill
$51,550typical amount paid
$49,731–$53,369range paid across 2 hospitals
Hawaii hospitals billed Medicare a typical $160,228 for this stay in 2024, about 3.1 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 | |
|---|---|---|---|---|---|
| Straub Clinic and Hospital | Honolulu | 58 | $129,560 | $49,731 | |
| The Queens Medical Center | Honolulu | 45 | $190,896 | $53,369 |
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.