Heart valve replacement through a catheter (TAVR), with major complications in Hawaii
MS-DRG 266: Endovascular cardiac valve replacement and supplement procedures with mcc
$223,068typical hospital bill
$67,792typical amount paid
$65,996–$69,589range paid across 2 hospitals
Hawaii hospitals billed Medicare a typical $223,068 for this stay in 2024, about 3.3 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 | 33 | $184,174 | $65,996 | |
| The Queens Medical Center | Honolulu | 13 | $261,961 | $69,589 |
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.