What 8 hospitals in Hawaii charged and were paid for a Medicare hospital stay for acute myocardial infarction, discharged alive with major complications (DRG 280), from 2024 Medicare claims.
Hospitals in Hawaii billed an average of $66,504 for acute myocardial infarction, discharged alive with major complications, about 3.6 times the average total payment of $18,428. That payment is 24% above the U.S. average of $14,805.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
About 28¢ was paid for every $1 hospitals in Hawaii billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Hawaii:
Every Hawaii hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| The Queens Medical CenterHonolulu | 139 | $85,137 | $19,356 | $14,042 |
| Castle Medical CenterKailua | 51 | $56,648 | $17,297 | $16,082 |
| Pali Momi Medical CenterAiea | 44 | $57,812 | $16,939 | $13,883 |
| Kuakini Medical CenterHonolulu | 38 | $52,738 | $17,698 | $13,724 |
| Straub Clinic and HospitalHonolulu | 28 | $50,947 | $15,560 | $13,214 |
| Kaiser Foundation HospitalHonolulu | 17 | $38,325 | $19,117 | $8,331 |
| Hilo Medical CenterHilo | 13 | $61,898 | $18,580 | $17,168 |
| Maui Memorial Medical CenterWailuku | 12 | $49,242 | $25,817 | $22,680 |
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Straub Clinic and HospitalHonolulu, HI | $15,560 |
|---|---|
| Pali Momi Medical CenterAiea, HI | $16,939 |
| Castle Medical CenterKailua, HI | $17,297 |
| Kuakini Medical CenterHonolulu, HI | $17,698 |
| Hilo Medical CenterHilo, HI | $18,580 |
| Maui Memorial Medical CenterWailuku, HI | $25,817 |
|---|---|
| The Queens Medical CenterHonolulu, HI | $19,356 |
| Kaiser Foundation HospitalHonolulu, HI | $19,117 |
| Hilo Medical CenterHilo, HI | $18,580 |
| Kuakini Medical CenterHonolulu, HI | $17,698 |
In 2024 Medicare data, a hospital stay for acute myocardial infarction, discharged alive with major complications (DRG 280) at 8 hospitals in Hawaii was billed at $66,504 on average, while the average total payment was $18,428, of which Medicare paid $14,361. Your own cost depends on your insurance, deductible and the hospital.
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Hawaii, average charges were 3.6 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.