facebook tracking Endovascular cardiac valve replacement and supplement procedures with major complications cost in Hawaii: 2 hospitals compared (DRG 266)

Endovascular cardiac valve replacement and supplement procedures with major complications in Hawaii

What 2 hospitals in Hawaii charged and were paid for a Medicare hospital stay for endovascular cardiac valve replacement and supplement procedures with major complications (DRG 266), from 2024 Medicare claims.

DRG 266 Inpatient 2024 Medicare data
Average charge $206,158 Hospital list price billed
Average payment $67,011 Medicare + patient + other payers
Medicare paid $59,553 Average per stay
Volume 46 Medicare hospital stays

Hospitals in Hawaii billed an average of $206,158 for endovascular cardiac valve replacement and supplement procedures with major complications, about 3.1 times the average total payment of $67,011. That payment is 17% above the U.S. average of $57,249.

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.

Paid $67,011Billed $206,158

About 33¢ was paid for every $1 hospitals in Hawaii billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Hawaii:

Hawaii hospitals: endovascular cardiac valve replacement and supplement procedures with major complications

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
Straub Clinic and HospitalHonolulu 33 $184,174 $65,996 $56,563
The Queens Medical CenterHonolulu 13 $261,961 $69,589 $67,145
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Endovascular cardiac valve replacement and supplement procedures with major complications in other states

Questions

How much does endovascular cardiac valve replacement and supplement procedures with major complications cost in Hawaii?

In 2024 Medicare data, a hospital stay for endovascular cardiac valve replacement and supplement procedures with major complications (DRG 266) at 2 hospitals in Hawaii was billed at $206,158 on average, while the average total payment was $67,011, of which Medicare paid $59,553. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

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 3.1 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.