facebook tracking Endovascular cardiac valve replacement and supplement procedures without major complications cost in Hawaii: 2 hospitals compared (DRG 267)

Endovascular cardiac valve replacement and supplement procedures without 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 without major complications (DRG 267), from 2024 Medicare claims.

DRG 267 Inpatient 2024 Medicare data
Average charge $156,357 Hospital list price billed
Average payment $51,321 Medicare + patient + other payers
Medicare paid $41,569 Average per stay
Volume 103 Medicare hospital stays

Hospitals in Hawaii billed an average of $156,357 for endovascular cardiac valve replacement and supplement procedures without major complications, about 3.0 times the average total payment of $51,321. That payment is 16% above the U.S. average of $44,077.

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 $51,321Billed $156,357

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 without 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 58 $129,560 $49,731 $42,000
The Queens Medical CenterHonolulu 45 $190,896 $53,369 $41,015
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Endovascular cardiac valve replacement and supplement procedures without major complications in other states

Questions

How much does endovascular cardiac valve replacement and supplement procedures without major complications cost in Hawaii?

In 2024 Medicare data, a hospital stay for endovascular cardiac valve replacement and supplement procedures without major complications (DRG 267) at 2 hospitals in Hawaii was billed at $156,357 on average, while the average total payment was $51,321, of which Medicare paid $41,569. 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 3.0 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.