Heart failure and shock with major complications in Hawaii
What 11 hospitals in Hawaii charged and were paid for a Medicare hospital stay for heart failure and shock with major complications (DRG 291), from 2024 Medicare claims.
Average charge
$51,873
Hospital list price billed
Average payment
$16,278
Medicare + patient + other payers
Medicare paid
$12,607
Average per stay
State rank
#48 of 50
1 = lowest average payment
Hospitals in Hawaii billed an average of $51,873 for heart failure and shock with major complications, about 3.2 times the average total payment of $16,278. That payment is 35% above the U.S. average of $12,050.
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 $16,278Billed $51,873
About 31¢ 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:
Hawaii hospitals: heart failure and shock 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 |
|---|---|---|---|---|
| The Queens Medical CenterHonolulu | 243 | $63,446 | $15,498 | $11,182 |
| Pali Momi Medical CenterAiea | 96 | $52,716 | $15,086 | $12,002 |
| Straub Clinic and HospitalHonolulu | 88 | $52,486 | $14,531 | $11,934 |
| Hilo Medical CenterHilo | 78 | $40,932 | $16,965 | $13,728 |
| Maui Memorial Medical CenterWailuku | 73 | $42,696 | $20,618 | $18,693 |
| Castle Medical CenterKailua | 42 | $31,390 | $13,715 | $10,601 |
| Wilcox Memorial HospitalLihue | 32 | $30,713 | $17,834 | $12,931 |
| North Hawaii Community HospitalKamuela | 27 | $60,402 | $17,440 | $11,046 |
| Kona Community HospitalKealakekua | 24 | $45,526 | $20,323 | $19,099 |
| Kuakini Medical CenterHonolulu | 21 | $63,034 | $14,770 | $10,819 |
| Kaiser Foundation HospitalHonolulu | 21 | $42,399 | $18,567 | $9,249 |
Lowest and highest payments in Hawaii
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.
Lowest
| Castle Medical CenterKailua, HI | $13,715 |
|---|---|
| Straub Clinic and HospitalHonolulu, HI | $14,531 |
| Kuakini Medical CenterHonolulu, HI | $14,770 |
| Pali Momi Medical CenterAiea, HI | $15,086 |
| The Queens Medical CenterHonolulu, HI | $15,498 |
Highest
| Maui Memorial Medical CenterWailuku, HI | $20,618 |
|---|---|
| Kona Community HospitalKealakekua, HI | $20,323 |
| Kaiser Foundation HospitalHonolulu, HI | $18,567 |
| Wilcox Memorial HospitalLihue, HI | $17,834 |
| North Hawaii Community HospitalKamuela, HI | $17,440 |
Heart failure and shock with major complications in other states
Questions
How much does heart failure and shock with major complications cost in Hawaii?
In 2024 Medicare data, a hospital stay for heart failure and shock with major complications (DRG 291) at 11 hospitals in Hawaii was billed at $51,873 on average, while the average total payment was $16,278, of which Medicare paid $12,607. 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 3.2 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.