facebook tracking Hip and femur procedures except major joint with major complications cost in Hawaii: 1 hospitals compared (DRG 480)

Hip and femur procedures except major joint with major complications in Hawaii

What 1 hospital in Hawaii charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with major complications (DRG 480), from 2024 Medicare claims.

DRG 480 Inpatient 2024 Medicare data
Average charge $142,051 Hospital list price billed
Average payment $32,418 Medicare + patient + other payers
Medicare paid $29,063 Average per stay
Volume 30 Medicare hospital stays

Hospitals in Hawaii billed an average of $142,051 for hip and femur procedures except major joint with major complications, about 4.4 times the average total payment of $32,418. That payment is 23% above the U.S. average of $26,284.

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 $32,418Billed $142,051

About 23¢ was paid for every $1 hospitals in Hawaii billed for this stay.

Hawaii hospitals: hip and femur procedures except major joint 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 30 $142,051 $32,418 $29,063
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Hip and femur procedures except major joint with major complications in other states

Questions

How much does hip and femur procedures except major joint with major complications cost in Hawaii?

In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with major complications (DRG 480) at 1 hospital in Hawaii was billed at $142,051 on average, while the average total payment was $32,418, of which Medicare paid $29,063. 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 4.4 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.