Hip replacement with principal diagnosis of hip fracture without major complications in Hawaii
What 6 hospitals in Hawaii charged and were paid for a Medicare hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522), from 2024 Medicare claims.
Average charge
$72,213
Hospital list price billed
Average payment
$24,426
Medicare + patient + other payers
Medicare paid
$21,119
Average per stay
State rank
#48 of 50
1 = lowest average payment
Hospitals in Hawaii billed an average of $72,213 for hip replacement with principal diagnosis of hip fracture without major complications, about 3.0 times the average total payment of $24,426. That payment is 33% above the U.S. average of $18,301.
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 $24,426Billed $72,213
About 34¢ 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: hip replacement with principal diagnosis of hip fracture 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 |
|---|---|---|---|---|
| The Queens Medical CenterHonolulu | 26 | $95,802 | $23,472 | $16,589 |
| Maui Memorial Medical CenterWailuku | 16 | $66,812 | $33,976 | $30,435 |
| Hilo Medical CenterHilo | 16 | $61,453 | $26,344 | $24,473 |
| Castle Medical CenterKailua | 16 | $64,644 | $20,519 | $18,989 |
| Straub Clinic and HospitalHonolulu | 14 | $67,263 | $20,517 | $18,916 |
| Pali Momi Medical CenterAiea | 13 | $59,572 | $21,243 | $19,578 |
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
| Straub Clinic and HospitalHonolulu, HI | $20,517 |
|---|---|
| Castle Medical CenterKailua, HI | $20,519 |
| Pali Momi Medical CenterAiea, HI | $21,243 |
| The Queens Medical CenterHonolulu, HI | $23,472 |
| Hilo Medical CenterHilo, HI | $26,344 |
Highest
| Maui Memorial Medical CenterWailuku, HI | $33,976 |
|---|---|
| Hilo Medical CenterHilo, HI | $26,344 |
| The Queens Medical CenterHonolulu, HI | $23,472 |
| Pali Momi Medical CenterAiea, HI | $21,243 |
| Castle Medical CenterKailua, HI | $20,519 |
Hip replacement with principal diagnosis of hip fracture without major complications in other states
Questions
How much does hip replacement with principal diagnosis of hip fracture without major complications cost in Hawaii?
In 2024 Medicare data, a hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522) at 6 hospitals in Hawaii was billed at $72,213 on average, while the average total payment was $24,426, of which Medicare paid $21,119. 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.