facebook tracking Level 2 ICD and Similar Procedures cost in Hawaii: 6 hospitals compared (APC 5232)

Level 2 ICD and Similar Procedures in Hawaii

What 6 hospitals in Hawaii charged and were paid for level 2 icd and similar procedures (APC 5232), from 2024 Medicare claims.

APC 5232 Outpatient 2024 Medicare data
Average charge $94,418 Hospital list price billed
Average allowed $37,717 Medicare's payment + patient's share
Medicare paid $36,085 Average per service
State rank #46 of 47 1 = lowest average payment

Hospitals in Hawaii billed an average of $94,418 for level 2 icd and similar procedures, about 2.5 times the average medicare-allowed amount of $37,717. That payment is 22% above the U.S. average of $31,009.

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 $37,717Billed $94,418

About 40¢ was paid for every $1 hospitals in Hawaii billed for this service.

Hawaii hospitals: level 2 icd and similar procedures

Every Hawaii hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Straub Clinic and HospitalHonolulu 30 $94,418 $37,717 $36,085
The Queens Medical CenterHonolulu – – – –
Maui Memorial Medical CenterWailuku – – – –
Hilo Medical CenterHilo – – – –
Castle Medical CenterKailua – – – –
Pali Momi Medical CenterAiea – – – –
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Level 2 ICD and Similar Procedures in other states

Questions

How much does level 2 icd and similar procedures cost in Hawaii?

In 2024 Medicare data, level 2 icd and similar procedures (APC 5232) at 6 hospitals in Hawaii was billed at $94,418 on average, while the average medicare-allowed amount was $37,717, of which Medicare paid $36,085. 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 service in Hawaii, average charges were 2.5 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.