facebook tracking Permanent cardiac pacemaker implant with major complications cost in Hawaii: 2 hospitals compared (DRG 242)

Permanent cardiac pacemaker implant with major complications in Hawaii

What 2 hospitals in Hawaii charged and were paid for a Medicare hospital stay for permanent cardiac pacemaker implant with major complications (DRG 242), from 2024 Medicare claims.

DRG 242 Inpatient 2024 Medicare data
Average charge $140,103 Hospital list price billed
Average payment $41,784 Medicare + patient + other payers
Medicare paid $32,874 Average per stay
Volume 24 Medicare hospital stays

Hospitals in Hawaii billed an average of $140,103 for permanent cardiac pacemaker implant with major complications, about 3.4 times the average total payment of $41,784. That payment is 37% above the U.S. average of $30,574.

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 $41,784Billed $140,103

About 30¢ was paid for every $1 hospitals in Hawaii billed for this stay.

Hawaii hospitals: permanent cardiac pacemaker implant 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 13 $170,323 $44,423 $35,075
Pali Momi Medical CenterAiea 11 $104,389 $38,666 $30,272
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Permanent cardiac pacemaker implant with major complications in other states

Questions

How much does permanent cardiac pacemaker implant with major complications cost in Hawaii?

In 2024 Medicare data, a hospital stay for permanent cardiac pacemaker implant with major complications (DRG 242) at 2 hospitals in Hawaii was billed at $140,103 on average, while the average total payment was $41,784, of which Medicare paid $32,874. 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 3.4 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.