Pulmonary edema and respiratory failure in Hawaii
What 8 hospitals in Hawaii charged and were paid for a Medicare hospital stay for pulmonary edema and respiratory failure (DRG 189), from 2024 Medicare claims.
Average charge
$48,319
Hospital list price billed
Average payment
$16,251
Medicare + patient + other payers
Medicare paid
$11,460
Average per stay
State rank
#49 of 50
1 = lowest average payment
Hospitals in Hawaii billed an average of $48,319 for pulmonary edema and respiratory failure, about 3.0 times the average total payment of $16,251. That payment is 33% above the U.S. average of $12,197.
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 $16,251Billed $48,319
About 34¢ was paid for every $1 hospitals in Hawaii billed for this stay.
Hawaii hospitals: pulmonary edema and respiratory failure
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 | 46 | $61,565 | $15,895 | $10,475 |
| Hilo Medical CenterHilo | 21 | $40,333 | $16,844 | $13,567 |
| Kaiser Foundation HospitalHonolulu | 21 | $43,502 | $15,862 | $9,913 |
| Castle Medical CenterKailua | 17 | $37,109 | $14,216 | $9,800 |
| Maui Memorial Medical CenterWailuku | 16 | $41,798 | $21,318 | $16,663 |
| Pali Momi Medical CenterAiea | 16 | $42,867 | $14,950 | $10,341 |
| Straub Clinic and HospitalHonolulu | 12 | $38,656 | $15,807 | $10,075 |
| North Hawaii Community HospitalKamuela | 11 | $62,653 | $15,501 | $12,652 |
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 | $14,216 |
|---|---|
| Pali Momi Medical CenterAiea, HI | $14,950 |
| North Hawaii Community HospitalKamuela, HI | $15,501 |
| Straub Clinic and HospitalHonolulu, HI | $15,807 |
| Kaiser Foundation HospitalHonolulu, HI | $15,862 |
Highest
| Maui Memorial Medical CenterWailuku, HI | $21,318 |
|---|---|
| Hilo Medical CenterHilo, HI | $16,844 |
| The Queens Medical CenterHonolulu, HI | $15,895 |
| Kaiser Foundation HospitalHonolulu, HI | $15,862 |
| Straub Clinic and HospitalHonolulu, HI | $15,807 |
Pulmonary edema and respiratory failure in other states
Questions
How much does pulmonary edema and respiratory failure cost in Hawaii?
In 2024 Medicare data, a hospital stay for pulmonary edema and respiratory failure (DRG 189) at 8 hospitals in Hawaii was billed at $48,319 on average, while the average total payment was $16,251, of which Medicare paid $11,460. 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.