facebook tracking Carotid artery stent procedures without complications cost in Kentucky: 8 hospitals compared (DRG 036)

Carotid artery stent procedures without complications in Kentucky

What 8 hospitals in Kentucky charged and were paid for a Medicare hospital stay for carotid artery stent procedures without complications (DRG 036), from 2024 Medicare claims.

DRG 036 Inpatient 2024 Medicare data
Average charge $120,241 Hospital list price billed
Average payment $13,791 Medicare + patient + other payers
Medicare paid $12,091 Average per stay
State rank #8 of 33 1 = lowest average payment

Hospitals in Kentucky billed an average of $120,241 for carotid artery stent procedures without complications, about 8.7 times the average total payment of $13,791. That payment is 13% below the U.S. average of $15,778.

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 $13,791Billed $120,241

About 11¢ was paid for every $1 hospitals in Kentucky billed for this stay.

Kentucky hospitals: carotid artery stent procedures without complications

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

Hospital Stays Avg charge Avg payment Medicare paid
Western Baptist HospitalPaducah 78 $137,481 $13,535 $11,325
Norton Healthcare PavilionLouisville 30 $142,847 $13,297 $11,945
Baptist Health Deaconess MadisonvilleMadisonville 29 $127,421 $13,371 $12,841
The Medical Center at Bowling GreenBowling Green 27 $80,483 $13,607 $12,665
Owensboro Medical Health SystemOwensboro 18 $109,356 $15,942 $14,700
Central Baptist HospitalLexington 16 $115,332 $13,172 $10,526
University of Kentucky HospLexington 12 $78,506 $15,370 $13,707
Jewish HospitalLouisville 11 $85,479 $14,181 $10,789
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Lowest and highest payments in Kentucky

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

Central Baptist HospitalLexington, KY$13,172
Norton Healthcare PavilionLouisville, KY$13,297
Baptist Health Deaconess MadisonvilleMadisonville, KY$13,371
Western Baptist HospitalPaducah, KY$13,535
The Medical Center at Bowling GreenBowling Green, KY$13,607

Highest

Owensboro Medical Health SystemOwensboro, KY$15,942
University of Kentucky HospLexington, KY$15,370
Jewish HospitalLouisville, KY$14,181
The Medical Center at Bowling GreenBowling Green, KY$13,607
Western Baptist HospitalPaducah, KY$13,535

Carotid artery stent procedures without complications in other states

Questions

How much does carotid artery stent procedures without complications cost in Kentucky?

In 2024 Medicare data, a hospital stay for carotid artery stent procedures without complications (DRG 036) at 8 hospitals in Kentucky was billed at $120,241 on average, while the average total payment was $13,791, of which Medicare paid $12,091. 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 Kentucky, average charges were 8.7 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.