facebook tracking Cellulitis with major complications cost in Kentucky: 8 hospitals compared (DRG 602)

Cellulitis with major complications in Kentucky

What 8 hospitals in Kentucky charged and were paid for a Medicare hospital stay for cellulitis with major complications (DRG 602), from 2024 Medicare claims.

DRG 602 Inpatient 2024 Medicare data
Average charge $47,198 Hospital list price billed
Average payment $11,398 Medicare + patient + other payers
Medicare paid $8,221 Average per stay
State rank #6 of 40 1 = lowest average payment

Hospitals in Kentucky billed an average of $47,198 for cellulitis with major complications, about 4.1 times the average total payment of $11,398. That payment is 18% below the U.S. average of $13,872.

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 $11,398Billed $47,198

About 24¢ was paid for every $1 hospitals in Kentucky billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Kentucky:

Kentucky hospitals: cellulitis with major 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
Norton Healthcare PavilionLouisville 39 $58,091 $10,400 $8,339
Baptist Hospital EastLouisville 22 $42,353 $9,389 $8,002
St Elizabeth Med Center-SouthEdgewood 20 $22,187 $10,580 $9,112
King's Daughters' Medical CenterAshland 17 $28,587 $10,239 $7,649
Hardin Memorial HospitalElizabethtown 14 $62,713 $9,707 $8,496
St Elizabeth Ft ThomasFort Thomas 13 $22,465 $9,890 $7,430
University of Kentucky HospLexington 12 $94,512 $26,496 $7,533
Central Baptist HospitalLexington 12 $50,105 $9,836 $8,787
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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

Baptist Hospital EastLouisville, KY$9,389
Hardin Memorial HospitalElizabethtown, KY$9,707
Central Baptist HospitalLexington, KY$9,836
St Elizabeth Ft ThomasFort Thomas, KY$9,890
King's Daughters' Medical CenterAshland, KY$10,239

Highest

University of Kentucky HospLexington, KY$26,496
St Elizabeth Med Center-SouthEdgewood, KY$10,580
Norton Healthcare PavilionLouisville, KY$10,400
King's Daughters' Medical CenterAshland, KY$10,239
St Elizabeth Ft ThomasFort Thomas, KY$9,890

Cellulitis with major complications in other states

Questions

How much does cellulitis with major complications cost in Kentucky?

In 2024 Medicare data, a hospital stay for cellulitis with major complications (DRG 602) at 8 hospitals in Kentucky was billed at $47,198 on average, while the average total payment was $11,398, of which Medicare paid $8,221. 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 4.1 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.