facebook tracking Cellulitis without major complications cost in Kentucky: 22 hospitals compared (DRG 603)

Cellulitis without major complications in Kentucky

What 22 hospitals in Kentucky charged and were paid for a Medicare hospital stay for cellulitis without major complications (DRG 603), from 2024 Medicare claims.

DRG 603 Inpatient 2024 Medicare data
Average charge $26,575 Hospital list price billed
Average payment $6,856 Medicare + patient + other payers
Medicare paid $5,004 Average per stay
State rank #3 of 50 1 = lowest average payment

Hospitals in Kentucky billed an average of $26,575 for cellulitis without major complications, about 3.9 times the average total payment of $6,856. That payment is 21% below the U.S. average of $8,642.

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 $6,856Billed $26,575

About 26¢ 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 without 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
Baptist Hospital EastLouisville 88 $29,266 $5,683 $4,322
Norton Healthcare PavilionLouisville 87 $20,679 $6,594 $5,112
St Elizabeth Med Center-SouthEdgewood 47 $18,323 $6,674 $4,921
Jewish HospitalLouisville 44 $19,919 $7,431 $5,107
University of Kentucky HospLexington 43 $34,644 $9,811 $5,950
Western Baptist HospitalPaducah 34 $23,672 $6,281 $4,776
Central Baptist HospitalLexington 29 $43,524 $6,359 $4,605
St Elizabeth Ft ThomasFort Thomas 28 $15,588 $6,394 $4,539
Hardin Memorial HospitalElizabethtown 28 $28,400 $6,059 $4,756
King's Daughters' Medical CenterAshland 26 $19,686 $5,904 $4,645
Owensboro Medical Health SystemOwensboro 24 $18,785 $8,003 $6,550
St Elizabeth FlorenceFlorence 24 $16,577 $7,326 $3,925
Lourdes HospitalPaducah 23 $30,756 $6,681 $4,730
Pikeville Medical CenterPikeville 20 $32,151 $7,808 $6,564
The Medical Center at Bowling GreenBowling Green 17 $32,017 $7,262 $5,302
Lake Cumberland Regional HospitalSomerset 16 $53,629 $6,812 $4,962
T J Samson Community HospitalGlasgow 15 $11,714 $6,803 $5,207
University of Louisville HospitalLouisville 14 $28,511 $9,093 $7,057
Hazard Arh Regional Medical CenterHazard 13 $66,096 $6,684 $4,732
Saint Joseph HospitalLexington 12 $28,209 $6,781 $4,350
Saint Joseph LondonLondon 12 $22,541 $6,355 $4,859
Jackson Purchase Medical CenterMayfield 11 $31,809 $6,400 $4,917
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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$5,683
King's Daughters' Medical CenterAshland, KY$5,904
Hardin Memorial HospitalElizabethtown, KY$6,059
Western Baptist HospitalPaducah, KY$6,281
Saint Joseph LondonLondon, KY$6,355

Highest

University of Kentucky HospLexington, KY$9,811
University of Louisville HospitalLouisville, KY$9,093
Owensboro Medical Health SystemOwensboro, KY$8,003
Pikeville Medical CenterPikeville, KY$7,808
Jewish HospitalLouisville, KY$7,431

Cellulitis without major complications in other states

Questions

How much does cellulitis without major complications cost in Kentucky?

In 2024 Medicare data, a hospital stay for cellulitis without major complications (DRG 603) at 22 hospitals in Kentucky was billed at $26,575 on average, while the average total payment was $6,856, of which Medicare paid $5,004. 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 3.9 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.