facebook tracking Chemotherapy without acute leukemia as secondary diagnosis with complications cost in Kentucky: 3 hospitals compared (DRG 847)

Chemotherapy without acute leukemia as secondary diagnosis with complications in Kentucky

What 3 hospitals in Kentucky charged and were paid for a Medicare hospital stay for chemotherapy without acute leukemia as secondary diagnosis with complications (DRG 847), from 2024 Medicare claims.

DRG 847 Inpatient 2024 Medicare data
Average charge $51,125 Hospital list price billed
Average payment $10,939 Medicare + patient + other payers
Medicare paid $9,403 Average per stay
State rank #1 of 28 1 = lowest average payment

Hospitals in Kentucky billed an average of $51,125 for chemotherapy without acute leukemia as secondary diagnosis with complications, about 4.7 times the average total payment of $10,939. That payment is 32% below the U.S. average of $16,023.

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 $10,939Billed $51,125

About 21¢ 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: chemotherapy without acute leukemia as secondary diagnosis with 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 54 $47,800 $9,350 $8,208
University of Kentucky HospLexington 17 $77,452 $14,353 $11,466
University of Louisville HospitalLouisville 16 $34,374 $12,677 $11,247
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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

Norton Healthcare PavilionLouisville, KY$9,350
University of Louisville HospitalLouisville, KY$12,677
University of Kentucky HospLexington, KY$14,353

Highest

University of Kentucky HospLexington, KY$14,353
University of Louisville HospitalLouisville, KY$12,677
Norton Healthcare PavilionLouisville, KY$9,350

Chemotherapy without acute leukemia as secondary diagnosis with complications in other states

Questions

How much does chemotherapy without acute leukemia as secondary diagnosis with complications cost in Kentucky?

In 2024 Medicare data, a hospital stay for chemotherapy without acute leukemia as secondary diagnosis with complications (DRG 847) at 3 hospitals in Kentucky was billed at $51,125 on average, while the average total payment was $10,939, of which Medicare paid $9,403. 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 4.7 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.