facebook tracking Chronic obstructive pulmonary disease with complications cost in Kentucky: 11 hospitals compared (DRG 191)

Chronic obstructive pulmonary disease with complications in Kentucky

What 11 hospitals in Kentucky charged and were paid for a Medicare hospital stay for chronic obstructive pulmonary disease with complications (DRG 191), from 2024 Medicare claims.

DRG 191 Inpatient 2024 Medicare data
Average charge $30,608 Hospital list price billed
Average payment $6,219 Medicare + patient + other payers
Medicare paid $4,771 Average per stay
State rank #2 of 33 1 = lowest average payment

Hospitals in Kentucky billed an average of $30,608 for chronic obstructive pulmonary disease with complications, about 4.9 times the average total payment of $6,219. That payment is 25% below the U.S. average of $8,280.

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 $6,219Billed $30,608

About 20¢ was paid for every $1 hospitals in Kentucky billed for this stay.

Kentucky hospitals: chronic obstructive pulmonary disease 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 58 $32,920 $6,353 $4,953
Baptist Hospital EastLouisville 37 $30,842 $6,155 $3,985
King's Daughters' Medical CenterAshland 35 $33,064 $5,887 $4,670
Hardin Memorial HospitalElizabethtown 35 $30,252 $5,886 $4,432
St Elizabeth Med Center-SouthEdgewood 25 $21,223 $6,169 $5,062
Lourdes HospitalPaducah 20 $39,908 $6,076 $4,770
Central Baptist HospitalLexington 19 $36,104 $5,930 $4,748
The Medical Center at Bowling GreenBowling Green 17 $27,659 $6,909 $5,189
Pikeville Medical CenterPikeville 15 $30,517 $7,487 $6,607
Western Baptist HospitalPaducah 13 $26,051 $5,923 $4,647
St Elizabeth FlorenceFlorence 12 $17,161 $6,268 $4,289
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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

Hardin Memorial HospitalElizabethtown, KY$5,886
King's Daughters' Medical CenterAshland, KY$5,887
Western Baptist HospitalPaducah, KY$5,923
Central Baptist HospitalLexington, KY$5,930
Lourdes HospitalPaducah, KY$6,076

Highest

Pikeville Medical CenterPikeville, KY$7,487
The Medical Center at Bowling GreenBowling Green, KY$6,909
Norton Healthcare PavilionLouisville, KY$6,353
St Elizabeth FlorenceFlorence, KY$6,268
St Elizabeth Med Center-SouthEdgewood, KY$6,169

Chronic obstructive pulmonary disease with complications in other states

Questions

How much does chronic obstructive pulmonary disease with complications cost in Kentucky?

In 2024 Medicare data, a hospital stay for chronic obstructive pulmonary disease with complications (DRG 191) at 11 hospitals in Kentucky was billed at $30,608 on average, while the average total payment was $6,219, of which Medicare paid $4,771. 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 4.9 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.