Circulatory disorders except AMI, with cardiac catheterization with major complications in Kentucky
What 15 hospitals in Kentucky charged and were paid for a Medicare hospital stay for circulatory disorders except ami, with cardiac catheterization with major complications (DRG 286), from 2024 Medicare claims.
Average charge
$81,987
Hospital list price billed
Average payment
$17,150
Medicare + patient + other payers
Medicare paid
$14,328
Average per stay
State rank
#5 of 47
1 = lowest average payment
Hospitals in Kentucky billed an average of $81,987 for circulatory disorders except ami, with cardiac catheterization with major complications, about 4.8 times the average total payment of $17,150. That payment is 22% below the U.S. average of $21,968.
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 $17,150Billed $81,987
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: circulatory disorders except ami, with cardiac catheterization 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 | 109 | $97,691 | $15,798 | $13,840 |
| Jewish HospitalLouisville | 68 | $76,285 | $18,169 | $14,837 |
| Baptist Hospital EastLouisville | 62 | $92,366 | $14,621 | $12,699 |
| St Elizabeth Med Center-SouthEdgewood | 57 | $58,027 | $17,876 | $12,982 |
| King's Daughters' Medical CenterAshland | 32 | $54,336 | $14,488 | $13,000 |
| University of Kentucky HospLexington | 30 | $131,455 | $26,013 | $17,374 |
| The Medical Center at Bowling GreenBowling Green | 27 | $61,508 | $15,879 | $14,098 |
| Owensboro Medical Health SystemOwensboro | 22 | $57,005 | $18,810 | $17,652 |
| Saint Joseph HospitalLexington | 15 | $102,985 | $23,771 | $19,821 |
| Baptist Health Deaconess MadisonvilleMadisonville | 15 | $107,508 | $16,477 | $14,499 |
| Central Baptist HospitalLexington | 15 | $82,185 | $13,826 | $12,458 |
| Pikeville Medical CenterPikeville | 14 | $98,420 | $19,310 | $17,880 |
| Lourdes HospitalPaducah | 13 | $78,188 | $15,008 | $13,880 |
| T J Samson Community HospitalGlasgow | 11 | $27,128 | $15,804 | $14,564 |
| Ephraim McDowell Regional Medical CenterDanville | 11 | $47,773 | $15,661 | $12,257 |
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 | $13,826 |
|---|---|
| King's Daughters' Medical CenterAshland, KY | $14,488 |
| Baptist Hospital EastLouisville, KY | $14,621 |
| Lourdes HospitalPaducah, KY | $15,008 |
| Ephraim McDowell Regional Medical CenterDanville, KY | $15,661 |
Highest
| University of Kentucky HospLexington, KY | $26,013 |
|---|---|
| Saint Joseph HospitalLexington, KY | $23,771 |
| Pikeville Medical CenterPikeville, KY | $19,310 |
| Owensboro Medical Health SystemOwensboro, KY | $18,810 |
| Jewish HospitalLouisville, KY | $18,169 |
Circulatory disorders except AMI, with cardiac catheterization with major complications in other states
Questions
How much does circulatory disorders except ami, with cardiac catheterization with major complications cost in Kentucky?
In 2024 Medicare data, a hospital stay for circulatory disorders except ami, with cardiac catheterization with major complications (DRG 286) at 15 hospitals in Kentucky was billed at $81,987 on average, while the average total payment was $17,150, of which Medicare paid $14,328. 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 4.8 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.