facebook tracking Coagulation disorders cost in Kentucky: 3 hospitals compared (DRG 813)

Coagulation disorders in Kentucky

What 3 hospitals in Kentucky charged and were paid for a Medicare hospital stay for coagulation disorders (DRG 813), from 2024 Medicare claims.

DRG 813 Inpatient 2024 Medicare data
Average charge $52,093 Hospital list price billed
Average payment $12,298 Medicare + patient + other payers
Medicare paid $10,791 Average per stay
State rank #2 of 39 1 = lowest average payment

Hospitals in Kentucky billed an average of $52,093 for coagulation disorders, about 4.2 times the average total payment of $12,298. That payment is 31% below the U.S. average of $17,707.

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 $12,298Billed $52,093

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

Kentucky hospitals: coagulation disorders

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 28 $59,711 $12,742 $11,510
King's Daughters' Medical CenterAshland 23 $40,373 $10,483 $9,342
University of Kentucky HospLexington 12 $56,781 $14,742 $11,891
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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

King's Daughters' Medical CenterAshland, KY$10,483
Norton Healthcare PavilionLouisville, KY$12,742
University of Kentucky HospLexington, KY$14,742

Highest

University of Kentucky HospLexington, KY$14,742
Norton Healthcare PavilionLouisville, KY$12,742
King's Daughters' Medical CenterAshland, KY$10,483

Coagulation disorders in other states

Questions

How much does coagulation disorders cost in Kentucky?

In 2024 Medicare data, a hospital stay for coagulation disorders (DRG 813) at 3 hospitals in Kentucky was billed at $52,093 on average, while the average total payment was $12,298, of which Medicare paid $10,791. 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 4.2 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.