What 8 hospitals in Kentucky charged and were paid for a Medicare hospital stay for coronary bypass with cardiac catheterization or open ablation without major complications (DRG 234), from 2024 Medicare claims.
Hospitals in Kentucky billed an average of $238,514 for coronary bypass with cardiac catheterization or open ablation without major complications, about 5.8 times the average total payment of $41,196. That payment is 10% below the U.S. average of $45,866.
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.
About 17¢ 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:
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 |
|---|---|---|---|---|
| The Medical Center at Bowling GreenBowling Green | 29 | $203,844 | $37,630 | $35,529 |
| Central Baptist HospitalLexington | 27 | $316,045 | $40,791 | $29,738 |
| Norton Healthcare PavilionLouisville | 26 | $238,588 | $37,868 | $28,806 |
| King's Daughters' Medical CenterAshland | 25 | $153,505 | $42,197 | $28,849 |
| Baptist Hospital EastLouisville | 23 | $263,994 | $43,957 | $19,311 |
| Western Baptist HospitalPaducah | 19 | $339,526 | $38,144 | $32,712 |
| St Elizabeth Med Center-SouthEdgewood | 17 | $160,714 | $52,936 | $28,542 |
| Jewish HospitalLouisville | 13 | $227,188 | $38,948 | $35,595 |
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.
| The Medical Center at Bowling GreenBowling Green, KY | $37,630 |
|---|---|
| Norton Healthcare PavilionLouisville, KY | $37,868 |
| Western Baptist HospitalPaducah, KY | $38,144 |
| Jewish HospitalLouisville, KY | $38,948 |
| Central Baptist HospitalLexington, KY | $40,791 |
| St Elizabeth Med Center-SouthEdgewood, KY | $52,936 |
|---|---|
| Baptist Hospital EastLouisville, KY | $43,957 |
| King's Daughters' Medical CenterAshland, KY | $42,197 |
| Central Baptist HospitalLexington, KY | $40,791 |
| Jewish HospitalLouisville, KY | $38,948 |
In 2024 Medicare data, a hospital stay for coronary bypass with cardiac catheterization or open ablation without major complications (DRG 234) at 8 hospitals in Kentucky was billed at $238,514 on average, while the average total payment was $41,196, of which Medicare paid $29,704. Your own cost depends on your insurance, deductible and the hospital.
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 5.8 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.