facebook tracking Coronary bypass with cardiac catheterization or open ablation without major complications cost in Kentucky: 8 hospitals compared (DRG 234)

Coronary bypass with cardiac catheterization or open ablation without major complications in Kentucky

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.

DRG 234 Inpatient 2024 Medicare data
Average charge $238,514 Hospital list price billed
Average payment $41,196 Medicare + patient + other payers
Medicare paid $29,704 Average per stay
State rank #11 of 36 1 = lowest average payment

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.

Paid $41,196Billed $238,514

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:

Kentucky hospitals: coronary bypass with cardiac catheterization or open ablation without 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
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
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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

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

Highest

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

Coronary bypass with cardiac catheterization or open ablation without major complications in other states

Questions

How much does coronary bypass with cardiac catheterization or open ablation without major complications cost in Kentucky?

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.

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 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.