facebook tracking Cranial and peripheral nerve disorders without major complications cost in Kentucky: 4 hospitals compared (DRG 074)

Cranial and peripheral nerve disorders without major complications in Kentucky

What 4 hospitals in Kentucky charged and were paid for a Medicare hospital stay for cranial and peripheral nerve disorders without major complications (DRG 074), from 2024 Medicare claims.

DRG 074 Inpatient 2024 Medicare data
Average charge $56,928 Hospital list price billed
Average payment $9,011 Medicare + patient + other payers
Medicare paid $6,216 Average per stay
State rank #6 of 31 1 = lowest average payment

Hospitals in Kentucky billed an average of $56,928 for cranial and peripheral nerve disorders without major complications, about 6.3 times the average total payment of $9,011. That payment is 19% below the U.S. average of $11,098.

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 $9,011Billed $56,928

About 16¢ 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: cranial and peripheral nerve disorders 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
Norton Healthcare PavilionLouisville 28 $38,941 $7,683 $6,183
The Medical Center at Bowling GreenBowling Green 20 $68,932 $8,429 $6,657
University of Kentucky HospLexington 14 $48,065 $13,876 $6,575
Baptist Hospital EastLouisville 11 $92,166 $7,260 $5,044
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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

Baptist Hospital EastLouisville, KY$7,260
Norton Healthcare PavilionLouisville, KY$7,683
The Medical Center at Bowling GreenBowling Green, KY$8,429
University of Kentucky HospLexington, KY$13,876

Highest

University of Kentucky HospLexington, KY$13,876
The Medical Center at Bowling GreenBowling Green, KY$8,429
Norton Healthcare PavilionLouisville, KY$7,683
Baptist Hospital EastLouisville, KY$7,260

Cranial and peripheral nerve disorders without major complications in other states

Questions

How much does cranial and peripheral nerve disorders without major complications cost in Kentucky?

In 2024 Medicare data, a hospital stay for cranial and peripheral nerve disorders without major complications (DRG 074) at 4 hospitals in Kentucky was billed at $56,928 on average, while the average total payment was $9,011, of which Medicare paid $6,216. 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 6.3 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.