facebook tracking Craniotomy and endovascular intracranial procedures with major complications cost in Kentucky: 8 hospitals compared (DRG 025)

Craniotomy and endovascular intracranial procedures with major complications in Kentucky

What 8 hospitals in Kentucky charged and were paid for a Medicare hospital stay for craniotomy and endovascular intracranial procedures with major complications (DRG 025), from 2024 Medicare claims.

DRG 025 Inpatient 2024 Medicare data
Average charge $189,715 Hospital list price billed
Average payment $38,427 Medicare + patient + other payers
Medicare paid $33,833 Average per stay
State rank #14 of 41 1 = lowest average payment

Hospitals in Kentucky billed an average of $189,715 for craniotomy and endovascular intracranial procedures with major complications, about 4.9 times the average total payment of $38,427. That payment is 16% below the U.S. average of $45,498.

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 $38,427Billed $189,715

About 20¢ was paid for every $1 hospitals in Kentucky billed for this stay.

Kentucky hospitals: craniotomy and endovascular intracranial procedures 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
University of Kentucky HospLexington 60 $135,965 $40,275 $33,088
Norton Healthcare PavilionLouisville 60 $165,088 $31,164 $27,800
University of Louisville HospitalLouisville 35 $305,776 $54,505 $48,236
Baptist Hospital EastLouisville 30 $300,943 $36,244 $34,789
St Elizabeth Med Center-SouthEdgewood 17 $152,714 $36,493 $28,709
Saint Joseph HospitalLexington 14 $108,324 $29,886 $28,287
Owensboro Medical Health SystemOwensboro 11 $141,723 $41,614 $40,223
Jewish HospitalLouisville 11 $153,368 $33,427 $30,961
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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

Saint Joseph HospitalLexington, KY$29,886
Norton Healthcare PavilionLouisville, KY$31,164
Jewish HospitalLouisville, KY$33,427
Baptist Hospital EastLouisville, KY$36,244
St Elizabeth Med Center-SouthEdgewood, KY$36,493

Highest

University of Louisville HospitalLouisville, KY$54,505
Owensboro Medical Health SystemOwensboro, KY$41,614
University of Kentucky HospLexington, KY$40,275
St Elizabeth Med Center-SouthEdgewood, KY$36,493
Baptist Hospital EastLouisville, KY$36,244

Craniotomy and endovascular intracranial procedures with major complications in other states

Questions

How much does craniotomy and endovascular intracranial procedures with major complications cost in Kentucky?

In 2024 Medicare data, a hospital stay for craniotomy and endovascular intracranial procedures with major complications (DRG 025) at 8 hospitals in Kentucky was billed at $189,715 on average, while the average total payment was $38,427, of which Medicare paid $33,833. 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 4.9 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.