Craniotomy with major device implant or acute complex CNS principal diagnosis with major complications o in Kentucky
What 6 hospitals in Kentucky charged and were paid for a Medicare hospital stay for craniotomy with major device implant or acute complex cns principal diagnosis with major complications o (DRG 023), from 2024 Medicare claims.
Average charge
$280,250
Hospital list price billed
Average payment
$46,700
Medicare + patient + other payers
Medicare paid
$41,021
Average per stay
State rank
#11 of 38
1 = lowest average payment
Hospitals in Kentucky billed an average of $280,250 for craniotomy with major device implant or acute complex cns principal diagnosis with major complications o, about 6.0 times the average total payment of $46,700. That payment is 17% below the U.S. average of $56,603.
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 $46,700Billed $280,250
About 17¢ was paid for every $1 hospitals in Kentucky billed for this stay.
Kentucky hospitals: craniotomy with major device implant or acute complex cns principal diagnosis with major complications o
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 | 47 | $271,745 | $55,977 | $46,647 |
| Baptist Hospital EastLouisville | 40 | $326,003 | $39,651 | $36,453 |
| Norton Healthcare PavilionLouisville | 32 | $260,695 | $43,952 | $38,628 |
| University of Louisville HospitalLouisville | 32 | $247,694 | $54,203 | $48,436 |
| Central Baptist HospitalLexington | 22 | $378,893 | $41,941 | $36,844 |
| King's Daughters' Medical CenterAshland | 11 | $104,523 | $28,385 | $27,344 |
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 | $28,385 |
|---|---|
| Baptist Hospital EastLouisville, KY | $39,651 |
| Central Baptist HospitalLexington, KY | $41,941 |
| Norton Healthcare PavilionLouisville, KY | $43,952 |
| University of Louisville HospitalLouisville, KY | $54,203 |
Highest
| University of Kentucky HospLexington, KY | $55,977 |
|---|---|
| University of Louisville HospitalLouisville, KY | $54,203 |
| Norton Healthcare PavilionLouisville, KY | $43,952 |
| Central Baptist HospitalLexington, KY | $41,941 |
| Baptist Hospital EastLouisville, KY | $39,651 |
Craniotomy with major device implant or acute complex CNS principal diagnosis with major complications o in other states
Questions
How much does craniotomy with major device implant or acute complex cns principal diagnosis with major complications o cost in Kentucky?
In 2024 Medicare data, a hospital stay for craniotomy with major device implant or acute complex cns principal diagnosis with major complications o (DRG 023) at 6 hospitals in Kentucky was billed at $280,250 on average, while the average total payment was $46,700, of which Medicare paid $41,021. 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 6.0 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.