Extensive operating room procedures unrelated to principal diagnosis with major complications in Kentucky
What 13 hospitals in Kentucky charged and were paid for a Medicare hospital stay for extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 981), from 2024 Medicare claims.
Average charge
$176,398
Hospital list price billed
Average payment
$36,347
Medicare + patient + other payers
Medicare paid
$30,572
Average per stay
State rank
#7 of 42
1 = lowest average payment
Hospitals in Kentucky billed an average of $176,398 for extensive operating room procedures unrelated to principal diagnosis with major complications, about 4.9 times the average total payment of $36,347. That payment is 23% below the U.S. average of $47,051.
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 $36,347Billed $176,398
About 21¢ was paid for every $1 hospitals in Kentucky billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Kentucky:
Kentucky hospitals: extensive operating room procedures unrelated to principal diagnosis 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 |
|---|---|---|---|---|
| Norton Healthcare PavilionLouisville | 62 | $207,030 | $33,364 | $30,451 |
| Jewish HospitalLouisville | 29 | $192,071 | $46,145 | $38,784 |
| Hardin Memorial HospitalElizabethtown | 20 | $189,093 | $30,137 | $26,397 |
| St Elizabeth Med Center-SouthEdgewood | 20 | $123,620 | $39,643 | $25,788 |
| Baptist Hospital EastLouisville | 19 | $192,799 | $29,974 | $25,170 |
| University of Kentucky HospLexington | 18 | $182,460 | $45,178 | $31,094 |
| The Medical Center at Bowling GreenBowling Green | 15 | $129,107 | $35,922 | $32,640 |
| Central Baptist HospitalLexington | 14 | $216,395 | $29,282 | $23,478 |
| King's Daughters' Medical CenterAshland | 13 | $115,933 | $28,430 | $22,507 |
| Saint Joseph HospitalLexington | 12 | $116,198 | $31,016 | $29,528 |
| University of Louisville HospitalLouisville | 12 | $191,267 | $43,686 | $37,909 |
| Owensboro Medical Health SystemOwensboro | 11 | $152,097 | $38,691 | $37,001 |
| Pikeville Medical CenterPikeville | 11 | $155,850 | $43,576 | $36,810 |
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 | $28,430 |
|---|---|
| Central Baptist HospitalLexington, KY | $29,282 |
| Baptist Hospital EastLouisville, KY | $29,974 |
| Hardin Memorial HospitalElizabethtown, KY | $30,137 |
| Saint Joseph HospitalLexington, KY | $31,016 |
Highest
| Jewish HospitalLouisville, KY | $46,145 |
|---|---|
| University of Kentucky HospLexington, KY | $45,178 |
| University of Louisville HospitalLouisville, KY | $43,686 |
| Pikeville Medical CenterPikeville, KY | $43,576 |
| St Elizabeth Med Center-SouthEdgewood, KY | $39,643 |
Extensive operating room procedures unrelated to principal diagnosis with major complications in other states
Questions
How much does extensive operating room procedures unrelated to principal diagnosis with major complications cost in Kentucky?
In 2024 Medicare data, a hospital stay for extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 981) at 13 hospitals in Kentucky was billed at $176,398 on average, while the average total payment was $36,347, of which Medicare paid $30,572. 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.