Heart failure and shock with major complications in Kentucky
What 53 hospitals in Kentucky charged and were paid for a Medicare hospital stay for heart failure and shock with major complications (DRG 291), from 2024 Medicare claims.
Average charge
$40,751
Hospital list price billed
Average payment
$9,551
Medicare + patient + other payers
Medicare paid
$8,066
Average per stay
State rank
#4 of 50
1 = lowest average payment
Hospitals in Kentucky billed an average of $40,751 for heart failure and shock with major complications, about 4.3 times the average total payment of $9,551. That payment is 21% below the U.S. average of $12,050.
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 $9,551Billed $40,751
About 23¢ 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: heart failure and shock 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 | 778 | $45,655 | $9,299 | $7,905 |
| Baptist Hospital EastLouisville | 410 | $40,018 | $8,285 | $7,084 |
| Jewish HospitalLouisville | 222 | $32,420 | $10,459 | $8,451 |
| Central Baptist HospitalLexington | 219 | $47,073 | $8,862 | $7,319 |
| King's Daughters' Medical CenterAshland | 214 | $35,220 | $8,527 | $7,221 |
| St Elizabeth Med Center-SouthEdgewood | 189 | $32,387 | $9,444 | $7,053 |
| Hardin Memorial HospitalElizabethtown | 179 | $43,873 | $8,670 | $7,577 |
| Owensboro Medical Health SystemOwensboro | 172 | $24,934 | $11,193 | $9,914 |
| The Medical Center at Bowling GreenBowling Green | 152 | $36,835 | $10,027 | $8,301 |
| Western Baptist HospitalPaducah | 150 | $42,708 | $8,967 | $7,968 |
| University of Kentucky HospLexington | 149 | $50,711 | $13,092 | $9,572 |
| Pikeville Medical CenterPikeville | 142 | $62,685 | $12,358 | $10,549 |
| T J Samson Community HospitalGlasgow | 122 | $21,213 | $9,705 | $8,378 |
| Saint Joseph LondonLondon | 105 | $37,039 | $8,997 | $7,429 |
| Saint Joseph HospitalLexington | 101 | $39,800 | $9,124 | $8,123 |
| St Elizabeth FlorenceFlorence | 98 | $34,438 | $9,475 | $6,707 |
| Ephraim McDowell Regional Medical CenterDanville | 97 | $28,133 | $8,667 | $7,480 |
| St Elizabeth Ft ThomasFort Thomas | 92 | $32,874 | $8,535 | $7,395 |
| Baptist Health RichmondRichmond | 92 | $38,659 | $9,162 | $8,073 |
| Deaconess Henderson HospitalHenderson | 91 | $29,870 | $9,607 | $8,515 |
| Lourdes HospitalPaducah | 89 | $48,363 | $9,270 | $8,069 |
| Lake Cumberland Regional HospitalSomerset | 81 | $64,697 | $9,759 | $8,361 |
| Baptist Health Deaconess MadisonvilleMadisonville | 80 | $58,211 | $9,685 | $8,300 |
| Jennie Stuart Medical CenterHopkinsville | 56 | $39,140 | $9,424 | $8,332 |
| Greenview Regional HospitalBowling Green | 49 | $61,849 | $8,404 | $7,040 |
| Murray-Calloway County HospitalMurray | 46 | $31,639 | $10,362 | $9,405 |
| Baptist Regional Medical CtrCorbin | 46 | $46,681 | $8,884 | $7,212 |
| Flaget Memorial HospitalBardstown | 44 | $25,493 | $10,340 | $9,338 |
| Frankfort Regional Medical CenterFrankfort | 43 | $78,447 | $9,573 | $8,288 |
| St Claire Regional Medical CenterMorehead | 39 | $24,350 | $9,659 | $8,318 |
| Twin Lakes Regional Medical CenterLeitchfield | 38 | $21,248 | $9,657 | $8,713 |
| Clark Regional Medical CenterWinchester | 34 | $62,737 | $8,679 | $7,315 |
| Taylor Regional HospitalCampbellsville | 33 | $23,873 | $10,575 | $9,414 |
| Saint Joseph EastLexington | 33 | $37,312 | $10,841 | $8,756 |
| Hazard Arh Regional Medical CenterHazard | 31 | $52,114 | $9,870 | $8,595 |
| Jackson Purchase Medical CenterMayfield | 29 | $64,895 | $9,525 | $7,932 |
| Whitesburg Arh HospitalWhitesburg | 27 | $41,553 | $9,080 | $7,672 |
| Muhlenberg Community HospitalGreenville | 27 | $19,241 | $10,111 | $9,145 |
| Baptist Hospital NortheastLa Grange | 24 | $31,572 | $9,780 | $8,092 |
| Jewish Hospital - ShelbyvilleShelbyville | 23 | $23,962 | $11,111 | $9,035 |
| Meadowview Regional Medical CenterMaysville | 23 | $51,449 | $9,829 | $8,977 |
| Saint Joseph Mount SterlingMt Sterling | 22 | $21,740 | $9,901 | $8,937 |
| Harrison Memorial HospitalCynthiana | 21 | $17,919 | $8,626 | $7,849 |
| University of Louisville HospitalLouisville | 20 | $45,027 | $12,956 | $10,376 |
| Williamson Arh HospitalSouth Williamson | 19 | $33,769 | $9,919 | $8,846 |
| Spring View HospitalLebanon | 17 | $40,331 | $10,448 | $9,200 |
| Memorial HospitalManchester | 17 | $45,706 | $11,068 | $10,156 |
| Three Rivers Medical CenterLouisa | 16 | $49,912 | $10,205 | $9,185 |
| Georgetown Community HospitalGeorgetown | 15 | $93,889 | $8,982 | $8,005 |
| Monroe County Medical CenterTompkinsville | 15 | $16,928 | $9,438 | $8,568 |
| Highlands Regional Medical CenterPrestonsburg | 14 | $40,345 | $8,438 | $7,505 |
| The Medical Center at RussellvilleRussellville | 13 | $38,121 | $10,045 | $8,664 |
| Bourbon Community HospitalParis | 11 | $34,273 | $7,561 | $6,374 |
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
| Bourbon Community HospitalParis, KY | $7,561 |
|---|---|
| Baptist Hospital EastLouisville, KY | $8,285 |
| Greenview Regional HospitalBowling Green, KY | $8,404 |
| Highlands Regional Medical CenterPrestonsburg, KY | $8,438 |
| King's Daughters' Medical CenterAshland, KY | $8,527 |
Highest
| University of Kentucky HospLexington, KY | $13,092 |
|---|---|
| University of Louisville HospitalLouisville, KY | $12,956 |
| Pikeville Medical CenterPikeville, KY | $12,358 |
| Owensboro Medical Health SystemOwensboro, KY | $11,193 |
| Jewish Hospital - ShelbyvilleShelbyville, KY | $11,111 |
Heart failure and shock with major complications in other states
Questions
How much does heart failure and shock with major complications cost in Kentucky?
In 2024 Medicare data, a hospital stay for heart failure and shock with major complications (DRG 291) at 53 hospitals in Kentucky was billed at $40,751 on average, while the average total payment was $9,551, of which Medicare paid $8,066. 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 4.3 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.