Hip and femur procedures except major joint with complications in Kentucky
What 27 hospitals in Kentucky charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with complications (DRG 481), from 2024 Medicare claims.
Average charge
$86,634
Hospital list price billed
Average payment
$15,839
Medicare + patient + other payers
Medicare paid
$13,496
Average per stay
State rank
#8 of 50
1 = lowest average payment
Hospitals in Kentucky billed an average of $86,634 for hip and femur procedures except major joint with complications, about 5.5 times the average total payment of $15,839. That payment is 14% below the U.S. average of $18,473.
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 $15,839Billed $86,634
About 18¢ 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: hip and femur procedures except major joint with 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 | 77 | $94,830 | $19,483 | $15,006 |
| Norton Healthcare PavilionLouisville | 77 | $90,753 | $14,993 | $13,137 |
| Baptist Hospital EastLouisville | 71 | $105,433 | $13,811 | $11,544 |
| St Elizabeth FlorenceFlorence | 55 | $55,597 | $14,300 | $11,795 |
| Owensboro Medical Health SystemOwensboro | 52 | $69,038 | $18,164 | $15,941 |
| University of Louisville HospitalLouisville | 52 | $114,699 | $20,093 | $17,242 |
| Pikeville Medical CenterPikeville | 39 | $76,347 | $19,464 | $16,012 |
| Western Baptist HospitalPaducah | 38 | $124,942 | $14,515 | $13,156 |
| Hardin Memorial HospitalElizabethtown | 37 | $91,960 | $13,681 | $11,659 |
| The Medical Center at Bowling GreenBowling Green | 35 | $68,630 | $15,705 | $14,046 |
| Lake Cumberland Regional HospitalSomerset | 34 | $121,083 | $15,635 | $13,709 |
| Lourdes HospitalPaducah | 33 | $82,627 | $14,950 | $12,080 |
| Ephraim McDowell Regional Medical CenterDanville | 29 | $49,154 | $13,923 | $12,406 |
| Central Baptist HospitalLexington | 27 | $119,999 | $13,689 | $12,140 |
| Murray-Calloway County HospitalMurray | 21 | $63,218 | $16,498 | $14,943 |
| Greenview Regional HospitalBowling Green | 20 | $102,940 | $13,391 | $12,009 |
| King's Daughters' Medical CenterAshland | 19 | $61,482 | $13,673 | $12,119 |
| Jewish HospitalLouisville | 19 | $72,656 | $16,027 | $12,887 |
| Saint Joseph HospitalLexington | 18 | $47,724 | $14,120 | $12,472 |
| T J Samson Community HospitalGlasgow | 18 | $39,133 | $16,598 | $13,138 |
| Saint Joseph LondonLondon | 14 | $51,669 | $15,004 | $11,653 |
| Hazard Arh Regional Medical CenterHazard | 14 | $77,335 | $15,135 | $13,566 |
| Jennie Stuart Medical CenterHopkinsville | 12 | $58,172 | $14,376 | $13,290 |
| St Elizabeth Med Center-SouthEdgewood | 11 | $65,629 | $14,402 | $13,147 |
| Baptist Regional Medical CtrCorbin | 11 | $110,300 | $14,205 | $13,025 |
| Baptist Health Deaconess MadisonvilleMadisonville | 11 | $128,530 | $15,512 | $13,575 |
| Frankfort Regional Medical CenterFrankfort | 11 | $117,576 | $14,073 | $12,589 |
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
| Greenview Regional HospitalBowling Green, KY | $13,391 |
|---|---|
| King's Daughters' Medical CenterAshland, KY | $13,673 |
| Hardin Memorial HospitalElizabethtown, KY | $13,681 |
| Central Baptist HospitalLexington, KY | $13,689 |
| Baptist Hospital EastLouisville, KY | $13,811 |
Highest
| University of Louisville HospitalLouisville, KY | $20,093 |
|---|---|
| University of Kentucky HospLexington, KY | $19,483 |
| Pikeville Medical CenterPikeville, KY | $19,464 |
| Owensboro Medical Health SystemOwensboro, KY | $18,164 |
| T J Samson Community HospitalGlasgow, KY | $16,598 |
Hip and femur procedures except major joint with complications in other states
Questions
How much does hip and femur procedures except major joint with complications cost in Kentucky?
In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with complications (DRG 481) at 27 hospitals in Kentucky was billed at $86,634 on average, while the average total payment was $15,839, of which Medicare paid $13,496. 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 5.5 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.