Hip replacement with principal diagnosis of hip fracture with major complications in Kentucky
What 7 hospitals in Kentucky charged and were paid for a Medicare hospital stay for hip replacement with principal diagnosis of hip fracture with major complications (DRG 521), from 2024 Medicare claims.
Average charge
$137,009
Hospital list price billed
Average payment
$21,868
Medicare + patient + other payers
Medicare paid
$19,273
Average per stay
State rank
#11 of 40
1 = lowest average payment
Hospitals in Kentucky billed an average of $137,009 for hip replacement with principal diagnosis of hip fracture with major complications, about 6.3 times the average total payment of $21,868. That payment is 15% below the U.S. average of $25,727.
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 $21,868Billed $137,009
About 16¢ was paid for every $1 hospitals in Kentucky billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Kentucky:
Kentucky hospitals: hip replacement with principal diagnosis of hip fracture 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 | 31 | $198,947 | $23,439 | $21,685 |
| Baptist Hospital EastLouisville | 24 | $143,811 | $21,125 | $16,793 |
| St Elizabeth FlorenceFlorence | 19 | $62,117 | $18,801 | $17,770 |
| Hardin Memorial HospitalElizabethtown | 17 | $109,052 | $18,276 | $16,803 |
| University of Kentucky HospLexington | 15 | $130,361 | $26,140 | $21,324 |
| Owensboro Medical Health SystemOwensboro | 12 | $92,946 | $23,703 | $19,981 |
| Baptist Health Deaconess MadisonvilleMadisonville | 11 | $177,318 | $22,084 | $20,729 |
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
| Hardin Memorial HospitalElizabethtown, KY | $18,276 |
|---|---|
| St Elizabeth FlorenceFlorence, KY | $18,801 |
| Baptist Hospital EastLouisville, KY | $21,125 |
| Baptist Health Deaconess MadisonvilleMadisonville, KY | $22,084 |
| Norton Healthcare PavilionLouisville, KY | $23,439 |
Highest
| University of Kentucky HospLexington, KY | $26,140 |
|---|---|
| Owensboro Medical Health SystemOwensboro, KY | $23,703 |
| Norton Healthcare PavilionLouisville, KY | $23,439 |
| Baptist Health Deaconess MadisonvilleMadisonville, KY | $22,084 |
| Baptist Hospital EastLouisville, KY | $21,125 |
Hip replacement with principal diagnosis of hip fracture with major complications in other states
Questions
How much does hip replacement with principal diagnosis of hip fracture with major complications cost in Kentucky?
In 2024 Medicare data, a hospital stay for hip replacement with principal diagnosis of hip fracture with major complications (DRG 521) at 7 hospitals in Kentucky was billed at $137,009 on average, while the average total payment was $21,868, of which Medicare paid $19,273. 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 6.3 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.