facebook tracking Hypertension without major complications cost in Kentucky: 10 hospitals compared (DRG 305)

Hypertension without major complications in Kentucky

What 10 hospitals in Kentucky charged and were paid for a Medicare hospital stay for hypertension without major complications (DRG 305), from 2024 Medicare claims.

DRG 305 Inpatient 2024 Medicare data
Average charge $31,675 Hospital list price billed
Average payment $5,734 Medicare + patient + other payers
Medicare paid $3,871 Average per stay
State rank #2 of 38 1 = lowest average payment

Hospitals in Kentucky billed an average of $31,675 for hypertension without major complications, about 5.5 times the average total payment of $5,734. That payment is 20% below the U.S. average of $7,204.

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 $5,734Billed $31,675

About 18¢ 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: hypertension without 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 80 $33,498 $5,714 $4,091
Baptist Hospital EastLouisville 26 $37,875 $5,164 $3,080
St Elizabeth Med Center-SouthEdgewood 18 $19,512 $5,563 $4,112
Central Baptist HospitalLexington 18 $42,084 $5,198 $3,694
Western Baptist HospitalPaducah 16 $28,141 $5,453 $4,015
Saint Joseph HospitalLexington 13 $23,605 $6,334 $3,400
Pikeville Medical CenterPikeville 13 $34,916 $7,160 $5,241
St Elizabeth FlorenceFlorence 13 $18,652 $5,619 $3,278
Jewish HospitalLouisville 12 $17,635 $6,499 $4,295
Greenview Regional HospitalBowling Green 12 $46,806 $5,710 $3,069
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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

Baptist Hospital EastLouisville, KY$5,164
Central Baptist HospitalLexington, KY$5,198
Western Baptist HospitalPaducah, KY$5,453
St Elizabeth Med Center-SouthEdgewood, KY$5,563
St Elizabeth FlorenceFlorence, KY$5,619

Highest

Pikeville Medical CenterPikeville, KY$7,160
Jewish HospitalLouisville, KY$6,499
Saint Joseph HospitalLexington, KY$6,334
Norton Healthcare PavilionLouisville, KY$5,714
Greenview Regional HospitalBowling Green, KY$5,710

Hypertension without major complications in other states

Questions

How much does hypertension without major complications cost in Kentucky?

In 2024 Medicare data, a hospital stay for hypertension without major complications (DRG 305) at 10 hospitals in Kentucky was billed at $31,675 on average, while the average total payment was $5,734, of which Medicare paid $3,871. 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.