Implantation of Drug Infusion Device in Kentucky
What 17 hospitals in Kentucky charged and were paid for implantation of drug infusion device (APC 5471), from 2024 Medicare claims.
Average charge
$85,691
Hospital list price billed
Average allowed
$14,535
Medicare's payment + patient's share
Medicare paid
$12,891
Average per service
State rank
#6 of 32
1 = lowest average payment
Hospitals in Kentucky billed an average of $85,691 for implantation of drug infusion device, about 5.9 times the average medicare-allowed amount of $14,535. That payment is 12% below the U.S. average of $16,462.
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 $14,535Billed $85,691
About 17¢ was paid for every $1 hospitals in Kentucky billed for this service.
Kentucky hospitals: implantation of drug infusion device
Every Kentucky hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Jewish HospitalLouisville | 22 | $94,729 | $14,140 | $12,478 |
| Norton Healthcare PavilionLouisville | 20 | $121,220 | $14,570 | $12,935 |
| Deaconess Henderson HospitalHenderson | 13 | $44,280 | $15,678 | $14,046 |
| University of Kentucky HospLexington | 12 | $70,775 | $14,266 | $12,634 |
| St Elizabeth Med Center-SouthEdgewood | 11 | $68,226 | $14,202 | $12,556 |
| Saint Joseph HospitalLexington | – | – | – | – |
| Saint Joseph LondonLondon | – | – | – | – |
| Owensboro Medical Health SystemOwensboro | – | – | – | – |
| St Elizabeth FlorenceFlorence | – | – | – | – |
| Harrison Memorial HospitalCynthiana | – | – | – | – |
| Clark Regional Medical CenterWinchester | – | – | – | – |
| Georgetown Community HospitalGeorgetown | – | – | – | – |
| Central Baptist HospitalLexington | – | – | – | – |
| Western Baptist HospitalPaducah | – | – | – | – |
| Baptist Hospital EastLouisville | – | – | – | – |
| Lake Cumberland Regional HospitalSomerset | – | – | – | – |
| University of Louisville HospitalLouisville | – | – | – | – |
Lowest and highest allowed amounts in Kentucky
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Jewish HospitalLouisville, KY | $14,140 |
|---|---|
| St Elizabeth Med Center-SouthEdgewood, KY | $14,202 |
| University of Kentucky HospLexington, KY | $14,266 |
| Norton Healthcare PavilionLouisville, KY | $14,570 |
| Deaconess Henderson HospitalHenderson, KY | $15,678 |
Highest
| Deaconess Henderson HospitalHenderson, KY | $15,678 |
|---|---|
| Norton Healthcare PavilionLouisville, KY | $14,570 |
| University of Kentucky HospLexington, KY | $14,266 |
| St Elizabeth Med Center-SouthEdgewood, KY | $14,202 |
| Jewish HospitalLouisville, KY | $14,140 |
Implantation of Drug Infusion Device in other states
Questions
How much does implantation of drug infusion device cost in Kentucky?
In 2024 Medicare data, implantation of drug infusion device (APC 5471) at 17 hospitals in Kentucky was billed at $85,691 on average, while the average medicare-allowed amount was $14,535, of which Medicare paid $12,891. 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 service in Kentucky, average charges were 5.9 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.