Infectious and parasitic diseases with operating room procedures with major complications in Kentucky
What 26 hospitals in Kentucky charged and were paid for a Medicare hospital stay for infectious and parasitic diseases with operating room procedures with major complications (DRG 853), from 2024 Medicare claims.
Average charge
$166,962
Hospital list price billed
Average payment
$38,369
Medicare + patient + other payers
Medicare paid
$33,491
Average per stay
State rank
#8 of 49
1 = lowest average payment
Hospitals in Kentucky billed an average of $166,962 for infectious and parasitic diseases with operating room procedures with major complications, about 4.4 times the average total payment of $38,369. That payment is 18% below the U.S. average of $46,667.
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 $38,369Billed $166,962
About 23¢ 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: infectious and parasitic diseases with operating room procedures 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 | 208 | $174,419 | $37,894 | $33,422 |
| Saint Joseph HospitalLexington | 101 | $150,579 | $41,354 | $36,040 |
| University of Kentucky HospLexington | 90 | $233,829 | $53,645 | $39,104 |
| St Elizabeth Med Center-SouthEdgewood | 89 | $134,851 | $36,721 | $31,445 |
| Baptist Hospital EastLouisville | 73 | $194,834 | $34,796 | $29,815 |
| King's Daughters' Medical CenterAshland | 70 | $103,793 | $29,420 | $25,935 |
| Jewish HospitalLouisville | 59 | $181,018 | $47,177 | $38,176 |
| Central Baptist HospitalLexington | 57 | $206,942 | $33,647 | $32,303 |
| Pikeville Medical CenterPikeville | 45 | $238,011 | $49,612 | $47,265 |
| Owensboro Medical Health SystemOwensboro | 42 | $121,133 | $41,860 | $39,609 |
| Hardin Memorial HospitalElizabethtown | 40 | $142,801 | $30,699 | $28,140 |
| The Medical Center at Bowling GreenBowling Green | 38 | $133,880 | $35,392 | $33,007 |
| St Elizabeth FlorenceFlorence | 32 | $101,849 | $29,553 | $25,461 |
| Lourdes HospitalPaducah | 31 | $137,054 | $31,269 | $30,163 |
| Hazard Arh Regional Medical CenterHazard | 29 | $169,284 | $35,702 | $34,110 |
| University of Louisville HospitalLouisville | 29 | $209,558 | $47,772 | $41,412 |
| Ephraim McDowell Regional Medical CenterDanville | 27 | $72,010 | $32,257 | $28,268 |
| Lake Cumberland Regional HospitalSomerset | 25 | $282,890 | $36,614 | $34,248 |
| St Elizabeth Ft ThomasFort Thomas | 23 | $98,059 | $37,028 | $25,272 |
| St Claire Regional Medical CenterMorehead | 22 | $92,997 | $36,134 | $34,393 |
| Baptist Health Deaconess MadisonvilleMadisonville | 22 | $225,255 | $35,947 | $34,303 |
| Deaconess Henderson HospitalHenderson | 21 | $89,915 | $36,667 | $30,847 |
| Western Baptist HospitalPaducah | 18 | $204,849 | $32,661 | $28,132 |
| Baptist Regional Medical CtrCorbin | 16 | $235,731 | $38,594 | $37,207 |
| Greenview Regional HospitalBowling Green | 15 | $206,534 | $26,180 | $25,092 |
| Jackson Purchase Medical CenterMayfield | 11 | $141,442 | $32,930 | $31,891 |
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 | $26,180 |
|---|---|
| King's Daughters' Medical CenterAshland, KY | $29,420 |
| St Elizabeth FlorenceFlorence, KY | $29,553 |
| Hardin Memorial HospitalElizabethtown, KY | $30,699 |
| Lourdes HospitalPaducah, KY | $31,269 |
Highest
| University of Kentucky HospLexington, KY | $53,645 |
|---|---|
| Pikeville Medical CenterPikeville, KY | $49,612 |
| University of Louisville HospitalLouisville, KY | $47,772 |
| Jewish HospitalLouisville, KY | $47,177 |
| Owensboro Medical Health SystemOwensboro, KY | $41,860 |
Infectious and parasitic diseases with operating room procedures with major complications in other states
Questions
How much does infectious and parasitic diseases with operating room procedures with major complications cost in Kentucky?
In 2024 Medicare data, a hospital stay for infectious and parasitic diseases with operating room procedures with major complications (DRG 853) at 26 hospitals in Kentucky was billed at $166,962 on average, while the average total payment was $38,369, of which Medicare paid $33,491. 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 4.4 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.