facebook tracking Level 1 Nerve Procedures cost in Kentucky: 53 hospitals compared (APC 5431)

Level 1 Nerve Procedures in Kentucky

What 53 hospitals in Kentucky charged and were paid for level 1 nerve procedures (APC 5431), from 2024 Medicare claims.

APC 5431 Outpatient 2024 Medicare data
Average charge $12,217 Hospital list price billed
Average allowed $1,663 Medicare's payment + patient's share
Medicare paid $1,319 Average per service
State rank #14 of 49 1 = lowest average payment

Hospitals in Kentucky billed an average of $12,217 for level 1 nerve procedures, about 7.3 times the average medicare-allowed amount of $1,663. That payment is 6% below the U.S. average of $1,774.

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 $1,663Billed $12,217

About 14¢ was paid for every $1 hospitals in Kentucky billed for this service.

Kentucky hospitals: level 1 nerve procedures

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
Norton Healthcare PavilionLouisville 312 $9,694 $1,652 $1,314
St Elizabeth FlorenceFlorence 141 $13,770 $1,667 $1,328
University of Kentucky HospLexington 141 $11,475 $1,609 $1,269
St Elizabeth Ft ThomasFort Thomas 131 $13,959 $1,679 $1,337
King's Daughters' Medical CenterAshland 96 $11,861 $1,619 $1,284
Jewish HospitalLouisville 76 $15,168 $1,642 $1,296
Western Baptist HospitalPaducah 65 $17,622 $1,708 $1,341
T J Samson Community HospitalGlasgow 57 $7,244 $1,771 $1,411
Georgetown Community HospitalGeorgetown 55 $9,503 $1,655 $1,314
Hardin Memorial HospitalElizabethtown 54 $14,407 $1,639 $1,301
Lake Cumberland Regional HospitalSomerset 51 $13,276 $1,753 $1,390
Baptist Hospital EastLouisville 48 $19,127 $1,663 $1,325
St Claire Regional Medical CenterMorehead 46 $8,770 $1,780 $1,413
Flaget Memorial HospitalBardstown 46 $9,732 $1,639 $1,294
Murray-Calloway County HospitalMurray 46 $13,101 $1,565 $1,234
Saint Joseph EastLexington 46 $4,211 $1,643 $1,300
Owensboro Medical Health SystemOwensboro 41 $10,491 $1,752 $1,386
St Elizabeth Med Center-SouthEdgewood 40 $10,959 $1,628 $1,286
The Medical Center at Bowling GreenBowling Green 38 $16,092 $1,598 $1,257
Twin Lakes Regional Medical CenterLeitchfield 37 $9,183 $1,620 $1,290
Jennie Stuart Medical CenterHopkinsville 29 $8,372 $1,735 $1,382
Lourdes HospitalPaducah 21 $12,616 $1,766 $1,407
Ephraim McDowell Regional Medical CenterDanville 20 $8,960 $1,662 $1,315
Jackson Purchase Medical CenterMayfield 20 $25,394 $1,766 $1,404
Deaconess Henderson HospitalHenderson 19 $11,524 $1,701 $1,354
Spring View HospitalLebanon 18 $16,659 $1,620 $1,291
Baptist Health Deaconess MadisonvilleMadisonville 18 $17,980 $1,707 $1,344
Clark Regional Medical CenterWinchester 16 $13,775 $1,672 $1,332
University of Louisville HospitalLouisville 14 $10,870 $1,663 $1,325
Baptist Regional Medical CtrCorbin 13 $18,554 $1,620 $1,291
Greenview Regional HospitalBowling Green 12 $19,151 $1,668 $1,329
Highlands Regional Medical CenterPrestonsburg 11 $12,260 $1,519 $1,186
Jewish Hospital - ShelbyvilleShelbyville 11 $8,251 $1,663 $1,325
Central Baptist HospitalLexington 11 $23,525 $1,672 $1,332
Muhlenberg Community HospitalGreenville – – – –
Saint Joseph HospitalLexington – – – –
Saint Joseph LondonLondon – – – –
Meadowview Regional Medical CenterMaysville – – – –
Middlesboro Appalachian Regional Healthcare HospitMiddlesboro – – – –
Hazard Arh Regional Medical CenterHazard – – – –
Pikeville Medical CenterPikeville – – – –
Bourbon Community HospitalParis – – – –
Baptist Health RichmondRichmond – – – –
Harlan Appalachian Regional Healthcare HospitalHarlan – – – –
Saint Joseph Mount SterlingMt Sterling – – – –
The Medical Center at RussellvilleRussellville – – – –
Harrison Memorial HospitalCynthiana – – – –
Taylor Regional HospitalCampbellsville – – – –
Rockcastle Reg Hospital & Respiratory Care CtrMt Vernon – – – –
Frankfort Regional Medical CenterFrankfort – – – –
Three Rivers Medical CenterLouisa – – – –
Baptist Hospital NortheastLa Grange – – – –
Crittenden Community HospitalMarion – – – –
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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

Highest

Level 1 Nerve Procedures in other states

Questions

How much does level 1 nerve procedures cost in Kentucky?

In 2024 Medicare data, level 1 nerve procedures (APC 5431) at 53 hospitals in Kentucky was billed at $12,217 on average, while the average medicare-allowed amount was $1,663, of which Medicare paid $1,319. 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 7.3 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.