Level 2 ICD and Similar Procedures in Kentucky
What 25 hospitals in Kentucky charged and were paid for level 2 icd and similar procedures (APC 5232), from 2024 Medicare claims.
Average charge
$230,982
Hospital list price billed
Average allowed
$28,264
Medicare's payment + patient's share
Medicare paid
$26,629
Average per service
State rank
#12 of 47
1 = lowest average payment
Hospitals in Kentucky billed an average of $230,982 for level 2 icd and similar procedures, about 8.2 times the average medicare-allowed amount of $28,264. That payment is 9% below the U.S. average of $31,009.
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 $28,264Billed $230,982
About 12¢ was paid for every $1 hospitals in Kentucky billed for this service.
Kentucky hospitals: level 2 icd and similar 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 | 71 | $231,411 | $27,730 | $26,098 |
| St Elizabeth Med Center-SouthEdgewood | 56 | $190,770 | $28,219 | $26,587 |
| Central Baptist HospitalLexington | 42 | $333,532 | $27,774 | $26,132 |
| Jewish HospitalLouisville | 31 | $156,115 | $28,262 | $26,630 |
| King's Daughters' Medical CenterAshland | 30 | $161,120 | $27,053 | $25,421 |
| Owensboro Medical Health SystemOwensboro | 30 | $196,398 | $30,347 | $28,712 |
| University of Kentucky HospLexington | 24 | $120,141 | $27,292 | $25,660 |
| Pikeville Medical CenterPikeville | 23 | $278,054 | $28,568 | $26,931 |
| Western Baptist HospitalPaducah | 19 | $360,037 | $30,009 | $28,377 |
| Baptist Hospital EastLouisville | 19 | $387,673 | $28,262 | $26,630 |
| Lake Cumberland Regional HospitalSomerset | 16 | $427,730 | $30,234 | $28,602 |
| Saint Joseph LondonLondon | 15 | $97,630 | $27,521 | $25,889 |
| Hardin Memorial HospitalElizabethtown | 14 | $309,841 | $28,262 | $26,613 |
| Lourdes HospitalPaducah | 13 | $192,112 | $30,009 | $28,365 |
| Saint Joseph HospitalLexington | 12 | $45,204 | $26,176 | $24,544 |
| The Medical Center at Bowling GreenBowling Green | – | – | – | – |
| T J Samson Community HospitalGlasgow | – | – | – | – |
| Murray-Calloway County HospitalMurray | – | – | – | – |
| Hazard Arh Regional Medical CenterHazard | – | – | – | – |
| Ephraim McDowell Regional Medical CenterDanville | – | – | – | – |
| Harrison Memorial HospitalCynthiana | – | – | – | – |
| Baptist Health Deaconess MadisonvilleMadisonville | – | – | – | – |
| Greenview Regional HospitalBowling Green | – | – | – | – |
| University of Louisville HospitalLouisville | – | – | – | – |
| Saint Joseph EastLexington | – | – | – | – |
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
| Saint Joseph HospitalLexington, KY | $26,176 |
|---|---|
| King's Daughters' Medical CenterAshland, KY | $27,053 |
| University of Kentucky HospLexington, KY | $27,292 |
| Saint Joseph LondonLondon, KY | $27,521 |
| Norton Healthcare PavilionLouisville, KY | $27,730 |
Highest
| Owensboro Medical Health SystemOwensboro, KY | $30,347 |
|---|---|
| Lake Cumberland Regional HospitalSomerset, KY | $30,234 |
| Lourdes HospitalPaducah, KY | $30,009 |
| Western Baptist HospitalPaducah, KY | $30,009 |
| Pikeville Medical CenterPikeville, KY | $28,568 |
Level 2 ICD and Similar Procedures in other states
Questions
How much does level 2 icd and similar procedures cost in Kentucky?
In 2024 Medicare data, level 2 icd and similar procedures (APC 5232) at 25 hospitals in Kentucky was billed at $230,982 on average, while the average medicare-allowed amount was $28,264, of which Medicare paid $26,629. 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 8.2 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.