Major chest procedures without complications in Kentucky
What 4 hospitals in Kentucky charged and were paid for a Medicare hospital stay for major chest procedures without complications (DRG 165), from 2024 Medicare claims.
Average charge
$92,785
Hospital list price billed
Average payment
$14,479
Medicare + patient + other payers
Medicare paid
$10,910
Average per stay
State rank
#1 of 26
1 = lowest average payment
Hospitals in Kentucky billed an average of $92,785 for major chest procedures without complications, about 6.4 times the average total payment of $14,479. That payment is 26% below the U.S. average of $19,593.
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 $14,479Billed $92,785
About 16¢ was paid for every $1 hospitals in Kentucky billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Kentucky:
Kentucky hospitals: major chest procedures without 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 |
|---|---|---|---|---|
| St Elizabeth Med Center-SouthEdgewood | 18 | $62,928 | $15,052 | $11,118 |
| Baptist Hospital EastLouisville | 18 | $125,639 | $12,083 | $9,862 |
| University of Kentucky HospLexington | 17 | $80,484 | $17,669 | $12,474 |
| Central Baptist HospitalLexington | 13 | $104,723 | $12,834 | $10,027 |
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 | $12,083 |
|---|---|
| Central Baptist HospitalLexington, KY | $12,834 |
| St Elizabeth Med Center-SouthEdgewood, KY | $15,052 |
| University of Kentucky HospLexington, KY | $17,669 |
Highest
| University of Kentucky HospLexington, KY | $17,669 |
|---|---|
| St Elizabeth Med Center-SouthEdgewood, KY | $15,052 |
| Central Baptist HospitalLexington, KY | $12,834 |
| Baptist Hospital EastLouisville, KY | $12,083 |
Major chest procedures without complications in other states
Questions
How much does major chest procedures without complications cost in Kentucky?
In 2024 Medicare data, a hospital stay for major chest procedures without complications (DRG 165) at 4 hospitals in Kentucky was billed at $92,785 on average, while the average total payment was $14,479, of which Medicare paid $10,910. 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 6.4 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.