Major hip and knee joint replacement or reattachment of lower extremity without major complications in Kentucky
What 14 hospitals in Kentucky charged and were paid for a Medicare hospital stay for major hip and knee joint replacement or reattachment of lower extremity without major complications (DRG 470), from 2024 Medicare claims.
Average charge
$94,698
Hospital list price billed
Average payment
$14,059
Medicare + patient + other payers
Medicare paid
$11,985
Average per stay
State rank
#8 of 48
1 = lowest average payment
Hospitals in Kentucky billed an average of $94,698 for major hip and knee joint replacement or reattachment of lower extremity without major complications, about 6.7 times the average total payment of $14,059. That payment is 19% below the U.S. average of $17,318.
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 $14,059Billed $94,698
About 15¢ 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: major hip and knee joint replacement or reattachment of lower extremity without 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 |
|---|---|---|---|---|
| Lourdes HospitalPaducah | 98 | $77,219 | $13,167 | $11,353 |
| Baptist Hospital EastLouisville | 78 | $116,960 | $12,516 | $11,016 |
| Jewish HospitalLouisville | 54 | $99,171 | $14,711 | $12,764 |
| Norton Healthcare PavilionLouisville | 38 | $193,767 | $17,410 | $15,175 |
| Greenview Regional HospitalBowling Green | 33 | $91,929 | $14,227 | $10,053 |
| St Elizabeth FlorenceFlorence | 25 | $48,626 | $12,734 | $10,785 |
| Murray-Calloway County HospitalMurray | 18 | $54,941 | $15,033 | $13,492 |
| Jennie Stuart Medical CenterHopkinsville | 18 | $63,531 | $14,896 | $10,852 |
| Owensboro Medical Health SystemOwensboro | 17 | $95,046 | $16,183 | $14,470 |
| Spring View HospitalLebanon | 16 | $71,878 | $15,178 | $13,648 |
| Hazard Arh Regional Medical CenterHazard | 15 | $72,082 | $13,801 | $12,127 |
| Saint Joseph EastLexington | 14 | $45,922 | $14,320 | $11,514 |
| Saint Joseph LondonLondon | 12 | $62,483 | $12,893 | $11,261 |
| Meadowview Regional Medical CenterMaysville | 12 | $116,189 | $14,082 | $12,450 |
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 | $12,516 |
|---|---|
| St Elizabeth FlorenceFlorence, KY | $12,734 |
| Saint Joseph LondonLondon, KY | $12,893 |
| Lourdes HospitalPaducah, KY | $13,167 |
| Hazard Arh Regional Medical CenterHazard, KY | $13,801 |
Highest
| Norton Healthcare PavilionLouisville, KY | $17,410 |
|---|---|
| Owensboro Medical Health SystemOwensboro, KY | $16,183 |
| Spring View HospitalLebanon, KY | $15,178 |
| Murray-Calloway County HospitalMurray, KY | $15,033 |
| Jennie Stuart Medical CenterHopkinsville, KY | $14,896 |
Major hip and knee joint replacement or reattachment of lower extremity without major complications in other states
Questions
How much does major hip and knee joint replacement or reattachment of lower extremity without major complications cost in Kentucky?
In 2024 Medicare data, a hospital stay for major hip and knee joint replacement or reattachment of lower extremity without major complications (DRG 470) at 14 hospitals in Kentucky was billed at $94,698 on average, while the average total payment was $14,059, of which Medicare paid $11,985. 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 6.7 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.