facebook tracking Major small and large bowel procedures with complications cost in Kentucky: 14 hospitals compared (DRG 330)

Major small and large bowel procedures with complications in Kentucky

What 14 hospitals in Kentucky charged and were paid for a Medicare hospital stay for major small and large bowel procedures with complications (DRG 330), from 2024 Medicare claims.

DRG 330 Inpatient 2024 Medicare data
Average charge $97,841 Hospital list price billed
Average payment $19,788 Medicare + patient + other payers
Medicare paid $14,674 Average per stay
State rank #11 of 47 1 = lowest average payment

Hospitals in Kentucky billed an average of $97,841 for major small and large bowel procedures with complications, about 4.9 times the average total payment of $19,788. That payment is 14% below the U.S. average of $22,927.

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 $19,788Billed $97,841

About 20¢ was paid for every $1 hospitals in Kentucky billed for this stay.

Kentucky hospitals: major small and large bowel procedures with 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
University of Kentucky HospLexington 74 $91,035 $24,327 $15,995
Norton Healthcare PavilionLouisville 65 $145,866 $20,703 $16,050
Baptist Hospital EastLouisville 50 $116,316 $16,563 $11,885
St Elizabeth Med Center-SouthEdgewood 43 $69,644 $21,826 $12,187
Saint Joseph HospitalLexington 39 $63,204 $17,419 $13,342
Central Baptist HospitalLexington 32 $113,456 $16,420 $13,945
University of Louisville HospitalLouisville 26 $105,330 $23,377 $19,131
King's Daughters' Medical CenterAshland 19 $59,704 $16,788 $12,409
Jewish HospitalLouisville 17 $81,419 $17,878 $15,663
Hardin Memorial HospitalElizabethtown 16 $122,203 $15,554 $14,298
Owensboro Medical Health SystemOwensboro 15 $85,111 $21,821 $17,668
Baptist Health Deaconess MadisonvilleMadisonville 14 $104,236 $18,865 $14,622
Ephraim McDowell Regional Medical CenterDanville 13 $40,740 $15,562 $14,166
The Medical Center at Bowling GreenBowling Green 11 $78,285 $17,933 $15,864
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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

Hardin Memorial HospitalElizabethtown, KY$15,554
Ephraim McDowell Regional Medical CenterDanville, KY$15,562
Central Baptist HospitalLexington, KY$16,420
Baptist Hospital EastLouisville, KY$16,563
King's Daughters' Medical CenterAshland, KY$16,788

Highest

University of Kentucky HospLexington, KY$24,327
University of Louisville HospitalLouisville, KY$23,377
St Elizabeth Med Center-SouthEdgewood, KY$21,826
Owensboro Medical Health SystemOwensboro, KY$21,821
Norton Healthcare PavilionLouisville, KY$20,703

Major small and large bowel procedures with complications in other states

Questions

How much does major small and large bowel procedures with complications cost in Kentucky?

In 2024 Medicare data, a hospital stay for major small and large bowel procedures with complications (DRG 330) at 14 hospitals in Kentucky was billed at $97,841 on average, while the average total payment was $19,788, of which Medicare paid $14,674. 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 4.9 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.