Other kidney and urinary tract diagnoses with major complications in Kentucky
What 26 hospitals in Kentucky charged and were paid for a Medicare hospital stay for other kidney and urinary tract diagnoses with major complications (DRG 698), from 2024 Medicare claims.
Average charge
$50,649
Hospital list price billed
Average payment
$12,385
Medicare + patient + other payers
Medicare paid
$10,450
Average per stay
State rank
#6 of 49
1 = lowest average payment
Hospitals in Kentucky billed an average of $50,649 for other kidney and urinary tract diagnoses with major complications, about 4.1 times the average total payment of $12,385. That payment is 20% below the U.S. average of $15,452.
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 $12,385Billed $50,649
About 24¢ 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: other kidney and urinary tract diagnoses with 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 |
|---|---|---|---|---|
| Norton Healthcare PavilionLouisville | 132 | $53,368 | $11,673 | $9,904 |
| Baptist Hospital EastLouisville | 55 | $50,008 | $10,607 | $9,000 |
| University of Kentucky HospLexington | 54 | $82,098 | $20,338 | $13,246 |
| King's Daughters' Medical CenterAshland | 49 | $36,763 | $11,000 | $9,447 |
| St Elizabeth FlorenceFlorence | 46 | $40,484 | $11,060 | $9,083 |
| Jewish HospitalLouisville | 45 | $47,660 | $13,328 | $10,571 |
| St Elizabeth Med Center-SouthEdgewood | 42 | $38,117 | $11,929 | $9,419 |
| The Medical Center at Bowling GreenBowling Green | 38 | $39,585 | $12,290 | $10,976 |
| Central Baptist HospitalLexington | 38 | $58,350 | $11,076 | $10,092 |
| St Claire Regional Medical CenterMorehead | 35 | $42,167 | $12,860 | $11,681 |
| Hardin Memorial HospitalElizabethtown | 34 | $53,400 | $10,832 | $9,410 |
| Saint Joseph HospitalLexington | 32 | $35,276 | $11,790 | $9,991 |
| Owensboro Medical Health SystemOwensboro | 32 | $26,659 | $14,233 | $13,185 |
| Baptist Health Deaconess MadisonvilleMadisonville | 30 | $54,162 | $12,521 | $11,181 |
| Pikeville Medical CenterPikeville | 26 | $86,504 | $16,356 | $14,876 |
| Deaconess Henderson HospitalHenderson | 26 | $26,245 | $11,553 | $10,737 |
| Western Baptist HospitalPaducah | 25 | $63,739 | $11,793 | $10,262 |
| Lourdes HospitalPaducah | 24 | $52,422 | $11,039 | $10,155 |
| St Elizabeth Ft ThomasFort Thomas | 22 | $36,767 | $10,673 | $9,402 |
| Ephraim McDowell Regional Medical CenterDanville | 20 | $28,431 | $11,074 | $9,329 |
| Jennie Stuart Medical CenterHopkinsville | 17 | $38,778 | $11,459 | $10,595 |
| Frankfort Regional Medical CenterFrankfort | 17 | $82,239 | $10,689 | $9,633 |
| Baptist Regional Medical CtrCorbin | 15 | $72,765 | $10,623 | $8,508 |
| Greenview Regional HospitalBowling Green | 13 | $62,355 | $10,394 | $9,392 |
| Jackson Purchase Medical CenterMayfield | 11 | $78,569 | $12,396 | $11,654 |
| University of Louisville HospitalLouisville | 11 | $71,368 | $15,965 | $12,081 |
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
| Greenview Regional HospitalBowling Green, KY | $10,394 |
|---|---|
| Baptist Hospital EastLouisville, KY | $10,607 |
| Baptist Regional Medical CtrCorbin, KY | $10,623 |
| St Elizabeth Ft ThomasFort Thomas, KY | $10,673 |
| Frankfort Regional Medical CenterFrankfort, KY | $10,689 |
Highest
| University of Kentucky HospLexington, KY | $20,338 |
|---|---|
| Pikeville Medical CenterPikeville, KY | $16,356 |
| University of Louisville HospitalLouisville, KY | $15,965 |
| Owensboro Medical Health SystemOwensboro, KY | $14,233 |
| Jewish HospitalLouisville, KY | $13,328 |
Other kidney and urinary tract diagnoses with major complications in other states
Questions
How much does other kidney and urinary tract diagnoses with major complications cost in Kentucky?
In 2024 Medicare data, a hospital stay for other kidney and urinary tract diagnoses with major complications (DRG 698) at 26 hospitals in Kentucky was billed at $50,649 on average, while the average total payment was $12,385, of which Medicare paid $10,450. 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 4.1 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.