facebook tracking Permanent cardiac pacemaker implant with complications cost in Kentucky: 9 hospitals compared (DRG 243)

Permanent cardiac pacemaker implant with complications in Kentucky

What 9 hospitals in Kentucky charged and were paid for a Medicare hospital stay for permanent cardiac pacemaker implant with complications (DRG 243), from 2024 Medicare claims.

DRG 243 Inpatient 2024 Medicare data
Average charge $128,090 Hospital list price billed
Average payment $16,818 Medicare + patient + other payers
Medicare paid $14,303 Average per stay
State rank #6 of 43 1 = lowest average payment

Hospitals in Kentucky billed an average of $128,090 for permanent cardiac pacemaker implant with complications, about 7.6 times the average total payment of $16,818. That payment is 18% below the U.S. average of $20,414.

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 $16,818Billed $128,090

About 13¢ was paid for every $1 hospitals in Kentucky billed for this stay.

Kentucky hospitals: permanent cardiac pacemaker implant 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
St Elizabeth Med Center-SouthEdgewood 28 $87,157 $16,097 $11,388
Norton Healthcare PavilionLouisville 25 $108,425 $16,292 $14,156
Central Baptist HospitalLexington 22 $230,609 $18,983 $16,297
Baptist Hospital EastLouisville 22 $203,927 $14,913 $13,472
Owensboro Medical Health SystemOwensboro 18 $89,651 $19,625 $18,075
Jewish HospitalLouisville 16 $81,396 $17,214 $14,703
King's Daughters' Medical CenterAshland 13 $71,304 $15,127 $13,993
Hardin Memorial HospitalElizabethtown 13 $176,018 $15,993 $12,459
The Medical Center at Bowling GreenBowling Green 11 $61,555 $17,127 $15,521
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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

Baptist Hospital EastLouisville, KY$14,913
King's Daughters' Medical CenterAshland, KY$15,127
Hardin Memorial HospitalElizabethtown, KY$15,993
St Elizabeth Med Center-SouthEdgewood, KY$16,097
Norton Healthcare PavilionLouisville, KY$16,292

Highest

Owensboro Medical Health SystemOwensboro, KY$19,625
Central Baptist HospitalLexington, KY$18,983
Jewish HospitalLouisville, KY$17,214
The Medical Center at Bowling GreenBowling Green, KY$17,127
Norton Healthcare PavilionLouisville, KY$16,292

Permanent cardiac pacemaker implant with complications in other states

Questions

How much does permanent cardiac pacemaker implant with complications cost in Kentucky?

In 2024 Medicare data, a hospital stay for permanent cardiac pacemaker implant with complications (DRG 243) at 9 hospitals in Kentucky was billed at $128,090 on average, while the average total payment was $16,818, of which Medicare paid $14,303. 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 7.6 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.