facebook tracking Permanent cardiac pacemaker implant with major complications cost in Kentucky: 8 hospitals compared (DRG 242)

Permanent cardiac pacemaker implant with major complications in Kentucky

What 8 hospitals in Kentucky charged and were paid for a Medicare hospital stay for permanent cardiac pacemaker implant with major complications (DRG 242), from 2024 Medicare claims.

DRG 242 Inpatient 2024 Medicare data
Average charge $153,617 Hospital list price billed
Average payment $25,186 Medicare + patient + other payers
Medicare paid $23,089 Average per stay
State rank #8 of 41 1 = lowest average payment

Hospitals in Kentucky billed an average of $153,617 for permanent cardiac pacemaker implant with major complications, about 6.1 times the average total payment of $25,186. That payment is 18% below the U.S. average of $30,574.

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 $25,186Billed $153,617

About 16¢ was paid for every $1 hospitals in Kentucky billed for this stay.

Kentucky hospitals: permanent cardiac pacemaker implant 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
St Elizabeth Med Center-SouthEdgewood 32 $115,157 $23,121 $20,938
King's Daughters' Medical CenterAshland 16 $107,033 $25,359 $24,429
Jewish HospitalLouisville 15 $110,284 $24,459 $22,199
Central Baptist HospitalLexington 14 $268,434 $25,615 $21,116
Owensboro Medical Health SystemOwensboro 13 $166,669 $35,189 $33,839
Baptist Hospital EastLouisville 13 $264,359 $23,067 $20,290
Hazard Arh Regional Medical CenterHazard 11 $134,176 $22,743 $21,571
Norton Healthcare PavilionLouisville 11 $119,360 $24,508 $23,243
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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

Hazard Arh Regional Medical CenterHazard, KY$22,743
Baptist Hospital EastLouisville, KY$23,067
St Elizabeth Med Center-SouthEdgewood, KY$23,121
Jewish HospitalLouisville, KY$24,459
Norton Healthcare PavilionLouisville, KY$24,508

Highest

Owensboro Medical Health SystemOwensboro, KY$35,189
Central Baptist HospitalLexington, KY$25,615
King's Daughters' Medical CenterAshland, KY$25,359
Norton Healthcare PavilionLouisville, KY$24,508
Jewish HospitalLouisville, KY$24,459

Permanent cardiac pacemaker implant with major complications in other states

Questions

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

In 2024 Medicare data, a hospital stay for permanent cardiac pacemaker implant with major complications (DRG 242) at 8 hospitals in Kentucky was billed at $153,617 on average, while the average total payment was $25,186, of which Medicare paid $23,089. 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 6.1 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.