facebook tracking Postoperative and post-traumatic infections without major complications cost in Kentucky: 4 hospitals compared (DRG 863)

Postoperative and post-traumatic infections without major complications in Kentucky

What 4 hospitals in Kentucky charged and were paid for a Medicare hospital stay for postoperative and post-traumatic infections without major complications (DRG 863), from 2024 Medicare claims.

DRG 863 Inpatient 2024 Medicare data
Average charge $28,495 Hospital list price billed
Average payment $8,735 Medicare + patient + other payers
Medicare paid $6,269 Average per stay
State rank #2 of 19 1 = lowest average payment

Hospitals in Kentucky billed an average of $28,495 for postoperative and post-traumatic infections without major complications, about 3.3 times the average total payment of $8,735. That payment is 23% below the U.S. average of $11,307.

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 $8,735Billed $28,495

About 31¢ 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: postoperative and post-traumatic infections 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
University of Kentucky HospLexington 17 $38,185 $10,515 $7,909
Norton Healthcare PavilionLouisville 17 $26,409 $7,488 $5,177
Jewish HospitalLouisville 15 $24,834 $8,073 $6,213
St Elizabeth Med Center-SouthEdgewood 11 $21,735 $8,812 $5,499
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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

Norton Healthcare PavilionLouisville, KY$7,488
Jewish HospitalLouisville, KY$8,073
St Elizabeth Med Center-SouthEdgewood, KY$8,812
University of Kentucky HospLexington, KY$10,515

Highest

University of Kentucky HospLexington, KY$10,515
St Elizabeth Med Center-SouthEdgewood, KY$8,812
Jewish HospitalLouisville, KY$8,073
Norton Healthcare PavilionLouisville, KY$7,488

Postoperative and post-traumatic infections without major complications in other states

Questions

How much does postoperative and post-traumatic infections without major complications cost in Kentucky?

In 2024 Medicare data, a hospital stay for postoperative and post-traumatic infections without major complications (DRG 863) at 4 hospitals in Kentucky was billed at $28,495 on average, while the average total payment was $8,735, of which Medicare paid $6,269. 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 3.3 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.