Pulmonary edema and respiratory failure in Kentucky
What 42 hospitals in Kentucky charged and were paid for a Medicare hospital stay for pulmonary edema and respiratory failure (DRG 189), from 2024 Medicare claims.
Average charge
$41,940
Hospital list price billed
Average payment
$9,410
Medicare + patient + other payers
Medicare paid
$7,692
Average per stay
State rank
#3 of 50
1 = lowest average payment
Hospitals in Kentucky billed an average of $41,940 for pulmonary edema and respiratory failure, about 4.5 times the average total payment of $9,410. That payment is 23% below the U.S. average of $12,197.
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 $9,410Billed $41,940
About 22¢ was paid for every $1 hospitals in Kentucky billed for this stay.
Kentucky hospitals: pulmonary edema and respiratory failure
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 | 219 | $50,355 | $9,133 | $7,510 |
| King's Daughters' Medical CenterAshland | 98 | $31,557 | $8,462 | $7,200 |
| St Elizabeth Med Center-SouthEdgewood | 96 | $34,611 | $9,815 | $7,234 |
| Baptist Hospital EastLouisville | 79 | $47,270 | $8,200 | $6,671 |
| Owensboro Medical Health SystemOwensboro | 72 | $29,342 | $10,666 | $8,867 |
| Western Baptist HospitalPaducah | 72 | $41,871 | $9,115 | $7,562 |
| St Elizabeth FlorenceFlorence | 67 | $30,776 | $9,340 | $7,123 |
| Central Baptist HospitalLexington | 64 | $57,028 | $8,376 | $6,680 |
| University of Kentucky HospLexington | 63 | $52,368 | $12,946 | $9,199 |
| The Medical Center at Bowling GreenBowling Green | 59 | $43,084 | $10,604 | $7,632 |
| Lake Cumberland Regional HospitalSomerset | 56 | $72,789 | $9,631 | $8,280 |
| Jewish HospitalLouisville | 53 | $32,434 | $9,766 | $7,664 |
| St Elizabeth Ft ThomasFort Thomas | 48 | $26,430 | $9,132 | $6,880 |
| Hardin Memorial HospitalElizabethtown | 48 | $55,851 | $8,400 | $7,377 |
| Baptist Health Deaconess MadisonvilleMadisonville | 48 | $43,413 | $9,381 | $8,107 |
| Ephraim McDowell Regional Medical CenterDanville | 43 | $30,997 | $8,605 | $7,238 |
| Pikeville Medical CenterPikeville | 40 | $49,049 | $11,107 | $9,603 |
| Lourdes HospitalPaducah | 37 | $44,961 | $8,653 | $8,037 |
| Saint Joseph LondonLondon | 35 | $32,019 | $8,625 | $7,506 |
| Jennie Stuart Medical CenterHopkinsville | 34 | $33,209 | $8,564 | $7,460 |
| Greenview Regional HospitalBowling Green | 34 | $61,685 | $8,781 | $6,663 |
| Clark Regional Medical CenterWinchester | 33 | $60,835 | $8,666 | $6,948 |
| St Claire Regional Medical CenterMorehead | 28 | $26,711 | $9,388 | $8,201 |
| T J Samson Community HospitalGlasgow | 27 | $21,932 | $9,282 | $8,147 |
| Saint Joseph HospitalLexington | 26 | $40,289 | $8,638 | $7,491 |
| Baptist Regional Medical CtrCorbin | 26 | $48,181 | $8,626 | $7,445 |
| Frankfort Regional Medical CenterFrankfort | 21 | $66,001 | $9,158 | $6,651 |
| Harrison Memorial HospitalCynthiana | 19 | $19,264 | $8,627 | $7,511 |
| Deaconess Henderson HospitalHenderson | 18 | $22,641 | $9,564 | $7,265 |
| Twin Lakes Regional Medical CenterLeitchfield | 18 | $28,547 | $9,655 | $8,567 |
| Baptist Health RichmondRichmond | 17 | $35,766 | $8,911 | $7,953 |
| Saint Joseph Mount SterlingMt Sterling | 17 | $22,829 | $9,897 | $8,937 |
| Georgetown Community HospitalGeorgetown | 17 | $60,426 | $8,143 | $6,799 |
| Taylor Regional HospitalCampbellsville | 16 | $27,288 | $10,200 | $8,976 |
| Harlan Appalachian Regional Healthcare HospitalHarlan | 15 | $25,704 | $10,109 | $9,222 |
| Jackson Purchase Medical CenterMayfield | 15 | $60,794 | $9,038 | $8,385 |
| Saint Joseph EastLexington | 15 | $19,820 | $10,348 | $7,609 |
| University of Louisville HospitalLouisville | 13 | $41,857 | $11,714 | $9,998 |
| Jewish Hospital - ShelbyvilleShelbyville | 12 | $23,595 | $10,823 | $9,737 |
| Murray-Calloway County HospitalMurray | 12 | $38,976 | $9,982 | $9,030 |
| Memorial HospitalManchester | 12 | $39,066 | $12,664 | $9,142 |
| Williamson Arh HospitalSouth Williamson | 11 | $35,490 | $9,596 | $8,409 |
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
| Georgetown Community HospitalGeorgetown, KY | $8,143 |
|---|---|
| Baptist Hospital EastLouisville, KY | $8,200 |
| Central Baptist HospitalLexington, KY | $8,376 |
| Hardin Memorial HospitalElizabethtown, KY | $8,400 |
| King's Daughters' Medical CenterAshland, KY | $8,462 |
Highest
| University of Kentucky HospLexington, KY | $12,946 |
|---|---|
| Memorial HospitalManchester, KY | $12,664 |
| University of Louisville HospitalLouisville, KY | $11,714 |
| Pikeville Medical CenterPikeville, KY | $11,107 |
| Jewish Hospital - ShelbyvilleShelbyville, KY | $10,823 |
Pulmonary edema and respiratory failure in other states
Questions
How much does pulmonary edema and respiratory failure cost in Kentucky?
In 2024 Medicare data, a hospital stay for pulmonary edema and respiratory failure (DRG 189) at 42 hospitals in Kentucky was billed at $41,940 on average, while the average total payment was $9,410, of which Medicare paid $7,692. 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 4.5 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.