Respiratory infections and inflammations with complications in Kentucky
What 14 hospitals in Kentucky charged and were paid for a Medicare hospital stay for respiratory infections and inflammations with complications (DRG 178), from 2024 Medicare claims.
Average charge
$37,089
Hospital list price billed
Average payment
$7,264
Medicare + patient + other payers
Medicare paid
$5,605
Average per stay
State rank
#3 of 46
1 = lowest average payment
Hospitals in Kentucky billed an average of $37,089 for respiratory infections and inflammations with complications, about 5.1 times the average total payment of $7,264. That payment is 23% below the U.S. average of $9,493.
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 $7,264Billed $37,089
About 20¢ 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: respiratory infections and inflammations 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 |
|---|---|---|---|---|
| Baptist Hospital EastLouisville | 78 | $42,670 | $6,513 | $4,918 |
| Norton Healthcare PavilionLouisville | 55 | $35,680 | $7,174 | $5,926 |
| Hardin Memorial HospitalElizabethtown | 32 | $31,118 | $6,514 | $5,627 |
| Central Baptist HospitalLexington | 29 | $43,227 | $6,695 | $5,277 |
| St Elizabeth Med Center-SouthEdgewood | 24 | $21,216 | $7,069 | $5,459 |
| University of Kentucky HospLexington | 23 | $61,068 | $11,820 | $6,420 |
| Western Baptist HospitalPaducah | 20 | $46,660 | $7,109 | $5,122 |
| The Medical Center at Bowling GreenBowling Green | 17 | $36,066 | $7,420 | $6,253 |
| Lourdes HospitalPaducah | 17 | $38,800 | $6,861 | $5,613 |
| King's Daughters' Medical CenterAshland | 16 | $26,252 | $6,492 | $5,161 |
| St Elizabeth FlorenceFlorence | 16 | $17,966 | $6,968 | $5,424 |
| Owensboro Medical Health SystemOwensboro | 14 | $26,112 | $8,603 | $6,688 |
| St Elizabeth Ft ThomasFort Thomas | 12 | $20,804 | $6,723 | $5,502 |
| Pikeville Medical CenterPikeville | 11 | $47,097 | $8,717 | $7,799 |
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
| King's Daughters' Medical CenterAshland, KY | $6,492 |
|---|---|
| Baptist Hospital EastLouisville, KY | $6,513 |
| Hardin Memorial HospitalElizabethtown, KY | $6,514 |
| Central Baptist HospitalLexington, KY | $6,695 |
| St Elizabeth Ft ThomasFort Thomas, KY | $6,723 |
Highest
| University of Kentucky HospLexington, KY | $11,820 |
|---|---|
| Pikeville Medical CenterPikeville, KY | $8,717 |
| Owensboro Medical Health SystemOwensboro, KY | $8,603 |
| The Medical Center at Bowling GreenBowling Green, KY | $7,420 |
| Norton Healthcare PavilionLouisville, KY | $7,174 |
Respiratory infections and inflammations with complications in other states
Questions
How much does respiratory infections and inflammations with complications cost in Kentucky?
In 2024 Medicare data, a hospital stay for respiratory infections and inflammations with complications (DRG 178) at 14 hospitals in Kentucky was billed at $37,089 on average, while the average total payment was $7,264, of which Medicare paid $5,605. 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 5.1 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.