Respiratory infections and inflammations with major complications in Kentucky
What 46 hospitals in Kentucky charged and were paid for a Medicare hospital stay for respiratory infections and inflammations with major complications (DRG 177), from 2024 Medicare claims.
Average charge
$53,843
Hospital list price billed
Average payment
$12,083
Medicare + patient + other payers
Medicare paid
$10,309
Average per stay
State rank
#5 of 50
1 = lowest average payment
Hospitals in Kentucky billed an average of $53,843 for respiratory infections and inflammations with major complications, about 4.5 times the average total payment of $12,083. That payment is 19% below the U.S. average of $14,949.
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 $12,083Billed $53,843
About 22¢ 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 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 |
|---|---|---|---|---|
| Norton Healthcare PavilionLouisville | 250 | $48,971 | $11,421 | $9,900 |
| Baptist Hospital EastLouisville | 217 | $60,054 | $10,764 | $9,198 |
| Central Baptist HospitalLexington | 141 | $62,896 | $10,846 | $9,281 |
| Hardin Memorial HospitalElizabethtown | 114 | $53,837 | $10,691 | $9,605 |
| St Elizabeth Med Center-SouthEdgewood | 100 | $41,092 | $12,067 | $9,995 |
| King's Daughters' Medical CenterAshland | 95 | $44,498 | $10,713 | $9,480 |
| The Medical Center at Bowling GreenBowling Green | 93 | $58,282 | $14,163 | $11,697 |
| Western Baptist HospitalPaducah | 70 | $64,967 | $12,132 | $10,765 |
| University of Kentucky HospLexington | 67 | $74,725 | $18,451 | $12,380 |
| Pikeville Medical CenterPikeville | 62 | $85,863 | $15,106 | $13,591 |
| Owensboro Medical Health SystemOwensboro | 61 | $31,888 | $14,286 | $12,716 |
| Jewish HospitalLouisville | 60 | $44,449 | $12,788 | $10,414 |
| St Elizabeth FlorenceFlorence | 54 | $36,806 | $11,718 | $9,258 |
| Ephraim McDowell Regional Medical CenterDanville | 53 | $34,131 | $10,773 | $9,362 |
| Baptist Health Deaconess MadisonvilleMadisonville | 53 | $58,776 | $12,694 | $11,133 |
| Lake Cumberland Regional HospitalSomerset | 52 | $104,369 | $12,478 | $10,777 |
| Baptist Regional Medical CtrCorbin | 49 | $62,350 | $11,382 | $9,852 |
| St Elizabeth Ft ThomasFort Thomas | 47 | $44,671 | $12,656 | $9,890 |
| T J Samson Community HospitalGlasgow | 45 | $25,510 | $12,189 | $10,941 |
| Saint Joseph LondonLondon | 44 | $47,839 | $11,851 | $9,868 |
| Saint Joseph HospitalLexington | 42 | $44,120 | $11,481 | $10,262 |
| Baptist Health RichmondRichmond | 32 | $44,467 | $11,527 | $10,406 |
| Clark Regional Medical CenterWinchester | 32 | $90,968 | $11,601 | $9,361 |
| Lourdes HospitalPaducah | 29 | $45,782 | $11,469 | $10,210 |
| Greenview Regional HospitalBowling Green | 26 | $76,061 | $11,023 | $8,960 |
| Frankfort Regional Medical CenterFrankfort | 26 | $73,623 | $12,002 | $9,238 |
| St Claire Regional Medical CenterMorehead | 25 | $37,393 | $11,667 | $10,072 |
| Jennie Stuart Medical CenterHopkinsville | 23 | $46,043 | $11,579 | $10,161 |
| Deaconess Henderson HospitalHenderson | 23 | $28,456 | $11,741 | $10,749 |
| Jackson Purchase Medical CenterMayfield | 23 | $67,025 | $12,050 | $11,058 |
| Murray-Calloway County HospitalMurray | 22 | $52,632 | $13,234 | $12,049 |
| Taylor Regional HospitalCampbellsville | 22 | $36,890 | $14,371 | $13,259 |
| Paintsville Arh HospitalPaintsville | 20 | $57,544 | $10,278 | $9,298 |
| Whitesburg Arh HospitalWhitesburg | 19 | $52,509 | $11,892 | $10,128 |
| Flaget Memorial HospitalBardstown | 19 | $39,725 | $13,189 | $11,645 |
| Hazard Arh Regional Medical CenterHazard | 19 | $74,330 | $12,670 | $10,180 |
| Meadowview Regional Medical CenterMaysville | 16 | $38,584 | $12,493 | $11,473 |
| Highlands Regional Medical CenterPrestonsburg | 14 | $40,913 | $10,657 | $7,793 |
| Jewish Hospital - ShelbyvilleShelbyville | 14 | $37,362 | $14,270 | $11,891 |
| Harlan Appalachian Regional Healthcare HospitalHarlan | 14 | $61,324 | $12,764 | $11,328 |
| Baptist Hospital NortheastLa Grange | 14 | $41,495 | $12,422 | $10,790 |
| Harrison Memorial HospitalCynthiana | 13 | $36,250 | $11,359 | $10,355 |
| Saint Joseph EastLexington | 13 | $34,874 | $12,551 | $9,935 |
| Middlesboro Appalachian Regional Healthcare HospitMiddlesboro | 12 | $36,213 | $11,973 | $11,024 |
| Twin Lakes Regional Medical CenterLeitchfield | 12 | $44,771 | $12,914 | $11,962 |
| Williamson Arh HospitalSouth Williamson | 11 | $53,579 | $13,016 | $11,980 |
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
| Paintsville Arh HospitalPaintsville, KY | $10,278 |
|---|---|
| Highlands Regional Medical CenterPrestonsburg, KY | $10,657 |
| Hardin Memorial HospitalElizabethtown, KY | $10,691 |
| King's Daughters' Medical CenterAshland, KY | $10,713 |
| Baptist Hospital EastLouisville, KY | $10,764 |
Highest
| University of Kentucky HospLexington, KY | $18,451 |
|---|---|
| Pikeville Medical CenterPikeville, KY | $15,106 |
| Taylor Regional HospitalCampbellsville, KY | $14,371 |
| Owensboro Medical Health SystemOwensboro, KY | $14,286 |
| Jewish Hospital - ShelbyvilleShelbyville, KY | $14,270 |
Respiratory infections and inflammations with major complications in other states
Questions
How much does respiratory infections and inflammations with major complications cost in Kentucky?
In 2024 Medicare data, a hospital stay for respiratory infections and inflammations with major complications (DRG 177) at 46 hospitals in Kentucky was billed at $53,843 on average, while the average total payment was $12,083, of which Medicare paid $10,309. 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.