What 12 hospitals in Kentucky charged and were paid for a Medicare hospital stay for seizures with major complications (DRG 100), from 2024 Medicare claims.
Hospitals in Kentucky billed an average of $70,398 for seizures with major complications, about 4.7 times the average total payment of $15,038. That payment is 25% below the U.S. average of $19,930.
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.
About 21¢ 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:
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 | 50 | $66,607 | $13,754 | $11,819 |
| Baptist Hospital EastLouisville | 27 | $73,107 | $12,536 | $11,442 |
| University of Kentucky HospLexington | 16 | $102,188 | $21,656 | $13,209 |
| Central Baptist HospitalLexington | 16 | $57,294 | $11,852 | $10,825 |
| The Medical Center at Bowling GreenBowling Green | 15 | $65,210 | $15,809 | $13,756 |
| Jewish HospitalLouisville | 14 | $67,618 | $15,384 | $12,897 |
| Lourdes HospitalPaducah | 14 | $99,068 | $13,743 | $12,548 |
| University of Louisville HospitalLouisville | 14 | $75,728 | $18,845 | $16,298 |
| Hardin Memorial HospitalElizabethtown | 12 | $46,446 | $12,075 | $11,204 |
| St Elizabeth Med Center-SouthEdgewood | 11 | $58,350 | $16,072 | $11,504 |
| Owensboro Medical Health SystemOwensboro | 11 | $46,086 | $17,209 | $15,836 |
| Pikeville Medical CenterPikeville | 11 | $83,634 | $17,372 | $16,093 |
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.
| Central Baptist HospitalLexington, KY | $11,852 |
|---|---|
| Hardin Memorial HospitalElizabethtown, KY | $12,075 |
| Baptist Hospital EastLouisville, KY | $12,536 |
| Lourdes HospitalPaducah, KY | $13,743 |
| Norton Healthcare PavilionLouisville, KY | $13,754 |
| University of Kentucky HospLexington, KY | $21,656 |
|---|---|
| University of Louisville HospitalLouisville, KY | $18,845 |
| Pikeville Medical CenterPikeville, KY | $17,372 |
| Owensboro Medical Health SystemOwensboro, KY | $17,209 |
| St Elizabeth Med Center-SouthEdgewood, KY | $16,072 |
In 2024 Medicare data, a hospital stay for seizures with major complications (DRG 100) at 12 hospitals in Kentucky was billed at $70,398 on average, while the average total payment was $15,038, of which Medicare paid $12,736. Your own cost depends on your insurance, deductible and the hospital.
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 4.7 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.