Septicemia or severe sepsis with ventilator >96 hours in Kentucky
What 11 hospitals in Kentucky charged and were paid for a Medicare hospital stay for septicemia or severe sepsis with ventilator >96 hours (DRG 870), from 2024 Medicare claims.
Average charge
$231,229
Hospital list price billed
Average payment
$53,831
Medicare + patient + other payers
Medicare paid
$47,892
Average per stay
State rank
#11 of 40
1 = lowest average payment
Hospitals in Kentucky billed an average of $231,229 for septicemia or severe sepsis with ventilator >96 hours, about 4.3 times the average total payment of $53,831. That payment is 18% below the U.S. average of $66,013.
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 $53,831Billed $231,229
About 23¢ was paid for every $1 hospitals in Kentucky billed for this stay.
Kentucky hospitals: septicemia or severe sepsis with ventilator >96 hours
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 | 59 | $209,490 | $46,948 | $42,417 |
| University of Kentucky HospLexington | 39 | $291,951 | $68,844 | $54,164 |
| Pikeville Medical CenterPikeville | 35 | $328,331 | $62,483 | $61,211 |
| Saint Joseph HospitalLexington | 29 | $248,456 | $57,078 | $51,776 |
| Hazard Arh Regional Medical CenterHazard | 25 | $254,836 | $51,819 | $49,651 |
| King's Daughters' Medical CenterAshland | 17 | $140,527 | $41,528 | $40,259 |
| Baptist Hospital EastLouisville | 17 | $205,856 | $45,204 | $37,576 |
| Jewish HospitalLouisville | 13 | $175,476 | $58,274 | $37,313 |
| The Medical Center at Bowling GreenBowling Green | 11 | $186,559 | $51,983 | $49,324 |
| Deaconess Henderson HospitalHenderson | 11 | $101,314 | $37,739 | $35,664 |
| Baptist Health Deaconess MadisonvilleMadisonville | 11 | $144,371 | $51,031 | $49,447 |
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
| Deaconess Henderson HospitalHenderson, KY | $37,739 |
|---|---|
| King's Daughters' Medical CenterAshland, KY | $41,528 |
| Baptist Hospital EastLouisville, KY | $45,204 |
| Norton Healthcare PavilionLouisville, KY | $46,948 |
| Baptist Health Deaconess MadisonvilleMadisonville, KY | $51,031 |
Highest
| University of Kentucky HospLexington, KY | $68,844 |
|---|---|
| Pikeville Medical CenterPikeville, KY | $62,483 |
| Jewish HospitalLouisville, KY | $58,274 |
| Saint Joseph HospitalLexington, KY | $57,078 |
| The Medical Center at Bowling GreenBowling Green, KY | $51,983 |
Septicemia or severe sepsis with ventilator >96 hours in other states
Questions
How much does septicemia or severe sepsis with ventilator >96 hours cost in Kentucky?
In 2024 Medicare data, a hospital stay for septicemia or severe sepsis with ventilator >96 hours (DRG 870) at 11 hospitals in Kentucky was billed at $231,229 on average, while the average total payment was $53,831, of which Medicare paid $47,892. 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 4.3 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.