Major Chest Procedures Without Cc/Mcc in Kentucky
MS-DRG 165: Major chest procedures without cc/mcc
$92,603typical hospital bill
$13,943typical amount paid
$12,083–$17,669range paid across 4 hospitals
Kentucky hospitals billed Medicare a typical $92,603 for this stay in 2024, about 6.6 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | Cash price | Insurers (median) | |
|---|---|---|---|---|---|---|---|
| Baptist Health Louisville | Louisville | 18 | $125,639 | $12,083 | $92,886 | $24,392$13,009–$52,229 · 28 plans | |
| Baptist Health Lexington | Lexington | 13 | $104,723 | $12,834 | – | – | |
| St Elizabeth Edgewood | Edgewood | 18 | $62,928 | $15,052 | – | – | |
| University of Kentucky Hospital | Lexington | 17 | $80,484 | $17,669 | – | – |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.