US Health Care Costs

Other Circulatory System O.r. Procedures in Kentucky

MS-DRG 264: Other circulatory system o.r. procedures

$90,453typical hospital bill
$23,026typical amount paid
$21,126–$28,051range paid across 3 hospitals

Kentucky hospitals billed Medicare a typical $90,453 for this stay in 2024, about 3.9 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)

HospitalCityMedicare staysBilledPaidCash priceInsurers (median)
St Elizabeth EdgewoodEdgewood19$85,809$21,126
––
Norton Hospitals, IncLouisville34$90,453$23,026
––
University of Kentucky HospitalLexington11$116,860$28,051
––
Baptist Health LouisvilleLouisville–––$108,771$43,509$22,670–$73,522 · 28 plans

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.