Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization in Kentucky
MS-DRG 219: Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
$310,218typical hospital bill
$69,162typical amount paid
$50,610–$91,439range paid across 6 hospitals
Kentucky hospitals billed Medicare a typical $310,218 for this stay in 2024, about 4.5 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 | |
|---|---|---|---|---|---|
| Baptist Health Louisville | Louisville | 18 | $307,582 | $50,610 | |
| St Elizabeth Edgewood | Edgewood | 19 | $214,936 | $63,907 | |
| Uofl Health - Jewish Hospital and Mary & Elizabeth Hospital | Louisville | 30 | $312,855 | $69,062 | |
| Norton Hospitals, Inc | Louisville | 27 | $390,600 | $69,262 | |
| Saint Joseph Hospital | Lexington | 11 | $219,270 | $77,565 | |
| University of Kentucky Hospital | Lexington | 25 | $378,981 | $91,439 |
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.