Fracture or sprain (not hip or thigh) in Kentucky
MS-DRG 563: Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
$38,429typical hospital bill
$6,450typical amount paid
$5,913–$10,078range paid across 7 hospitals
Kentucky hospitals billed Medicare a typical $38,429 for this stay in 2024, about 6.0 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 Lexington | Lexington | 12 | $40,369 | $5,913 | |
| Baptist Health Louisville | Louisville | 35 | $31,026 | $6,016 | |
| Tristar Greenview Regional Hospital | Bowling Green | 13 | $47,405 | $6,216 | |
| Baptist Health Paducah | Paducah | 13 | $37,345 | $6,450 | |
| Norton Hospitals, Inc | Louisville | 28 | $22,834 | $6,507 | |
| University of Louisville Hospital | Louisville | 17 | $38,429 | $9,966 | |
| University of Kentucky Hospital | Lexington | 15 | $39,230 | $10,078 |
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.