Heart catheterization, with major complications in Kentucky
MS-DRG 286: Circulatory disorders except ami, with cardiac catheterization with mcc
$78,188typical hospital bill
$15,879typical amount paid
$13,826–$26,013range paid across 15 hospitals
Kentucky hospitals billed Medicare a typical $78,188 for this stay in 2024, about 4.9 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)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| Baptist Health Lexington | Lexington | 15 | $82,185 | $13,826 | |
| King's Daughters' Medical Center | Ashland | 32 | $54,336 | $14,488 | |
| Baptist Health Louisville | Louisville | 62 | $92,366 | $14,621 | |
| Mercy Health - Lourdes Hospital | Paducah | 13 | $78,188 | $15,008 | |
| Ephraim McDowell Regional Medical Center | Danville | 11 | $47,773 | $15,661 | |
| Norton Hospitals, Inc | Louisville | 109 | $97,691 | $15,798 | |
| T J Samson Community Hospital | Glasgow | 11 | $27,128 | $15,804 | |
| The Medical Center (bowling Green) | Bowling Green | 27 | $61,508 | $15,879 | |
| Baptist Health Deaconess Madisonville | Madisonville | 15 | $107,508 | $16,477 | |
| St Elizabeth Edgewood | Edgewood | 57 | $58,027 | $17,876 | |
| Uofl Health - Jewish Hospital and Mary & Elizabeth Hospital | Louisville | 68 | $76,285 | $18,169 | |
| Owensboro Health Regional Hospital | Owensboro | 22 | $57,005 | $18,810 | |
| Pikeville Medical Center | Pikeville | 14 | $98,420 | $19,310 | |
| Saint Joseph Hospital | Lexington | 15 | $102,985 | $23,771 | |
| University of Kentucky Hospital | Lexington | 30 | $131,455 | $26,013 |
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.