Hip Replacement with Principal Diagnosis of Hip Fracture with Mcc in Kentucky
MS-DRG 521: Hip replacement with principal diagnosis of hip fracture with mcc
$130,361typical hospital bill
$22,084typical amount paid
$18,276–$26,140range paid across 7 hospitals
Kentucky hospitals billed Medicare a typical $130,361 for this stay in 2024, about 5.9 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 Hardin | Elizabethtown | 17 | $109,052 | $18,276 | |
| St Elizabeth Florence | Florence | 19 | $62,117 | $18,801 | |
| Baptist Health Louisville | Louisville | 24 | $143,811 | $21,125 | |
| Baptist Health Deaconess Madisonville | Madisonville | 11 | $177,318 | $22,084 | |
| Norton Hospitals, Inc | Louisville | 31 | $198,947 | $23,439 | |
| Owensboro Health Regional Hospital | Owensboro | 12 | $92,946 | $23,703 | |
| University of Kentucky Hospital | Lexington | 15 | $130,361 | $26,140 |
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.