Infection needing surgery, with major complications in Kentucky
MS-DRG 853: Infectious and parasitic diseases with o.r. procedures with mcc
$159,932typical hospital bill
$36,041typical amount paid
$26,180–$53,645range paid across 26 hospitals
Kentucky hospitals billed Medicare a typical $159,932 for this stay in 2024, about 4.4 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)
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.