Other Respiratory System O.r. Procedures with Mcc in Kentucky
MS-DRG 166: Other respiratory system o.r. procedures with mcc
$106,924typical hospital bill
$27,761typical amount paid
$24,471–$45,349range paid across 5 hospitals
Kentucky hospitals billed Medicare a typical $106,924 for this stay in 2024, about 3.9 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 | 12 | $91,807 | $24,471 | |
| Norton Hospitals, Inc | Louisville | 21 | $106,924 | $25,144 | |
| Baptist Health Louisville | Louisville | 13 | $122,929 | $27,761 | |
| St Elizabeth Edgewood | Edgewood | 19 | $92,361 | $27,805 | |
| University of Kentucky Hospital | Lexington | 31 | $145,400 | $45,349 |
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.