Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Mcc in Kentucky
MS-DRG 542: Pathological fractures and musculoskeletal and connective tissue malignancy with mcc
$70,722typical hospital bill
$14,677typical amount paid
$12,365–$16,989range paid across 2 hospitals
Kentucky hospitals billed Medicare a typical $70,722 for this stay in 2024, about 4.8 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 | |
|---|---|---|---|---|---|
| Norton Hospitals, Inc | Louisville | 12 | $54,041 | $12,365 | |
| University of Kentucky Hospital | Lexington | 25 | $87,404 | $16,989 |
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.