Pneumonia, with complications in Kentucky
MS-DRG 194: Simple pneumonia and pleurisy with cc
$30,604typical hospital bill
$6,467typical amount paid
$5,461–$10,493range paid across 27 hospitals
Kentucky hospitals billed Medicare a typical $30,604 for this stay in 2024, about 4.7 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.