US Health Care Costs

Pneumonia, with major complications in Kentucky

MS-DRG 193: Simple pneumonia and pleurisy with mcc

$43,277typical hospital bill
$9,856typical amount paid
$8,576–$20,297range paid across 55 hospitals

Kentucky hospitals billed Medicare a typical $43,277 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)

HospitalCityMedicare staysBilledPaid
Baptist Health LouisvilleLouisville176$44,717$8,576
Highlands Arh Regional Medical CenterPrestonsburg25$48,023$8,642
Ephraim McDowell Regional Medical CenterDanville78$30,644$8,921
Baptist Health LexingtonLexington122$48,091$8,954
King's Daughters' Medical CenterAshland137$37,446$8,956
Clark Regional Medical CenterWinchester32$65,608$9,000
Bourbon Community HospitalParis13$39,273$9,022
Baptist Health CorbinCorbin43$49,841$9,091
Saint Joseph LondonLondon53$44,935$9,102
Baptist Health HardinElizabethtown125$50,427$9,165
Jennie Stuart Medical CenterHopkinsville25$35,891$9,175
Paintsville Arh HospitalPaintsville24$60,374$9,206
Harrison Memorial HospitalCynthiana22$19,664$9,209
Mercy Health - Lourdes HospitalPaducah51$42,576$9,267
Deaconess Henderson HospitalHenderson32$31,130$9,388
Baptist Health RichmondRichmond40$46,255$9,447
Tristar Greenview Regional HospitalBowling Green40$64,325$9,457
Whitesburg Arh HospitalWhitesburg25$50,027$9,477
Hazard Arh Regional Medical CenterHazard38$68,885$9,482
Saint Joseph HospitalLexington68$38,000$9,516
Baptist Health PaducahPaducah89$45,155$9,578
Norton Hospitals, IncLouisville284$50,104$9,620
Jackson Purchase Medical CenterMayfield28$62,653$9,645
Georgetown Community HospitalGeorgetown12$60,047$9,656
St Claire Regional Medical CenterMorehead20$28,497$9,733
Meadowview Regional Medical CenterMaysville20$42,533$9,794
Kentucky River Medical CenterJackson23$64,199$9,801
Owensboro Health Muhlenberg Community HospitalGreenville29$19,540$9,856
St Elizabeth EdgewoodEdgewood102$30,881$9,861
St Elizabeth Ft ThomasFort Thomas30$32,480$9,906
Lake Cumberland Regional HospitalSomerset69$79,587$9,944
St Elizabeth FlorenceFlorence65$25,232$9,980
T J Samson Community HospitalGlasgow77$20,775$10,002
Baptist Health Deaconess MadisonvilleMadisonville51$48,976$10,022
Owensboro Health Twin Lakes Medical CenterLeitchfield23$26,327$10,027
Frankfort Regional Medical CenterFrankfort28$64,710$10,199
The Medical Center at RussellvilleRussellville29$56,858$10,224
Three Rivers Medical CenterLouisa15$57,898$10,283
Tug Valley Arh Regional Medical CenterSouth Williamson33$43,277$10,310
Spring View HospitalLebanon15$45,238$10,386
The Medical Center (bowling Green)Bowling Green82$41,184$10,515
Saint Joseph Mount SterlingMount Sterling38$34,455$10,515
Uofl Health - Jewish Hospital and Mary & Elizabeth HospitalLouisville110$32,431$10,542
Murray-Calloway County HospitalMurray45$36,797$10,551
Middlesboro Arh HospitalMiddlesboro14$46,451$10,562
Saint Joseph EastLexington16$28,723$10,591
Harlan Arh HospitalHarlan24$31,946$10,599
Taylor Regional HospitalCampbellsville14$31,112$10,839
Chi Saint Joseph Flaget Memorial HospitalBardstown29$35,351$10,897
Baptist Health LagrangeLa Grange18$30,937$10,948
Uofl Health - Shelbyville HospitalShelbyville21$27,750$11,671
Pikeville Medical CenterPikeville102$58,205$11,786
Owensboro Health Regional HospitalOwensboro107$29,399$11,948
University of Kentucky HospitalLexington66$54,155$13,856
University of Louisville HospitalLouisville20$76,266$20,297

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.