Pulmonary Embolism Without Mcc in Kentucky
MS-DRG 176: Pulmonary embolism without mcc
$28,750typical hospital bill
$6,330typical amount paid
$5,557–$8,189range paid across 9 hospitals
Kentucky hospitals billed Medicare a typical $28,750 for this stay in 2024, about 4.5 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 Lexington | Lexington | 17 | $34,611 | $5,557 | |
| King's Daughters' Medical Center | Ashland | 12 | $25,680 | $5,635 | |
| Baptist Health Paducah | Paducah | 14 | $28,750 | $5,898 | |
| Norton Hospitals, Inc | Louisville | 42 | $37,770 | $5,914 | |
| St Elizabeth Edgewood | Edgewood | 19 | $25,613 | $6,330 | |
| Baptist Health Louisville | Louisville | 48 | $38,101 | $6,399 | |
| Uofl Health - Jewish Hospital and Mary & Elizabeth Hospital | Louisville | 13 | $20,222 | $6,813 | |
| Owensboro Health Regional Hospital | Owensboro | 11 | $17,555 | $7,040 | |
| University of Kentucky Hospital | Lexington | 14 | $31,808 | $8,189 |
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.