Simple Pneumonia and Pleurisy Without Cc/Mcc in Kentucky
MS-DRG 195: Simple pneumonia and pleurisy without cc/mcc
$21,249typical hospital bill
$4,499typical amount paid
$4,019–$5,072range paid across 5 hospitals
Kentucky hospitals billed Medicare a typical $21,249 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)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| Baptist Health Louisville | Louisville | 14 | $21,249 | $4,019 | |
| Baptist Health Hardin | Elizabethtown | 13 | $24,101 | $4,390 | |
| Baptist Health Paducah | Paducah | 11 | $21,184 | $4,499 | |
| Monroe County Medical Center | Tompkinsville | 26 | $14,712 | $4,928 | |
| Baptist Health Lexington | Lexington | 11 | $26,428 | $5,072 |
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.