Heart valve replacement through a catheter (TAVR) in Kentucky
MS-DRG 267: Endovascular cardiac valve replacement and supplement procedures without mcc
$205,168typical hospital bill
$40,487typical amount paid
$31,944–$47,143range paid across 11 hospitals
Kentucky hospitals billed Medicare a typical $205,168 for this stay in 2024, about 5.1 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 | |
|---|---|---|---|---|---|
| King's Daughters' Medical Center | Ashland | 13 | $98,797 | $31,944 | |
| Saint Joseph Hospital | Lexington | 28 | $111,657 | $32,431 | |
| St Elizabeth Edgewood | Edgewood | 53 | $151,173 | $35,406 | |
| The Medical Center (bowling Green) | Bowling Green | 60 | $205,168 | $35,599 | |
| Uofl Health - Jewish Hospital and Mary & Elizabeth Hospital | Louisville | 34 | $251,717 | $39,855 | |
| University of Kentucky Hospital | Lexington | 38 | $203,169 | $40,487 | |
| Baptist Health Lexington | Lexington | 41 | $491,417 | $42,134 | |
| Norton Hospitals, Inc | Louisville | 55 | $345,962 | $43,253 | |
| Owensboro Health Regional Hospital | Owensboro | 11 | $218,462 | $44,525 | |
| Pikeville Medical Center | Pikeville | 11 | $123,470 | $46,013 | |
| Baptist Health Louisville | Louisville | 68 | $498,644 | $47,143 |
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.