Heart valve replacement through a catheter (TAVR), with major complications in Kentucky
MS-DRG 266: Endovascular cardiac valve replacement and supplement procedures with mcc
$367,315typical hospital bill
$49,906typical amount paid
$42,142–$62,882range paid across 6 hospitals
Kentucky hospitals billed Medicare a typical $367,315 for this stay in 2024, about 7.4 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)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| King's Daughters' Medical Center | Ashland | 22 | $118,389 | $42,142 | |
| St Elizabeth Edgewood | Edgewood | 21 | $182,213 | $42,470 | |
| Baptist Health Louisville | Louisville | 19 | $492,611 | $44,917 | |
| Uofl Health - Jewish Hospital and Mary & Elizabeth Hospital | Louisville | 28 | $291,455 | $54,895 | |
| Baptist Health Lexington | Lexington | 15 | $585,303 | $54,948 | |
| Norton Hospitals, Inc | Louisville | 41 | $443,175 | $62,882 |
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.