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The Price of Medicare Procedures in Kentucky



This table shows the 100 most frequently charged procedures/diagnosis in Kentucky to the Inpatient Prospective Payment System (IPPS). This table will give a basic idea of the cost of medicare for hospital procedures. Hospitals determine what they bill according to a "chargemaster". The charge master serves as a price point for the beginning of negotiations between you and the health care provider.



ProcedureProvider StateTotal DischargesHospital Charge(s)Medicare Payment(s)Your Cost
Acute Myocardial Infarction Discharged Alive No Complications
 Kentucky 427 $17672 $5204 $12468
Acute Myocardial Infarction Discharged Alive With Complications
 Kentucky 890 $23224 $7434 $15790
Acute Myocardial Infarction Discharged Alive With Major Complications
 Kentucky 1480 $32520 $11283 $21237
Alcohol Drug Abuse No Rehabilitation Therapy No Major Complications
 Kentucky 564 $10723 $4311 $6412
Atherosclerosis No Major Complications
 Kentucky 1082 $11894 $3657 $8237
Back And Neck Proc Exc Spinal Fusion No Complications
 Kentucky 424 $22070 $6363 $15707
Bronchitis And Asthma No Complications
 Kentucky 361 $10017 $3841 $6176
Bronchitis And Asthma With Complications
 Kentucky 504 $15056 $5287 $9769
Cardiac Arrhythmia And Conduction Disorders No Complications
 Kentucky 2771 $10390 $3523 $6867
Cardiac Arrhythmia And Conduction Disorders With Complications
 Kentucky 1985 $15106 $5206 $9900
Cardiac Arrhythmia And Conduction Disorders With Major Complications
 Kentucky 1218 $23396 $7874 $15522
Cellulitis No Major Complications
 Kentucky 2647 $13744 $5175 $8569
Cellulitis With Major Complications
 Kentucky 306 $22659 $8904 $13755
Cervical Spinal Fusion No Complications
 Kentucky 525 $43378 $13445 $29933
Chest Pain
 Kentucky 3137 $12630 $3521 $9109
Chronic Obstructive Pulmonary Disease No Complications
 Kentucky 4591 $13107 $4458 $8649
Chronic Obstructive Pulmonary Disease With Complications
 Kentucky 4335 $17372 $5992 $11380
Chronic Obstructive Pulmonary Disease With Major Complications
 Kentucky 4483 $20645 $7341 $13304
Circulatory Disorders Except Ami With Card Cath No Major Complications
 Kentucky 3367 $24391 $6897 $17494
Circulatory Disorders Except Ami With Card Cath With Major Complications
 Kentucky 493 $39261 $13208 $26053
Cranial And Peripheral Nerve Disorders No Major Complications
 Kentucky 323 $18518 $5528 $12990
Degenerative Nervous System Disorders No Major Complications
 Kentucky 519 $17254 $6077 $11177
Diabetes With Complications
 Kentucky 843 $14320 $5248 $9072
Disorders Of Pancreas Except Malignancy With Complications
 Kentucky 501 $19342 $6554 $12788
Dysequilibrium
 Kentucky 328 $13963 $4063 $9900
Esophagitis Gastroent And Misc Digest Disorders No Major Complications
 Kentucky 5822 $13998 $4507 $9491
Esophagitis Gastroent And Misc Digest Disorders With Major Complications
 Kentucky 858 $25398 $7578 $17820
Extracranial Procedures No Complications
 Kentucky 728 $22308 $6348 $15960
Fractures Of Hip And Pelvis No Major Complications
 Kentucky 348 $11655 $4312 $7343
Fx Sprn Strn And Disl Except Femur Hip Pelvis Thigh No Major Complications
 Kentucky 279 $13074 $4352 $8722
Gi Hemorrhage No Complications
 Kentucky 680 $13654 $4398 $9256
Gi Hemorrhage With Complications
 Kentucky 2952 $18407 $6339 $12068
Gi Hemorrhage With Major Complications
 Kentucky 943 $33270 $11336 $21934
Gi Obstruction No Complications
 Kentucky 520 $11696 $3938 $7758
Gi Obstruction With Complications
 Kentucky 801 $16781 $5762 $11019
Heart Failure And Shock No Complications
 Kentucky 2343 $11669 $4186 $7483
Heart Failure And Shock With Complications
 Kentucky 4802 $16913 $6315 $10598
Heart Failure And Shock With Major Complications
 Kentucky 4057 $26625 $9229 $17396
Hip And Femur Procedures Except Major Joint No Complications
 Kentucky 328 $30595 $9634 $20961
Hip And Femur Procedures Except Major Joint With Complications
 Kentucky 1429 $36810 $11509 $25301
Hip And Femur Procedures Except Major Joint With Major Complications
 Kentucky 355 $49597 $18433 $31164
Hypertension No Major Complications
 Kentucky 713 $12624 $3863 $8761
Infectious And Parasitic Diseases Or Procedure With Major Complications
 Kentucky 680 $100651 $36849 $63802
Intracranial Hemorrhage Or Cerebral Infarction No Complications
 Kentucky 1177 $20791 $5319 $15472
Intracranial Hemorrhage Or Cerebral Infarction With Complications
 Kentucky 1937 $25337 $7502 $17835
Intracranial Hemorrhage Or Cerebral Infarction With Major Complications
 Kentucky 1205 $38268 $12753 $25515
Kidney And Urinary Tract Infections No Major Complications
 Kentucky 4356 $13466 $4783 $8683
Kidney And Urinary Tract Infections With Major Complications
 Kentucky 1491 $19880 $7246 $12634
Laparoscopic Cholecystectomy No Cde No Complications
 Kentucky 391 $23252 $7166 $16086
Laparoscopic Cholecystectomy No Cde With Complications
 Kentucky 477 $32683 $10522 $22161
Major Cardiovasc Procedures No Major Complications
 Kentucky 725 $68621 $19976 $48645
Major Gastrointestinal Disorders And Peritoneal Infections With Complications
 Kentucky 405 $20039 $7854 $12185
Major Joint Replacement Of Lower Extremity No Major Complications
 Kentucky 7469 $42051 $13336 $28715
Major Joint Replacement Of Lower Extremity With Major Complications
 Kentucky 546 $63227 $21162 $42065
Major Small And Large Bowel Procedures With Complications
 Kentucky 1007 $47576 $16804 $30772
Major Small And Large Bowel Procedures With Major Complications
 Kentucky 766 $93365 $33614 $59751
Medical Back Problems No Major Complications
 Kentucky 1148 $15097 $5302 $9795
Misc Disorders Of Metabolism Fluids Electrolytes No Major Complications
 Kentucky 3271 $12072 $4289 $7783
Misc Disorders Of Metabolism Fluids Electrolytes With Major Complications
 Kentucky 921 $20360 $7407 $12953
Other Circulatory System Diagnoses With Complications
 Kentucky 260 $18111 $6228 $11883
Other Circulatory System Diagnoses With Major Complications
 Kentucky 773 $34957 $12134 $22823
Other Digestive System Diagnoses With Complications
 Kentucky 642 $18547 $6404 $12143
Other Kidney And Urinary Tract Diagnoses With Complications
 Kentucky 384 $19626 $6757 $12869
Other Kidney And Urinary Tract Diagnoses With Major Complications
 Kentucky 328 $31589 $11153 $20436
Other Vascular Procedures No Complications
 Kentucky 544 $37813 $10699 $27114
Other Vascular Procedures With Complications
 Kentucky 651 $53281 $16075 $37206
Other Vascular Procedures With Major Complications
 Kentucky 546 $59433 $19537 $39896
Perc Cardiovasc Proc No Coronary Artery Stent No Major Complications
 Kentucky 631 $44852 $11442 $33410
Perc Cardiovasc Proc With Drug Eluting Stent No Major Complications
 Kentucky 3325 $46589 $12592 $33997
Perc Cardiovasc Proc With Drug Eluting Stent With Major Complications
 Kentucky 713 $67942 $21117 $46825
Perc Cardiovasc Proc With Nondrug Eluting Stent No Major Complications
 Kentucky 797 $41494 $10955 $30539
Peripheral Vascular Disorders No Complications
 Kentucky 366 $10580 $4022 $6558
Peripheral Vascular Disorders With Complications
 Kentucky 714 $16046 $5910 $10136
Permanent Cardiac Pacemaker Implant No Complications
 Kentucky 527 $46223 $12417 $33806
Permanent Cardiac Pacemaker Implant With Complications
 Kentucky 470 $55675 $16098 $39577
Poisoning And Toxic Effects Of Drugs No Major Complications
 Kentucky 611 $12630 $4099 $8531
Poisoning And Toxic Effects Of Drugs With Major Complications
 Kentucky 368 $28186 $9904 $18282
Psychoses
 Kentucky 2183 $11923 $5999 $5924
Pulmonary Edema And Respiratory Failure
 Kentucky 3307 $20882 $8036 $12846
Pulmonary Embolism No Major Complications
 Kentucky 498 $20351 $6623 $13728
Red Blood Cell Disorders No Major Complications
 Kentucky 1876 $14170 $4959 $9211
Red Blood Cell Disorders With Major Complications
 Kentucky 392 $22876 $7975 $14901
Renal Failure No Complications
 Kentucky 466 $11850 $3982 $7868
Renal Failure With Complications
 Kentucky 3208 $16969 $6346 $10623
Renal Failure With Major Complications
 Kentucky 2111 $28420 $10235 $18185
Respiratory Infections And Inflammations With Complications
 Kentucky 1306 $25625 $9061 $16564
Respiratory Infections And Inflammations With Major Complications
 Kentucky 1582 $35535 $12449 $23086
Respiratory System Diagnosis With Ventilator Support 96 Plus Hrs
 Kentucky 591 $96467 $33223 $63244
Respiratory System Diagnosis With Ventilator Support Less 96 Hrs
 Kentucky 1934 $43386 $14679 $28707
Seizures No Major Complications
 Kentucky 921 $15499 $5115 $10384
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs No Major Complications
 Kentucky 1961 $19108 $7022 $12086
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs With Major Complications
 Kentucky 5574 $34004 $11802 $22202
Septicemia Or Severe Sepsis With Mv 96 Plus Hrs
 Kentucky 251 $122770 $41141 $81629
Signs And Symptoms No Major Complications
 Kentucky 1046 $13892 $4372 $9520
Simple Pneumonia And Pleurisy No Complications
 Kentucky 2274 $13217 $4395 $8822
Simple Pneumonia And Pleurisy With Complications
 Kentucky 4991 $17934 $6263 $11671
Simple Pneumonia And Pleurisy With Major Complications
 Kentucky 3566 $25985 $9009 $16976
Spinal Fusion Except Cervical No Major Complications
 Kentucky 902 $88426 $26035 $62391
Syncope And Collapse
 Kentucky 3047 $14708 $4466 $10242
Transient Ischemia
 Kentucky 1901 $16834 $4577 $12257


Source: CMS

As part of the Obama administration’s goal to make our healthcare more accountable, transparent and affordable the CMS.gov has released data from more then 3000 hospitals that receive payments for the 100 highest frequently billed charges under Medicare. For more information visit CMS.gov.

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