Healthcare Pricing Data: LOUISVILLE, KY
4 hospitals with public pricing data · 30 procedures reported to CMS
Hospitals
4
With CMS data
Procedures
30
DRG categories
Avg Charge-to-Medicare Ratio
6.2x
Across all procedures
vs National Average
-15%
Chargemaster rates
About This Data
LOUISVILLE, KY has 4 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 6.2x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)
The procedure with the highest average listed charges in LOUISVILLE is COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC (DRG 454), with an average chargemaster rate of $434,414 across reporting hospitals.
Important: Chargemaster rates are hospital list prices and are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage. Use this data as a starting point for understanding pricing in your area.
Procedure Pricing Data
| Procedure | DRG | Avg Listed Charge | Hospitals Reporting | Charge-to-Medicare Ratio |
|---|---|---|---|---|
| TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOU | 004 | $331,153 | 4 | 4.4x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | 027 | $180,096 | 4 | 8.3x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $176,865 | 4 | 5.4x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $167,201 | 4 | 5.5x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $160,532 | 4 | 5.1x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $113,059 | 4 | 5.6x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | 982 | $100,079 | 4 | 6.5x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $91,612 | 4 | 6.3x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $82,534 | 4 | 4.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $78,419 | 4 | 6.1x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $77,690 | 4 | 7.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $67,509 | 4 | 5.1x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $59,136 | 4 | 4.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $57,150 | 4 | 8.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $51,750 | 4 | 10.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $47,492 | 4 | 8.7x |
| RENAL FAILURE WITH MCC | 682 | $45,886 | 4 | 4.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $45,657 | 4 | 5.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $44,938 | 4 | 5.3x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $43,591 | 4 | 5.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $39,552 | 4 | 6.2x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $38,489 | 4 | 6.0x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $37,506 | 4 | 4.6x |
| SYNCOPE AND COLLAPSE | 312 | $33,593 | 4 | 6.5x |
| SEIZURES WITHOUT MCC | 101 | $33,502 | 4 | 6.2x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $29,305 | 4 | 6.5x |
| RENAL FAILURE WITH CC | 683 | $28,482 | 4 | 5.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $27,722 | 4 | 5.8x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $434,414 | 3 | 7.5x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | 266 | $411,833 | 3 | 8.1x |
Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.
Hospitals in LOUISVILLE With Pricing Data
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Upload your bill — free comparisonData from CMS Inpatient Prospective Payment System (IPPS) Provider Summary. All data publicly available under federal law (45 CFR Part 180).
Listed chargemaster rates are not what most insured patients pay. This information is for educational purposes only. Read our methodology·Report a data error