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Inpatient stay · MS-DRG 639

Diabetes without CC/MCC

In 2024, Medicare and patients paid an average of $7,422 per stay at 12 hospitals. Half of hospitals averaged between $5,674 and $7,459.

National figures, 2024

Average payment per case
$7,422
Typical range (middle half of hospitals)
$5,674–$7,459
Medicare’s share
$5,17370% of the payment
Average billed charge
$34,689
Hospitals reporting
12158 stays

Hospitals in Kentucky

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

Location
Kentucky
Specific hospitals up to 10
Average payment (1 hospital)
$4,740National $7,422 · Kentucky $4,740
Too few hospitals to compare
An average across fewer than 3 hospitals says little about the area. Widen the distance or pick more hospitals.
Medicare stays
12

1 hospital reported at least 11 Medicare stays for this in 2024. Download as CSV

Medicare payments per case for Diabetes without CC/MCC by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Norton Hospitals, IncLouisville, KY · CCN 18008812$4,74036% below the national average$3,905$17,970

National trend

Average payment and billed charge per stay, and how many Medicare stays were reported each year.

  • Average payment
  • Average billed charge
2020: 525 stays at 38 hospitals · 2021: 322 stays at 23 hospitals · 2022: 162 stays at 12 hospitals · 2023: 140 stays at 10 hospitals · 2024: 158 stays at 12 hospitals
View data as a table
National average payment and billed charge for Diabetes without CC/MCC
Year of careAverage paymentAverage billed charge
2020$5,695$23K
2021$6,010$27K
2022$7,093$32K
2023$6,271$38K
2024$7,422$35K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 9 states
Average payment by state for Diabetes without CC/MCC, 2024
StateHospitalsCasesAverage paymentTypical range
Kentucky112$4,740$4,740–$4,740
Massachusetts113$5,133$5,133–$5,133
Texas344$5,694$5,448–$5,964
North Carolina112$6,092$6,092–$6,092
Pennsylvania111$6,137$6,137–$6,137
Delaware112$6,913$6,913–$6,913
Florida111$6,914$6,914–$6,914
New York232$10,634$9,709–$10,942
California111$14,422$14,422–$14,422

About these numbers

Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. Billed charges are the hospital’s list prices, which few patients pay.

Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.

Source: CMS Medicare Inpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 stays. More in the glossary.