14/100
#2,305 nationally
Baptist Health Lexington
1740 Nicholasville Road, Lexington, KY 40503 · (859) 260-6100
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Baptist Health Lexington billed $9.73 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 9.7x
- volume-weighted across all its priced work
- Procedures priced
- 142
- inpatient and outpatient combined
- Rank in KY
- #50
- lower markup ranks higher
- CMS quality stars
- 4/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 12% of U.S. hospitals.
Better than 8% of U.S. hospitals.
Better than 23% of U.S. hospitals.
Better than 13% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
629 | $28,930 | $2,350 | +49% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
388 | $39,257 | $2,779 | +56% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
295 | $74,949 | $13,016 | +15% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
286 | $17,898 | $1,386 | +78% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
275 | $112,466 | $11,207 | +80% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
234 | $448,807 | $20,436 | +238% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
219 | $47,073 | $8,862 | +8% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
141 | $62,896 | $10,846 | +14% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
141 | $145,675 | $9,409 | +115% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
140 | $189,626 | $15,899 | +128% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
$448,807 | $20,436 | +238% |
|
Revision of Hip or Knee Replacement without Complications/mcc
MS-DRG 468 · Inpatient stay |
$320,914 | $25,438 | +196% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
$106,066 | $7,357 | +180% |
|
Craniotomy and Endovascular Intracranial Procedures without Complications/mcc
MS-DRG 027 · Inpatient stay |
$320,749 | $27,314 | +164% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
$491,417 | $42,134 | +159% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$51,923 | $2,710 | +155% |
|
Level 4 Pacemaker and Similar Procedures
APC 5224 · Hospital outpatient visit |
$242,280 | $16,529 | +154% |
|
Permanent Cardiac Pacemaker Implant with Complications
MS-DRG 243 · Inpatient stay |
$230,609 | $18,983 | +146% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
$57,295 | $11,852 | -29% |
|
Irregular Heartbeat (uncomplicated)
MS-DRG 310 · Inpatient stay |
$18,580 | $3,998 | -26% |
|
Laparoscopic Cholecystectomy without C.d.e. with Complications
MS-DRG 418 · Inpatient stay |
$64,978 | $10,395 | -21% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
$42,181 | $8,719 | -18% |
|
Major Gastrointestinal Disorders and Peritoneal Infections with Complications
MS-DRG 372 · Inpatient stay |
$32,663 | $7,133 | -18% |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
$155,602 | $35,388 | -13% |
|
Major Small and Large Bowel Procedures without Complications/mcc
MS-DRG 331 · Inpatient stay |
$65,489 | $12,649 | -12% |
|
Bronchitis and Asthma with Complications/mcc
MS-DRG 202 · Inpatient stay |
$35,166 | $7,113 | -11% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.