CostGrade

All published prices at Baptist Health Lexington

142 procedures, each showing what the hospital billed, what that care was actually paid for, and how the charge compares with the national middle for the same coded work.

F
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%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

139 $31,346 $4,455 +14%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

122 $48,091 $8,954 +3%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

99 $298,491 $23,456 +140%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

99 $36,190 $5,557 +22%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

97 $60,499 $6,195 +52%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

95 $61,351 $6,875 +35%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

94 $75,041 $8,690 +26%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

84 $44,470 $7,043 +13%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

83 $44,748 $4,901 +27%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

79 $33,079 $2,760 +73%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

76 $122,913 $9,142 +139%
COPD (severe)

MS-DRG 190 · Inpatient stay

71 $38,000 $7,536 -9%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

70 $38,961 $5,967 +23%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

69 $53,386 $6,617 +29%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

67 $48,270 $8,040 +18%
Respiratory Failure

MS-DRG 189 · Inpatient stay

64 $57,028 $8,376 +18%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

63 $30,803 $5,251 about average
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

63 $34,735 $5,852 -10%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

61 $21,429 $1,648 +82%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

60 $34,403 $5,544 +7%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

58 $37,291 $5,309 +22%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

57 $64,944 $10,440 +6%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

57 $206,942 $33,647 +16%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

56 $23,782 $2,410 +34%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

55 $25,155 $2,941 +22%
Stroke (severe)

MS-DRG 064 · Inpatient stay

54 $84,356 $12,991 +11%
Fainting

MS-DRG 312 · Inpatient stay

51 $38,340 $5,951 +5%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

51 $183,965 $13,084 +81%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

51 $12,696 $1,387 +48%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

49 $37,945 $6,114 +15%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

49 $37,441 $2,899 +61%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

48 $117,008 $14,569 +37%
Level 4 Pacemaker and Similar Procedures

APC 5224 · Hospital outpatient visit

47 $242,280 $16,529 +154%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

46 $215,602 $15,156 +126%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

46 $17,724 $1,764 +37%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

44 $55,280 $10,417 +4%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

42 $333,532 $27,774 +124%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

41 $491,417 $42,134 +159%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

40 $53,561 $8,812 +13%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

39 $47,837 $9,039 about average
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

39 $27,915 $3,215 +23%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

39 $75,679 $4,464 +109%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

38 $58,350 $11,076 about average
Major Small and Large Bowel Procedures without Complications/mcc

MS-DRG 331 · Inpatient stay

38 $65,489 $12,649 -12%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

34 $255,948 $21,447 +78%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

34 $30,241 $3,301 +27%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

34 $49,539 $5,540 +25%
Coronary Bypass without Cardiac Catheterization without Major Complications

MS-DRG 236 · Inpatient stay

33 $231,685 $28,276 +26%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

33 $29,133 $5,616 -7%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

32 $113,456 $16,420 +13%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

30 $72,781 $9,207 +52%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

30 $38,849 $6,181 +4%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

29 $43,227 $6,695 +16%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

29 $43,524 $6,359 +43%
Level 6 Urology and Related Services

APC 5376 · Hospital outpatient visit

29 $87,745 $7,978 +97%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

28 $68,856 $8,087 +26%
Stroke (uncomplicated)

MS-DRG 066 · Inpatient stay

27 $45,722 $4,881 +28%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

27 $54,291 $6,658 +33%
Coronary Bypass with Cardiac Catheterization or Open Ablation without Major Complications

MS-DRG 234 · Inpatient stay

27 $316,045 $40,791 +44%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

27 $119,999 $13,689 +44%
Extracranial Procedures without Complications/mcc

MS-DRG 039 · Inpatient stay

26 $64,812 $7,744 +22%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

26 $71,976 $11,709 about average
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

25 $18,580 $3,998 -26%
Coronary Bypass without Cardiac Catheterization with Major Complications

MS-DRG 235 · Inpatient stay

25 $306,145 $39,700 +27%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

24 $42,181 $8,719 -18%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

24 $51,923 $2,710 +155%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

24 $106,066 $7,357 +180%
Level 5 Neurostimulator and Related Procedures

APC 5465 · Hospital outpatient visit

24 $268,882 $25,786 +139%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

23 $107,603 $15,272 +37%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

23 $155,602 $35,388 -13%
Other Circulatory System Diagnoses with Complications

MS-DRG 315 · Inpatient stay

23 $42,165 $6,594 about average
Heart Failure (with complications)

MS-DRG 292 · Inpatient stay

23 $34,999 $5,834 +6%
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal

MS-DRG 023 · Inpatient stay

22 $378,893 $41,941 +65%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

22 $230,609 $18,983 +146%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

22 $87,877 $15,417 +6%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

21 $39,789 $7,011 about average
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

21 $35,437 $6,688 about average
Major Joint or Limb Reattachment Procedures of Upper Extremities

MS-DRG 483 · Inpatient stay

21 $189,516 $16,819 +85%
Complex GI Procedures

APC 5331 · Hospital outpatient visit

21 $53,331 $4,936 +78%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

21 $14,869 $1,392 +32%
Major Chest Procedures with Complications

MS-DRG 164 · Inpatient stay

20 $184,607 $17,987 +70%
COPD (with complications)

MS-DRG 191 · Inpatient stay

19 $36,104 $5,930 +8%
Aortic and Heart Assist Procedures Except Pulsation Balloon without Major Complications

MS-DRG 269 · Inpatient stay

18 $341,164 $32,444 +106%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

18 $53,209 $6,687 +22%
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

18 $42,084 $5,198 +26%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

18 $41,863 $6,525 +8%
Signs and Symptoms without Major Complications

MS-DRG 948 · Inpatient stay

18 $41,195 $5,785 +27%
Bronchitis and Asthma with Complications/mcc

MS-DRG 202 · Inpatient stay

18 $35,166 $7,113 -11%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

17 $55,005 $9,339 about average
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

17 $51,703 $10,270 -8%

These figures are averages across this hospital's Medicare patients in the most recent federal data year. They are not a quote and not your bill. For your own case, ask the hospital for a written good-faith estimate and check its published machine-readable price file.