32/100
#1,808 nationally
Baptist Health Richmond
801 Eastern Bypass, Richmond, KY 40475 · (859) 625-3114
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Baptist Health Richmond billed $6.43 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
- 6.4x
- volume-weighted across all its priced work
- Procedures priced
- 36
- inpatient and outpatient combined
- Rank in KY
- #34
- 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 36% of U.S. hospitals.
Better than 20% of U.S. hospitals.
Better than 36% of U.S. hospitals.
Better than 35% 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 |
|---|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
387 | $15,380 | $1,985 | +31% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
226 | $29,176 | $2,311 | +50% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
92 | $38,659 | $9,162 | -11% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
81 | $55,797 | $13,686 | -14% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
67 | $14,302 | $1,638 | +22% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
60 | $41,054 | $4,915 | +17% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
40 | $46,255 | $9,447 | about average |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
32 | $44,467 | $11,527 | -19% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
27 | $24,836 | $2,743 | +30% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
26 | $37,778 | $7,953 | -10% |
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 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$49,401 | $4,316 | +80% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$40,786 | $2,851 | +75% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
$176,483 | $15,535 | +73% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$105,663 | $10,622 | +69% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
$27,944 | $2,415 | +69% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$37,974 | $2,809 | +50% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$29,176 | $2,311 | +50% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$14,890 | $1,279 | +33% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$35,766 | $8,911 | -26% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
$27,353 | $9,578 | -24% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$44,467 | $11,527 | -19% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
$33,735 | $8,406 | -17% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$41,079 | $9,393 | -15% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
$26,060 | $5,716 | -15% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$55,797 | $13,686 | -14% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
$34,218 | $5,612 | -13% |
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.