73/100
#552 nationally
Saint Joseph East
150 North Eagle Creek Drive, Lexington, KY 40509 · (859) 967-5000
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Saint Joseph East billed $3.72 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
- 3.7x
- volume-weighted across all its priced work
- Procedures priced
- 29
- inpatient and outpatient combined
- Rank in KY
- #12
- lower markup ranks higher
- CMS quality stars
- 2/5
- 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 70% of U.S. hospitals.
Better than 77% of U.S. hospitals.
Better than 76% of U.S. hospitals.
Better than 61% 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 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
104 | $16,270 | $2,973 | -21% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
80 | $37,968 | $11,140 | -39% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
75 | $16,848 | $2,772 | -33% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
70 | $44,835 | $15,710 | -31% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
61 | $9,435 | $1,386 | -6% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
46 | $4,211 | $1,643 | -63% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
33 | $37,312 | $10,841 | -14% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
27 | $47,072 | $8,911 | -21% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
23 | $18,984 | $1,703 | +47% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
21 | $33,676 | $9,099 | -14% |
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 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$18,984 | $1,703 | +47% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$9,435 | $1,386 | -6% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$37,312 | $10,841 | -14% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$33,676 | $9,099 | -14% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$44,001 | $12,205 | -17% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$9,118 | $1,207 | -19% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$14,294 | $2,461 | -19% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$47,072 | $8,911 | -21% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$16,580 | $9,242 | -68% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$4,211 | $1,643 | -63% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$19,820 | $10,348 | -59% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$17,326 | $4,797 | -51% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
$13,146 | $3,301 | -45% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$10,643 | $2,760 | -44% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
$45,922 | $14,320 | -43% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
$23,147 | $5,647 | -41% |
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.