72/100
#590 nationally
Saint Joseph Hospital
One Saint Joseph Drive, Lexington, KY 40504 · (859) 313-1000
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Saint Joseph Hospital billed $3.71 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
- 94
- inpatient and outpatient combined
- Rank in KY
- #13
- lower markup ranks higher
- CMS quality stars
- 3/5
- 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 57% of U.S. hospitals.
Better than 86% of U.S. hospitals.
Better than 78% of U.S. hospitals.
Better than 75% 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 |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
389 | $70,136 | $15,549 | +7% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
175 | $10,078 | $2,716 | -47% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
165 | $33,341 | $11,266 | -47% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
154 | $15,807 | $2,787 | -37% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
125 | $46,722 | $9,458 | -31% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
111 | $9,740 | $1,648 | -17% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
101 | $39,800 | $9,124 | -8% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
101 | $150,579 | $41,354 | -15% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
98 | $18,107 | $4,685 | -50% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
97 | $18,036 | $4,950 | -48% |
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 |
|---|---|---|---|
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
$102,985 | $23,771 | +17% |
|
Complex GI Procedures
APC 5331 · Hospital outpatient visit |
$34,057 | $4,936 | +14% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
$25,634 | $3,243 | +13% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$70,136 | $15,549 | +7% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
$35,400 | $6,867 | -5% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$19,201 | $2,706 | -6% |
|
Sepsis
MS-DRG 870 · Inpatient stay |
$248,456 | $57,078 | -7% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
$28,209 | $6,781 | -8% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Combined Anterior and Posterior Spinal Fusion with Major Complications
MS-DRG 453 · Inpatient stay |
$123,202 | $59,331 | -72% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
$45,204 | $26,176 | -70% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$20,081 | $9,043 | -61% |
|
Combined Anterior and Posterior Spinal Fusion with Complications
MS-DRG 454 · Inpatient stay |
$88,330 | $44,510 | -60% |
|
Aortic and Heart Assist Procedures Except Pulsation Balloon with Major Complications
MS-DRG 268 · Inpatient stay |
$142,868 | $54,069 | -57% |
|
Combined Anterior and Posterior Spinal Fusion without Complications/mcc
MS-DRG 455 · Inpatient stay |
$79,189 | $35,252 | -55% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
$61,114 | $20,202 | -54% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
$25,602 | $9,631 | -53% |
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.