87/100
#150 nationally
Saint Joseph Mount Sterling
225 Falcon Drive, Mount Sterling, KY 40353 · (859) 497-5018
Charges close to what care is actually paid for
For every $1 of care Medicare actually paid for here, Saint Joseph Mount Sterling billed $2.86 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
- 2.9x
- volume-weighted across all its priced work
- Procedures priced
- 13
- inpatient and outpatient combined
- Rank in KY
- #2
- 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 81% of U.S. hospitals.
Better than 92% of U.S. hospitals.
Better than 87% of U.S. hospitals.
Better than 95% 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 |
169 | $5,342 | $1,983 | -55% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
49 | $32,070 | $11,044 | -49% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
48 | $33,665 | $14,334 | -48% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
45 | $11,406 | $2,340 | -41% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
38 | $34,455 | $10,515 | -26% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
35 | $9,494 | $1,591 | -19% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
22 | $21,740 | $9,901 | -50% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
17 | $22,829 | $9,897 | -53% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
16 | $10,517 | $2,492 | -48% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
16 | $21,424 | $5,839 | -46% |
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 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$9,494 | $1,591 | -19% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$34,455 | $10,515 | -26% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$13,582 | $2,981 | -34% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$11,406 | $2,340 | -41% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$21,424 | $5,839 | -46% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$17,350 | $7,347 | -47% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$10,517 | $2,492 | -48% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$33,665 | $14,334 | -48% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$5,342 | $1,983 | -55% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$22,829 | $9,897 | -53% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$21,740 | $9,901 | -50% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$26,902 | $11,154 | -49% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$32,070 | $11,044 | -49% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$33,665 | $14,334 | -48% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$10,517 | $2,492 | -48% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$17,350 | $7,347 | -47% |
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.