Healthcare Pricing Data: LEXINGTON, KY
4 hospitals with public pricing data · 30 procedures reported to CMS
Hospitals
4
With CMS data
Procedures
30
DRG categories
Avg Charge-to-Medicare Ratio
6.1x
Across all procedures
vs National Average
-9%
Chargemaster rates
About This Data
LEXINGTON, KY has 4 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 6.1x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)
The procedure with the highest average listed charges in LEXINGTON is ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC (DRG 267), with an average chargemaster rate of $262,600 across reporting hospitals.
Important: Chargemaster rates are hospital list prices and are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage. Use this data as a starting point for understanding pricing in your area.
Procedure Pricing Data
| Procedure | DRG | Avg Listed Charge | Hospitals Reporting | Charge-to-Medicare Ratio |
|---|---|---|---|---|
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $70,069 | 4 | 5.4x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $57,441 | 4 | 4.6x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $45,098 | 4 | 5.7x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $41,158 | 4 | 5.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $41,002 | 4 | 5.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $35,192 | 4 | 5.8x |
| RENAL FAILURE WITH CC | 683 | $29,938 | 4 | 5.7x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $262,600 | 3 | 6.6x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $191,754 | 3 | 5.3x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $182,707 | 3 | 6.7x |
| AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | 269 | $182,462 | 3 | 6.5x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $157,035 | 3 | 6.0x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $150,478 | 3 | 7.2x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $149,349 | 3 | 5.0x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $113,426 | 3 | 7.0x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | 521 | $111,728 | 3 | 5.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $107,811 | 3 | 9.2x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $88,898 | 3 | 6.9x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $86,653 | 3 | 5.8x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $85,517 | 3 | 7.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $81,741 | 3 | 6.8x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $80,478 | 3 | 5.9x |
| SEIZURES WITH MCC | 100 | $78,327 | 3 | 5.8x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $76,181 | 3 | 6.2x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $69,899 | 3 | 5.8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $62,914 | 3 | 6.5x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $61,750 | 3 | 6.1x |
| RENAL FAILURE WITH MCC | 682 | $54,430 | 3 | 5.2x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $54,216 | 3 | 5.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $54,077 | 3 | 5.2x |
Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.
Hospitals in LEXINGTON With Pricing Data
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Upload your bill — free comparisonData from CMS Inpatient Prospective Payment System (IPPS) Provider Summary. All data publicly available under federal law (45 CFR Part 180).
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