BAPTIST HEALTH LEXINGTON
LEXINGTON, KY 40503 · Acute Care Hospitals
106 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 27, 2026 · Methodology
Procedures Analyzed
106
With CMS pricing data
Avg Charge-to-Medicare Ratio
8.6x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Voluntary non-profit - Other
Above 90th Percentile
8%
Compared to KY hospitals
Understanding Your Costs
When you receive a bill from BAPTIST HEALTH LEXINGTON, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, BAPTIST HEALTH LEXINGTON lists chargemaster rates that average 8.6x the corresponding Medicare reimbursement amount across 106 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).
The median hospital in KY has a chargemaster-to-Medicare ratio of 5.1x, with ratios across the state ranging from 2.5x to 10.5x. At 8.6x, this facility’s average ratio is above the state median. 57 hospitals in KY report pricing data to CMS (Source: CMS IPPS Provider Summary).
The procedure with the largest gap between the listed price and Medicare reimbursement at BAPTIST HEALTH LEXINGTON is PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC (DRG 322). The listed chargemaster rate is $187,222, while Medicare reimburses $10,436 for the same procedure — a ratio of 17.9x (Source: CMS IPPS Provider Summary, FY2024).
What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.
8 of 106 procedures (8%) at this facility have listed rates above the 90th percentile compared to other KY hospitals reporting the same procedure data to CMS (Source: CMS IPPS Provider Summary).
BAPTIST HEALTH LEXINGTON is a voluntary non-profit - other acute care hospitals facility with a CMS quality rating of 4/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.
Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio
Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Procedure Pricing Lookup
Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.
| Procedure | DRG | Listed Charge | Medicare Reimb. | Ratio | State Position | |
|---|---|---|---|---|---|---|
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $187,222 | $10,436 | 17.9x | 1th | Compare your bill |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $179,582 | $10,696 | 16.8x | 1th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $177,130 | $11,400 | 15.5x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $47,392 | $3,240 | 14.6x | 1th | Compare your bill |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | 027 | $241,692 | $17,022 | 14.2x | 1th | Compare your bill |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $293,203 | $20,832 | 14.1x | 1th | Compare your bill |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $272,968 | $19,993 | 13.7x | 1th | Compare your bill |
| ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WIT | 062 | $142,095 | $11,079 | 12.8x | 1th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $240,912 | $18,796 | 12.8x | 1th | Compare your bill |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $166,921 | $13,769 | 12.1x | 1th | Compare your bill |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $63,301 | $5,410 | 11.7x | 1th | Compare your bill |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $40,950 | $3,677 | 11.1x | 1th | Compare your bill |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $480,761 | $43,350 | 11.1x | 1th | Compare your bill |
| AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | 269 | $289,696 | $26,149 | 11.1x | 1th | Compare your bill |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MC | 024 | $275,885 | $26,097 | 10.6x | 1th | Compare your bill |
| SEIZURES WITHOUT MCC | 101 | $52,413 | $4,971 | 10.5x | 1th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $51,333 | $4,898 | 10.5x | 1th | Compare your bill |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $42,017 | $4,037 | 10.4x | 1th | Compare your bill |
| OTHER FACTORS INFLUENCING HEALTH STATUS | 951 | $31,164 | $3,036 | 10.3x | 1th | Compare your bill |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $95,320 | $9,298 | 10.3x | 1th | Compare your bill |
| EXTRACRANIAL PROCEDURES WITH CC | 038 | $93,669 | $9,276 | 10.1x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $51,408 | $5,097 | 10.1x | 1th | Compare your bill |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $49,274 | $4,943 | 10.0x | 1th | Compare your bill |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $119,359 | $12,071 | 9.9x | 1th | Compare your bill |
| HYPERTENSION WITHOUT MCC | 305 | $34,872 | $3,574 | 9.8x | 1th | Compare your bill |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $86,201 | $8,899 | 9.7x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $100,046 | $10,389 | 9.6x | 1th | Compare your bill |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $58,126 | $6,037 | 9.6x | 1th | Compare your bill |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | 266 | $641,159 | $66,782 | 9.6x | 1th | Compare your bill |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $53,898 | $5,639 | 9.6x | 1th | Compare your bill |
| CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | 036 | $105,750 | $11,072 | 9.6x | 1th | Compare your bill |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $47,437 | $5,010 | 9.5x | 1th | Compare your bill |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $22,708 | $2,430 | 9.3x | 0th | Compare your bill |
| SYNCOPE AND COLLAPSE | 312 | $42,989 | $4,644 | 9.3x | 1th | Compare your bill |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | 179 | $44,574 | $4,834 | 9.2x | 1th | Compare your bill |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $101,431 | $11,028 | 9.2x | 1th | Compare your bill |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O | 023 | $331,459 | $36,230 | 9.2x | 1th | Compare your bill |
| CAROTID ARTERY STENT PROCEDURES WITH CC | 035 | $133,163 | $14,693 | 9.1x | 1th | Compare your bill |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $243,405 | $26,935 | 9.0x | 1th | Compare your bill |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $33,991 | $3,783 | 9.0x | 1th | Compare your bill |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $189,461 | $21,408 | 8.8x | 1th | Compare your bill |
| HEART FAILURE AND SHOCK WITH CC | 292 | $39,591 | $4,477 | 8.8x | 1th | Compare your bill |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | 235 | $302,167 | $34,572 | 8.7x | 1th | Compare your bill |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $32,841 | $3,800 | 8.6x | 1th | Compare your bill |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $41,926 | $4,853 | 8.6x | 1th | Compare your bill |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $98,610 | $11,535 | 8.6x | 1th | Compare your bill |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $101,674 | $11,918 | 8.5x | 1th | Compare your bill |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $40,139 | $4,732 | 8.5x | 1th | Compare your bill |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $133,536 | $15,808 | 8.4x | 1th | Compare your bill |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $113,261 | $13,420 | 8.4x | 1th | Compare your bill |
Showing 50 of 106 procedures
All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Statewide Context
Charge-to-Medicare ratio range across KY hospitals
57 hospitals in KY report pricing data to CMS. This facility's average ratio of 8.6x places it at the upper end of the state range (Source: CMS IPPS Provider Summary).
What You Can Do
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How it worksData: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).
Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.
Frequently Asked Questions About BAPTIST HEALTH LEXINGTON
How much does BAPTIST HEALTH LEXINGTON charge compared to Medicare?
According to CMS IPPS data, BAPTIST HEALTH LEXINGTON's listed chargemaster rates average 8.6x the Medicare reimbursement amount across 106 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.
What is the most expensive procedure at BAPTIST HEALTH LEXINGTON?
The procedure with the highest chargemaster-to-Medicare ratio at BAPTIST HEALTH LEXINGTON is PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC (DRG 322), with a listed charge of $187,222 compared to Medicare reimbursement of $10,436 — a ratio of 17.9x. Source: CMS IPPS Provider Summary.
Is BAPTIST HEALTH LEXINGTON expensive compared to other KY hospitals?
BAPTIST HEALTH LEXINGTON's average chargemaster-to-Medicare ratio is 8.6x. Ratios vary significantly across KY hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.
Where does the pricing data for BAPTIST HEALTH LEXINGTON come from?
All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.
How can I check if my bill from BAPTIST HEALTH LEXINGTON is correct?
You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.
Does BAPTIST HEALTH LEXINGTON in LEXINGTON, KY accept Medicare?
BAPTIST HEALTH LEXINGTON is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact BAPTIST HEALTH LEXINGTON directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.