Baptist Health Lexington
Baptist Health Lexington, a nonprofit hospital in Lexington, KY, charges 8.6x the Medicare reimbursement rate across 106 analyzed procedures.
Lexington, KY 40503 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Pricing grade
F
Very high
Avg markup vs Medicare
8.63x
Charge / Medicare rate
Max markup
17.94x
Worst procedure
Procedures analyzed
106
With pricing data
Outlier procedures
7.5%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $187,222 | $93,611 | — | 17.9x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $179,582 | $89,791 | — | 16.8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $177,130 | $88,565 | — | 15.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $47,392 | $23,696 | — | 14.6x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | 027 | $241,692 | $120,846 | — | 14.2x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $293,203 | $146,602 | — | 14.1x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $272,968 | $136,484 | — | 13.7x |
| ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WIT | 062 | $142,095 | $71,048 | — | 12.8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $240,912 | $120,456 | — | 12.8x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $166,921 | $83,461 | — | 12.1x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $63,301 | $31,651 | — | 11.7x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $40,950 | $20,475 | — | 11.1x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $480,761 | $240,381 | — | 11.1x |
| AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | 269 | $289,696 | $144,848 | — | 11.1x |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MC | 024 | $275,885 | $137,943 | — | 10.6x |
| SEIZURES WITHOUT MCC | 101 | $52,413 | $26,206 | — | 10.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $51,333 | $25,667 | — | 10.5x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $42,017 | $21,009 | — | 10.4x |
| OTHER FACTORS INFLUENCING HEALTH STATUS | 951 | $31,164 | $15,582 | — | 10.3x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $95,320 | $47,660 | — | 10.3x |
| EXTRACRANIAL PROCEDURES WITH CC | 038 | $93,669 | $46,834 | — | 10.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $51,408 | $25,704 | — | 10.1x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $49,274 | $24,637 | — | 10x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $119,359 | $59,680 | — | 9.9x |
| HYPERTENSION WITHOUT MCC | 305 | $34,872 | $17,436 | — | 9.8x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $86,201 | $43,100 | — | 9.7x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $58,126 | $29,063 | — | 9.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $100,046 | $50,023 | — | 9.6x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | 266 | $641,159 | $320,579 | — | 9.6x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $53,898 | $26,949 | — | 9.6x |
| CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | 036 | $105,750 | $52,875 | — | 9.6x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $47,437 | $23,719 | — | 9.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $22,708 | $11,354 | — | 9.4x |
| SYNCOPE AND COLLAPSE | 312 | $42,989 | $21,494 | — | 9.3x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | 179 | $44,574 | $22,287 | — | 9.2x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $101,431 | $50,715 | — | 9.2x |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O | 023 | $331,459 | $165,729 | — | 9.2x |
| CAROTID ARTERY STENT PROCEDURES WITH CC | 035 | $133,163 | $66,582 | — | 9.1x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $243,405 | $121,703 | — | 9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $33,991 | $16,996 | — | 9x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $189,461 | $94,730 | — | 8.9x |
| HEART FAILURE AND SHOCK WITH CC | 292 | $39,591 | $19,795 | — | 8.8x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | 235 | $302,167 | $151,083 | — | 8.7x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $41,926 | $20,963 | — | 8.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $32,841 | $16,420 | — | 8.6x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $98,610 | $49,305 | — | 8.6x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $101,674 | $50,837 | — | 8.5x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $40,139 | $20,069 | — | 8.5x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $133,536 | $66,768 | — | 8.5x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $113,261 | $56,631 | — | 8.4x |
Showing 50 of 106 procedures
How BAPTIST HEALTH LEXINGTON compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use