Baptist Health Paducah
Baptist Health Paducah, a nonprofit-religious hospital in Paducah, KY, charges 8.2x the Medicare reimbursement rate across 74 analyzed procedures.
Paducah, KY 42003 · Acute Care Hospitals · CMS Rating: 5/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Billing patterns — nonprofit-religious
Nonprofit religious hospitals, representing 203 facilities in the dataset, demonstrate an average markup of 5.4x Medicare rates, positioning them in the mid-range compared to other ownership types. These institutions typically maintain standardized charge structures across their health system networks, often reflecting their mission-driven approach to healthcare delivery. Patients at nonprofit religious hospitals may encounter charges above the benchmark for routine procedures, though many offer financial assistance programs and charity care policies that can significantly reduce out-of-pocket expenses for qualifying individuals. Common billing patterns include transparent pricing for elective procedures and comprehensive financial counseling services. The potential difference between listed charges and actual patient responsibility can be substantial, particularly for uninsured patients who may qualify for sliding-scale payment options. Patients should inquire about available financial assistance programs during the admissions process, as these hospitals often have more flexible payment arrangements compared to for-profit facilities, reflecting their tax-exempt status and community benefit obligations.
Pricing grade
F
Very high
Avg markup vs Medicare
8.18x
Charge / Medicare rate
Max markup
15.93x
Worst procedure
Procedures analyzed
74
With pricing data
Outlier procedures
10.8%
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 DRUG-ELUTING STENT WITHOUT MCC | 247 | $169,788 | $84,894 | — | 15.9x |
| CERVICAL SPINAL FUSION WITHOUT CC/MCC | 473 | $190,038 | $95,019 | — | 13.5x |
| CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | 036 | $145,358 | $72,679 | — | 12.8x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $252,529 | $126,264 | — | 12.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $37,540 | $18,770 | — | 12.5x |
| CERVICAL SPINAL FUSION WITH CC | 472 | $219,855 | $109,928 | — | 11.8x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $434,876 | $217,438 | — | 11.7x |
| AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | 269 | $299,517 | $149,758 | — | 11.7x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $392,909 | $196,455 | — | 11.4x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $240,849 | $120,424 | — | 11.3x |
| OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | 167 | $121,678 | $60,839 | — | 11.2x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $510,533 | $255,267 | — | 11x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $190,607 | $95,303 | — | 11x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $104,932 | $52,466 | — | 11x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $327,927 | $163,964 | — | 10.7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $63,114 | $31,557 | — | 10.6x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | 027 | $137,495 | $68,748 | — | 10.5x |
| CAROTID ARTERY STENT PROCEDURES WITH CC | 035 | $143,068 | $71,534 | — | 10.4x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $95,097 | $47,548 | — | 10.1x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $232,150 | $116,075 | — | 10x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $241,773 | $120,886 | — | 10x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $58,657 | $29,328 | — | 9.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $45,995 | $22,998 | — | 9.7x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $119,605 | $59,802 | — | 9.5x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $36,893 | $18,446 | — | 9.3x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $46,817 | $23,408 | — | 9.2x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $50,017 | $25,009 | — | 9.2x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $517,291 | $258,646 | — | 9.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $34,320 | $17,160 | — | 8.9x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $83,335 | $41,667 | — | 8.7x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $35,386 | $17,693 | — | 8.6x |
| SEIZURES WITHOUT MCC | 101 | $39,860 | $19,930 | — | 8.5x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $106,135 | $53,067 | — | 8.5x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $20,307 | $10,153 | — | 8.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $42,599 | $21,299 | — | 8.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $88,350 | $44,175 | — | 7.9x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $29,834 | $14,917 | — | 7.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $30,662 | $15,331 | — | 7.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $40,058 | $20,029 | — | 7.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $26,967 | $13,484 | — | 7.5x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | 233 | $340,924 | $170,462 | — | 7.4x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $33,501 | $16,751 | — | 7.1x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $100,611 | $50,306 | — | 7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $16,204 | $8,102 | — | 7x |
| SYNCOPE AND COLLAPSE | 312 | $32,750 | $16,375 | — | 6.9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $26,450 | $13,225 | — | 6.8x |
| HYPERTENSION WITHOUT MCC | 305 | $24,180 | $12,090 | — | 6.8x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $52,400 | $26,200 | — | 6.8x |
| RENAL FAILURE WITH CC | 683 | $28,558 | $14,279 | — | 6.5x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $94,804 | $47,402 | — | 6.4x |
Showing 50 of 74 procedures
How BAPTIST HEALTH PADUCAH 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.
FAQ — nonprofit-religious hospital billing
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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