Mercy Health - Lourdes Hospital
Mercy Health - Lourdes Hospital in Paducah, KY charges 6.5x the Medicare reimbursement rate across 65 analyzed procedures, reflecting typical pricing patterns for nonprofit religious hospitals.
Paducah, KY 42003 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
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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
D
High
Avg markup vs Medicare
6.49x
Charge / Medicare rate
Max markup
10.77x
Worst procedure
Procedures analyzed
65
With pricing data
Outlier procedures
0%
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 |
|---|---|---|---|---|---|
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $26,129 | $13,064 | — | 10.8x |
| ATHEROSCLEROSIS WITHOUT MCC | 303 | $33,294 | $16,647 | — | 10.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $32,149 | $16,074 | — | 10.3x |
| CHEST PAIN | 313 | $31,594 | $15,797 | — | 9.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $55,350 | $27,675 | — | 8.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $30,076 | $15,038 | — | 8.4x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $49,960 | $24,980 | — | 8.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $83,970 | $41,985 | — | 8.4x |
| DIABETES WITH MCC | 637 | $56,305 | $28,152 | — | 7.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $30,555 | $15,277 | — | 7.8x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $32,322 | $16,161 | — | 7.7x |
| SYNCOPE AND COLLAPSE | 312 | $35,425 | $17,713 | — | 7.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $38,339 | $19,170 | — | 7.6x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $40,198 | $20,099 | — | 7.6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $29,445 | $14,723 | — | 7.6x |
| SEIZURES WITHOUT MCC | 101 | $35,602 | $17,801 | — | 7.5x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $94,229 | $47,114 | — | 7.4x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $40,204 | $20,102 | — | 7.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $38,343 | $19,171 | — | 7.4x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $28,673 | $14,336 | — | 7.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $31,205 | $15,603 | — | 7.2x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $105,642 | $52,821 | — | 7.1x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $74,561 | $37,281 | — | 7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $35,751 | $17,875 | — | 7x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $33,808 | $16,904 | — | 7x |
| RENAL FAILURE WITH CC | 683 | $32,904 | $16,452 | — | 6.8x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $82,822 | $41,411 | — | 6.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $68,370 | $34,185 | — | 6.7x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $135,067 | $67,533 | — | 6.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $25,426 | $12,713 | — | 6.6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $73,048 | $36,524 | — | 6.6x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $90,032 | $45,016 | — | 6.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $45,319 | $22,660 | — | 6.5x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $43,976 | $21,988 | — | 6.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $112,512 | $56,256 | — | 6.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $46,090 | $23,045 | — | 6.3x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $112,583 | $56,292 | — | 6.2x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | 233 | $293,611 | $146,805 | — | 6.2x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $33,123 | $16,562 | — | 6x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | 442 | $34,323 | $17,161 | — | 6x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $35,563 | $17,781 | — | 5.9x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $32,564 | $16,282 | — | 5.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $40,118 | $20,059 | — | 5.8x |
| CELLULITIS WITHOUT MCC | 603 | $24,646 | $12,323 | — | 5.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $60,627 | $30,314 | — | 5.6x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $138,228 | $69,114 | — | 5.6x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $52,424 | $26,212 | — | 5.4x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $38,528 | $19,264 | — | 5.4x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $68,465 | $34,233 | — | 5.4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $31,709 | $15,854 | — | 5.2x |
Showing 50 of 65 procedures
How MERCY HEALTH - LOURDES HOSPITAL 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