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SAINT JOSEPH HOSPITAL

LEXINGTON, KY 40504 · Acute Care Hospitals

72 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024

By BillRazor Research · Last updated March 27, 2026 · Methodology

Procedures Analyzed

72

With CMS pricing data

Avg Charge-to-Medicare Ratio

4.6x

Chargemaster ÷ Medicare

CMS Quality Rating

Patient experience & outcomes

Hospital Type

Acute Care Hospitals

Voluntary non-profit - Church

Above 90th Percentile

0%

Compared to KY hospitals

Understanding Your Costs

When you receive a bill from SAINT JOSEPH HOSPITAL, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, SAINT JOSEPH HOSPITAL lists chargemaster rates that average 4.6x the corresponding Medicare reimbursement amount across 72 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 4.6x, this facility’s average ratio is below 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 SAINT JOSEPH HOSPITAL is HYPERTENSION WITHOUT MCC (DRG 305). The listed chargemaster rate is $27,692, while Medicare reimburses $3,730 for the same procedure — a ratio of 7.4x (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.

SAINT JOSEPH HOSPITAL is a voluntary non-profit - church acute care hospitals facility with a CMS quality rating of 2/5 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

Listed Chargemaster Rate Medicare Reimbursement

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.

ProcedureDRGListed ChargeMedicare Reimb.RatioState Position
HYPERTENSION WITHOUT MCC305$27,692$3,7307.4x
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EXTRACRANIAL PROCEDURES WITH CC038$55,901$7,9037.1x
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ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC282$24,409$3,4597.1x
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CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC309$24,940$3,7976.6x
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EXTRACRANIAL PROCEDURES WITHOUT CC/MCC039$41,214$6,3856.5x
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LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC417$100,511$16,6476.0x
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SEIZURES WITHOUT MCC101$29,037$4,8756.0x
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OTHER VASCULAR PROCEDURES WITH CC253$85,240$14,4415.9x
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CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC308$42,102$7,3845.7x
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KIDNEY AND URINARY TRACT INFECTIONS WITH MCC689$34,704$6,1525.6x
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KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC690$22,640$4,0475.6x
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CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC310$13,936$2,5075.6x
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KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC660$43,344$7,9255.5x
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GASTROINTESTINAL HEMORRHAGE WITH CC378$30,204$5,6295.4x
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PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE175$45,636$8,5625.3x
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OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC393$62,495$11,7675.3x
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ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$26,831$5,0625.3x
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AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC239$120,608$22,8135.3x
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SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$65,290$12,4455.3x
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SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$39,791$7,6425.2x
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$28,023$5,4595.1x
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ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$18,321$3,6355.0x
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PULMONARY EDEMA AND RESPIRATORY FAILURE189$34,927$6,9465.0x
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RENAL FAILURE WITH CC683$23,119$4,6565.0x
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SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$29,059$5,8595.0x
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ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC391$55,184$11,2084.9x
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SEIZURES WITH MCC100$79,027$16,1014.9x
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$57,334$11,6834.9x
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MEDICAL BACK PROBLEMS WITHOUT MCC552$23,238$4,8404.8x
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SYNCOPE AND COLLAPSE312$22,752$4,8554.7x
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MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC330$64,589$13,8704.7x
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INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC854$52,830$11,5224.6x
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OTHER VASCULAR PROCEDURES WITH MCC252$107,658$23,5854.6x
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SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS870$204,541$45,0244.5x
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HEART FAILURE AND SHOCK WITH MCC291$32,960$7,5044.4x
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MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC640$37,352$8,5204.4x
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RED BLOOD CELL DISORDERS WITHOUT MCC812$21,710$4,9774.4x
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MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC329$123,667$28,5694.3x
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OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC271$89,947$20,8004.3x
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OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC698$40,025$9,2834.3x
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PERIPHERAL VASCULAR DISORDERS WITH MCC299$38,575$8,9974.3x
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INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC853$151,954$35,5674.3x
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RENAL FAILURE WITH MCC682$35,853$8,4374.3x
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HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC521$78,580$18,5474.2x
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RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC177$45,498$10,8924.2x
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HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$52,000$12,4714.2x
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GASTROINTESTINAL HEMORRHAGE WITH MCC377$45,225$10,9034.2x
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CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC236$101,040$24,3274.2x
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OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC314$68,743$17,0384.0x
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MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC331$39,614$9,8444.0x
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Showing 50 of 72 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

2.5x
Median: 5.1x
10.5x
4.6x

57 hospitals in KY report pricing data to CMS. This facility's average ratio of 4.6x places it at the lower-middle range of the state range (Source: CMS IPPS Provider Summary).

What You Can Do

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Federal law entitles you to a detailed breakdown of every charge. If you haven't received one, knowing what to ask for is the first step.

Learn how

Check for Common Errors

Research suggests 49-80% of hospital bills contain errors — from duplicate charges to incorrect procedure codes.

How it works

Data: 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.

Read our methodology·Report a data error

Frequently Asked Questions About SAINT JOSEPH HOSPITAL

How much does SAINT JOSEPH HOSPITAL charge compared to Medicare?

According to CMS IPPS data, SAINT JOSEPH HOSPITAL's listed chargemaster rates average 4.6x the Medicare reimbursement amount across 72 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 SAINT JOSEPH HOSPITAL?

The procedure with the highest chargemaster-to-Medicare ratio at SAINT JOSEPH HOSPITAL is HYPERTENSION WITHOUT MCC (DRG 305), with a listed charge of $27,692 compared to Medicare reimbursement of $3,730 — a ratio of 7.4x. Source: CMS IPPS Provider Summary.

Is SAINT JOSEPH HOSPITAL expensive compared to other KY hospitals?

SAINT JOSEPH HOSPITAL's average chargemaster-to-Medicare ratio is 4.6x. 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 SAINT JOSEPH HOSPITAL 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 SAINT JOSEPH HOSPITAL 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 SAINT JOSEPH HOSPITAL in LEXINGTON, KY accept Medicare?

SAINT JOSEPH HOSPITAL is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact SAINT JOSEPH HOSPITAL directly or check with your insurance provider.

Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.