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University of Kentucky Hospital

University of Kentucky Hospital in Lexington charges 6.0x the Medicare reimbursement rate on average across 161 analyzed procedures at this government-owned medical facility.

Lexington, KY 40536 · Acute Care Hospitals · CMS Rating: 4/5

By Elena Vasquez , Medical Billing Research Lead · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
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.

161 procedures analyzed
CMS price transparency data
Updated 2026-04-03
Median 4.2x2.4x15.0x
6.0x
Medicare markup ratio
KY lowestUniversity of Kentucky...KY highest
6.0x
Avg markup ratio
5.8x
Median markup
161
Procedures
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Billing patterns — government

Government hospitals in our dataset demonstrate distinct billing patterns compared to other ownership types. With 374 facilities analyzed, these hospitals show an average markup of 4.2x Medicare rates, which typically falls below the industry average for comparable services. Government hospitals often maintain more standardized pricing structures due to regulatory oversight and public accountability requirements. Patients may encounter charges above the benchmark for certain procedures, though the potential difference between government hospital billing and private facilities can vary significantly by service type and geographic region. Common charge patterns include transparent itemization of services and adherence to established fee schedules. Patients should be aware that government hospitals frequently offer financial assistance programs and sliding scale payment options based on income eligibility. These facilities often provide detailed cost estimates upon request and maintain patient financial counselors to discuss billing arrangements before treatment when possible.

Pricing grade

D

High

Avg markup vs Medicare

6.04x

Charge / Medicare rate

Max markup

16.07x

Worst procedure

Procedures analyzed

161

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.

ProcedureCodeGross chargeCash priceMedicareMarkup
KIDNEY TRANSPLANT652$264,248$132,12416.1x
NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC071$74,280$37,14012.3x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC190$71,150$35,57510.3x
MAJOR CHEST TRAUMA WITH CC184$66,932$33,46610.2x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC066$42,557$21,2789.7x
DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC439$48,185$24,0939x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$69,704$34,8528.9x
PNEUMOTHORAX WITH CC200$64,234$32,1178.8x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC178$62,303$31,1528.7x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC854$105,111$52,5558.3x
OTHER CIRCULATORY SYSTEM O.R. PROCEDURES264$191,439$95,7208.2x
COMPLICATIONS OF TREATMENT WITH CC920$58,698$29,3498.2x
OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC205$137,798$68,8998.1x
PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC543$60,538$30,2698.1x
RED BLOOD CELL DISORDERS WITHOUT MCC812$58,172$29,0868x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$81,795$40,8978x
PNEUMOTHORAX WITH MCC199$91,115$45,5588x
OTHER DISORDERS OF NERVOUS SYSTEM WITH CC092$47,825$23,9127.7x
MAJOR CHEST TRAUMA WITH MCC183$82,919$41,4597.7x
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC516$108,558$54,2797.6x
OTHER O.R. PROCEDURES FOR INJURIES WITH CC908$106,464$53,2327.6x
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC418$76,421$38,2107.5x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC310$25,352$12,6767.4x
CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MC024$184,670$92,3357.3x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$88,970$44,4857.3x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$50,830$25,4157.3x
DISORDERS OF THE BILIARY TRACT WITH CC445$58,927$29,4637.3x
GASTROINTESTINAL HEMORRHAGE WITH CC378$45,245$22,6237.2x
TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC605$44,250$22,1257.2x
MAJOR HEAD AND NECK PROCEDURES WITH CC141$94,042$47,0217.2x
KIDNEY AND URINARY TRACT INFECTIONS WITH MCC689$65,209$32,6047.1x
DIABETES WITH CC638$42,182$21,0917.1x
NERVOUS SYSTEM NEOPLASMS WITH MCC054$83,356$41,6787x
RED BLOOD CELL DISORDERS WITH MCC811$94,579$47,2897x
OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC963$172,790$86,3957x
SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS029$171,241$85,6217x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$46,868$23,4346.9x
POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC917$91,188$45,5946.9x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC064$96,525$48,2626.8x
DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC438$71,797$35,8986.7x
SEIZURES WITHOUT MCC101$40,205$20,1026.7x
RENAL FAILURE WITH CC683$40,842$20,4216.7x
OTHER VASCULAR PROCEDURES WITH MCC252$251,002$125,5016.7x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC391$78,352$39,1766.7x
MEDICAL BACK PROBLEMS WITHOUT MCC552$40,879$20,4396.6x
LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC493$108,704$54,3526.6x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$95,334$47,6676.6x
OTHER VASCULAR PROCEDURES WITH CC253$121,504$60,7526.6x
OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC091$84,139$42,0706.6x
PULMONARY EDEMA AND RESPIRATORY FAILURE189$65,430$32,7156.6x

Showing 50 of 161 procedures

How UNIVERSITY OF KENTUCKY 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.

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

FAQ — government hospital billing

How do government hospital billing rates compare to Medicare benchmarks?
Based on available data from 374 government hospitals, charges average 4.2 times the Medicare benchmark rates. Government hospitals, while publicly owned, still establish their own pricing structures that can result in charges above standard Medicare rates.
Why do government hospitals charge above Medicare rates if they're publicly owned?
Government hospitals operate as independent entities that must cover operational costs, equipment, and staffing expenses. Public ownership doesn't require hospitals to limit charges to Medicare benchmark levels, as they still need to maintain financial sustainability for continued operations.
What should I expect when reviewing a government hospital bill?
Government hospital bills typically show charges that may be several times higher than Medicare benchmark rates, with the average markup being approximately 4.2x across sampled facilities. The final amount you pay will depend on your insurance coverage, negotiated rates, and any applicable financial assistance programs.
Are there potential billing differences between government hospitals and other facility types?
Government hospitals show similar billing patterns to other hospital types, with charges typically set above Medicare benchmarks. The potential difference in what patients ultimately pay often depends more on individual insurance plans and hospital financial assistance policies than on the ownership structure of the facility.

Related pricing data

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

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