Kentucky / Baptist Health Deaconess Madisonville

CMS certification 180093 · Madisonville, KY · 5 entries in CMS's price-transparency list

Baptist Health Deaconess Madisonville: charges and Medicare payments

Baptist Health Deaconess Madisonville reported 923 Medicare inpatient stays across 34 DRGs in 2024. Across them it charged 5.84 times what it was paid — among the higher ratios in Kentucky, number 13 of 51 hospitals with at least 100 stays (state median 4.06×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 157 stays at an average charge of $73,028, 19% below the national average. It also billed 1,460 outpatient services, charging 16.1 times what Medicare paid.

1Medicare inpatient stays 923
2Charge ÷ paid, inpatient 5.84×
3Rank in KY (highest ratio = 1) 13 of 51
4CMS price-transparency actions 5

Average charge per stay at Baptist Health Deaconess Madisonville, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 34 DRGs that can be compared with the national average, Baptist Health Deaconess Madisonville charged more than the national average in 13 (38%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	157	$73,028	-19%	$15,000
291 Heart Failure and Shock with MCC	80	$58,211	+3%	$9,685
177 Respiratory Infections and Inflammations with MCC	53	$58,776	-17%	$12,694
193 Simple Pneumonia and Pleurisy with MCC	51	$48,976	-18%	$10,022
189 Pulmonary Edema and Respiratory Failure	48	$43,413	-25%	$9,381
280 Acute Myocardial Infarction, Discharged Alive with MCC	38	$88,351	+17%	$12,632
683 Renal Failure with CC	31	$39,592	-3%	$6,746
885 Psychoses	31	$27,095	-38%	$10,337
698 Other Kidney and Urinary Tract Diagnoses with MCC	30	$54,162	-26%	$12,521
036 Carotid Artery Stent Procedures without CC/MCC	29	$127,421	+44%	$13,371
682 Renal Failure with MCC	29	$64,699	-2%	$11,505
689 Kidney and Urinary Tract Infections with MCC	24	$52,688	+3%	$8,965
853 Infectious and Parasitic Diseases with O.R. Procedures with...	22	$225,255	-2%	$35,947
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	21	$68,582	+2%	$10,622
321 Percutaneous Cardiovascular Procedures with Intraluminal...	19	$219,386	+34%	$21,008
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	19	$47,169	-22%	$10,106
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	19	$43,301	-12%	$7,935
308 Cardiac Arrhythmia and Conduction Disorders with MCC	17	$50,280	-11%	$9,175
378 Gastrointestinal Hemorrhage with CC	16	$52,610	+8%	$7,533
286 Circulatory Disorders except AMI, with Cardiac...	15	$107,508	-4%	$16,477
194 Simple Pneumonia and Pleurisy with CC	14	$38,508	0%	$6,848
322 Percutaneous Cardiovascular Procedures with Intraluminal...	14	$196,509	+72%	$14,358
330 Major Small and Large Bowel Procedures with CC	14	$104,236	-12%	$18,865
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	14	$169,085	+65%	$15,897
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	13	$71,920	-28%	$13,862
690 Kidney and Urinary Tract Infections without MCC	13	$39,277	+4%	$6,822
208 Respiratory System Diagnosis with Ventilator Support <=96...	12	$102,802	-24%	$20,223
329 Major Small and Large Bowel Procedures with MCC	12	$171,608	-20%	$34,703
377 Gastrointestinal Hemorrhage with MCC	12	$83,311	-2%	$13,630
699 Other Kidney and Urinary Tract Diagnoses with CC	12	$53,402	+12%	$7,914
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	11	$55,671	0%	$7,873
481 Hip and Femur Procedures except Major Joint with CC	11	$128,530	+28%	$15,512
521 Hip Replacement with Principal Diagnosis of Hip Fracture...	11	$177,318	+31%	$22,084
870 Septicemia or Severe Sepsis with MV >96 Hours	11	$144,371	-55%	$51,031

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	499	$27,899	$2,507
Level 1 Endovascular Procedures	111	$54,720	$2,981
Level 5 Musculoskeletal Procedures	100	$185,353	$12,054
Level 2 Excision/ Biopsy/ Incision and Drainage	73	$16,480	$1,484
Level 3 Endovascular Procedures	70	$178,572	$10,047
Level 2 Upper GI Procedures	59	$17,294	$1,760
Level 1 Laparoscopy and Related Services	52	$60,675	$5,257
Level 3 Vascular Procedures	45	$33,766	$2,949
Level 4 Urology and Related Services	45	$23,941	$3,225
Level 3 Musculoskeletal Procedures	38	$26,080	$2,862
Level 4 Musculoskeletal Procedures	36	$69,180	$6,144
Level 2 Endovascular Procedures	36	$90,990	$5,288
Level 3 Excision/ Biopsy/ Incision and Drainage	34	$21,173	$2,552
Level 3 Urology and Related Services	31	$15,909	$1,884
Level 5 Airway Endoscopy	26	$52,032	$6,332
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	26	$50,132	$3,201
Level 5 Urology and Related Services	25	$32,925	$4,787
Level 3 Pacemaker and Similar Procedures	24	$151,219	$9,872
Level 6 Musculoskeletal Procedures	18	$204,580	$17,204
Level 3 Electrophysiologic Procedures	18	$298,764	$21,917
Level 1 Nerve Procedures	18	$17,980	$1,707
Level 2 Urology and Related Services	17	$11,145	$632
Level 4 Airway Endoscopy	13	$38,862	$3,465
Level 1 Breast/Lymphatic Surgery and Related Procedures	12	$33,944	$3,527
Level 3 Lower GI Procedures	12	$25,286	$2,598

Against the Kentucky average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Baptist Health Deaconess Madisonville charged $73,028 on average, 15% more than the Kentucky average of $63,454, and was paid $15,000 against a state average of $14,765. For Heart Failure and Shock with MCC (DRG 291), Baptist Health Deaconess Madisonville charged $58,211 on average, 43% more than the Kentucky average of $40,730, and was paid $9,685 against a state average of $9,552. For Respiratory Infections and Inflammations with MCC (DRG 177), Baptist Health Deaconess Madisonville charged $58,776 on average, 9% more than the Kentucky average of $53,742, and was paid $12,694 against a state average of $12,118. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Baptist Health Deaconess Madisonville charged $48,976 on average, 12% more than the Kentucky average of $43,745, and was paid $10,022 against a state average of $9,962. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $27,899 was 37% above the state average of $20,333. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $54,720 was 86% above the state average of $29,393. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $185,353 was 112% above the state average of $87,601. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $16,480 was 38% above the state average of $11,961.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Baptist Health Deaconess Madisonville in Madisonville, KY, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

Warning Notice — 2024-03-07 (CMS case 2258)
CAP Request — 2024-06-20 (CMS case 2258)
Closure Notice — 2024-09-18 (CMS case 2258)
Warning Notice — 2026-02-04 (CMS case 6924)
Closure Notice — 2026-05-07 (CMS case 6924)

A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.

Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.

Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.