Kentucky / Baptist Health Louisville
CMS certification 180130 · Louisville, KY · 3 entries in CMS's price-transparency list
Baptist Health Louisville: charges and Medicare payments
Baptist Health Louisville reported 7,005 Medicare inpatient stays across 162 DRGs in 2024. Across them it charged 7 times what it was paid — among the higher ratios in Kentucky, number 8 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: 466 stays at an average charge of $64,459, 29% below the national average. It also billed 6,968 outpatient services, charging 13.51 times what Medicare paid.
- 1Medicare inpatient stays 7,005
- 2Charge ÷ paid, inpatient 7×
- 3Rank in KY (highest ratio = 1) 8 of 51
- 4CMS price-transparency actions 3
Inpatient stays
For the 162 DRGs that can be compared with the national average, Baptist Health Louisville charged more than the national average in 50 (31%). 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 | 466 | $64,459 | -29% | $12,786 |
| 291 Heart Failure and Shock with MCC | 410 | $40,018 | -29% | $8,285 |
| 177 Respiratory Infections and Inflammations with MCC | 217 | $60,054 | -15% | $10,764 |
| 690 Kidney and Urinary Tract Infections without MCC | 187 | $29,254 | -23% | $5,443 |
| 193 Simple Pneumonia and Pleurisy with MCC | 176 | $44,717 | -25% | $8,576 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 162 | $34,562 | -14% | $5,385 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 144 | $38,088 | -22% | $7,077 |
| 683 Renal Failure with CC | 123 | $33,377 | -18% | $6,236 |
| 689 Kidney and Urinary Tract Infections with MCC | 122 | $38,218 | -26% | $7,590 |
| 378 Gastrointestinal Hemorrhage with CC | 110 | $53,962 | +11% | $7,025 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 106 | $66,707 | +20% | $6,695 |
| 552 Medical Back Problems without MCC | 100 | $35,907 | -27% | $6,286 |
| 194 Simple Pneumonia and Pleurisy with CC | 97 | $30,604 | -20% | $5,461 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 96 | $41,185 | -19% | $7,211 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 95 | $31,335 | -15% | $5,184 |
| 603 Cellulitis without MCC | 88 | $29,266 | -22% | $5,683 |
| 312 Syncope and Collapse | 84 | $40,638 | -11% | $5,678 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 83 | $45,481 | -25% | $8,584 |
| 189 Pulmonary Edema and Respiratory Failure | 79 | $47,270 | -18% | $8,200 |
| 178 Respiratory Infections and Inflammations with CC | 78 | $42,670 | -6% | $6,513 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 78 | $116,960 | +26% | $12,516 |
| 682 Renal Failure with MCC | 78 | $40,442 | -39% | $9,437 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 75 | $193,278 | +69% | $13,749 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 75 | $133,986 | +31% | $15,432 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 73 | $194,834 | -15% | $34,796 |
| 481 Hip and Femur Procedures except Major Joint with CC | 71 | $105,433 | +5% | $13,811 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 68 | $498,644 | +125% | $47,143 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 66 | $32,461 | -10% | $5,082 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 62 | $92,366 | -18% | $14,621 |
| 292 Heart Failure and Shock with CC | 61 | $37,998 | -2% | $5,570 |
| 202 Bronchitis and Asthma with CC/MCC | 58 | $31,775 | -31% | $6,742 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 57 | $53,125 | -30% | $10,407 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 57 | $48,385 | -15% | $7,931 |
| 948 Signs and Symptoms without MCC | 57 | $34,312 | -10% | $5,160 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 55 | $74,048 | -26% | $12,697 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 55 | $50,008 | -32% | $10,607 |
| 812 Red Blood Cell Disorders without MCC | 55 | $38,137 | -14% | $6,091 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 52 | $269,182 | +117% | $23,157 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 51 | $253,318 | +55% | $26,227 |
| 330 Major Small and Large Bowel Procedures with CC | 50 | $116,316 | -2% | $16,563 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 50 | $55,690 | -9% | $9,013 |
| 176 Pulmonary Embolism without MCC | 48 | $38,101 | -8% | $6,398 |
| 377 Gastrointestinal Hemorrhage with MCC | 47 | $67,273 | -21% | $11,582 |
| 057 Degenerative Nervous System Disorders without MCC | 46 | $34,618 | -39% | $8,649 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 45 | $22,962 | -20% | $3,689 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 45 | $91,213 | +6% | $11,270 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 43 | $67,116 | -32% | $14,078 |
| 389 Gastrointestinal Obstruction with CC | 42 | $27,346 | -30% | $5,378 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 41 | $82,409 | -12% | $11,263 |
| 467 Revision of Hip or Knee Replacement with CC | 41 | $296,004 | +88% | $27,502 |
| 536 Fractures of Hip and Pelvis without MCC | 41 | $25,624 | -32% | $5,189 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 40 | $326,003 | +16% | $39,651 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 40 | $74,653 | +17% | $7,063 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 40 | $127,215 | -8% | $17,803 |
| 811 Red Blood Cell Disorders with MCC | 40 | $60,924 | -11% | $9,525 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 39 | $59,121 | -9% | $9,108 |
| 329 Major Small and Large Bowel Procedures with MCC | 39 | $180,775 | -16% | $29,485 |
| 164 Major Chest Procedures with CC | 37 | $167,058 | +31% | $17,783 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 37 | $30,842 | -22% | $6,155 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 35 | $31,026 | -27% | $6,016 |
Showing the 60 most frequent of 162 DRGs.
Outpatient services
Against the Kentucky average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Baptist Health Louisville charged $64,459 on average, 2% more than the Kentucky average of $63,454, and was paid $12,786 against a state average of $14,765. For Heart Failure and Shock with MCC (DRG 291), Baptist Health Louisville charged $40,018 on average, 2% less than the Kentucky average of $40,730, and was paid $8,285 against a state average of $9,552. For Respiratory Infections and Inflammations with MCC (DRG 177), Baptist Health Louisville charged $60,054 on average, 12% more than the Kentucky average of $53,742, and was paid $10,764 against a state average of $12,118. For Kidney and Urinary Tract Infections without MCC (DRG 690), Baptist Health Louisville charged $29,254 on average, 9% more than the Kentucky average of $26,795, and was paid $5,443 against a state average of $6,224. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $25,609 was 26% above the state average of $20,333. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $102,617 was 17% above the state average of $87,601. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $40,039 was 36% above the state average of $29,393. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $16,799 was 40% above the state average of $11,961.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Baptist Health Louisville in Louisville, KY, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2022-12-21 (CMS case 962)
- Met Requirements — 2023-04-27 (CMS case 1541)
- Met Requirements — 2024-03-08 (CMS case 2203)
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.