Kentucky / Baptist Health Paducah
CMS certification 180104 · Paducah, KY · 3 entries in CMS's price-transparency list
Baptist Health Paducah: charges and Medicare payments
Baptist Health Paducah reported 2,116 Medicare inpatient stays across 70 DRGs in 2024. Across them it charged 7.24 times what it was paid — among the higher ratios in Kentucky, number 5 of 51 hospitals with at least 100 stays (state median 4.06×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 150 stays at an average charge of $42,708, 24% below the national average. It also billed 3,269 outpatient services, charging 14.31 times what Medicare paid.
- 1Medicare inpatient stays 2,116
- 2Charge ÷ paid, inpatient 7.24×
- 3Rank in KY (highest ratio = 1) 5 of 51
- 4CMS price-transparency actions 3
Inpatient stays
For the 70 DRGs that can be compared with the national average, Baptist Health Paducah charged more than the national average in 26 (37%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 291 Heart Failure and Shock with MCC | 150 | $42,708 | -24% | $8,967 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 117 | $66,049 | -27% | $14,071 |
| 193 Simple Pneumonia and Pleurisy with MCC | 89 | $45,155 | -24% | $9,578 |
| 036 Carotid Artery Stent Procedures without CC/MCC | 78 | $137,481 | +55% | $13,535 |
| 189 Pulmonary Edema and Respiratory Failure | 72 | $41,871 | -27% | $9,115 |
| 177 Respiratory Infections and Inflammations with MCC | 70 | $64,967 | -8% | $12,132 |
| 690 Kidney and Urinary Tract Infections without MCC | 58 | $30,576 | -19% | $5,940 |
| 035 Carotid Artery Stent Procedures with CC | 56 | $147,677 | +30% | $16,139 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 53 | $38,054 | +5% | $5,482 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 51 | $35,894 | -29% | $8,045 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 50 | $24,957 | -33% | $5,554 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 45 | $261,281 | +24% | $29,628 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 45 | $43,652 | -11% | $7,392 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 44 | $292,206 | +86% | $24,444 |
| 378 Gastrointestinal Hemorrhage with CC | 43 | $47,174 | -3% | $6,964 |
| 683 Renal Failure with CC | 41 | $31,322 | -23% | $6,490 |
| 682 Renal Failure with MCC | 39 | $42,489 | -36% | $10,240 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 38 | $167,140 | +46% | $13,484 |
| 481 Hip and Femur Procedures except Major Joint with CC | 38 | $124,942 | +24% | $14,515 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 37 | $45,611 | -19% | $8,580 |
| 603 Cellulitis without MCC | 34 | $23,672 | -37% | $6,281 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 33 | $211,935 | +29% | $20,155 |
| 194 Simple Pneumonia and Pleurisy with CC | 32 | $28,204 | -27% | $6,054 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 30 | $36,597 | -39% | $9,169 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 29 | $46,790 | -16% | $7,074 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 29 | $28,604 | -29% | $5,682 |
| 689 Kidney and Urinary Tract Infections with MCC | 29 | $45,548 | -11% | $8,401 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 27 | $22,950 | -20% | $4,074 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 26 | $85,735 | -37% | $18,939 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 25 | $63,739 | -13% | $11,793 |
| 460 Spinal Fusion except Cervical without MCC | 23 | $284,894 | +67% | $28,883 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 23 | $105,784 | +3% | $14,278 |
| 312 Syncope and Collapse | 21 | $30,934 | -32% | $6,235 |
| 178 Respiratory Infections and Inflammations with CC | 20 | $46,660 | +3% | $7,109 |
| 220 Cardiac Valve and Other Major Cardiothoracic Procedures... | 20 | $479,116 | +74% | $42,418 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 20 | $51,207 | -32% | $11,402 |
| 473 Cervical Spinal Fusion without CC/MCC | 20 | $174,712 | +52% | $17,209 |
| 951 Other Factors Influencing Health Status | 20 | $32,606 | +28% | $4,513 |
| 234 Coronary Bypass with Cardiac Catheterization or Open... | 19 | $339,526 | +26% | $38,144 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 19 | $83,301 | +30% | $8,290 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 19 | $107,704 | +25% | $12,584 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 18 | $204,849 | -11% | $32,661 |
| 292 Heart Failure and Shock with CC | 16 | $41,613 | +7% | $5,938 |
| 305 Hypertension without MCC | 16 | $28,141 | -30% | $5,453 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 15 | $65,989 | -34% | $14,297 |
| 329 Major Small and Large Bowel Procedures with MCC | 15 | $179,015 | -17% | $31,084 |
| 389 Gastrointestinal Obstruction with CC | 15 | $22,289 | -43% | $5,748 |
| 390 Gastrointestinal Obstruction without CC/MCC | 15 | $23,986 | -14% | $3,947 |
| 176 Pulmonary Embolism without MCC | 14 | $28,750 | -31% | $5,898 |
| 269 Aortic and Heart Assist Procedures except Pulsation Balloon... | 14 | $315,775 | +64% | $29,562 |
| 314 Other Circulatory System Diagnoses with MCC | 14 | $59,079 | -38% | $13,805 |
| 472 Cervical Spinal Fusion with CC | 14 | $182,351 | +28% | $24,588 |
| 812 Red Blood Cell Disorders without MCC | 14 | $44,331 | 0% | $6,357 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 13 | $26,051 | -34% | $5,923 |
| 372 Major Gastrointestinal Disorders and Peritoneal Infections... | 13 | $42,127 | -11% | $7,192 |
| 377 Gastrointestinal Hemorrhage with MCC | 13 | $88,392 | +4% | $13,371 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 13 | $453,637 | +123% | $42,286 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 13 | $37,345 | -12% | $6,450 |
| 066 Intracranial Hemorrhage or Cerebral Infarction without... | 12 | $39,496 | -7% | $6,052 |
| 221 Cardiac Valve and Other Major Cardiothoracic Procedures... | 12 | $355,703 | +53% | $36,978 |
Showing the 60 most frequent of 70 DRGs.
Outpatient services
Against the Kentucky average
For Heart Failure and Shock with MCC (DRG 291), Baptist Health Paducah charged $42,708 on average, 5% more than the Kentucky average of $40,730, and was paid $8,967 against a state average of $9,552. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Baptist Health Paducah charged $66,049 on average, 4% more than the Kentucky average of $63,454, and was paid $14,071 against a state average of $14,765. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Baptist Health Paducah charged $45,155 on average, 3% more than the Kentucky average of $43,745, and was paid $9,578 against a state average of $9,962. For Carotid Artery Stent Procedures without CC/MCC (DRG 036), Baptist Health Paducah charged $137,481 on average, 19% more than the Kentucky average of $116,013, and was paid $13,535 against a state average of $13,733. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $29,180 was 44% above the state average of $20,333. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $37,595 was 28% above the state average of $29,393. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $17,144 was 43% above the state average of $11,961. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $61,777 was 39% above the state average of $44,565.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Baptist Health Paducah in Paducah, KY, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-04-25 (CMS case 1543)
- Warning Notice — 2024-02-29 (CMS case 2234)
- Closure Notice — 2024-04-01 (CMS case 2234)
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.