Kentucky / CHI Saint Joseph East
CMS certification 180143 · Lexington, KY · 2 entries in CMS's price-transparency list
CHI Saint Joseph East: charges and Medicare payments
CHI Saint Joseph East reported 219 Medicare inpatient stays across 10 DRGs in 2024. Across them it charged 3.06 times what it was paid — among the lower ratios in Kentucky, number 39 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: 70 stays at an average charge of $44,835, 50% below the national average. It also billed 600 outpatient services, charging 5.47 times what Medicare paid.
- 1Medicare inpatient stays 219
- 2Charge ÷ paid, inpatient 3.06×
- 3Rank in KY (highest ratio = 1) 39 of 51
- 4CMS price-transparency actions 2
Inpatient stays
For the 10 DRGs that can be compared with the national average, CHI Saint Joseph East charged more than the national average in 0 (0%). 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 | 70 | $44,835 | -50% | $15,710 |
| 291 Heart Failure and Shock with MCC | 33 | $37,312 | -34% | $10,841 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 21 | $33,676 | -31% | $9,099 |
| 193 Simple Pneumonia and Pleurisy with MCC | 16 | $28,723 | -52% | $10,591 |
| 189 Pulmonary Edema and Respiratory Failure | 15 | $19,820 | -66% | $10,348 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 14 | $45,922 | -51% | $14,320 |
| 177 Respiratory Infections and Inflammations with MCC | 13 | $34,874 | -51% | $12,551 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 13 | $21,674 | -40% | $6,448 |
| 682 Renal Failure with MCC | 13 | $44,001 | -33% | $12,205 |
| 467 Revision of Hip or Knee Replacement with CC | 11 | $88,272 | -44% | $25,365 |
Outpatient services
Against the Kentucky average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), CHI Saint Joseph East charged $44,835 on average, 29% less than the Kentucky average of $63,454, and was paid $15,710 against a state average of $14,765. For Heart Failure and Shock with MCC (DRG 291), CHI Saint Joseph East charged $37,312 on average, 8% less than the Kentucky average of $40,730, and was paid $10,841 against a state average of $9,552. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), CHI Saint Joseph East charged $33,676 on average, 5% less than the Kentucky average of $35,524, and was paid $9,099 against a state average of $7,958. For Simple Pneumonia and Pleurisy with MCC (DRG 193), CHI Saint Joseph East charged $28,723 on average, 34% less than the Kentucky average of $43,745, and was paid $10,591 against a state average of $9,962. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $16,270 was 21% below the state average of $20,570. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $37,968 was 57% below the state average of $87,601. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $16,848 was 43% below the state average of $29,393. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,435 was 21% below the state average of $11,961.
Price-transparency record
CMS's enforcement list records these actions for a hospital named CHI Saint Joseph East in Lexington, KY, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-05-15 (CMS case 4568)
- Met Requirements — 2025-06-09 (CMS case 4985)
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.