Kentucky / CHI Saint Joseph Mount Sterling
CMS certification 180064 · Mount Sterling, KY
CHI Saint Joseph Mount Sterling: charges and Medicare payments
CHI Saint Joseph Mount Sterling reported 149 Medicare inpatient stays across 6 DRGs in 2024. Across them it charged 2.55 times what it was paid — among the lower ratios in Kentucky, number 45 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: 48 stays at an average charge of $33,665, 63% below the national average. It also billed 341 outpatient services, charging 4.03 times what Medicare paid.
- 1Medicare inpatient stays 149
- 2Charge ÷ paid, inpatient 2.55×
- 3Rank in KY (highest ratio = 1) 45 of 51
- 4CMS price-transparency actions 0
Inpatient stays
For the 6 DRGs that can be compared with the national average, CHI Saint Joseph Mount Sterling 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 | 48 | $33,665 | -63% | $14,334 |
| 193 Simple Pneumonia and Pleurisy with MCC | 38 | $34,455 | -42% | $10,515 |
| 291 Heart Failure and Shock with MCC | 22 | $21,740 | -61% | $9,901 |
| 189 Pulmonary Edema and Respiratory Failure | 17 | $22,829 | -60% | $9,897 |
| 682 Renal Failure with MCC | 13 | $26,902 | -59% | $11,154 |
| 683 Renal Failure with CC | 11 | $17,350 | -57% | $7,347 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 169 | $5,342 | $1,983 |
| Level 5 Musculoskeletal Procedures | 49 | $32,070 | $11,044 |
| Comprehensive Observation Services | 45 | $11,406 | $2,340 |
| Level 2 Upper GI Procedures | 35 | $9,494 | $1,591 |
| Level 3 Musculoskeletal Procedures | 16 | $10,517 | $2,492 |
| Level 4 Musculoskeletal Procedures | 16 | $21,424 | $5,839 |
| Level 4 Urology and Related Services | 11 | $13,582 | $2,981 |
Against the Kentucky average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), CHI Saint Joseph Mount Sterling charged $33,665 on average, 47% less than the Kentucky average of $63,454, and was paid $14,334 against a state average of $14,765. For Simple Pneumonia and Pleurisy with MCC (DRG 193), CHI Saint Joseph Mount Sterling charged $34,455 on average, 21% less than the Kentucky average of $43,745, and was paid $10,515 against a state average of $9,962. For Heart Failure and Shock with MCC (DRG 291), CHI Saint Joseph Mount Sterling charged $21,740 on average, 47% less than the Kentucky average of $40,730, and was paid $9,901 against a state average of $9,552. For Pulmonary Edema and Respiratory Failure (DRG 189), CHI Saint Joseph Mount Sterling charged $22,829 on average, 46% less than the Kentucky average of $42,054, and was paid $9,897 against a state average of $9,410. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $5,342 was 52% below the state average of $11,097. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $32,070 was 63% below the state average of $87,601. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $11,406 was 44% below the state average of $20,333. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $9,494 was 29% below the state average of $13,357.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
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.