Mercy Health Lourdes Hospital: charges and Medicare payments

Mercy Health Lourdes Hospital reported 1,725 Medicare inpatient stays across 58 DRGs in 2024. Across them it charged 5.08 times what it was paid — among the higher ratios in Kentucky, number 17 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: 197 stays at an average charge of $61,052, 32% below the national average. It also billed 1,597 outpatient services, charging 7.45 times what Medicare paid.

1Medicare inpatient stays 1,725
2Charge ÷ paid, inpatient 5.08×
3Rank in KY (highest ratio = 1) 17 of 51
4CMS price-transparency actions 0

Average charge per stay at Mercy Health Lourdes Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 58 DRGs that can be compared with the national average, Mercy Health Lourdes Hospital charged more than the national average in 7 (12%). 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	197	$61,052	-32%	$13,404
470 Major Hip and Knee Joint Replacement or Reattachment of...	98	$77,219	-17%	$13,167
291 Heart Failure and Shock with MCC	89	$48,363	-14%	$9,270
683 Renal Failure with CC	61	$32,183	-21%	$6,376
193 Simple Pneumonia and Pleurisy with MCC	51	$42,576	-29%	$9,267
689 Kidney and Urinary Tract Infections with MCC	49	$40,871	-20%	$8,189
690 Kidney and Urinary Tract Infections without MCC	49	$31,029	-18%	$5,720
682 Renal Failure with MCC	47	$50,936	-23%	$10,086
885 Psychoses	46	$15,398	-65%	$9,416
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	43	$39,046	-20%	$7,567
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	41	$44,643	-26%	$9,071
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	39	$28,622	-29%	$5,721
189 Pulmonary Edema and Respiratory Failure	37	$44,961	-22%	$8,653
308 Cardiac Arrhythmia and Conduction Disorders with MCC	35	$46,553	-18%	$8,706
309 Cardiac Arrhythmia and Conduction Disorders with CC	35	$36,623	+1%	$5,552
481 Hip and Femur Procedures except Major Joint with CC	33	$82,627	-18%	$14,950
190 Chronic Obstructive Pulmonary Disease with MCC	32	$53,958	+7%	$8,173
853 Infectious and Parasitic Diseases with O.R. Procedures with...	31	$137,054	-40%	$31,269
177 Respiratory Infections and Inflammations with MCC	29	$45,782	-35%	$11,469
378 Gastrointestinal Hemorrhage with CC	29	$42,421	-13%	$7,263
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	27	$38,289	-31%	$7,816
194 Simple Pneumonia and Pleurisy with CC	27	$29,821	-22%	$6,196
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	27	$33,316	-10%	$5,672
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	25	$54,016	-46%	$12,380
377 Gastrointestinal Hemorrhage with MCC	25	$58,411	-32%	$12,306
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	25	$84,396	-18%	$14,357
698 Other Kidney and Urinary Tract Diagnoses with MCC	24	$52,422	-29%	$11,039
884 Organic Disturbances and Intellectual Disability	24	$33,149	-47%	$10,678
603 Cellulitis without MCC	23	$30,756	-18%	$6,681
280 Acute Myocardial Infarction, Discharged Alive with MCC	22	$56,072	-26%	$10,718
321 Percutaneous Cardiovascular Procedures with Intraluminal...	22	$101,385	-38%	$19,733
191 Chronic Obstructive Pulmonary Disease with CC	20	$39,908	+1%	$6,076
312 Syncope and Collapse	20	$33,402	-27%	$6,384
467 Revision of Hip or Knee Replacement with CC	20	$177,290	+12%	$23,824
394 Other Digestive System Diagnoses with CC	18	$37,625	-20%	$6,667
178 Respiratory Infections and Inflammations with CC	17	$38,800	-14%	$6,861
314 Other Circulatory System Diagnoses with MCC	17	$58,875	-38%	$14,193
552 Medical Back Problems without MCC	16	$24,561	-50%	$6,852
480 Hip and Femur Procedures except Major Joint with MCC	15	$119,612	-14%	$19,939
638 Diabetes with CC	15	$35,220	-15%	$6,156
812 Red Blood Cell Disorders without MCC	15	$43,496	-2%	$6,446
092 Other Disorders of Nervous System with CC	14	$34,507	-33%	$7,080
100 Seizures with MCC	14	$99,068	+5%	$13,743
101 Seizures without MCC	14	$29,692	-39%	$6,515
372 Major Gastrointestinal Disorders and Peritoneal Infections...	14	$43,428	-9%	$7,040
164 Major Chest Procedures with CC	13	$112,533	-12%	$20,197
286 Circulatory Disorders except AMI, with Cardiac...	13	$78,188	-30%	$15,008
287 Circulatory Disorders except AMI, with Cardiac...	13	$54,586	-15%	$8,100
322 Percutaneous Cardiovascular Procedures with Intraluminal...	13	$76,354	-33%	$12,653
163 Major Chest Procedures with MCC	12	$131,602	-37%	$31,989
281 Acute Myocardial Infarction, Discharged Alive with CC	12	$42,652	-16%	$6,496
948 Signs and Symptoms without MCC	12	$45,218	+19%	$5,725
057 Degenerative Nervous System Disorders without MCC	11	$33,630	-41%	$9,341
208 Respiratory System Diagnosis with Ventilator Support <=96...	11	$86,600	-36%	$19,048
252 Other Vascular Procedures with MCC	11	$118,771	-30%	$23,353
271 Other Major Cardiovascular Procedures with CC	11	$127,594	-27%	$23,709
313 Chest Pain	11	$44,838	+12%	$5,188
699 Other Kidney and Urinary Tract Diagnoses with CC	11	$33,439	-30%	$7,210

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	214	$22,452	$2,467
Level 5 Musculoskeletal Procedures	170	$64,617	$12,025
Level 1 Endovascular Procedures	106	$21,716	$2,970
Level 2 Excision/ Biopsy/ Incision and Drainage	105	$13,828	$1,465
Level 2 Upper GI Procedures	101	$10,255	$1,741
Level 3 Vascular Procedures	92	$24,746	$2,891
Level 3 Endovascular Procedures	79	$54,824	$9,950
Level 1 Laparoscopy and Related Services	78	$31,297	$5,279
Level 4 Musculoskeletal Procedures	64	$34,289	$6,301
Level 6 Musculoskeletal Procedures	63	$71,358	$16,769
Level 4 Urology and Related Services	49	$32,898	$3,189
Level 4 Endovascular Procedures	40	$76,204	$14,409
Level 3 Pacemaker and Similar Procedures	38	$54,698	$9,120
Level 5 Urology and Related Services	35	$27,333	$4,734
Level 2 Endovascular Procedures	34	$37,628	$5,107
Level 2 Vascular Procedures	28	$16,100	$1,403
Level 4 Vascular Procedures	26	$41,647	$5,028
Level 1 Breast/Lymphatic Surgery and Related Procedures	25	$22,636	$3,488
Level 2 Musculoskeletal Procedures	25	$11,676	$1,470
Level 3 Electrophysiologic Procedures	23	$164,730	$21,673
Level 2 Breast/Lymphatic Surgery and Related Procedures	21	$50,172	$5,966
Level 1 Nerve Procedures	21	$12,616	$1,766
Level 3 Upper GI Procedures	20	$13,218	$3,504
Complex GI Procedures	17	$26,437	$4,907
Level 7 Radiation Therapy	17	$70,923	$7,124

Against the Kentucky average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mercy Health Lourdes Hospital charged $61,052 on average, 4% less than the Kentucky average of $63,454, and was paid $13,404 against a state average of $14,765. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Mercy Health Lourdes Hospital charged $77,219 on average, 19% less than the Kentucky average of $95,202, and was paid $13,167 against a state average of $14,082. For Heart Failure and Shock with MCC (DRG 291), Mercy Health Lourdes Hospital charged $48,363 on average, 19% more than the Kentucky average of $40,730, and was paid $9,270 against a state average of $9,552. For Renal Failure with CC (DRG 683), Mercy Health Lourdes Hospital charged $32,183 on average, 7% more than the Kentucky average of $30,016, and was paid $6,376 against a state average of $6,931. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $22,452 was 10% above the state average of $20,333. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $64,617 was 26% below the state average of $87,601. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $21,716 was 26% below the state average of $29,393. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $13,828 was 16% above the state average of $11,961.

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.