Kentucky / University of Kentucky Hospital
CMS certification 180067 · Lexington, KY
University of Kentucky Hospital: charges and Medicare payments
University of Kentucky Hospital reported 4,931 Medicare inpatient stays across 173 DRGs in 2024. Across them it charged 4.22 times what it was paid — mid-range in Kentucky, number 25 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: 332 stays at an average charge of $96,856, 7% above the national average. It also billed 5,359 outpatient services, charging 7.96 times what Medicare paid.
- 1Medicare inpatient stays 4,931
- 2Charge ÷ paid, inpatient 4.22×
- 3Rank in KY (highest ratio = 1) 25 of 51
- 4CMS price-transparency actions 0
Inpatient stays
For the 173 DRGs that can be compared with the national average, University of Kentucky Hospital charged more than the national average in 45 (26%). 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 | 332 | $96,856 | +7% | $21,845 |
| 291 Heart Failure and Shock with MCC | 149 | $50,711 | -10% | $13,092 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 113 | $108,930 | +9% | $21,341 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 90 | $233,829 | +2% | $53,645 |
| 481 Hip and Femur Procedures except Major Joint with CC | 77 | $94,830 | -6% | $19,483 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 74 | $50,277 | -10% | $11,176 |
| 330 Major Small and Large Bowel Procedures with CC | 74 | $91,035 | -24% | $24,327 |
| 177 Respiratory Infections and Inflammations with MCC | 67 | $74,725 | +6% | $18,451 |
| 193 Simple Pneumonia and Pleurisy with MCC | 66 | $54,155 | -9% | $13,856 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 66 | $33,190 | -17% | $9,162 |
| 189 Pulmonary Edema and Respiratory Failure | 63 | $52,368 | -9% | $12,946 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 60 | $135,965 | -41% | $40,275 |
| 378 Gastrointestinal Hemorrhage with CC | 57 | $42,808 | -12% | $10,474 |
| 329 Major Small and Large Bowel Procedures with MCC | 55 | $201,560 | -6% | $51,466 |
| 432 Cirrhosis and Alcoholic Hepatitis with MCC | 55 | $89,997 | -6% | $20,113 |
| 552 Medical Back Problems without MCC | 55 | $41,866 | -14% | $10,185 |
| 682 Renal Failure with MCC | 54 | $66,846 | +1% | $15,485 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 54 | $82,098 | +12% | $20,338 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 49 | $87,006 | +15% | $17,041 |
| 690 Kidney and Urinary Tract Infections without MCC | 49 | $32,281 | -15% | $9,104 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 48 | $44,213 | -10% | $11,056 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 47 | $271,745 | -3% | $55,977 |
| 235 Coronary Bypass without Cardiac Catheterization with MCC | 46 | $232,536 | -21% | $57,084 |
| 377 Gastrointestinal Hemorrhage with MCC | 46 | $68,054 | -20% | $17,779 |
| 314 Other Circulatory System Diagnoses with MCC | 43 | $85,555 | -10% | $22,024 |
| 603 Cellulitis without MCC | 43 | $34,644 | -7% | $9,811 |
| 683 Renal Failure with CC | 42 | $34,668 | -15% | $10,148 |
| 164 Major Chest Procedures with CC | 41 | $91,480 | -28% | $24,721 |
| 057 Degenerative Nervous System Disorders without MCC | 39 | $48,368 | -15% | $15,930 |
| 493 Lower Extremity and Humerus Procedures except Hip, Foot and... | 39 | $132,480 | +11% | $27,636 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 39 | $291,951 | -10% | $68,844 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 38 | $203,169 | -8% | $40,487 |
| 435 Malignancy of Hepatobiliary System or Pancreas with MCC | 38 | $74,682 | -21% | $18,493 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 38 | $54,401 | -10% | $16,428 |
| 101 Seizures without MCC | 37 | $40,049 | -18% | $9,770 |
| 092 Other Disorders of Nervous System with CC | 36 | $38,439 | -25% | $10,799 |
| 003 ECMO or Tracheostomy with MV >96 Hours or Principal... | 35 | $653,835 | -38% | $172,931 |
| 393 Other Digestive System Diagnoses with MCC | 35 | $66,398 | -14% | $17,401 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 34 | $117,955 | -13% | $30,010 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 34 | $108,090 | -31% | $27,284 |
| 543 Pathological Fractures and Musculoskeletal and Connective... | 33 | $53,906 | +10% | $11,788 |
| 205 Other Respiratory System Diagnoses with MCC | 32 | $89,062 | +1% | $21,578 |
| 442 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic... | 32 | $44,290 | -7% | $10,274 |
| 166 Other Respiratory System O.R. Procedures with MCC | 31 | $145,400 | -19% | $45,349 |
| 689 Kidney and Urinary Tract Infections with MCC | 31 | $58,104 | +13% | $14,665 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 30 | $131,455 | +17% | $26,013 |
| 327 Stomach, Esophageal and Duodenal Procedures with CC | 30 | $101,294 | -20% | $22,346 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 30 | $53,695 | -12% | $13,900 |
| 394 Other Digestive System Diagnoses with CC | 30 | $43,062 | -9% | $11,782 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 30 | $139,233 | 0% | $26,660 |
| 070 Other Cerebrovascular Disorders with MCC | 29 | $84,116 | +11% | $22,417 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 29 | $51,683 | -21% | $13,874 |
| 441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic... | 29 | $69,346 | -20% | $18,277 |
| 091 Other Disorders of Nervous System with MCC | 27 | $110,345 | +33% | $20,358 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 27 | $43,123 | +16% | $8,570 |
| 884 Organic Disturbances and Intellectual Disability | 27 | $80,372 | +29% | $15,298 |
| 056 Degenerative Nervous System Disorders with MCC | 26 | $96,339 | 0% | $25,153 |
| 082 Traumatic Stupor and Coma >1 Hour with MCC | 26 | $102,495 | -11% | $23,666 |
| 253 Other Vascular Procedures with CC | 26 | $145,544 | +10% | $23,941 |
| 027 Craniotomy and Endovascular Intracranial Procedures without... | 25 | $129,017 | -8% | $23,017 |
Showing the 60 most frequent of 173 DRGs.
Outpatient services
Against the Kentucky average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), University of Kentucky Hospital charged $96,856 on average, 53% more than the Kentucky average of $63,454, and was paid $21,845 against a state average of $14,765. For Heart Failure and Shock with MCC (DRG 291), University of Kentucky Hospital charged $50,711 on average, 25% more than the Kentucky average of $40,730, and was paid $13,092 against a state average of $9,552. For Intracranial Hemorrhage or Cerebral Infarction with MCC (DRG 064), University of Kentucky Hospital charged $108,930 on average, 52% more than the Kentucky average of $71,880, and was paid $21,341 against a state average of $15,238. For Infectious and Parasitic Diseases with O.R. Procedures with MCC (DRG 853), University of Kentucky Hospital charged $233,829 on average, 42% more than the Kentucky average of $164,235, and was paid $53,645 against a state average of $38,113. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $2,131 was 32% below the state average of $3,127. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $12,272 was 3% above the state average of $11,961. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $16,968 was 17% below the state average of $20,333. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $11,879 was 11% 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.