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.

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  1. 1Medicare inpatient stays 4,931
  2. 2Charge ÷ paid, inpatient 4.22×
  3. 3Rank in KY (highest ratio = 1) 25 of 51
  4. 4CMS price-transparency actions 0
DRG 871$96,856DRG 291$50,711DRG 064$108,930DRG 853$233,829DRG 481$94,830DRG 065$50,277DRG 330$91,035DRG 177$74,725DRG 193$54,155DRG 392$33,190
Average charge per stay at University of Kentucky Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

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.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC332$96,856+7%$21,845
291 Heart Failure and Shock with MCC149$50,711-10%$13,092
064 Intracranial Hemorrhage or Cerebral Infarction with MCC113$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 CC77$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 CC74$91,035-24%$24,327
177 Respiratory Infections and Inflammations with MCC67$74,725+6%$18,451
193 Simple Pneumonia and Pleurisy with MCC66$54,155-9%$13,856
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...66$33,190-17%$9,162
189 Pulmonary Edema and Respiratory Failure63$52,368-9%$12,946
025 Craniotomy and Endovascular Intracranial Procedures with MCC60$135,965-41%$40,275
378 Gastrointestinal Hemorrhage with CC57$42,808-12%$10,474
329 Major Small and Large Bowel Procedures with MCC55$201,560-6%$51,466
432 Cirrhosis and Alcoholic Hepatitis with MCC55$89,997-6%$20,113
552 Medical Back Problems without MCC55$41,866-14%$10,185
682 Renal Failure with MCC54$66,846+1%$15,485
698 Other Kidney and Urinary Tract Diagnoses with MCC54$82,098+12%$20,338
280 Acute Myocardial Infarction, Discharged Alive with MCC49$87,006+15%$17,041
690 Kidney and Urinary Tract Infections without MCC49$32,281-15%$9,104
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC48$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 MCC46$232,536-21%$57,084
377 Gastrointestinal Hemorrhage with MCC46$68,054-20%$17,779
314 Other Circulatory System Diagnoses with MCC43$85,555-10%$22,024
603 Cellulitis without MCC43$34,644-7%$9,811
683 Renal Failure with CC42$34,668-15%$10,148
164 Major Chest Procedures with CC41$91,480-28%$24,721
057 Degenerative Nervous System Disorders without MCC39$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 Hours39$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 MCC38$74,682-21%$18,493
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...38$54,401-10%$16,428
101 Seizures without MCC37$40,049-18%$9,770
092 Other Disorders of Nervous System with CC36$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 MCC35$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 MCC34$108,090-31%$27,284
543 Pathological Fractures and Musculoskeletal and Connective...33$53,906+10%$11,788
205 Other Respiratory System Diagnoses with MCC32$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 MCC31$145,400-19%$45,349
689 Kidney and Urinary Tract Infections with MCC31$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 CC30$101,294-20%$22,346
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...30$53,695-12%$13,900
394 Other Digestive System Diagnoses with CC30$43,062-9%$11,782
480 Hip and Femur Procedures except Major Joint with MCC30$139,2330%$26,660
070 Other Cerebrovascular Disorders with MCC29$84,116+11%$22,417
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale29$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 MCC27$110,345+33%$20,358
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...27$43,123+16%$8,570
884 Organic Disturbances and Intellectual Disability27$80,372+29%$15,298
056 Degenerative Nervous System Disorders with MCC26$96,3390%$25,153
082 Traumatic Stupor and Coma >1 Hour with MCC26$102,495-11%$23,666
253 Other Vascular Procedures with CC26$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.