Baptist Healthcare System · La Grange, KY
5 of 5
CMS star rating
52
Beds
1,752
Inpatient discharges a year
$298M
Net patient revenue a year
33
In-network payers
Baptist Health La Grange is a 52-bed voluntary non-profit - private hospital in La Grange, KY, affiliated with Baptist Healthcare System. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 208 disclosed rate categories.
The 24 services Baptist Health La Grange most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
Childbirth · Inpatient
MS-DRG 807
$6,092 - $8,390
from 4 insurers · median $6,692
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Childbirth · Inpatient
MS-DRG 788
$8,258 - $13,396
from 4 insurers · median $10,176
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Gynecology
CPT 58558
$1,281 - $3,466
from 4 insurers · median $2,555
20 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Cardiology and vascular testing
CPT 93306
$2,614 - $3,218
from 2 insurers · median $2,916
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$829 - $5,856
from 3 insurers · median $5,477
Common here, based on CMS Medicare volume
CT imaging
CPT 74177
$526 - $736
from 3 insurers · median $712
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$4,681 - $8,350
from 3 insurers · median $6,637
25 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 70450
$163 - $736
from 3 insurers · median $712
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,238 - $2,744
from 4 insurers · median $2,141
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$6,092 - $8,390
from 4 insurers · median $6,692
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Digestive procedures
CPT 45385
$1,303 - $2,611
from 4 insurers · median $2,070
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$5,031 - $17,850
from 3 insurers · median $11,923
Typical for a hospital with this service line
Mammography
CPT 77067
$148 - $297
from 3 insurers · median $221
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,303 - $2,611
from 4 insurers · median $2,055
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$245 - $736
from 3 insurers · median $712
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$4,681 - $11,092
from 3 insurers · median $7,585
25 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Orthopedics and pain
CPT 20610
$1,388 - $3,796
from 3 insurers · median $1,991
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$469 - $726
from 3 insurers · median $712
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$2,649 - $4,162
from 4 insurers · median $3,578
Typical for a hospital with this service line
Ultrasound
CPT 76705
$132 - $784
from 3 insurers · median $470
Common here, based on CMS Medicare volume
Lung function and sleep
CPT 95810
$1,321 - $5,222
from 2 insurers · median $3,272
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$504 - $1,209
from 3 insurers · median $1,082
Common here, based on CMS Medicare volume
Ultrasound
CPT 76642
$94 - $784
from 3 insurers · median $536
Common here, based on CMS Medicare volume
Urology
CPT 50590
$3,333 - $13,281
from 4 insurers · median $6,216
22 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 302% | 11 | 10 |
| Insurer B* | 21 | 251% | 9 | 5 |
| Insurer C* | 16 | 199% | 2 | 10 |
| Insurer D* | 18 | 137% | 1 | 14 |
How we chose these services: 4 appear in this hospital's own Medicare claims, 15 are common here based on CMS Medicare volume, and 5 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Baptist Health La Grange, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
5 of 5 stars
Doctors and services
Accredited by ACHC
Finances
$298M net patient revenue
Ownership and leadership
Private (not for profit)
The employer identification numbers (EINs) health plans and networks list for Baptist Health La Grange in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 61-0444707(multi-state) Baptist Healthcare System INC | 53Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 48 more | 1821635558 Baptist Healthcare System Inc1811516263 Baptist Healthcare System Inc1073548988 Baptist Healthcare System Inc.and 76 more |
Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.
1025 New Moody Lane, La Grange, KY 40031
(502) 222-5388
How Baptist Health La Grange compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
5 of 5
The top rating, shared by 12% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 4 measures
0 better, 4 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
No different on 3 measures
0 better, 3 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Better on 1 of 8 measures
1 better, 7 no different, 0 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
4 of 5
Higher than 60% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
80%
Higher than 79% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.98
Higher than 57% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
138 min
Lower than 58% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
73%
Higher than 68% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 5 of 5 | |
| Death rates | No different on 4 measures | |
| Safety | No different on 3 measures | |
| Readmissions | Better on 1 of 8 measures | |
| Patient survey ratingCMS: Summary star rating | 4 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 80% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 0.98 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 138 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 73% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Baptist Health La Grange's inpatient payments for its readmissions, quality and cost results.
-0.16% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.45% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Baptist Health La Grange, beside the US median and the average of KY hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | Baptist Health La Grange | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.2 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 452 cases | 4.1 | 3.9 | 4.543 | Worse than 57% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 12.11 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.485 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 39 cases | 10.6 | 8.5 | 9.152 | Worse than 90% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 48 cases | 10.6 | 11 | 11.98 | Better than 57% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 61 cases | 15.2 | 15.2 | 16.6 | Worse than 50% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 | Not Available | 12.38 | |||
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 335 cases | 0.54 | 0.51 | 0.6092 | No Different Than the National Rate | Worse than 54% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 185 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 577 cases | 0.2 | 0.2 | 0.2113 | No Different Than the National Rate | Better than 46% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 548 cases | 0.31 | 0.27 | 0.2787 | No Different Than the National Rate | Worse than 84% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 142 cases | 2.28 | 2.29 | 2.306 | No Different Than the National Rate | Better than 51% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 66 cases | 1.66 | 1.63 | 1.711 | No Different Than the National Rate | Worse than 64% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 73 cases | 8.68 | 8.88 | 10.2 | No Different Than the National Rate | Better than 55% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 153 cases | 4.23 | 3.4 | 3.435 | No Different Than the National Rate | Worse than 87% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 65 cases | 5.03 | 5.105 | 5.85 | No Different Than the National Rate | Better than 57% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 42 cases | 1.74 | 1.72 | 1.761 | No Different Than the National Rate | Worse than 59% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 110 cases | 1.01 | 1.02 | 1.077 | No Different Than the National Rate | Better than 53% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Baptist Health La Grange | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 13.02 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 63 cases | -87.8 | 1.25 | 9.521 | Better than 99% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 76 cases | -9.4 | 3.85 | 12.61 | Better than 68% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 775 cases | 12.1 | 12.9 | 13.03 | No Different Than the National Rate | Better than 89% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 538 cases | 12.7 | 10.7 | 10.97 | Worse Than the National Rate | Worse than 90% of US hospitals |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 538 cases | 4.9 | 5.3 | 5.4 | No Different Than the National Rate | Better than 75% of US hospitals |
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 182 cases | 1 | 1 | 1.027 | No Different than expected | Worse than 32% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.42 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 10.55 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 54 cases | 19.3 | 19.8 | 19.89 | Better than 73% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 91 cases | 20 | 21.3 | 21.36 | Better than 87% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 6.142 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 111 cases | 16.4 | 17.2 | 17.37 | Better than 83% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Baptist Health La Grange | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.339 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.151 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 435 | 1,370 | 2,960 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.265 | 0.9835 | 2.924 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.453 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.7803 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2917 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.135 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 727 | 1,799 | 3,041 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.5 | 1.377 | 3.578 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 2.172 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.5965 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.273 | 0.2345 | 0.4763 | No Different than National Benchmark | |
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | 5.39 | 2.135 | 2.932 | No Different than National Benchmark | |
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 49 | 61 | 98 | No Different than National Benchmark | |
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 1.226 | 1.591 | 2.685 | No Different than National Benchmark | |
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 2 | 1 | 2.881 | No Different than National Benchmark | |
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | 1.631 | 0.7155 | 0.9389 | No Different than National Benchmark | Worse than 89% of US hospitals |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2818 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.126 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 79 | 38 | 73.52 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.727 | 0.328 | 0.6952 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 0.8043 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 0.9479 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2803 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.29 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 7,697 | 14,451 | 34,235 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.26 | 0.567 | 2.406 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.093 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.7481 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.149 | No Different than National Benchmark | ||
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.63 | 0.747 | 1.678 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 5,978 | 13,646 | 31,551 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 1.838 | 5.683 | 15.64 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 0 | 2 | 5.011 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0 | 0.279 | 0.3987 | No Different than National Benchmark | The best result, shared by 19% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Baptist Health La Grange | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 263 cases | 74 | 73 | 74.59 | Better than 51% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 263 cases | 6 | 8 | 7.987 | Better than 65% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 263 cases | 20 | 18 | 17.42 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 263 cases | 89 | 87 | 86.82 | Better than 66% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 263 cases | 4 | 4 | 3.533 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 263 cases | 85 | 80 | 82.24 | Better than 79% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 263 cases | 94 | 91 | 92.18 | Better than 82% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 263 cases | 2 | 4 | 3.772 | Better than 76% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 263 cases | 5 | 3 | 3.8 | The top rating, shared by 18% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 263 cases | 13 | 16 | 13.99 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 263 cases | 83 | 79 | 81.87 | Better than 71% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 263 cases | 93 | 91 | 91.67 | Better than 77% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 263 cases | 4 | 5 | 4.823 | Better than 62% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 263 cases | 4 | 3 | 3.417 | Better than 63% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 263 cases | 13 | 16 | 13.3 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 263 cases | 63 | 61 | 63.23 | Better than 58% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 263 cases | 78 | 77 | 78.17 | Better than 57% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 263 cases | 19 | 19 | 18.58 | Better than 50% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 263 cases | 3 | 3 | 2.833 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 263 cases | 18 | 19 | 18.19 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 263 cases | 91 | 86 | 85.77 | Better than 92% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 263 cases | 9 | 13 | 13.37 | Better than 84% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 263 cases | 5 | 3 | 3.317 | The top rating, shared by 8% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 263 cases | 91 | 87 | 86.63 | Better than 84% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 263 cases | 9 | 14 | 14.65 | Better than 88% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 263 cases | 91 | 86 | 85.35 | Better than 88% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 263 cases | 79 | 74 | 76.86 | Better than 78% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 263 cases | 5 | 7 | 6.333 | Better than 68% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 263 cases | 16 | 19 | 16.81 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 263 cases | 82 | 77 | 80.25 | Better than 76% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 263 cases | 4 | 6 | 5.278 | Better than 70% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 263 cases | 14 | 17 | 14.47 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 263 cases | 88 | 85 | 87.39 | Better than 70% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 263 cases | 2 | 3 | 3.125 | Better than 75% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 263 cases | 10 | 11 | 9.486 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 263 cases | 4 | 8 | 7.544 | Better than 82% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 263 cases | 18 | 20 | 19.38 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 263 cases | 78 | 72 | 73.08 | Better than 74% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 263 cases | 92 | 88 | 88.38 | Better than 86% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 263 cases | 4 | 3 | 3.333 | Better than 55% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 263 cases | 77 | 74 | 75.21 | Better than 66% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 263 cases | 8 | 9 | 9.458 | Better than 60% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 263 cases | 15 | 16 | 15.33 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 263 cases | 80 | 75 | 77.63 | Better than 79% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 263 cases | 3 | 5 | 5.153 | Better than 81% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 263 cases | 17 | 20 | 17.22 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 263 cases | 84 | 77 | 79.5 | Better than 86% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 263 cases | 2 | 4 | 4.028 | Better than 80% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 263 cases | 14 | 19 | 16.47 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 263 cases | 92 | 86 | 88 | Better than 87% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 263 cases | 1 | 3 | 2.556 | Better than 77% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 263 cases | 7 | 11 | 9.444 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 263 cases | 64 | 59 | 62.39 | Better than 65% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 263 cases | 7 | 9 | 8.089 | Better than 61% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 263 cases | 29 | 31 | 29.52 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 263 cases | 85 | 82 | 83.2 | Better than 71% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 263 cases | 4 | 3 | 3.633 | Better than 56% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 263 cases | 3 | 5 | 5.19 | Better than 70% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 263 cases | 80 | 71 | 70.95 | Better than 79% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 263 cases | 92 | 87 | 86.8 | Better than 83% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 263 cases | 17 | 23 | 23.86 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 263 cases | 5 | 4 | 3.6 | The top rating, shared by 24% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 263 cases | 50 | 47 | 50.82 | Better than 63% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 263 cases | 30 | 30 | 28.18 | Better than 49% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 263 cases | 20 | 22 | 21 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 263 cases | 4 | 3 | 3.433 | Better than 60% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 263 cases | 8 | 12 | 11.93 | Better than 87% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 263 cases | 92 | 88 | 88.07 | Better than 87% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Baptist Health La Grange | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | low | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 · 1,157 cases | 0 | 8 | 8.032 | The best result, shared by 7% of US hospitals | |
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 · 291 cases | 0 | 1 | 1.132 | The best result, shared by 34% of US hospitals | |
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.4286 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 903 cases | 82 | 79 | 74.25 | Better than 54% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 405 cases | 140 | 154 | 153 | Better than 61% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 379 cases | 138 | 148 | 147 | Better than 58% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 11 cases | 125 | 247 | 227 | Better than 95% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 17 cases | 304 | 293 | 305 | Worse than 55% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 15,241 cases | 1 | 1 | 1.418 | Better than 42% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 68.9 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 114 cases | 96 | 97 | 93.89 | Worse than 54% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | ||||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 63.27 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 492 cases | 9 | 15 | 16.73 | Better than 86% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 52 cases | 73 | 65 | 66.02 | Better than 68% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 20 cases | 85 | 73 | 74.36 | Better than 76% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 15 cases | 80 | 88 | 85.06 | Worse than 73% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 52 cases | 94 | 82 | 81.94 | Better than 93% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 40 cases | 95 | 94 | 94.58 | Better than 51% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 96.88 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 74 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 92.33 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 76.94 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 93.3 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Baptist Health La Grange | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 7.7 | 5 | 7.251 | Worse than 75% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 7.7 | 6.6 | 6.595 | Worse than 63% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Baptist Health La Grange | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 1.01 | 0.99 | 1.007 | Worse than 59% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Baptist Health La Grange | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 16.67 | 20 | 14.1 | Worse than 56% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 4.167 | 5 | 3.571 | Worse than 57% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 0 | 10 | 19.82 | The worst result, shared by 43% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 0 | 2.5 | 5.134 | The worst result, shared by 43% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 69 | 34 | 44.76 | Better than 92% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 17.25 | 8.75 | 11.37 | Better than 91% of US hospitals | |
| VBP safety domain scoreFY 2026 | 56.67 | 40 | 46.5 | Better than 77% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 14.17 | 10 | 11.8 | Better than 76% of US hospitals | |
| VBP total performance scoreFY 2026 | 35.58 | 29.5 | 31.05 | Better than 71% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 35 | 42.5 | 0 | 5 | 10 | 16.67 |
| VBP clinical outcomes weighted domain score | 11.67 | 10.63 | 0 | 1.25 | 2.5 | 4.167 |
| VBP efficiency and cost reduction domain score | 50 | Not Available | 30 | 40 | 60 | 0 |
| VBP efficiency and cost reduction weighted domain score | 16.67 | Not Available | 7.5 | 10 | 15 | 0 |
| VBP person and community engagement domain score | 34 | Not Available | Not Available | 42 | 32 | 69 |
| VBP person and community engagement weighted domain score | 11.33 | Not Available | Not Available | 10.5 | 8 | 17.25 |
| VBP safety domain score | Not Available | Not Available | Not Available | 50 | 50 | 56.67 |
| VBP safety weighted domain score | Not Available | Not Available | Not Available | 12.5 | 12.5 | 14.17 |
| VBP total performance score | 39.67 | Not Available | Not Available | 34.25 | 38 | 35.58 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Baptist Health La Grange | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 1.011 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9628 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | 1.018 | 0.9969 | 1.008 | Worse than 67% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 | 0.9471 | 0.9983 | 1.009 | Better than 81% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 1.084 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 | 1.009 | 0.9955 | 1.006 | Worse than 59% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 0.9955 | 1.03 | 0.9966 | N/A | 1.011 | 1.018 |
| READM-30-HF-HRRP | 0.9487 | 0.9927 | 1.006 | 1.01 | 0.9803 | 0.9471 |
| READM-30-HIP-KNEE-HRRP | 1.061 | 1.035 | N/A | N/A | N/A | N/A |
| READM-30-PN-HRRP | 0.8946 | 0.9132 | 0.9474 | 0.9548 | 0.9925 | 1.009 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Baptist Health La Grange | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.5632 | |||
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.346 | 0.3899 | The best result, shared by 9% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.9125 | |||
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.8459 | |||
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.9758 | 0.9628 | 1.023 | Worse than 57% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 1.634 | 0.7945 | 0.8867 | Worse than 89% of US hospitals | |
| Total HAC scoreFY 2026 | -0.0692 | -0.0453 | 0.1443 | Better than 52% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | No | No | No |
| Total HAC score | -0.0673 | 0.2989 | 0 | -0.4513 | -0.3472 | -0.0692 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
ACHC (since 2024)
Accreditation
None
Medical school affiliation
Private (not for profit)
Ownership type
90
Medicare-certified beds
143
Registered nurses (full-time equivalent)
1987
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Baptist Health La Grange reported to Medicare in its latest cost report, covering Sep 1, 2024 to Aug 31, 2025.
1,752
Inpatient discharges
Medicare 21%, Medicaid 4%
6,473
Inpatient days
34% of available bed days used
455
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 829451). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Baptist Health La Grange reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 1,331 | 280 | 4,862 | 6,473 |
| Discharges | 371 | 78 | 1,303 | 1,752 |
| Average length of stay | 3.6 days | 3.6 days | 3.7 days | 3.7 days |
| Average daily census | 3.6 | 0.8 | 13.3 | 17.7 |
1,641
Medicaid managed care days
342 discharges
1,053
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 45 | 5,224 | 1,189 | 32% |
| Intensive care unit | 7 | 496 | 142 | 19% |
| Nursery | 753 |
Source: CMS cost report (HCRIS, Form 2552-10), report 829451, amended. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Baptist Health La Grange treats Medicare patients for most often, in 2024. 91 Medicare discharges in 5 published DRGs; 20% surgical; 80% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 24 | $31,572 | $8,092 | $6,599 | 1.28 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 18 | $30,937 | $9,497 | $6,466 | 1.33 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 18 | $333,978 | $40,005 | $69,801 | 2.67 |
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 17 | $38,956 | $12,216 | $8,142 | 1.98 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 14 | $41,495 | $10,790 | $8,672 | 1.70 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Baptist Health La Grange billed Medicare for most in 2024: 717 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 260 | 258 | $18,363 | $1,099 | $1,220 |
| Comprehensive Observation ServicesAPC 8011 | 123 | 116 | $24,254 | $1,803 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 100 | 96 | $111,855 | $9,690 | $10,772 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 44 | 43 | $29,492 | $1,949 | $2,141 |
| Level 2 Upper GI ProceduresAPC 5302 | 42 | 39 | $16,692 | $1,303 | $1,445 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 25 | 25 | $34,591 | $3,961 | $4,358 |
| Level 4 Urology and Related ServicesAPC 5374 | 22 | 18 | $27,039 | $2,392 | $2,629 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 20 | 19 | $163,330 | $14,391 | $15,763 |
| Level 4 Gynecologic ProceduresAPC 5414 | 20 | 20 | $21,286 | $2,145 | $2,389 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 18 | 18 | $65,134 | $4,638 | $5,339 |
See all 13 Medicare outpatient services at Baptist Health La Grange
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at Baptist Health La Grange in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 579 in 2020 to 553 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 40031 | 204 | 37% | 745 | $10.9M | 23% | 25% |
| 40006 | 70 | 13% | 258 | $3.5M | 29% | 30% |
| 40014 | 61 | 11% | 188 | $3.2M | 8% | 13% |
| 40019 | 33 | 6% | 140 | $1.6M | 15% | 26% |
| 40011 | 32 | 6% | 152 | $1.8M | 28% | 30% |
| 41008 | 29 | 5% | 111 | $1.9M | 9% | 9% |
| 40050 | 27 | 5% | 92 | $1.4M | 23% | 33% |
| 40055 | 23 | 4% | 78 | $998,986 | 34% | 23% |
| 40068 | 21 | 4% | 73 | $1.1M | 21% | 37% |
| 40057 | 17 | 3% | 52 | $987,499 | 10% | 20% |
| 40075 | 13 | 2% | 61 | $966,240 | 100% | 47% |
| 40045 | 12 | 2% | 45 | $719,934 | 8% | |
| 40056 | 11 | 2% | 43 | $841,704 | 9% |
Source: CMS Hospital Service Area file. Shares are of the 553 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Baptist Health La Grange reported at its latest Medicare certification survey (2001). Counts are people, not full-time equivalents.
4
Operating rooms
2
Endoscopy rooms
143
Registered nurses
3
Licensed practical nurses
20
Physicians
12
Nurse practitioners
1
Physician assistants
15
Pharmacists
7
Respiratory therapists
8
Physical therapists
3
Occupational therapists
1
Speech pathologists and audiologists
30
Radiology technicians
2
Nuclear medicine technicians
6
Laboratory technicians
5
Medical technologists
2
Dietitians
2
Social workers
226
Other personnel
Source: CMS Provider of Services file.
826 clinicians who bill Medicare list Baptist Health La Grange as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Rachel Chase, MD
Rheumatology Physician
NPI 1518052893
See commercial rates for Rachel Chase, MDGary Crump, M.D.
Rheumatology Physician
NPI 1285709386
See commercial rates for Gary Crump, M.D.Patricia Hansen, M.D.
Internal Medicine Physician
NPI 1285745612
See commercial rates for Patricia Hansen, M.D.Lisa June, M.D.
Rheumatology Physician
NPI 1689749798
See commercial rates for Lisa June, M.D.Benjamin Boone, M.D.
Rheumatology Physician
NPI 1366974826
See commercial rates for Benjamin Boone, M.D.Carolyn Gleason, M.D.
Rheumatology Physician
NPI 1316013790
See commercial rates for Carolyn Gleason, M.D.Morris Jackson, MD
Urology Physician
NPI 1477511921
See commercial rates for Morris Jackson, MDForrest Kuhn, M.D.
Allergy & Immunology Physician
NPI 1598767485
See commercial rates for Forrest Kuhn, M.D.Scott Mcclure, M.D.
Orthopaedic Surgery Physician
NPI 1336167188
See commercial rates for Scott Mcclure, M.D.David Rhoads, MD
Orthopaedic Surgery Physician
NPI 1992852909
See commercial rates for David Rhoads, MDRobin Curry, M.D.
Sports Medicine (Family Medicine) Physician
NPI 1033406533
See commercial rates for Robin Curry, M.D.Rhonda Stamey, APRN, NP-C
Family Nurse Practitioner
NPI 1487174165
See commercial rates for Rhonda Stamey, APRN, NP-CJeremy Jones, MD
Allergy & Immunology Physician
NPI 1316933781
See commercial rates for Jeremy Jones, MDStuart White, MD
Allergy & Immunology Physician
NPI 1912990573
See commercial rates for Stuart White, MDRoshana Cheek, FNP-BC
Family Nurse Practitioner
NPI 1013321652
See commercial rates for Roshana Cheek, FNP-BCKali Gerace, M.D.
Allergy & Immunology Physician
NPI 1295964484
See commercial rates for Kali Gerace, M.D.Dirk Koester, M.D.
Diagnostic Radiology Physician
NPI 1801979109
See commercial rates for Dirk Koester, M.D.Thomas Schlierf, M.D.
Orthopaedic Surgery Physician
NPI 1720407604
See commercial rates for Thomas Schlierf, M.D.Lloyd Miller, M.D.
Family Medicine Physician
NPI 1457316457
See commercial rates for Lloyd Miller, M.D.John Markert, MD
Family Medicine Physician
NPI 1003922923
See commercial rates for John Markert, MDVasdev Lohano, MD
Endocrinology, Diabetes & Metabolism Physician
NPI 1316906738
See commercial rates for Vasdev Lohano, MDChristopher Smith, MD
Urology Physician
NPI 1427015486
See commercial rates for Christopher Smith, MDSara Zakel, MD
Diagnostic Radiology Physician
NPI 1568518157
See commercial rates for Sara Zakel, MDLogan Turner, M.D.
Dermatology Physician
NPI 1679742290
See commercial rates for Logan Turner, M.D.Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Baptist Health La Grange reported to Medicare for Sep 1, 2024 to Aug 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $2.7B | 914.8% |
| Inpatient | $85.1M | 28.5% |
| Outpatient | $2.6B | 886.2% |
| Contractual allowances and discounts | -$2.4B | -814.8% |
| Net patient revenue | $298M | 100.0% |
| Operating expenses | -$290.5M | -97.5% |
| Operating income from patient care | $7.5M | 2.5% |
| Other income | $53.7M | 18.0% |
| Net income | $61.3M | 20.6% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $774.1M | 28.4% |
| Medicaid (including managed care) | $157.9M | 5.8% |
| Other payers and self-pay | $1.8B | 65.8% |
| Total charges | $2.7B | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 829451, amended. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Baptist Health La Grange's latest cost report.
2.5%
Operating margin
Operating income from patient care / net patient revenue
17.4%
Total margin
Net income / net patient revenue plus other income
18.6%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
18% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$42.95
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
14.9%
Return on assets
Net income for a year / total assets
21.6%
Return on equity
Net income for a year / fund balance
6.71
Current ratio
Current assets / current liabilities
4.61
Quick ratio
Cash, temporary investments and net receivables / current liabilities
0 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
39 days
Days in patient receivables
Net patient receivables / daily net patient revenue
9 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.86
Asset turnover
Total revenue for a year / total assets
15.8 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 829451, amended. Hospitals report these figures themselves; they are not audited financial statements.
What Baptist Health La Grange owned and owed at the end of its reporting period (Aug 2025), across all fund types: $410.5M in total assets and a $284M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $904 | 0.0% |
| Patient receivables, net | $32.2M | 7.8% |
| Inventory | $7.8M | 1.9% |
| Total current assets | $46.9M | 11.4% |
| Property and equipment, net of depreciation | $36.3M | 8.8% |
| Investments and other assets | $327.2M | 79.7% |
| Total assets | $410.5M | 100.0% |
| Current liabilities | $7M | 1.7% |
| Total liabilities | $126.5M | 30.8% |
| Fund balance (net assets) | $284M | 69.2% |
Source: CMS cost report (HCRIS, Form 2552-10), report 829451, amended. Hospitals report these figures themselves; they are not audited financial statements.
Care Baptist Health La Grange provided without full payment, as reported on Worksheet S-10 of its cost report.
$2M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$10.9M
Bad debt
Patient bills written off as uncollectible, at charges
-$2.5M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$2.9M
Total unreimbursed and uncompensated care
1.0% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 829451, amended. Hospitals report these figures themselves; they are not audited financial statements.
Baptist Health La Grange's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Aug 2020 | Aug 2021 | Aug 2022 | Aug 2023 | Aug 2024 | Aug 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $174.4M | $187M | $210.6M | $236.9M | $307.4M | $298M |
| Operating expenses | $161.3M | $179.4M | $208.2M | $230.5M | $262.5M | $290.5M |
| Operating margin | 7.5% | 4.0% | 1.2% | 2.7% | 14.6% | 2.5% |
| Net income | $24.2M | $28M | $32.7M | $42.6M | $91.4M | $61.3M |
| Total assets | $162.6M | $194.5M | $225.8M | $225.9M | $363.2M | $410.5M |
| Discharges | 1,950 | 1,368 | 1,583 | 1,535 | 1,737 | 1,752 |
| Inpatient days | 6,671 | 6,031 | 5,787 | 4,632 | 4,648 | 6,473 |
| Medicare Advantage days | 1,462 | 1,472 | 1,523 | 1,042 | 996 | |
| Beds | 71 | 71 | 42 | 42 | 52 | 52 |
| Employees (FTE) | 392 | 389 | 394 | 395 | 421 | 455 |
Source: CMS cost report (HCRIS, Form 2552-10), report 829451, amended. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Baptist Health La Grange reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Drugs charged to patients | $122.4M | $2B | 0.06 | ||
| Clinic | $6.8M | $14.3M | $138.4M | 0.10 | 7,997 |
| Radiology-diagnostic | $4.6M | $11.9M | $109.7M | 0.11 | 7,174 |
| Operating room | $2.1M | $11.3M | $90M | 0.13 | 10,673 |
| Impl. dev. charged to patients | $7.9M | $70.5M | 0.11 | ||
| Laboratory | $2.2M | $7.1M | $42.9M | 0.17 | 3,158 |
| Emergency | $2.4M | $5.8M | $49.4M | 0.12 | 8,791 |
| Recovery room | $1.2M | $3.5M | $20.9M | 0.17 | 1,318 |
| Medical supplies charged to patient | $3.5M | $20.5M | 0.17 | ||
| Physical therapy | $1.2M | $2.1M | $7.5M | 0.28 | 3,450 |
| Observation beds (non-distinct part | $1.9M | $6.8M | 0.27 | ||
| Respiratory therapy | $749,971 | $1.5M | $3.3M | 0.46 | 1,745 |
| Ct scan | $283,093 | $1.1M | $52.6M | 0.02 | 1,385 |
| Intravenous therapy | $909,794 | $3.2M | 0.29 | ||
| Electrocardiology | $293,688 | $785,778 | $19.2M | 0.04 | 2,708 |
| Delivery room & labor room | $2M | $762,459 | $6M | 0.13 | 5,004 |
| Mri | $336,000 | $624,665 | $13.3M | 0.05 | 577 |
| Occupational therapy | $236,260 | $554,277 | $873,311 | 0.63 | 1,995 |
| Cardiac rehab | $231,515 | $453,108 | $872,207 | 0.52 | 675 |
| Speech pathology | $125,806 | $267,038 | $782,662 | 0.34 | 949 |
| Whole blood & packed red blood cell | $215,379 | $1.3M | 0.16 | 80 | |
| Electroencephalography | $16,546 | $47,238 | $1.5M | 0.03 | 275 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $4.6M | $11.1M | $12.4M | 0.89 | 22,984 |
| Intensive care unit | $1M | $1.7M | $3.7M | 0.46 | 2,158 |
| Nursery | $881,719 | $1.7M | 0.52 | 3,906 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $1.3M | $38.7M | 39,273 | $35.11 | 24,468 |
| Pharmacy | $3.9M | $6M | 68,832 | $57.07 | 1,209 |
| Operation of plant | $561,396 | $3.5M | 13,940 | $40.27 | 25,794 |
| Cap rel costs-mvble equip | $2.2M | ||||
| Cap rel costs-bldg & fixt | $1.8M | 149,255 | |||
| Nursing administration | $951,178 | $1.4M | 17,684 | $53.79 | 325 |
| Medical records & library | $993,988 | $1.4M | 18,763 | $52.98 | 2,344 |
| Housekeeping | $890,423 | $1.3M | 39,107 | $22.77 | 843 |
| Central services & supply | $497,651 | $977,124 | 14,591 | $34.11 | 964 |
| Cafeteria | $795,949 | 22,067 | $25.51 | 1,880 | |
| Dietary | $800,876 | $421,614 | 9,325 | $25.51 | 3,305 |
| Employee benefits department | $129,037 | $336,657 | 662 | $51.70 | 255 |
| Laundry & linen service | $239,766 | 336 |
Source: CMS cost report (HCRIS, Form 2552-10), report 829451, amended. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Baptist Health La Grange for an inpatient stay.
1.57
Case mix index
Higher than 36% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
30.6%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
362
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.66 | 1.66 | 1.64 | 1.70 | 1.61 | 1.69 | 1.57 |
| Wage index | 0.870 | 0.868 | 0.860 | 0.865 | 0.890 | 0.902 | 0.918 |
| Readmissions adjustment | -0.43% | -0.37% | -0.28% | -0.07% | -0.08% | -0.04% | -0.16% |
| Value-based purchasing adjustment | +0.45% | +0.54% | +0.55% | -1.12% | +1.25% | +1.40% | +0.45% |
| Medicare inpatient stays | 451 | 451 | 355 | 285 | 287 | 315 | 362 |
Source: CMS IPPS final rule Impact File (FY 2027).
The officers and board members on Baptist Health La Grange's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 21 of 22 are shown.
Baptist Healthcare System Inc files the Form 990 for the tax ID insurers list for Baptist Health La Grange, so these people may lead the wider organization rather than Baptist Health La Grange alone.
| Name | Title |
|---|---|
| Gerard J Colman PhD | System President, CEO & Dir |
| Richard F Carrico | CFO, Treasurer, VP |
| Janet Norton | Chief Legal Officer, VP, Secretary |
Board members: Alan Redditt, Bonnie Stith, Cory Hicks, Dwain Morris, Jennifer Thomas, Kerry M Stemler, Lewis Diaz, Linda J Thomas PhD, Robert L Hook Jr, Tammy Zimmerman, William B Shircliff, William Jeffrey Fultz, Jonathan Westbrook, Kirsten Hawley.
Source: IRS Form 990 Part VII filed by Baptist Healthcare System Inc (EIN 61-0444707), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Participating since 2013
340B ID DSH180138, registered as a disproportionate share hospital; 8 registered outpatient sites; 75 active contract pharmacies. Authorizing official: Clint Kaho, President.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Helipad
Baptist Health La Grange
FAA location ID 2KY9, a medical-use heliport at the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
Baptist health lagrange swing beds
CCN 18U138, certified 1990, Medicare prospective payment
Source: Worksheet S-2 Part I of Baptist Health La Grange's latest Medicare cost report (HCRIS).
About Baptist Health La Grange's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Baptist Health La Grange range from $504 to $1,209 across 3 insurers. Cigna's rate is $504. The median at nearby comparable hospitals is $630. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Baptist Health La Grange range from $526 to $736 across 3 insurers. Aetna's rate is $736. The median at nearby comparable hospitals is $2,143. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Baptist Health La Grange range from $1,303 to $2,611 across 4 insurers. Blue Cross Blue Shield's rate is $2,468. The median at nearby comparable hospitals is $2,469. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Baptist Health La Grange range from $6,092 to $8,390 across 4 insurers. Cigna's rate is $8,390. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Baptist Health La Grange range from $148 to $297 across 3 insurers. UnitedHealthcare's rate is $297. The median at nearby comparable hospitals is $173. What a patient pays depends on their plan's deductible, coinsurance and network status.
Baptist Health La Grange has a CMS overall hospital star rating of 5 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is the top rating, shared by 12% of US hospitals.
CMS reports no Medicare-funded interns or residents at Baptist Health La Grange for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Baptist Health La Grange's base inpatient payments by an estimated 0.16% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were heart failure and shock with mcc (24 discharges), simple pneumonia and pleurisy with mcc (18 discharges), revision of hip or knee replacement without cc/mcc (18 discharges).
Baptist Health La Grange's Medicare case mix index is 1.57 for fiscal year 2027, higher than 36% of hospitals paid under the inpatient prospective payment system.
Baptist Health La Grange reported 1,752 inpatient discharges and 6,473 inpatient days from Sep 1, 2024 to Aug 31, 2025.
Baptist Health La Grange reported 455 full-time-equivalent employees on payroll from Sep 1, 2024 to Aug 31, 2025.
Baptist Health La Grange reported $298M in net patient revenue on $2.7B of gross charges for Sep 1, 2024 to Aug 31, 2025, an operating margin of 2.5%, and net income of $61.3M.
Baptist Health La Grange reported $2.9M of unreimbursed and uncompensated care for Sep 1, 2024 to Aug 31, 2025, including $2M of charity care at cost.
Baptist Health La Grange's Medicare enrollment lists Clint Kaho as President since 2017.
Insurers' price transparency files list Baptist Health La Grange under employer identification number 61-0444707 ((multi-state) Baptist Healthcare System INC). 53 health plans and networks list 61-0444707 for it.
Yes. HRSA's 340B database lists Baptist Health La Grange (340B ID DSH180138) as a participating disproportionate share hospital since 2013, with 75 active contract pharmacies.
826 clinicians who bill Medicare list Baptist Health La Grange as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are internal medicine physician (131), family nurse practitioner (116), family medicine physician (104).
Yes. CMS's Provider of Services file lists ACHC as the accrediting organization for Baptist Health La Grange, effective 2024.
CMS lists 20 services at Baptist Health La Grange, including Anesthesia, Clinical Laboratory, Diagnostic Radiology, Dietary Care, Emergency Department, Inpatient Surgical.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Baptist Health La Grange came from ZIP codes 40031 (204), 40006 (70), 40014 (61).
Baptist Health La Grange has 52 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 90 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Baptist Health La Grange is located at 1025 New Moody Lane, La Grange, KY 40031. Its main phone number is (502) 222-5388.
Baptist Health La Grange's CMS Certification Number (CCN), also called its Medicare provider number, is 180138.
The National Provider Identifier (NPI) on file for Baptist Health La Grange is 1306925540.
Baptist Health La Grange is affiliated with Baptist Healthcare System.
Baptist Health La Grange lists 33 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
208 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers