Baptist Healthcare System · Lexington, KY
4 of 5
CMS star rating
434
Beds
20,183
Inpatient discharges a year
$954.2M
Net patient revenue a year
38
In-network payers
Baptist Health Lexington is a 434-bed voluntary non-profit - other hospital in Lexington, KY, affiliated with Baptist Healthcare System. Below you'll find publicly disclosed negotiated rates and facility details, including 38 in-network payers and 228 disclosed rate categories.
The 24 services Baptist Health Lexington 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 neonatal nursery 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 neonatal nursery services to CMS
Cardiology and vascular testing
CPT 93306
$2,614 - $3,218
from 2 insurers · median $2,916
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$5,031 - $17,850
from 3 insurers · median $11,923
94 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
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
CT imaging
CPT 70450
$163 - $736
from 3 insurers · median $712
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$18,408 - $25,981
from 4 insurers · median $22,027
29 Medicare discharges for this DRG in CMS hospital data
Digestive procedures
CPT 43239
$1,238 - $2,744
from 4 insurers · median $2,141
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 216
$92,785 - $257,099
from 4 insurers · median $134,532
Hospital reports cardiac thoracic surgery services to CMS
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 neonatal nursery services to CMS
Medicine & Surgery
CPT 47562
$4,681 - $8,350
from 3 insurers · median $6,637
83 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45385
$1,303 - $2,611
from 4 insurers · median $2,070
Common here, based on CMS Medicare volume
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 45378
$1,303 - $2,611
from 4 insurers · median $2,045
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 20610
$1,388 - $3,796
from 3 insurers · median $1,991
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 55866
$6,533 - $10,131
from 2 insurers · median $8,332
94 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
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
Nuclear imaging
CPT 78815
$1,968 - $2,471
from 2 insurers · median $2,220
Common here, based on CMS Medicare volume
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
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* | 20 | 275% | 5 | 8 |
| Insurer B* | 16 | 202% | 5 | 5 |
| Insurer C* | 24 | 178% | 15 | 6 |
| Insurer D* | 18 | 148% | 6 | 7 |
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 Lexington, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
4 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$954.2M net patient revenue
Ownership and leadership
Other
The employer identification numbers (EINs) health plans and networks list for Baptist Health Lexington 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 | 64Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 59 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.
1740 Nicholasville Road, Lexington, KY 40503
(859) 260-6104
How Baptist Health Lexington compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
4 of 5
Higher than 58% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
Better on 1 of 8 measures
1 better, 7 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Better on 1 of 8 measures
1 better, 7 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Mixed on 11 measures
1 better, 9 no different, 1 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
84%
Higher than 89% 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)
0.97
Higher than 53% 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
183 min
Higher than 72% 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
62%
Lower than 57% 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 | 4 of 5 | |
| Death rates | Better on 1 of 8 measures | |
| Safety | Better on 1 of 8 measures | |
| Readmissions | Mixed on 11 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 | 84% | 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) | 0.97 | 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 | 183 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 62% | 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 Lexington's inpatient payments for its readmissions, quality and cost results.
-0.43% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-0.31% 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 Lexington, 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 Lexington | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 33 cases | 3.7 | 4.1 | 4.2 | Better than 67% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 5,402 cases | 3.5 | 3.9 | 4.543 | Better than 74% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 183 cases | 11.7 | 11.8 | 12.11 | Better than 51% of US hospitals | |
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 · 190 cases | 2.9 | 2.3 | 2.485 | Worse than 77% of US hospitals | |
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 202 cases | 6.6 | 8.5 | 9.152 | Better than 93% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 606 cases | 10.6 | 11 | 11.98 | Better than 57% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 729 cases | 13.3 | 15.2 | 16.6 | Better than 78% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 838 cases | 11.6 | 11.6 | 12.38 | Better than 50% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 6,629 cases | 0.13 | 0.51 | 0.6092 | No Different Than the National Rate | Better than 97% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 · 125 cases | 167 | 173 | 185 | No Different Than the National Rate | Better than 60% of US hospitals |
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 9,135 cases | 0.14 | 0.2 | 0.2113 | No Different Than the National Rate | Better than 96% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 9,432 cases | 0.22 | 0.27 | 0.2787 | No Different Than the National Rate | Better than 93% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 2,337 cases | 1.51 | 2.29 | 2.306 | No Different Than the National Rate | Better than 99% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 975 cases | 1.72 | 1.63 | 1.711 | No Different Than the National Rate | Worse than 79% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 942 cases | 13.03 | 8.88 | 10.2 | No Different Than the National Rate | Worse than 89% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 2,491 cases | 2.71 | 3.4 | 3.435 | No Different Than the National Rate | Better than 91% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 919 cases | 7.68 | 5.105 | 5.85 | No Different Than the National Rate | Worse than 97% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 451 cases | 1.47 | 1.72 | 1.761 | No Different Than the National Rate | Better than 97% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 1,745 cases | 0.85 | 1.02 | 1.077 | No Different Than the National Rate | Better than 89% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Baptist Health Lexington | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 · 263 cases | 15.5 | 4.2 | 13.02 | Worse than 69% of US hospitals | |
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 731 cases | -9 | 1.25 | 9.521 | Better than 64% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 813 cases | -3.7 | 3.85 | 12.61 | Better than 60% 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 · 113 cases | 12.8 | 12.9 | 13.03 | No Different Than the National Rate | Better than 55% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 228 cases | 11.6 | 10.7 | 10.97 | No Different Than the National Rate | Worse than 74% of US hospitals |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 228 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 · 732 cases | 0.9 | 1 | 1.027 | No Different than expected | Better than 68% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 410 cases | 13.3 | 14.4 | 14.42 | Better than 91% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 · 268 cases | 10.7 | 10.9 | 10.55 | Better than 55% of US hospitals | |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 430 cases | 18.2 | 19.8 | 19.89 | Better than 98% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 1,098 cases | 22.3 | 21.3 | 21.36 | Worse than 78% 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 · 1,178 cases | 16.6 | 17.2 | 17.37 | Better than 77% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Baptist Health Lexington | 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 | 0.039 | 0.172 | 0.339 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.773 | 1.504 | 2.151 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 10,139 | 1,370 | 2,960 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 8.546 | 0.9835 | 2.924 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 2 | 0 | 2.453 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.234 | 0.484 | 0.7803 | Better than the National Benchmark | Better than 71% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.635 | 0.138 | 0.2917 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.228 | 1.392 | 2.135 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 9,194 | 1,799 | 3,041 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 7.999 | 1.377 | 3.578 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 10 | 0 | 2.172 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 1.25 | 0.399 | 0.5965 | No Different than National Benchmark | Worse than 93% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.569 | 0.2345 | 0.4763 | No Different than National Benchmark | |
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.139 | 2.135 | 2.932 | No Different than National Benchmark | |
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 278 | 61 | 98 | No Different than National Benchmark | |
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 7.72 | 1.591 | 2.685 | No Different than National Benchmark | |
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 9 | 1 | 2.881 | No Different than National Benchmark | |
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | 1.166 | 0.7155 | 0.9389 | No Different than National Benchmark | Worse than 75% of US hospitals |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.153 | 0.211 | 0.2818 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | 3.024 | 3.068 | 3.126 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 262 | 38 | 73.52 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 2.185 | 0.328 | 0.6952 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 2 | 0 | 0.8043 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | 0.915 | 0.812 | 0.9479 | No Different than National Benchmark | Worse than 56% of US hospitals |
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.549 | 0.193 | 0.2803 | No Different than National Benchmark | |
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.065 | 1.855 | 2.29 | No Different than National Benchmark | |
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 132,213 | 14,451 | 34,235 | No Different than National Benchmark | |
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 7.998 | 0.567 | 2.406 | No Different than National Benchmark | |
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 9 | 0 | 2.093 | No Different than National Benchmark | |
| MRSA Bacteremia2024-10-01 to 2025-09-30 | 1.125 | 0.597 | 0.7481 | No Different than National Benchmark | Worse than 83% of US hospitals |
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.023 | 0.127 | 0.149 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.178 | 0.747 | 1.678 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 115,989 | 13,646 | 31,551 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 54.29 | 5.683 | 15.64 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 4 | 2 | 5.011 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.074 | 0.279 | 0.3987 | Better than the National Benchmark | Better than 77% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Baptist Health Lexington | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 1,726 cases | 71 | 73 | 74.59 | Worse than 58% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 1,726 cases | 9 | 8 | 7.987 | Worse than 53% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 1,726 cases | 20 | 18 | 17.42 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 1,726 cases | 86 | 87 | 86.82 | Worse than 53% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 1,726 cases | 3 | 4 | 3.533 | Worse than 53% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 1,726 cases | 83 | 80 | 82.24 | Better than 69% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 1,726 cases | 93 | 91 | 92.18 | Better than 69% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 1,726 cases | 3 | 4 | 3.772 | Better than 58% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 1,726 cases | 4 | 3 | 3.8 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 1,726 cases | 14 | 16 | 13.99 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 1,726 cases | 82 | 79 | 81.87 | Better than 66% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 1,726 cases | 93 | 91 | 91.67 | Better than 77% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 1,726 cases | 4 | 5 | 4.823 | Better than 62% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 1,726 cases | 4 | 3 | 3.417 | Better than 63% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 1,726 cases | 14 | 16 | 13.3 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 1,726 cases | 63 | 61 | 63.23 | Better than 58% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 1,726 cases | 79 | 77 | 78.17 | Better than 65% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 1,726 cases | 18 | 19 | 18.58 | Better than 57% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 1,726 cases | 3 | 3 | 2.833 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 1,726 cases | 19 | 19 | 18.19 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 1,726 cases | 89 | 86 | 85.77 | Better than 78% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 1,726 cases | 11 | 13 | 13.37 | Better than 68% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 1,726 cases | 4 | 3 | 3.317 | Better than 55% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 1,726 cases | 89 | 87 | 86.63 | Better than 68% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 1,726 cases | 12 | 14 | 14.65 | Better than 68% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 1,726 cases | 88 | 86 | 85.35 | Better than 68% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 1,726 cases | 77 | 74 | 76.86 | Better than 67% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 1,726 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 · 1,726 cases | 18 | 19 | 16.81 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 1,726 cases | 81 | 77 | 80.25 | Better than 71% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 1,726 cases | 4 | 6 | 5.278 | Better than 70% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 1,726 cases | 15 | 17 | 14.47 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,726 cases | 89 | 85 | 87.39 | Better than 77% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,726 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 · 1,726 cases | 9 | 11 | 9.486 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 1,726 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 · 1,726 cases | 14 | 20 | 19.38 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 1,726 cases | 82 | 72 | 73.08 | Better than 85% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 1,726 cases | 92 | 88 | 88.38 | Better than 86% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 1,726 cases | 4 | 3 | 3.333 | Better than 55% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 1,726 cases | 77 | 74 | 75.21 | Better than 66% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 1,726 cases | 8 | 9 | 9.458 | Better than 60% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 1,726 cases | 15 | 16 | 15.33 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 1,726 cases | 79 | 75 | 77.63 | Better than 75% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 1,726 cases | 4 | 5 | 5.153 | Better than 66% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 1,726 cases | 17 | 20 | 17.22 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 1,726 cases | 81 | 77 | 79.5 | Better than 74% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 1,726 cases | 3 | 4 | 4.028 | Better than 64% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 1,726 cases | 16 | 19 | 16.47 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,726 cases | 90 | 86 | 88 | Better than 77% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,726 cases | 2 | 3 | 2.556 | Better than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,726 cases | 8 | 11 | 9.444 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 1,726 cases | 63 | 59 | 62.39 | Better than 62% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 1,726 cases | 8 | 9 | 8.089 | Better than 53% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 1,726 cases | 29 | 31 | 29.52 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 1,726 cases | 85 | 82 | 83.2 | Better than 71% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 1,726 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 · 1,726 cases | 2 | 5 | 5.19 | Better than 83% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 1,726 cases | 84 | 71 | 70.95 | Better than 89% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 1,726 cases | 94 | 87 | 86.8 | Better than 94% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 1,726 cases | 14 | 23 | 23.86 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 1,726 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 · 1,726 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 · 1,726 cases | 29 | 30 | 28.18 | Better than 55% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 1,726 cases | 21 | 22 | 21 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 1,726 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 · 1,726 cases | 10 | 12 | 11.93 | Better than 70% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 1,726 cases | 90 | 88 | 88.07 | Better than 70% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Baptist Health Lexington | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | very high | ||||
| 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 | Not Available | 8.032 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 · 4,246 cases | 1 | 1 | 1.132 | Worse than 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 · 6,569 cases | 94 | 79 | 74.25 | Better than 83% 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 · 5,243 cases | 184 | 154 | 153 | Worse than 69% 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 · 5,050 cases | 183 | 148 | 147 | Worse than 72% 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 · 132 cases | 232 | 247 | 227 | Better than 56% 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 · 65 cases | 232 | 293 | 305 | Better than 76% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 62,519 cases | 0 | 1 | 1.418 | The best result, shared by 23% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 14 cases | 86 | 74 | 68.9 | Better than 78% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 32 cases | 94 | 97 | 93.89 | Worse than 65% 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 · 73 cases | 88 | 53 | 63.27 | Better than 98% of US hospitals | |
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 4,689 cases | 12 | 15 | 16.73 | Better than 69% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 674 cases | 62 | 65 | 66.02 | Worse than 57% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 239 cases | 80 | 73 | 74.36 | Better than 65% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 140 cases | 76 | 88 | 85.06 | Worse than 79% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 674 cases | 80 | 82 | 81.94 | Worse than 56% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 409 cases | 91 | 94 | 94.58 | Worse than 68% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 505 cases | 98 | 98 | 96.88 | Better than 49% of US hospitals | |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 · 129 cases | 68 | 75 | 74 | Worse than 69% of US hospitals | |
| 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 Lexington | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 9.7 | 5 | 7.251 | Worse than 86% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 10.5 | 6.6 | 6.595 | Worse than 84% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Baptist Health Lexington | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 1.09 | 0.99 | 1.007 | Worse than 89% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Baptist Health Lexington | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 11.67 | 20 | 14.1 | Worse than 70% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 2.917 | 5 | 3.571 | Worse than 70% 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 | 68 | 34 | 44.76 | Better than 91% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 17 | 8.75 | 11.37 | Better than 90% of US hospitals | |
| VBP safety domain scoreFY 2026 | 18.33 | 40 | 46.5 | Worse than 87% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 4.583 | 10 | 11.8 | Worse than 87% of US hospitals | |
| VBP total performance scoreFY 2026 | 24.5 | 29.5 | 31.05 | Worse than 67% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 42 | 35 | 24 | 5 | 13.33 | 11.67 |
| VBP clinical outcomes weighted domain score | 10.5 | 8.75 | 6 | 1.25 | 3.333 | 2.917 |
| VBP efficiency and cost reduction domain score | 0 | Not Available | 0 | 0 | 0 | 0 |
| VBP efficiency and cost reduction weighted domain score | 0 | Not Available | 0 | 0 | 0 | 0 |
| VBP person and community engagement domain score | 62 | Not Available | Not Available | 30 | 34 | 68 |
| VBP person and community engagement weighted domain score | 15.5 | Not Available | Not Available | 7.5 | 8.5 | 17 |
| VBP safety domain score | 40 | Not Available | Not Available | 14 | 28 | 18.33 |
| VBP safety weighted domain score | 10 | Not Available | Not Available | 3.5 | 7 | 4.583 |
| VBP total performance score | 36 | Not Available | Not Available | 12.25 | 18.83 | 24.5 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Baptist Health Lexington | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 · 278 cases | 0.9704 | 0.9995 | 1.011 | Better than 70% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 · 181 cases | 1.12 | 1 | 0.9628 | Worse than 90% of US hospitals | |
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 212 cases | 0.9713 | 0.9969 | 1.008 | Better than 74% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 708 cases | 0.9587 | 0.9983 | 1.009 | Better than 76% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 1.059 | 0.9916 | 1.084 | Worse than 69% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 776 cases | 0.9367 | 0.9955 | 1.006 | Better than 86% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 0.9444 | 0.9633 | 1.028 | 1.119 | 1.032 | 0.9704 |
| READM-30-CABG-HRRP | 1.078 | 1.109 | 1.189 | 1.171 | 1.22 | 1.12 |
| READM-30-COPD-HRRP | 0.9321 | 0.9654 | 0.9672 | 0.9811 | 0.9873 | 0.9713 |
| READM-30-HF-HRRP | 0.9333 | 0.9487 | 0.9362 | 0.9012 | 0.8697 | 0.9587 |
| READM-30-HIP-KNEE-HRRP | 0.9118 | 0.9585 | 1.16 | 1.21 | 1.144 | 1.059 |
| READM-30-PN-HRRP | 0.9004 | 0.9659 | 1.026 | 1.018 | 0.9507 | 0.9367 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Baptist Health Lexington | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 1.179 | 0.489 | 0.5632 | Worse than 90% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.152 | 0.346 | 0.3899 | Better than 80% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.414 | 0.559 | 0.9125 | Better than 65% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0.975 | 0.6405 | 0.8459 | Worse than 76% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.9683 | 0.9628 | 1.023 | Worse than 53% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 1.243 | 0.7945 | 0.8867 | Worse than 76% of US hospitals | |
| Total HAC scoreFY 2026 | 0.2194 | -0.0453 | 0.1443 | Worse than 66% 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 | -0.2305 | -0.3293 | 0 | -0.0196 | 0.1659 | 0.2194 |
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.
The Joint Commission (since 2008)
Accreditation
None
Medical school affiliation
Other
Ownership type
371
Medicare-certified beds
575
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Baptist Health Lexington reported to Medicare in its latest cost report, covering Sep 1, 2024 to Aug 31, 2025.
20,183
Inpatient discharges
Medicare 24%, Medicaid n/a
107,967
Inpatient days
68% of available bed days used
2,479
Employees (full-time equivalent)
3
Interns and residents (full-time equivalent)
Source: CMS cost report (HCRIS) (report 829175). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Baptist Health Lexington reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 23,503 | 802 | 83,662 | 107,967 |
| Discharges | 4,764 | 0 | 15,419 | 20,183 |
| Average length of stay | 4.9 days | 5.4 days | 5.3 days | |
| Average daily census | 64.4 | 2.2 | 229.2 | 295.8 |
34,932
Medicare Advantage days
6,034 discharges
22,691
Medicaid managed care days
9,801
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 350 | 77,826 | 20,209 | 61% |
| Intensive care unit | 52 | 13,664 | 3,294 | 72% |
| Other special care | 32 | 7,900 | 68% | |
| Nursery | 8,577 |
Source: CMS cost report (HCRIS, Form 2552-10), report 829175, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Baptist Health Lexington treats Medicare patients for most often, in 2024. 3,648 Medicare discharges in 101 published DRGs; 25% surgical; 67% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 295 | $74,949 | $11,169 | $11,392 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 219 | $47,073 | $7,319 | $7,155 | 1.28 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 141 | $62,896 | $9,281 | $9,560 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 122 | $48,091 | $7,341 | $7,310 | 1.33 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 99 | $298,491 | $19,964 | $45,371 | 3.24 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 99 | $36,190 | $4,234 | $5,501 | 0.81 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 95 | $61,351 | $5,347 | $9,325 | 1.02 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 84 | $44,470 | $5,520 | $6,759 | 1.03 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 71 | $38,000 | $6,082 | $5,776 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 70 | $38,961 | $3,965 | $5,922 | 0.82 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 69 | $53,386 | $5,659 | $8,115 | 0.98 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 67 | $48,270 | $6,328 | $7,337 | 1.17 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 64 | $57,028 | $6,680 | $8,668 | 1.23 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 63 | $30,803 | $3,701 | $4,682 | 0.74 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 60 | $34,403 | $4,065 | $5,229 | 0.79 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 58 | $37,291 | $4,034 | $5,668 | 0.78 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 57 | $64,944 | $9,225 | $9,872 | 1.59 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 57 | $206,942 | $32,303 | $31,455 | 5.00 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 54 | $84,356 | $11,627 | $12,822 | 2.00 |
| Syncope and collapseMS-DRG 312, medical | 51 | $38,340 | $4,707 | $5,828 | 0.86 |
See all 101 Medicare inpatient DRGs at Baptist Health Lexington
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 Lexington billed Medicare for most in 2024: 3,574 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 629 | 597 | $28,930 | $1,868 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 388 | 387 | $39,257 | $1,980 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 286 | 262 | $17,898 | $1,098 | $1,220 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 275 | 266 | $112,466 | $9,571 | $10,772 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 234 | 225 | $448,807 | $18,799 | $21,117 |
| Level 3 Endovascular ProceduresAPC 5193 | 141 | 137 | $145,675 | $7,777 | $8,874 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 140 | 140 | $189,626 | $14,264 | $15,763 |
| Level 5 Urology and Related ServicesAPC 5375 | 139 | 130 | $31,346 | $3,543 | $3,918 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 97 | 94 | $60,499 | $4,933 | $5,339 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 94 | 94 | $75,041 | $7,055 | $8,164 |
See all 41 Medicare outpatient services at Baptist Health Lexington
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 Lexington 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 8,525 in 2020 to 10,299 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 40356 | 795 | 8% | 4,187 | $74.2M | 34% | 37% |
| 40515 | 608 | 6% | 3,258 | $58.5M | 44% | 39% |
| 40517 | 600 | 6% | 3,486 | $54.5M | 41% | 41% |
| 40509 | 597 | 6% | 3,241 | $60.5M | 39% | 31% |
| 40503 | 488 | 5% | 2,708 | $46.5M | 46% | 48% |
| 40502 | 482 | 5% | 2,536 | $47.5M | 44% | 44% |
| 40324 | 446 | 4% | 2,224 | $48.8M | 24% | 21% |
| 40475 | 442 | 4% | 2,475 | $55.5M | 16% | 20% |
| 40505 | 432 | 4% | 2,479 | $41.6M | 30% | 26% |
| 40383 | 409 | 4% | 2,079 | $42M | 34% | 29% |
| 40511 | 363 | 4% | 2,069 | $35M | 32% | 29% |
| 40601 | 346 | 3% | 1,830 | $43.3M | 10% | 9% |
| 40504 | 344 | 3% | 2,020 | $31.2M | 34% | 32% |
| 40342 | 252 | 2% | 1,404 | $24.7M | 19% | 18% |
| 40361 | 247 | 2% | 1,238 | $27.3M | 23% | 21% |
| 40391 | 218 | 2% | 1,089 | $26M | 10% | 10% |
| 40514 | 204 | 2% | 1,205 | $19.9M | 45% | 44% |
| 40444 | 178 | 2% | 871 | $15.7M | 23% | 17% |
| 40513 | 152 | 1% | 818 | $14.6M | 42% | 49% |
| 40508 | 140 | 1% | 1,040 | $15.8M | 19% | 18% |
| 40403 | 130 | 1% | 687 | $16.8M | 8% | 13% |
| 40390 | 127 | 1% | 615 | $10.6M | 36% | 35% |
| 40336 | 125 | 1% | 733 | $18M | 14% | 16% |
| 40330 | 118 | 1% | 601 | $12.1M | 13% | 13% |
| 40701 | 116 | 1% | 678 | $24.9M | 7% | 10% |
Source: CMS Hospital Service Area file. Shares are of the 10,299 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 Lexington reported at its latest Medicare certification survey (2008). Counts are people, not full-time equivalents.
4
Off-site locations
4
Off-site emergency departments
575
Registered nurses
37
Licensed practical nurses
11
Physicians
4
Nurse practitioners
4
Physician assistants
21
Pharmacists
33
Respiratory therapists
20
Physical therapists
6
Occupational therapists
2
Speech pathologists and audiologists
30
Radiology technicians
5
Nuclear medicine technicians
8
Laboratory technicians
27
Medical technologists
8
Dietitians
6
Social workers
1
Psychologists
1,044
Other personnel
Source: CMS Provider of Services file.
1,123 clinicians who bill Medicare list Baptist Health Lexington 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.
Charles Rose
Infectious Disease Physician
NPI 1568595874
See commercial rates for Charles RoseMark Dougherty, MD
Infectious Disease Physician
NPI 1326049628
See commercial rates for Mark Dougherty, MDJohn Meek, MD
Infectious Disease Physician
NPI 1891796298
See commercial rates for John Meek, MDMichael Miedler, MD
Infectious Disease Physician
NPI 1548261837
See commercial rates for Michael Miedler, MDDaniel Rodrigue, MD
Infectious Disease Physician
NPI 1386645661
See commercial rates for Daniel Rodrigue, MDAndrea Banks, MD
Infectious Disease Physician
NPI 1083836399
See commercial rates for Andrea Banks, MDDavid Dougherty, M.D.
Infectious Disease Physician
NPI 1104261445
See commercial rates for David Dougherty, M.D.Angelia Thompson, MD
Ophthalmology Physician
NPI 1427162395
See commercial rates for Angelia Thompson, MDAndrew Alexander, MD
Infectious Disease Physician
NPI 1942566807
See commercial rates for Andrew Alexander, MDMarty Allen, M.D.
Infectious Disease Physician
NPI 1639217391
See commercial rates for Marty Allen, M.D.Warren Chumley, MD
Clinical Neurophysiology Physician
NPI 1902853617
See commercial rates for Warren Chumley, MDElizabeth Piercy, MD
Infectious Disease Physician
NPI 1437150703
See commercial rates for Elizabeth Piercy, MDSamuel Coy, M.D.
Orthopaedic Surgery Physician
NPI 1609051697
See commercial rates for Samuel Coy, M.D.James Rice, MD
Orthopaedic Surgery Physician
NPI 1265509285
See commercial rates for James Rice, MDSusanna Moberly, APRN
Rheumatology Physician
NPI 1568843316
See commercial rates for Susanna Moberly, APRNKaveh Sajadi, M.D.
Sports Medicine (Orthopaedic Surgery) Physician
NPI 1649205741
See commercial rates for Kaveh Sajadi, M.D.Daniel Hackett, M.D.
Orthopaedic Surgery Physician
NPI 1306132360
See commercial rates for Daniel Hackett, M.D.Thomas Slabaugh, MD
Urology Physician
NPI 1174622120
See commercial rates for Thomas Slabaugh, MDAsma Murad, M.D.
Family Medicine Physician
NPI 1831189604
See commercial rates for Asma Murad, M.D.Dirk Koester, M.D.
Diagnostic Radiology Physician
NPI 1801979109
See commercial rates for Dirk Koester, M.D.Andres Ramirez, M.D.
Vascular & Interventional Radiology Physician
NPI 1912432410
See commercial rates for Andres Ramirez, M.D.Ronak Jani, M.D.
Neurology Physician
NPI 1417182304
See commercial rates for Ronak Jani, M.D.Keith Applegate, M.D.
Family Medicine Physician
NPI 1245235795
See commercial rates for Keith Applegate, M.D.David Bosomworth, MD
Interventional Pain Medicine Physician
NPI 1164518080
See commercial rates for David Bosomworth, MDSource: 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 Lexington reported to Medicare for Sep 1, 2024 to Aug 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $6.6B | 688.2% |
| Inpatient | $1.9B | 203.8% |
| Outpatient | $4.6B | 484.3% |
| Contractual allowances and discounts | -$5.6B | -588.2% |
| Net patient revenue | $954.2M | 100.0% |
| Operating expenses | -$973.9M | -102.1% |
| Operating income from patient care | -$19.7M | -2.1% |
| Other income | $135.6M | 14.2% |
| Investment income | $9 | 0.0% |
| COVID-19 relief funding | $2.7M | 0.3% |
| Other | $132.9M | 13.9% |
| Other expenses | -$365,347 | -0.0% |
| Net income | $115.5M | 12.1% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $1.3B | 19.7% |
| Medicaid (including managed care) | $781M | 11.9% |
| Other payers and self-pay | $4.5B | 68.4% |
| Total charges | $6.6B | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 829175, as submitted. 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 Lexington's latest cost report.
-2.1%
Operating margin
Operating income from patient care / net patient revenue
10.6%
Total margin
Net income / net patient revenue plus other income
13.4%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
29% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$39.49
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
14.5%
Return on assets
Net income for a year / total assets
11.3%
Return on equity
Net income for a year / fund balance
4.69
Current ratio
Current assets / current liabilities
3.12
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
43 days
Days in patient receivables
Net patient receivables / daily net patient revenue
14 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.37
Asset turnover
Total revenue for a year / total assets
14.3 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 829175, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Baptist Health Lexington owned and owed at the end of its reporting period (Aug 2025), across all fund types: $794.1M in total assets and a $1B fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $10,021 | 0.0% |
| Patient receivables, net | $111.6M | 14.0% |
| Inventory | $17.4M | 2.2% |
| Total current assets | $167.9M | 21.1% |
| Property and equipment, net of depreciation | $585.7M | 73.8% |
| Investments and other assets | $40.5M | 5.1% |
| Total assets | $794.1M | 100.0% |
| Current liabilities | $35.8M | 4.5% |
| Total liabilities | -$232.2M | -29.2% |
| Fund balance (net assets) | $1B | 129.2% |
Source: CMS cost report (HCRIS, Form 2552-10), report 829175, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Baptist Health Lexington provided without full payment, as reported on Worksheet S-10 of its cost report.
$6.1M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$34.4M
Bad debt
Patient bills written off as uncollectible, at charges
-$7.9M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$10.2M
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 829175, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Baptist Health Lexington'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 | $599.6M | $732.5M | $744.9M | $760.6M | $886.3M | $954.2M |
| Operating expenses | $599.3M | $666M | $753.1M | $739.4M | $905.2M | $973.9M |
| Operating margin | 0.0% | 9.1% | -1.1% | 2.8% | -2.1% | -2.1% |
| Net income | $32M | $108.9M | $51M | $103.5M | $97.2M | $115.5M |
| Total assets | $605.4M | $735.6M | $796.1M | $847.4M | $749M | $794.1M |
| Discharges | 19,076 | 19,836 | 20,086 | 22,360 | 23,841 | 20,183 |
| Inpatient days | 99,101 | 106,619 | 111,021 | 102,967 | 105,570 | 107,967 |
| Medicare Advantage days | 22,932 | 26,143 | 29,703 | 28,381 | 30,850 | 34,932 |
| Beds | 402 | 434 | 434 | 434 | 434 | 434 |
| Employees (FTE) | 2,300 | 2,396 | 2,211 | 2,238 | 2,371 | 2,479 |
Source: CMS cost report (HCRIS, Form 2552-10), report 829175, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Baptist Health Lexington 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 | $115.1M | $1.5B | 0.08 | ||
| Operating room | $11.7M | $68M | $472.5M | 0.14 | 62,273 |
| Impl. dev. charged to patients | $67.3M | $639.4M | 0.11 | ||
| Medical supplies charged to patient | $49.7M | $330.1M | 0.15 | ||
| Laboratory | $6.8M | $37.7M | $390.3M | 0.10 | 18,173 |
| Emergency | $10.6M | $31.1M | $248.7M | 0.12 | 33,434 |
| Radiology-diagnostic | $8.8M | $27.3M | $233.3M | 0.12 | 31,740 |
| Cardiac catheterization | $4.9M | $24.9M | $735.5M | 0.03 | 29,093 |
| Clinic | $8.6M | $18.8M | $77.6M | 0.24 | 37,132 |
| Delivery room & labor room | $6.6M | $17.3M | $67M | 0.26 | 19,812 |
| Electrocardiology | $4.6M | $15.1M | $264.4M | 0.06 | 59,437 |
| Radiology-therapeutic | $3.3M | $13.1M | $369.3M | 0.04 | 26,276 |
| Observation beds (non-distinct part | $12.4M | $62.9M | 0.20 | ||
| Recovery room | $2.2M | $11.9M | $81.8M | 0.15 | 4,064 |
| Ct scan | $2.8M | $10.6M | $394.6M | 0.03 | 3,471 |
| Respiratory therapy | $5M | $10.2M | $43.9M | 0.23 | 3,416 |
| Mri | $1.9M | $7.1M | $110.2M | 0.06 | 5,006 |
| Physical therapy | $3.7M | $6.7M | $50M | 0.13 | 9,837 |
| Ambulance services | $2.1M | $3.8M | $5.8M | 0.66 | 76 |
| Intravenous therapy | $3.8M | $15.6M | 0.24 | ||
| Ultra sound | $1.4M | $3.6M | $37.7M | 0.09 | 1,129 |
| Whole blood & packed red blood cell | $2.7M | $17M | 0.16 | 299 | |
| Occupational therapy | $1.5M | $2.4M | $13.4M | 0.18 | 346 |
| Speech pathology | $1.2M | $1.9M | $18.3M | 0.11 | 409 |
| Renal dialysis | $589,406 | $1.9M | $6M | 0.31 | 3,176 |
| Electroencephalography | $326,359 | $1.1M | $21.9M | 0.05 | 734 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $47.6M | $110.9M | $169.6M | 0.65 | 194,762 |
| Intensive care unit | $14M | $32.6M | $99.6M | 0.33 | 26,582 |
| Neonatal intensive care unit | $6.1M | $12.9M | $47.4M | 0.27 | |
| Nursery | $6.3M | $38.6M | 0.16 | 11,434 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Other administrative and general | $7.1M | $120.3M | 2 | ||
| Operation of plant | $3.3M | $24M | 80,518 | $40.92 | 403,266 |
| Cap rel costs-mvble equip | $15.4M | ||||
| Cap rel costs-bldg & fixt | $14.6M | 1,095,000 | |||
| Pharmacy | $8.9M | $12.8M | 162,632 | $54.57 | 9,209 |
| Data processing | $11.5M | 11,020 | |||
| Housekeeping | $4.8M | $9.4M | 210,992 | $22.92 | 6,684 |
| Medical records & library | $5.6M | $7.6M | 117,487 | $47.69 | 5,871 |
| Admitting | $1.2M | $5.6M | 3,039 | ||
| Nursing administration | $3.7M | $5.6M | 76,126 | $48.59 | 5,738 |
| Dietary | $5.2M | $5.5M | 104,985 | $25.10 | 21,106 |
| Purchasing receiving and stores | $159,185 | $3.3M | 14,699 | ||
| Central services & supply | $1.2M | $3.1M | 44,513 | $26.57 | 4,225 |
| Laundry & linen service | $3M | 2,547 | |||
| Employee benefits department | $930,079 | $2.4M | 17,533 | $21.94 | 763 |
| Cafeteria | $2.3M | 111,615 | $22.65 | 13,609 | |
| Nonpatient telephones | $890,461 | $1.2M | 244 | ||
| Pharmacy residency program | $542,646 | $695,705 | |||
| I&r services-salary & fringes apprv | $82,989 |
Source: CMS cost report (HCRIS, Form 2552-10), report 829175, as submitted. 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 Lexington for an inpatient stay.
1.86
Case mix index
Higher than 68% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
Teaching hospital
Teaching status
0.01 residents per bed
Medicare-funded interns and residents per bed (FY 2027).
25.4%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
4,793
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 | 2.00 | 2.00 | 2.07 | 1.94 | 1.88 | 1.87 | 1.86 |
| Wage index | 0.883 | 0.877 | 0.888 | 0.873 | 0.971 | 0.926 | 0.908 |
| Readmissions adjustment | 0.00% | -0.33% | -0.41% | -1.09% | -1.17% | -0.91% | -0.43% |
| Value-based purchasing adjustment | +0.30% | +0.31% | +0.31% | +0.12% | -0.84% | -0.31% | -0.31% |
| Medicare inpatient stays | 5,889 | 5,889 | 5,013 | 5,038 | 4,854 | 4,700 | 4,793 |
Source: CMS IPPS final rule Impact File (FY 2027).
The officers and board members on Baptist Health Lexington'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.
Baptist Healthcare System Inc files the Form 990 for the tax ID insurers list for Baptist Health Lexington, so these people may lead the wider organization rather than Baptist Health Lexington 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
Not participating
340B ID DSH180103, registered as a disproportionate share hospital. Authorizing official: Christopher M. Roty, President.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Helipad
Baptist Health Lexington
FAA location ID 1KY4, a medical-use heliport at the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
About Baptist Health Lexington's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Baptist Health Lexington range from $526 to $736 across 3 insurers. Cigna's rate is $526. The median at nearby comparable hospitals is $514. 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 Lexington 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 $2,254. 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 Lexington range from $6,092 to $8,390 across 4 insurers. UnitedHealthcare's rate is $6,988. 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 Lexington range from $148 to $297 across 3 insurers. Cigna's rate is $221. The median at nearby comparable hospitals is $140. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Baptist Health Lexington range from $18,408 to $25,981 across 4 insurers. Aetna's rate is $18,408. The median at nearby comparable hospitals is $23,831. What a patient pays depends on their plan's deductible, coinsurance and network status.
Baptist Health Lexington has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.
Yes. CMS counts 0.01 Medicare-funded residents per bed at Baptist Health Lexington for fiscal year 2027, so it is a teaching hospital.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Baptist Health Lexington's base inpatient payments by an estimated 0.43% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (295 discharges), heart failure and shock with mcc (219 discharges), respiratory infections and inflammations with mcc (141 discharges).
Baptist Health Lexington's Medicare case mix index is 1.86 for fiscal year 2027, higher than 68% of hospitals paid under the inpatient prospective payment system.
Baptist Health Lexington reported 20,183 inpatient discharges and 107,967 inpatient days from Sep 1, 2024 to Aug 31, 2025.
Baptist Health Lexington reported 2,479 full-time-equivalent employees on payroll from Sep 1, 2024 to Aug 31, 2025.
Baptist Health Lexington reported $954.2M in net patient revenue on $6.6B of gross charges for Sep 1, 2024 to Aug 31, 2025, an operating margin of -2.1%, and net income of $115.5M.
Baptist Health Lexington reported $10.2M of unreimbursed and uncompensated care for Sep 1, 2024 to Aug 31, 2025, including $6.1M of charity care at cost.
Baptist Health Lexington's Medicare enrollment lists Christopher Roty as President since 2022.
Insurers' price transparency files list Baptist Health Lexington under employer identification number 61-0444707 ((multi-state) Baptist Healthcare System INC). 64 health plans and networks list 61-0444707 for it.
HRSA's 340B database lists Baptist Health Lexington (340B ID DSH180103) as no longer participating since 2026.
1,123 clinicians who bill Medicare list Baptist Health Lexington as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family nurse practitioner (129), internal medicine physician (125), family medicine physician (124).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Baptist Health Lexington, effective 2008.
CMS lists 38 services at Baptist Health Lexington, including Anesthesia, Audiology, Cardiac Catheterization Lab, Cardiac Thoracic Surgery, Chemotherapy, Clinical Laboratory.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Baptist Health Lexington came from ZIP codes 40356 (795), 40515 (608), 40517 (600).
Baptist Health Lexington has 434 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 371 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Baptist Health Lexington is located at 1740 Nicholasville Road, Lexington, KY 40503. Its main phone number is (859) 260-6104.
Baptist Health Lexington's CMS Certification Number (CCN), also called its Medicare provider number, is 180103.
The National Provider Identifier (NPI) on file for Baptist Health Lexington is 1538244918.
Baptist Health Lexington is affiliated with Baptist Healthcare System.
Baptist Health Lexington lists 38 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.
228 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