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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Baptist Health Richmond

Baptist Healthcare System · Richmond, KY

801 Eastern Bypass, Richmond, KY 40475(859) 623-3131

4 of 5

CMS star rating

82

Beds

4,421

Inpatient discharges a year

$196.1M

Net patient revenue a year

41

In-network payers

About this hospital

Baptist Health Richmond is an 82-bed voluntary non-profit - private hospital in Richmond, KY, affiliated with Baptist Healthcare System. Below you'll find publicly disclosed negotiated rates and facility details, including 41 in-network payers and 177 disclosed rate categories.

  • Rural referral center
  • Medicare-dependent hospital
  • Disproportionate share hospital
  • 340B participant
CCN
180049
NPI
1568452290
Health system
Baptist Healthcare System
Teaching
No Medicare-funded residents
County
Madison County
Metro area
Richmond-Berea, KY MicroSA
Medicare contractor
Jurisdiction 15, CGS Administrators (15101)
In Medicare since
1966
Last CMS survey
2015

Prices for common services

The 24 services Baptist Health Richmond 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

Vaginal delivery, hospital stay

MS-DRG 807

$6,092 - $8,390

from 4 insurers · median $6,692

UnitedHealthcare$6,988
Insurer A*$6,092
Insurer B*$6,396
Insurer C*$8,390

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

Cesarean delivery, hospital stay

MS-DRG 788

$8,258 - $13,396

from 4 insurers · median $10,176

UnitedHealthcare$10,326
Insurer A*$8,258
Insurer B*$10,026
Insurer C*$13,396

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

Hysteroscopy with sampling of the uterine lining

CPT 58558

$1,281 - $3,466

from 4 insurers · median $2,555

Aetna$1,281
Insurer A*$1,862
Insurer B*$3,248
Insurer C*$3,466
Medicare $2,912Nearby hospitals $9,57973% below nearby hospitals

23 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$2,614 - $3,218

from 2 insurers · median $2,916

Blue Cross$3,218
Insurer A*$2,614
Medicare $492Nearby hospitals $1,83159% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Baptist Health Richmond

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.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*21
227%
51
Insurer B*24
194%
510
Insurer C*18
154%
47
Insurer D*17
142%
03

How we chose these services: 5 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 7 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 Richmond, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCareSource (incl Common Ground Health Coop)

More about this hospital

  • Quality

    4 of 5 stars

    • 156 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.12%)
    See quality ratings
  • Doctors and services

    Accredited by ACHC

    • No Medicare-funded residents
    • 34 services
    • 423 affiliated clinicians
    See doctors and services
  • Finances

    $196.1M net patient revenue

    • Operating margin on patient care 6.2%
    • $3.9M unreimbursed and uncompensated care
    • $28M net income
    See finances
  • Ownership and leadership

    Private (not for profit)

    • Gerard Colman, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Baptist Health Richmond in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
61-0444707(multi-state) Baptist Healthcare System INC60Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 55 more1821635558 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.

Location

801 Eastern Bypass, Richmond, KY 40475

(859) 623-3131

Get directions

Frequently asked questions

About Baptist Health Richmond's rates and hospital price transparency.

How much does a CT scan cost at Baptist Health Richmond?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Baptist Health Richmond range from $526 to $736 across 3 insurers. Cigna's rate is $526. The median at nearby comparable hospitals is $1,830. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Baptist Health Richmond?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Baptist Health Richmond 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 $2,596. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Baptist Health Richmond?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Baptist Health Richmond 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.

How much does a mammogram cost at Baptist Health Richmond?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Baptist Health Richmond range from $148 to $297 across 3 insurers. UnitedHealthcare's rate is $297. The median at nearby comparable hospitals is $306. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Baptist Health Richmond?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Baptist Health Richmond range from $18,408 to $25,981 across 4 insurers. Aetna's rate is $18,408. The median at nearby comparable hospitals is $36,044. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Baptist Health Richmond's CMS star rating?

Baptist Health Richmond 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.

Is Baptist Health Richmond a teaching hospital?

CMS reports no Medicare-funded interns or residents at Baptist Health Richmond for fiscal year 2027.

Does Medicare penalize Baptist Health Richmond for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Baptist Health Richmond's base inpatient payments by an estimated 0.12% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Baptist Health Richmond?

In 2024, the most common were heart failure and shock with mcc (92 discharges), septicemia or severe sepsis without mv >96 hours with mcc (81 discharges), simple pneumonia and pleurisy with mcc (40 discharges).

What is Baptist Health Richmond's case mix index?

Baptist Health Richmond's Medicare case mix index is 1.41 for fiscal year 2027, higher than 18% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

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.

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Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "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
      }
    ]
  }]
}
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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.

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