CHI Saint Joseph Health · Lexington, KY
35
In-network payers
261
Disclosed rate categories
433
Beds
3
Care quality
Chi Saint Joseph Health - Saint Joseph Hospital is a 433-bed voluntary non-profit - church hospital in Lexington, KY, affiliated with CHI Saint Joseph Health. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 261 disclosed rate categories.
CCN (Medicare provider number)
180010
NPI
1437150984
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Church
Beds
433
Care Quality
3
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Chi Saint Joseph Health - Saint Joseph Hospital 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.
Medicine & Surgery · Inpatient
MS-DRG 460
$20,225 - $48,397
from 3 insurers · median $36,696
27 Medicare discharges for this DRG in CMS hospital data
Cardiology and vascular testing
CPT 93306
$2,027 - $3,035
from 3 insurers · median $2,867
Common here, based on CMS Medicare volume
CT imaging
CPT 74177
$168 - $2,486
from 4 insurers · median $1,264
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 216
$50,221 - $150,259
from 4 insurers · median $124,051
Hospital reports cardiac thoracic surgery services to CMS
Medicine & Surgery
CPT 47562
$4,682 - $11,809
from 3 insurers · median $6,494
85 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Nuclear imaging
CPT 78452
$3,407 - $4,036
from 3 insurers · median $3,665
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$108 - $2,232
from 4 insurers · median $1,180
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$5,426 - $11,694
from 2 insurers · median $8,560
85 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45385
$1,772 - $3,446
from 3 insurers · median $2,320
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,738 - $2,091
from 3 insurers · median $1,845
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$53 - $1,280
from 4 insurers · median $477
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$331 - $427
from 2 insurers · median $379
Common here, based on CMS Medicare volume
Ultrasound
CPT 76705
$46 - $1,239
from 3 insurers · median $868
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$3,658 - $5,987
from 3 insurers · median $3,749
85 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Gynecology
CPT 58571
$9,773 - $12,898
from 2 insurers · median $11,336
Typical for a hospital with this service line
Mammography
CPT 77067
$71 - $249
from 4 insurers · median $151
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$161 - $2,132
from 4 insurers · median $1,221
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$141 - $1,724
from 4 insurers · median $629
Common here, based on CMS Medicare volume
Ultrasound
CPT 76830
$66 - $1,178
from 3 insurers · median $871
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$1,277 - $9,743
from 2 insurers · median $5,510
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$42 - $736
from 4 insurers · median $616
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 63030
$3,626 - $8,447
from 3 insurers · median $6,220
81 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)
X-ray and bone density
CPT 73630
$313 - $443
from 2 insurers · median $378
Common here, based on CMS Medicare volume
Ultrasound
CPT 76536
$42 - $817
from 3 insurers · median $632
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* | 21 | 514% | 13 | 8 |
| Insurer B* | 23 | 358% | 18 | 5 |
| Insurer C* | 19 | 191% | 8 | 9 |
| Insurer D* | 12 | 46% | 0 | 12 |
How we chose these services: 5 appear in this hospital's own Medicare claims, 16 are common here based on CMS Medicare volume, and 3 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 Chi Saint Joseph Health - Saint Joseph Hospital.
One St Joseph Drive, Lexington, KY 40504
(859) 313-1000
The nearest hospitals of similar type and size. Their rates are compared with Chi Saint Joseph Health - Saint Joseph Hospital for the same insurers and services above.
University Hospital
▲ Rates typically 15% higher than Chi Saint Joseph Health - Saint Joseph Hospital (24 services)
Baptist Health Lexington
Rates about the same as Chi Saint Joseph Health - Saint Joseph Hospital (24 services)
Good Samaritan Hospital
▲ Rates typically 15% higher than Chi Saint Joseph Health - Saint Joseph Hospital (24 services)
Ephraim Mcdowell Regional Medical Center
▼ Rates typically 37% lower than Chi Saint Joseph Health - Saint Joseph Hospital (18 services)
Baptist Health Louisville
Rates about the same as Chi Saint Joseph Health - Saint Joseph Hospital (24 services)
University Of Louisville Hospital
▼ Rates typically 11% lower than Chi Saint Joseph Health - Saint Joseph Hospital (23 services)
Women S Hospital At Saint Joseph East
University Of Kentucky
About Chi Saint Joseph Health - Saint Joseph Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Chi Saint Joseph Health - Saint Joseph Hospital range from $161 to $2,132 across 4 insurers. Blue Cross Blue Shield's rate is $590. The median at nearby comparable hospitals is $788. 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 Chi Saint Joseph Health - Saint Joseph Hospital range from $168 to $2,486 across 4 insurers. Aetna's rate is $2,486. The median at nearby comparable hospitals is $539. 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 Chi Saint Joseph Health - Saint Joseph Hospital range from $1,772 to $3,446 across 3 insurers. Blue Cross Blue Shield's rate is $2,320. The median at nearby comparable hospitals is $2,468. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Chi Saint Joseph Health - Saint Joseph Hospital range from $71 to $249 across 4 insurers. Cigna's rate is $71. The median at nearby comparable hospitals is $221. What a patient pays depends on their plan's deductible, coinsurance and network status.
Chi Saint Joseph Health - Saint Joseph Hospital has 433 beds. Facility type: Short Term Acute Care Hospital.
Chi Saint Joseph Health - Saint Joseph Hospital is located at One St Joseph Drive, Lexington, KY 40504. Its main phone number is (859) 313-1000.
Chi Saint Joseph Health - Saint Joseph Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 180010.
The National Provider Identifier (NPI) on file for Chi Saint Joseph Health - Saint Joseph Hospital is 1437150984.
Chi Saint Joseph Health - Saint Joseph Hospital is affiliated with CHI Saint Joseph Health.
Chi Saint Joseph Health - Saint Joseph Hospital lists 35 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
261 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.
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{
"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.
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