CHI Saint Joseph Health · Mount Sterling, KY
26
In-network payers
173
Disclosed rate categories
42
Beds
4
Care quality
Chi Saint Joseph Health - Saint Joseph Mount Sterling is a 42-bed voluntary non-profit - private hospital in Mount Sterling, KY, affiliated with CHI Saint Joseph Health. Below you'll find publicly disclosed negotiated rates and facility details, including 26 in-network payers and 173 disclosed rate categories.
CCN (Medicare provider number)
180064
NPI
1679679146
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
42
Care Quality
4
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 Mount Sterling 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.
Childbirth · Inpatient
MS-DRG 807
$6,468 - $6,815
from 2 insurers · median $6,642
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Childbirth · Inpatient
MS-DRG 788
$9,693 - $10,297
from 2 insurers · median $9,995
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
Cardiology and vascular testing
CPT 93306
$1,573 - $2,179
from 3 insurers · median $2,027
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$628 - $2,503
from 4 insurers · median $1,842
169 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
CT imaging
CPT 74177
$168 - $2,486
from 4 insurers · median $808
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,724 - $3,578
from 3 insurers · median $3,407
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$53 - $827
from 4 insurers · median $703
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$6,468 - $6,815
from 2 insurers · median $6,642
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Medicine & Surgery · Inpatient
MS-DRG 460
$34,346 - $36,696
from 2 insurers · median $35,521
Hospital reports orthopedic surgery services to CMS
CT imaging
CPT 74176
$108 - $2,232
from 4 insurers · median $815
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,258 - $1,738
from 3 insurers · median $1,350
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$3,989 - $14,118
from 3 insurers · median $9,773
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$1,227 - $1,772
from 3 insurers · median $1,573
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$289 - $331
from 2 insurers · median $310
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,664 - $1,830
from 3 insurers · median $1,765
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$23,900 - $26,217
from 2 insurers · median $25,058
Hospital reports orthopedic surgery services to CMS
CT imaging
CPT 71275
$141 - $904
from 4 insurers · median $824
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$71 - $287
from 4 insurers · median $144
Common here, based on CMS Medicare volume
Ultrasound
CPT 76705
$46 - $868
from 3 insurers · median $526
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$15,730 - $20,714
from 3 insurers · median $20,233
Hospital reports orthopedic surgery services to CMS
Urology
CPT 50590
$1,816 - $8,737
from 3 insurers · median $7,705
11 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Medicine & Surgery
CPT 47562
$4,858 - $6,494
from 3 insurers · median $5,139
Typical for a hospital with this service line
MRI imaging
CPT 70553
$161 - $1,852
from 4 insurers · median $1,179
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93971
$42 - $687
from 3 insurers · median $676
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* | 18 | 310% | 10 | 3 |
| Insurer B* | 24 | 298% | 5 | 0 |
| Insurer C* | 21 | 200% | 5 | 7 |
| Insurer D* | 10 | 45% | 0 | 0 |
How we chose these services: 2 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 8 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 Mount Sterling.
225 Falcon Drive, Mount Sterling, KY 40353
(859) 497-5018
The nearest hospitals of similar type and size. Their rates are compared with Chi Saint Joseph Health - Saint Joseph Mount Sterling for the same insurers and services above.
Clark Regional Medical Center
▼ Rates typically 65% lower than Chi Saint Joseph Health - Saint Joseph Mount Sterling (19 services)
Bourbon Community Hospital
Rates about the same as Chi Saint Joseph Health - Saint Joseph Mount Sterling (19 services)
Fleming County Hospital
▲ Rates typically 38% higher than Chi Saint Joseph Health - Saint Joseph Mount Sterling (11 services)
Harrison Memorial Hospital
Rates about the same as Chi Saint Joseph Health - Saint Joseph Mount Sterling (16 services)
Georgetown Community Hospital
▲ Rates typically 16% higher than Chi Saint Joseph Health - Saint Joseph Mount Sterling (20 services)
Kentucky River Medical Center
▲ Rates typically 37% higher than Chi Saint Joseph Health - Saint Joseph Mount Sterling (17 services)
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About Chi Saint Joseph Health - Saint Joseph Mount Sterling'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 Mount Sterling range from $161 to $1,852 across 4 insurers. Cigna's rate is $161. The median at nearby comparable hospitals is $723. 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 Mount Sterling range from $168 to $2,486 across 4 insurers. Aetna's rate is $2,486. The median at nearby comparable hospitals is $484. 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 Mount Sterling range from $1,227 to $1,772 across 3 insurers. Aetna's rate is $1,772. The median at nearby comparable hospitals is $2,460. 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 Chi Saint Joseph Health - Saint Joseph Mount Sterling range from $6,468 to $6,815 across 2 insurers. UnitedHealthcare's rate is $6,468. 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 Mount Sterling range from $71 to $287 across 4 insurers. Cigna's rate is $71. The median at nearby comparable hospitals is $263. 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 Chi Saint Joseph Health - Saint Joseph Mount Sterling range from $15,730 to $20,714 across 3 insurers. Blue Cross Blue Shield's rate is $20,233. The median at nearby comparable hospitals is $19,925. What a patient pays depends on their plan's deductible, coinsurance and network status.
Chi Saint Joseph Health - Saint Joseph Mount Sterling has 42 beds. Facility type: Short Term Acute Care Hospital.
Chi Saint Joseph Health - Saint Joseph Mount Sterling is located at 225 Falcon Drive, Mount Sterling, KY 40353. Its main phone number is (859) 497-5018.
Chi Saint Joseph Health - Saint Joseph Mount Sterling's CMS Certification Number (CCN), also called its Medicare provider number, is 180064.
The National Provider Identifier (NPI) on file for Chi Saint Joseph Health - Saint Joseph Mount Sterling is 1679679146.
Chi Saint Joseph Health - Saint Joseph Mount Sterling is affiliated with CHI Saint Joseph Health.
Chi Saint Joseph Health - Saint Joseph Mount Sterling lists 26 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.
173 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.
What a review covers