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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Women S Hospital At Saint Joseph East

CHI Saint Joseph Health · Lexington, KY

150 North Eagle Creek Drive, Lexington, KY 40509(859)967-2273

2 of 5

CMS star rating

108

Beds

5,411

Inpatient discharges a year

$200.6M

Net patient revenue a year

About this hospital

Women S Hospital At Saint Joseph East is a 108-bed voluntary non-profit - private hospital in Lexington, KY, affiliated with CHI Saint Joseph Health. Below you'll find publicly disclosed negotiated rates and facility details, including 265 disclosed rate categories.

  • Disproportionate share hospital
  • 340B participant
  • ACO participant
CCN
180143
NPI
1275547606
Website
commonspirit.org
Health system
CHI Saint Joseph Health
Teaching
No Medicare-funded residents
County
Fayette County
Metro area
Lexington-Fayette, KY MSA
Medicare contractor
Jurisdiction 15, CGS Administrators (15101)
In Medicare since
1998
Last CMS survey
2001

Prices for common services

The 24 services Women S Hospital At Saint Joseph East 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.

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$1,277 - $11,781

from 3 insurers · median $4,318

Blue Cross$11,781
Insurer A*$1,277
Insurer B*$4,318
Medicare $2,979Nearby hospitals $4,6698% below nearby hospitals

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

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$15,730 - $29,445

from 3 insurers · median $20,714

Blue Cross$29,445
Insurer A*$15,730
Insurer B*$20,714
Medicare $11,880Nearby hospitals $26,17721% below nearby hospitals

21 Medicare discharges for this DRG in CMS hospital data

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$2,027 - $3,294

from 3 insurers · median $3,210

Aetna$2,027
Insurer A*$3,210
Insurer B*$3,294
Medicare $503Nearby hospitals $2,41033% above nearby hospitals

Common here, based on CMS Medicare volume

Gynecology

Laparoscopic hysterectomy with tube or ovary removal, uterus up to 250 g

CPT 58571

$9,140 - $15,631

from 3 insurers · median $9,773

Blue Cross$15,631
Insurer A*$9,140
Insurer B*$9,773
Medicare $9,783Nearby hospitals $22,19956% below nearby hospitals

27 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)

How the insurers pay at Women S Hospital At Saint Joseph East

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*24
500%
176
Insurer B*22
351%
411
Insurer C*19
219%
314
Insurer D*11
46%
08

How we chose these services: 6 appear in this hospital's own Medicare claims, 16 are common here based on CMS Medicare volume, and 2 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 Women S Hospital At Saint Joseph East, 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

More about this hospital

  • Quality

    2 of 5 stars

    • 131 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-2.00%)
    See quality ratings

  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 538 affiliated clinicians
    See doctors and services

  • Finances

    $200.6M net patient revenue

    • Operating margin on patient care 5.7%
    • $5.7M unreimbursed and uncompensated care
    • $16M net income
    See finances

  • Ownership and leadership

    Owned by Commonspirit Health

    • Private (not for profit)
    • Matthew Brown, 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 Women S Hospital At Saint Joseph East in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
61-1334601(multi-state) Saint Joseph London58Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 53 more1861650814 Saint Joseph Health System Inc1437150984 Saint Joseph Health System Inc1447457775 Saint Joseph Health System Incand 42 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

150 North Eagle Creek Drive, Lexington, KY 40509

(859)967-2273

Get directions

Frequently asked questions

About Women S Hospital At Saint Joseph East's rates and hospital price transparency.

How much does an MRI cost at Women S Hospital At Saint Joseph East?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Women S Hospital At Saint Joseph East range from $161 to $2,241 across 4 insurers. Blue Cross Blue Shield's rate is $590. The median at nearby comparable hospitals is $3,611. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Women S Hospital At Saint Joseph East?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Women S Hospital At Saint Joseph East range from $168 to $2,486 across 4 insurers. Aetna's rate is $2,486. The median at nearby comparable hospitals is $2,184. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Women S Hospital At Saint Joseph East?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Women S Hospital At Saint Joseph East range from $1,664 to $2,516 across 3 insurers. UnitedHealthcare's rate is $2,284. The median at nearby comparable hospitals is $3,319. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Women S Hospital At Saint Joseph East?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Women S Hospital At Saint Joseph East range from $71 to $256 across 4 insurers. Cigna's rate is $71. The median at nearby comparable hospitals is $150. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Women S Hospital At Saint Joseph East?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Women S Hospital At Saint Joseph East range from $15,730 to $29,445 across 3 insurers. Blue Cross Blue Shield's rate is $29,445. The median at nearby comparable hospitals is $26,177. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Women S Hospital At Saint Joseph East's CMS star rating?

Women S Hospital At Saint Joseph East has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.

Is Women S Hospital At Saint Joseph East a teaching hospital?

CMS reports no Medicare-funded interns or residents at Women S Hospital At Saint Joseph East for fiscal year 2027.

Does Medicare penalize Women S Hospital At Saint Joseph East for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Women S Hospital At Saint Joseph East's base inpatient payments by an estimated 2.00% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Women S Hospital At Saint Joseph East?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (70 discharges), heart failure and shock with mcc (33 discharges), septicemia or severe sepsis without mv >96 hours without mcc (21 discharges).

What is Women S Hospital At Saint Joseph East's case mix index?

Women S Hospital At Saint Joseph East's Medicare case mix index is 1.66 for fiscal year 2027, higher than 47% 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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