D

Saint Joseph Hospital

One Saint Joseph Drive · Lexington, KY 40504

🤖AI Overview

⚠️ This hospital charges 4.2x what Medicare pays — significantly above the national average of 5.5x.

Total Charges
$200.6M
Medicare Payments
$47.3M
Discharges
3,235
Avg Length of Stay
5.8 days
Markup Ratio
4.2x
Risk Score
2.03

Fairness Grade: D

Poor — charges 4–5x what Medicare pays

Saint Joseph Hospital charges an average of $62,016 per discharge, but Medicare only pays $14,636 — a markup of 4.2x. Grades are based on this ratio: A (under 2x), B (2–3x), C (3–4x), D (4–5x), F (over 5x).

How This Hospital Compares

Markup Ratio
This Hospital
4.2x
State Avg
5.7x
National Avg
5.3x
Avg Charge per Discharge
This Hospital
$62,016
State Avg
$68,838
National Avg
$69,838
Avg Length of Stay
This Hospital
5.8 days
State Avg
5.2 days
National Avg
4.8 days

Patient Demographics

Age Distribution

Under 65
13.4%
65–74
35.6%
75–84
33.9%
85+
17.2%

Gender

50.9%
Female
49.1%
Male

Dual Eligibility

24.0%
Dual Eligible
76.0%
Non-Dual

Race & Ethnicity

White
92.9%
Black
4.7%
Hispanic
0.7%
Other
1.3%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension
75.0%
High Cholesterol
75.0%
Arthritis
57.8%
Ischemic Heart Disease
51.2%
Anxiety
49.4%
Diabetes
47.0%
Chronic Kidney Disease
42.7%
Heart Failure
41.2%
Atrial Fibrillation
39.8%
Mood Disorders
39.7%
COPD
38.9%
Depression
37.3%
Tobacco Use
23.8%
Cancer
20.3%
Alzheimer's/Dementia
20.1%
Stroke/TIA
17.2%
Substance Use
13.6%
Osteoporosis
13.3%
Asthma
11.5%
Bipolar Disorder
10.0%
Schizophrenia/Psychosis
4.6%
Parkinson's
2.9%
ADHD/Conduct Disorders
1.6%
PTSD
1.5%
Personality Disorders
1.2%
Related from TheDataProject.ai

🔍 See Medicare provider data on OpenMedicare

⚠️ Important: Data reflects Medicare inpatient claims. Charges represent what hospitals bill — not what patients typically pay. Medicare payment amounts reflect negotiated rates. Individual patient costs depend on insurance coverage and specific services.