Mercy Health - Lourdes Hospital
1530 Lone Oak Road, Paducah, KY 42003 · 113 Priced Procedures · 68% Patient Recommendation
Typical commercial prices here are 8% below the fair benchmark (0.92×) after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 0.92× fair market pricing.
Uniform Value Leader · Low-Cost Across Departments
Mercy Health - Lourdes Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (1.0× Medicare, p50 0.95× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 0.96× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 8% below peer Fair BaseRate (0.92×)
- Self-pay cash beats commercial insurance on 0% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (68/100 safety score) with 68% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (16.4% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.2× markup over Medicare rates
- Commercial insurance median sits at 0.95× Fair BaseRate (1.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Even at low-cost facilities (0.92× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Consolidated metro market (HHI 8,896) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Mercy Health - Lourdes Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 113 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $23,912 | 0.8× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $14,602 | 0.8× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $14,501 | 0.7× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $13,270 | 0.7× |
| Total knee replacement CPT Code: 27447 | $13,018 | 1.0× |
| Total hip replacement CPT Code: 27130 | $12,763 | 1.0× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $7,130 | 7.0× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $6,056 | 0.7× |
| Rabies immune globulin HCPCS Code: 90375 | $6,002 | 18.6× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $6,010 | unverified |
| Breast lump removal CPT Code: 19120 | $3,892 | 1.0× |
| Inguinal hernia repair CPT Code: 49505 | $3,630 | unverified |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $3,253 | 1.0× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $2,323 | 4.0× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $2,096 | 7.7× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,995 | 7.7× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $2,020 | 4.5× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $2,014 | 3.9× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,942 | 6.4× |
| Injection procedure for pain management HCPCS Code: G0260 | $1,960 | 2.3× |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,796 | 5.3× |
| CT scan, head (with contrast) CPT Code: 70460 | $1,756 | 7.3× |
| MRI, knee or other leg joint CPT Code: 73721 | $1,692 | 4.6× |
| Hepatitis B immune globulin HCPCS Code: 90371 | $1,560 | 10.3× |
| CT scan, sinuses CPT Code: 70486 | $1,534 | 9.2× |
Audit a Bill or Quote at Mercy Health - Lourdes Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $9,412
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (16.4% of gross = $9,412).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Mercy Health - Lourdes Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)
Your bill ($57,389) is $26,614 above the denoised Fair BaseRate ($30,775) and 2.4× the $23,504 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (16.4% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)Source: CMS Hospital Care Compare (637 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Mercy Health - Lourdes Hospital.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.