Kentucky / Baptist Health Hardin
CMS certification 180012 · Elizabethtown, KY · 5 entries in CMS's price-transparency list
Baptist Health Hardin: charges and Medicare payments
Baptist Health Hardin reported 2,714 Medicare inpatient stays across 74 DRGs in 2024. Across them it charged 5.9 times what it was paid — among the higher ratios in Kentucky, number 11 of 51 hospitals with at least 100 stays (state median 4.06×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 314 stays at an average charge of $68,468, 24% below the national average. It also billed 3,020 outpatient services, charging 12.32 times what Medicare paid.
- 1Medicare inpatient stays 2,714
- 2Charge ÷ paid, inpatient 5.9×
- 3Rank in KY (highest ratio = 1) 11 of 51
- 4CMS price-transparency actions 5
Inpatient stays
For the 74 DRGs that can be compared with the national average, Baptist Health Hardin charged more than the national average in 13 (18%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 314 | $68,468 | -24% | $13,368 |
| 291 Heart Failure and Shock with MCC | 179 | $43,873 | -22% | $8,670 |
| 193 Simple Pneumonia and Pleurisy with MCC | 125 | $50,427 | -16% | $9,165 |
| 177 Respiratory Infections and Inflammations with MCC | 114 | $53,837 | -24% | $10,691 |
| 689 Kidney and Urinary Tract Infections with MCC | 89 | $37,661 | -27% | $7,818 |
| 690 Kidney and Urinary Tract Infections without MCC | 86 | $31,680 | -16% | $5,572 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 78 | $42,608 | -16% | $7,728 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 74 | $57,389 | -24% | $10,739 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 71 | $37,307 | -24% | $7,359 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 65 | $30,185 | -19% | $5,356 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 63 | $47,563 | -15% | $6,808 |
| 194 Simple Pneumonia and Pleurisy with CC | 57 | $33,008 | -14% | $6,067 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 56 | $54,300 | -10% | $8,916 |
| 683 Renal Failure with CC | 51 | $34,172 | -16% | $6,103 |
| 378 Gastrointestinal Hemorrhage with CC | 49 | $49,348 | +2% | $6,514 |
| 189 Pulmonary Edema and Respiratory Failure | 48 | $55,851 | -3% | $8,400 |
| 885 Psychoses | 42 | $21,843 | -50% | $9,198 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 40 | $34,665 | -14% | $5,653 |
| 682 Renal Failure with MCC | 40 | $47,554 | -28% | $9,840 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 40 | $142,801 | -38% | $30,699 |
| 481 Hip and Femur Procedures except Major Joint with CC | 37 | $91,960 | -9% | $13,681 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 36 | $200,922 | +75% | $13,750 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 35 | $30,252 | -24% | $5,886 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 34 | $53,400 | -27% | $10,832 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 32 | $80,032 | -20% | $14,394 |
| 178 Respiratory Infections and Inflammations with CC | 32 | $31,118 | -31% | $6,514 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 32 | $80,265 | +42% | $13,102 |
| 638 Diabetes with CC | 31 | $30,311 | -27% | $6,371 |
| 312 Syncope and Collapse | 30 | $34,278 | -25% | $5,921 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 28 | $41,689 | +15% | $5,475 |
| 603 Cellulitis without MCC | 28 | $28,400 | -24% | $6,059 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 26 | $113,686 | +11% | $14,145 |
| 101 Seizures without MCC | 23 | $46,901 | -4% | $6,371 |
| 389 Gastrointestinal Obstruction with CC | 22 | $37,895 | -3% | $5,500 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 21 | $27,852 | -3% | $3,922 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 21 | $235,919 | +44% | $22,356 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 21 | $100,015 | +17% | $11,042 |
| 637 Diabetes with MCC | 21 | $40,908 | -38% | $9,914 |
| 377 Gastrointestinal Hemorrhage with MCC | 20 | $74,102 | -13% | $11,407 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 20 | $122,269 | -12% | $18,366 |
| 812 Red Blood Cell Disorders without MCC | 20 | $32,455 | -27% | $6,585 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 20 | $189,093 | -13% | $30,137 |
| 066 Intracranial Hemorrhage or Cerebral Infarction without... | 19 | $44,684 | +6% | $4,802 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 18 | $94,832 | -30% | $16,672 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 18 | $70,330 | -28% | $13,462 |
| 948 Signs and Symptoms without MCC | 18 | $44,130 | +16% | $5,298 |
| 069 Transient Ischemia without Thrombolytic | 17 | $40,985 | -19% | $5,677 |
| 521 Hip Replacement with Principal Diagnosis of Hip Fracture... | 17 | $109,052 | -19% | $18,276 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 17 | $29,596 | -38% | $6,706 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 16 | $45,702 | -30% | $9,063 |
| 330 Major Small and Large Bowel Procedures with CC | 16 | $122,203 | +3% | $15,554 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 16 | $45,534 | -25% | $8,262 |
| 314 Other Circulatory System Diagnoses with MCC | 15 | $79,988 | -16% | $13,270 |
| 372 Major Gastrointestinal Disorders and Peritoneal Infections... | 15 | $32,463 | -32% | $6,668 |
| 390 Gastrointestinal Obstruction without CC/MCC | 14 | $27,658 | -1% | $4,188 |
| 602 Cellulitis with MCC | 14 | $62,713 | +4% | $9,707 |
| 195 Simple Pneumonia and Pleurisy without CC/MCC | 13 | $24,101 | -20% | $4,390 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 13 | $176,018 | +58% | $15,993 |
| 252 Other Vascular Procedures with MCC | 13 | $161,481 | -5% | $22,157 |
| 439 Disorders of Pancreas except Malignancy with CC | 13 | $31,794 | -27% | $5,565 |
Showing the 60 most frequent of 74 DRGs.
Outpatient services
Against the Kentucky average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Baptist Health Hardin charged $68,468 on average, 8% more than the Kentucky average of $63,454, and was paid $13,368 against a state average of $14,765. For Heart Failure and Shock with MCC (DRG 291), Baptist Health Hardin charged $43,873 on average, 8% more than the Kentucky average of $40,730, and was paid $8,670 against a state average of $9,552. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Baptist Health Hardin charged $50,427 on average, 15% more than the Kentucky average of $43,745, and was paid $9,165 against a state average of $9,962. For Respiratory Infections and Inflammations with MCC (DRG 177), Baptist Health Hardin charged $53,837 on average, 0% less than the Kentucky average of $53,742, and was paid $10,691 against a state average of $12,118. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $105,086 was 20% above the state average of $87,601. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $28,545 was 40% above the state average of $20,333. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $13,919 was 4% above the state average of $13,357. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $18,207 was 52% above the state average of $11,961.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Baptist Health Hardin in Elizabethtown, KY, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-04-21 (CMS case 1533)
- CAP Request — 2023-07-25 (CMS case 1533)
- Closure Notice — 2023-09-19 (CMS case 1533)
- Warning Notice — 2024-02-29 (CMS case 2254)
- Closure Notice — 2024-04-01 (CMS case 2254)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.