Kentucky / Frankfort Regional Medical Center
CMS certification 180127 · Frankfort, KY · 2 entries in CMS's price-transparency list
Frankfort Regional Medical Center: charges and Medicare payments
Frankfort Regional Medical Center reported 435 Medicare inpatient stays across 16 DRGs in 2024. Across them it charged 7.13 times what it was paid — among the higher ratios in Kentucky, number 6 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: 147 stays at an average charge of $89,507, 1% below the national average. It also billed 354 outpatient services, charging 14.79 times what Medicare paid.
- 1Medicare inpatient stays 435
- 2Charge ÷ paid, inpatient 7.13×
- 3Rank in KY (highest ratio = 1) 6 of 51
- 4CMS price-transparency actions 2
Inpatient stays
For the 16 DRGs that can be compared with the national average, Frankfort Regional Medical Center charged more than the national average in 12 (75%). 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 | 147 | $89,507 | -1% | $13,119 |
| 291 Heart Failure and Shock with MCC | 43 | $78,447 | +39% | $9,573 |
| 193 Simple Pneumonia and Pleurisy with MCC | 28 | $64,710 | +8% | $10,199 |
| 177 Respiratory Infections and Inflammations with MCC | 26 | $73,623 | +4% | $12,002 |
| 682 Renal Failure with MCC | 24 | $59,873 | -9% | $10,254 |
| 683 Renal Failure with CC | 24 | $46,608 | +15% | $6,374 |
| 189 Pulmonary Edema and Respiratory Failure | 21 | $66,001 | +15% | $9,158 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 20 | $65,129 | +33% | $7,206 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 17 | $82,239 | +12% | $10,689 |
| 885 Psychoses | 14 | $77,583 | +76% | $9,567 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 13 | $83,107 | +49% | $7,446 |
| 690 Kidney and Urinary Tract Infections without MCC | 13 | $38,970 | +3% | $5,618 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 12 | $43,899 | +9% | $5,759 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 11 | $75,246 | -1% | $10,711 |
| 481 Hip and Femur Procedures except Major Joint with CC | 11 | $117,576 | +17% | $14,073 |
| 689 Kidney and Urinary Tract Infections with MCC | 11 | $45,880 | -11% | $8,274 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 133 | $31,874 | $2,352 |
| Level 3 Urology and Related Services | 41 | $21,754 | $1,771 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 28 | $14,148 | $1,370 |
| Level 3 Vascular Procedures | 26 | $24,670 | $2,772 |
| Level 1 Laparoscopy and Related Services | 24 | $51,401 | $4,851 |
| Level 2 Urology and Related Services | 21 | $11,554 | $594 |
| Level 5 Urology and Related Services | 21 | $45,697 | $4,500 |
| Level 4 Urology and Related Services | 20 | $32,351 | $2,790 |
| Level 2 Upper GI Procedures | 17 | $19,164 | $1,577 |
| Level 5 Musculoskeletal Procedures | 12 | $93,880 | $10,816 |
| Level 1 Endovascular Procedures | 11 | $59,930 | $2,838 |
Against the Kentucky average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Frankfort Regional Medical Center charged $89,507 on average, 41% more than the Kentucky average of $63,454, and was paid $13,119 against a state average of $14,765. For Heart Failure and Shock with MCC (DRG 291), Frankfort Regional Medical Center charged $78,447 on average, 93% more than the Kentucky average of $40,730, and was paid $9,573 against a state average of $9,552. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Frankfort Regional Medical Center charged $64,710 on average, 48% more than the Kentucky average of $43,745, and was paid $10,199 against a state average of $9,962. For Respiratory Infections and Inflammations with MCC (DRG 177), Frankfort Regional Medical Center charged $73,623 on average, 37% more than the Kentucky average of $53,742, and was paid $12,002 against a state average of $12,118. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $31,874 was 57% above the state average of $20,333. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $21,754 was 71% above the state average of $12,733. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $14,148 was 18% above the state average of $11,961. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $24,670 was 29% above the state average of $19,184.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Frankfort Regional Medical Center in Frankfort, KY, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2024-02-15 (CMS case 1991)
- Met Requirements — 2025-05-09 (CMS case 4371)
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.