Kentucky / Georgetown Community Hospital
CMS certification 180101 · Georgetown, KY
Georgetown Community Hospital: charges and Medicare payments
Georgetown Community Hospital reported 100 Medicare inpatient stays across 5 DRGs in 2024. Across them it charged 7.63 times what it was paid — among the higher ratios in Kentucky, number 2 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: 43 stays at an average charge of $99,174, 10% above the national average. It also billed 558 outpatient services, charging 11.78 times what Medicare paid.
- 1Medicare inpatient stays 100
- 2Charge ÷ paid, inpatient 7.63×
- 3Rank in KY (highest ratio = 1) 2 of 51
- 4CMS price-transparency actions 0
Inpatient stays
For the 5 DRGs that can be compared with the national average, Georgetown Community Hospital charged more than the national average in 4 (80%). 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 | 43 | $99,174 | +10% | $13,675 |
| 189 Pulmonary Edema and Respiratory Failure | 17 | $60,426 | +5% | $8,143 |
| 291 Heart Failure and Shock with MCC | 15 | $93,889 | +67% | $8,982 |
| 621 O.R. Procedures for Obesity without CC/MCC | 13 | $81,963 | +9% | $10,381 |
| 193 Simple Pneumonia and Pleurisy with MCC | 12 | $60,047 | 0% | $9,656 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 183 | $17,644 | $2,004 |
| Level 2 Upper GI Procedures | 93 | $14,641 | $1,626 |
| Comprehensive Observation Services | 64 | $37,433 | $2,351 |
| Level 1 Nerve Procedures | 55 | $9,503 | $1,655 |
| Level 4 Musculoskeletal Procedures | 35 | $64,747 | $6,222 |
| Level 5 Musculoskeletal Procedures | 32 | $104,595 | $11,432 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 21 | $10,433 | $1,410 |
| Level 1 Laparoscopy and Related Services | 21 | $53,214 | $4,827 |
| Level 6 Musculoskeletal Procedures | 15 | $133,280 | $15,204 |
| Level 3 Upper GI Procedures | 15 | $29,593 | $3,331 |
| Level 2 Musculoskeletal Procedures | 12 | $15,327 | $1,398 |
| Level 2 Laparoscopy and Related Services | 12 | $78,445 | $8,338 |
Against the Kentucky average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Georgetown Community Hospital charged $99,174 on average, 56% more than the Kentucky average of $63,454, and was paid $13,675 against a state average of $14,765. For Pulmonary Edema and Respiratory Failure (DRG 189), Georgetown Community Hospital charged $60,426 on average, 44% more than the Kentucky average of $42,054, and was paid $8,143 against a state average of $9,410. For Heart Failure and Shock with MCC (DRG 291), Georgetown Community Hospital charged $93,889 on average, 131% more than the Kentucky average of $40,730, and was paid $8,982 against a state average of $9,552. For O.R. Procedures for Obesity without CC/MCC (DRG 621), Georgetown Community Hospital charged $81,963 on average, 28% more than the Kentucky average of $64,065, and was paid $10,381 against a state average of $11,257. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $17,644 was 59% above the state average of $11,097. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $14,641 was 10% above the state average of $13,357. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $37,433 was 84% above the state average of $20,333. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $9,503 was 22% below the state average of $12,253.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
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.