Norton Hospital / Norton Healthcare Pavilion / Nor: charges and Medicare payments

Norton Hospital / Norton Healthcare Pavilion / Nor reported 12,563 Medicare inpatient stays across 254 DRGs in 2024. Across them it charged 5.58 times what it was paid — among the higher ratios in Kentucky, number 15 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: 1029 stays at an average charge of $67,555, 25% below the national average. It also billed 10,577 outpatient services, charging 10.27 times what Medicare paid.

1Medicare inpatient stays 12,563
2Charge ÷ paid, inpatient 5.58×
3Rank in KY (highest ratio = 1) 15 of 51
4CMS price-transparency actions 0

Average charge per stay at Norton Hospital / Norton Healthcare Pavilion / Nor, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 254 DRGs that can be compared with the national average, Norton Hospital / Norton Healthcare Pavilion / Nor charged more than the national average in 45 (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	1029	$67,555	-25%	$14,128
291 Heart Failure and Shock with MCC	778	$45,655	-19%	$9,299
193 Simple Pneumonia and Pleurisy with MCC	284	$50,104	-16%	$9,620
177 Respiratory Infections and Inflammations with MCC	250	$48,971	-31%	$11,421
189 Pulmonary Edema and Respiratory Failure	219	$50,355	-13%	$9,133
853 Infectious and Parasitic Diseases with O.R. Procedures with...	208	$174,419	-24%	$37,894
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	196	$28,226	-30%	$5,986
309 Cardiac Arrhythmia and Conduction Disorders with CC	194	$30,537	-15%	$5,726
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	188	$35,039	-29%	$7,606
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	176	$50,090	-10%	$7,453
689 Kidney and Urinary Tract Infections with MCC	168	$34,063	-34%	$8,280
683 Renal Failure with CC	155	$32,374	-20%	$6,692
682 Renal Failure with MCC	144	$48,896	-26%	$10,737
378 Gastrointestinal Hemorrhage with CC	135	$37,614	-23%	$7,263
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	135	$40,276	-33%	$9,302
698 Other Kidney and Urinary Tract Diagnoses with MCC	132	$53,368	-27%	$11,673
308 Cardiac Arrhythmia and Conduction Disorders with MCC	129	$51,054	-10%	$8,827
690 Kidney and Urinary Tract Infections without MCC	127	$24,927	-34%	$5,946
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	125	$28,516	-23%	$5,916
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	117	$76,457	-23%	$13,805
190 Chronic Obstructive Pulmonary Disease with MCC	114	$42,349	-16%	$8,003
312 Syncope and Collapse	113	$34,860	-23%	$6,565
322 Percutaneous Cardiovascular Procedures with Intraluminal...	110	$120,135	+5%	$13,318
286 Circulatory Disorders except AMI, with Cardiac...	109	$97,691	-13%	$15,798
454 Combined Anterior and Posterior Spinal Fusion with CC	103	$335,425	+20%	$54,735
194 Simple Pneumonia and Pleurisy with CC	98	$34,539	-10%	$6,120
287 Circulatory Disorders except AMI, with Cardiac...	94	$64,326	+1%	$8,035
274 Percutaneous and Other Intracardiac Procedures without MCC	92	$195,239	+25%	$23,084
812 Red Blood Cell Disorders without MCC	91	$35,259	-21%	$6,791
314 Other Circulatory System Diagnoses with MCC	90	$63,567	-33%	$14,483
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	89	$24,895	-13%	$4,434
603 Cellulitis without MCC	87	$20,679	-45%	$6,594
305 Hypertension without MCC	80	$33,498	-16%	$5,714
377 Gastrointestinal Hemorrhage with MCC	80	$63,538	-26%	$13,007
321 Percutaneous Cardiovascular Procedures with Intraluminal...	77	$177,660	+9%	$22,883
394 Other Digestive System Diagnoses with CC	77	$31,344	-33%	$7,021
481 Hip and Femur Procedures except Major Joint with CC	77	$90,753	-10%	$14,993
885 Psychoses	77	$29,606	-33%	$10,474
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	75	$61,249	-6%	$10,285
552 Medical Back Problems without MCC	75	$30,967	-37%	$7,136
252 Other Vascular Procedures with MCC	74	$137,305	-20%	$25,272
699 Other Kidney and Urinary Tract Diagnoses with CC	74	$40,404	-15%	$7,833
101 Seizures without MCC	71	$32,487	-33%	$6,768
389 Gastrointestinal Obstruction with CC	71	$23,317	-40%	$6,122
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	70	$44,185	-28%	$9,597
460 Spinal Fusion except Cervical without MCC	69	$241,309	+42%	$31,459
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	68	$161,901	+58%	$16,078
811 Red Blood Cell Disorders with MCC	67	$55,491	-19%	$10,360
330 Major Small and Large Bowel Procedures with CC	65	$145,866	+23%	$20,703
208 Respiratory System Diagnosis with Ventilator Support <=96...	62	$101,746	-25%	$19,548
638 Diabetes with CC	62	$28,125	-33%	$6,692
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	62	$207,030	-4%	$33,364
025 Craniotomy and Endovascular Intracranial Procedures with MCC	60	$165,088	-29%	$31,164
329 Major Small and Large Bowel Procedures with MCC	60	$174,578	-19%	$32,759
870 Septicemia or Severe Sepsis with MV >96 Hours	59	$209,490	-35%	$46,948
191 Chronic Obstructive Pulmonary Disease with CC	58	$32,920	-17%	$6,353
178 Respiratory Infections and Inflammations with CC	55	$35,680	-21%	$7,174
267 Endovascular Cardiac Valve Replacement and Supplement...	55	$345,962	+56%	$43,253
280 Acute Myocardial Infarction, Discharged Alive with MCC	55	$66,097	-13%	$11,396
393 Other Digestive System Diagnoses with MCC	54	$40,739	-47%	$11,999

Showing the 60 most frequent of 254 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	1,770	$19,750	$2,324
Level 2 Excision/ Biopsy/ Incision and Drainage	683	$8,258	$1,377
Level 5 Musculoskeletal Procedures	639	$139,645	$11,074
Level 2 Upper GI Procedures	560	$11,972	$1,621
Level 4 Urology and Related Services	514	$17,655	$2,961
Level 3 Vascular Procedures	501	$16,783	$2,719
Level 1 Endovascular Procedures	407	$33,871	$2,776
Level 4 Musculoskeletal Procedures	390	$47,659	$6,031
Level 3 Excision/ Biopsy/ Incision and Drainage	341	$12,009	$2,423
Level 6 Musculoskeletal Procedures	332	$158,552	$15,793
Level 3 Endovascular Procedures	317	$82,429	$9,404
Level 1 Nerve Procedures	312	$9,694	$1,652
Level 3 Musculoskeletal Procedures	298	$20,223	$2,746
Level 1 Laparoscopy and Related Services	264	$36,375	$4,872
Level 2 Endovascular Procedures	246	$35,564	$4,859
Level 5 Urology and Related Services	216	$22,945	$4,403
Level 2 Musculoskeletal Procedures	200	$5,632	$1,364
Level 2 Vascular Procedures	191	$7,424	$1,364
Level 2 Laparoscopy and Related Services	179	$92,729	$8,668
Level 3 Electrophysiologic Procedures	177	$157,830	$20,025
Level 4 Vascular Procedures	157	$39,791	$4,361
Level 3 Urology and Related Services	147	$8,832	$1,739
Level 5 ENT Procedures	121	$27,160	$4,959
Level 3 Pacemaker and Similar Procedures	120	$71,705	$9,159
Level 1 Breast/Lymphatic Surgery and Related Procedures	119	$15,381	$3,251

Against the Kentucky average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Norton Hospital / Norton Healthcare Pavilion / Nor charged $67,555 on average, 6% more than the Kentucky average of $63,454, and was paid $14,128 against a state average of $14,765. For Heart Failure and Shock with MCC (DRG 291), Norton Hospital / Norton Healthcare Pavilion / Nor charged $45,655 on average, 12% more than the Kentucky average of $40,730, and was paid $9,299 against a state average of $9,552. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Norton Hospital / Norton Healthcare Pavilion / Nor charged $50,104 on average, 15% more than the Kentucky average of $43,745, and was paid $9,620 against a state average of $9,962. For Respiratory Infections and Inflammations with MCC (DRG 177), Norton Hospital / Norton Healthcare Pavilion / Nor charged $48,971 on average, 9% less than the Kentucky average of $53,742, and was paid $11,421 against a state average of $12,118. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $19,750 was 3% below the state average of $20,333. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,258 was 31% below the state average of $11,961. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $139,645 was 59% above the state average of $87,601. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $11,972 was 10% below the state average of $13,357.

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.