Kentucky / Owensboro Health Regional Hospital

CMS certification 180038 · Owensboro, KY · 2 entries in CMS's price-transparency list

Owensboro Health Regional Hospital: charges and Medicare payments

Owensboro Health Regional Hospital reported 2,466 Medicare inpatient stays across 76 DRGs in 2024. Across them it charged 3.13 times what it was paid — among the lower ratios in Kentucky, number 38 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: 353 stays at an average charge of $45,383, 50% below the national average. It also billed 3,035 outpatient services, charging 7.58 times what Medicare paid.

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  1. 1Medicare inpatient stays 2,466
  2. 2Charge ÷ paid, inpatient 3.13×
  3. 3Rank in KY (highest ratio = 1) 38 of 51
  4. 4CMS price-transparency actions 2
DRG 871$45,383DRG 291$24,934DRG 193$29,399DRG 683$17,832DRG 189$29,342DRG 682$27,095DRG 177$31,888DRG 872$23,538DRG 481$69,038DRG 065$22,118
Average charge per stay at Owensboro Health Regional Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 76 DRGs that can be compared with the national average, Owensboro Health Regional Hospital charged more than the national average in 5 (7%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC353$45,383-50%$17,507
291 Heart Failure and Shock with MCC172$24,934-56%$11,193
193 Simple Pneumonia and Pleurisy with MCC107$29,399-51%$11,948
683 Renal Failure with CC73$17,832-56%$7,896
189 Pulmonary Edema and Respiratory Failure72$29,342-49%$10,666
682 Renal Failure with MCC63$27,095-59%$13,049
177 Respiratory Infections and Inflammations with MCC61$31,888-55%$14,286
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC60$23,538-52%$8,842
481 Hip and Femur Procedures except Major Joint with CC52$69,038-31%$18,164
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...48$22,118-60%$9,487
322 Percutaneous Cardiovascular Procedures with Intraluminal...45$101,507-11%$18,496
309 Cardiac Arrhythmia and Conduction Disorders with CC42$19,608-46%$6,618
853 Infectious and Parasitic Diseases with O.R. Procedures with...42$121,133-47%$41,860
378 Gastrointestinal Hemorrhage with CC39$31,830-34%$9,091
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...38$26,543-56%$11,470
280 Acute Myocardial Infarction, Discharged Alive with MCC37$29,920-61%$14,310
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...37$17,443-57%$7,111
064 Intracranial Hemorrhage or Cerebral Infarction with MCC35$34,239-66%$17,162
522 Hip Replacement with Principal Diagnosis of Hip Fracture...35$71,685-30%$18,904
689 Kidney and Urinary Tract Infections with MCC34$21,839-57%$10,183
552 Medical Back Problems without MCC32$22,969-53%$8,491
698 Other Kidney and Urinary Tract Diagnoses with MCC32$26,659-64%$14,233
690 Kidney and Urinary Tract Infections without MCC30$15,295-60%$6,772
281 Acute Myocardial Infarction, Discharged Alive with CC29$28,382-44%$8,005
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...29$17,754-52%$6,925
312 Syncope and Collapse28$18,079-60%$7,621
329 Major Small and Large Bowel Procedures with MCC28$197,370-8%$51,516
885 Psychoses28$17,790-60%$12,063
308 Cardiac Arrhythmia and Conduction Disorders with MCC26$20,525-64%$10,471
321 Percutaneous Cardiovascular Procedures with Intraluminal...26$113,452-31%$24,924
190 Chronic Obstructive Pulmonary Disease with MCC25$31,176-38%$9,780
070 Other Cerebrovascular Disorders with MCC24$32,951-57%$15,374
603 Cellulitis without MCC24$18,785-50%$8,003
194 Simple Pneumonia and Pleurisy with CC23$24,946-35%$7,285
661 Kidney and Ureter Procedures for Non-Neoplasm without CC/MCC23$47,442-16%$9,040
286 Circulatory Disorders except AMI, with Cardiac...22$57,005-49%$18,810
287 Circulatory Disorders except AMI, with Cardiac...22$35,519-44%$9,426
377 Gastrointestinal Hemorrhage with MCC21$38,789-55%$15,581
660 Kidney and Ureter Procedures for Non-Neoplasm with CC21$50,154-26%$12,342
811 Red Blood Cell Disorders with MCC21$32,825-52%$12,325
208 Respiratory System Diagnosis with Ventilator Support <=96...20$98,496-27%$29,691
274 Percutaneous and Other Intracardiac Procedures without MCC20$137,579-12%$27,564
036 Carotid Artery Stent Procedures without CC/MCC18$109,356+24%$15,942
243 Permanent Cardiac Pacemaker Implant with CC18$89,651-19%$19,625
482 Hip and Femur Procedures except Major Joint without CC/MCC18$47,762-39%$15,045
812 Red Blood Cell Disorders without MCC18$27,146-39%$7,842
069 Transient Ischemia without Thrombolytic17$18,540-63%$7,000
470 Major Hip and Knee Joint Replacement or Reattachment of...17$95,046+2%$16,183
092 Other Disorders of Nervous System with CC16$23,795-54%$8,986
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC16$13,477-53%$4,840
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...16$23,642-61%$10,992
699 Other Kidney and Urinary Tract Diagnoses with CC16$25,467-46%$9,476
101 Seizures without MCC15$21,913-55%$8,106
330 Major Small and Large Bowel Procedures with CC15$85,111-28%$21,821
178 Respiratory Infections and Inflammations with CC14$26,112-42%$8,603
324 Coronary Intravascular Lithotripsy with Intraluminal Device...14$179,467+3%$34,081
331 Major Small and Large Bowel Procedures without CC/MCC14$59,682-30%$14,461
071 Other Cerebrovascular Disorders with CC13$19,414-62%$9,223
242 Permanent Cardiac Pacemaker Implant with MCC13$166,669+4%$35,189
313 Chest Pain13$18,436-54%$6,305

Showing the 60 most frequent of 76 DRGs.

Outpatient services

Against the Kentucky average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Owensboro Health Regional Hospital charged $45,383 on average, 28% less than the Kentucky average of $63,454, and was paid $17,507 against a state average of $14,765. For Heart Failure and Shock with MCC (DRG 291), Owensboro Health Regional Hospital charged $24,934 on average, 39% less than the Kentucky average of $40,730, and was paid $11,193 against a state average of $9,552. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Owensboro Health Regional Hospital charged $29,399 on average, 33% less than the Kentucky average of $43,745, and was paid $11,948 against a state average of $9,962. For Renal Failure with CC (DRG 683), Owensboro Health Regional Hospital charged $17,832 on average, 41% less than the Kentucky average of $30,016, and was paid $7,896 against a state average of $6,931. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $10,583 was 48% below the state average of $20,333. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,684 was 11% below the state average of $11,961. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $82,341 was 6% below the state average of $87,601. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $33,386 was 16% above the state average of $28,662.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Owensboro Health Regional Hospital in Owensboro, KY, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

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.