Kentucky / Spring View Hospital
CMS certification 180024 · Lebanon, KY · 2 entries in CMS's price-transparency list
Spring View Hospital: charges and Medicare payments
Spring View Hospital reported 109 Medicare inpatient stays across 5 DRGs in 2024. Across them it charged 3.63 times what it was paid — mid-range in Kentucky, number 32 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: 49 stays at an average charge of $43,270, 52% below the national average. It also billed 339 outpatient services, charging 12.9 times what Medicare paid.
- 1Medicare inpatient stays 109
- 2Charge ÷ paid, inpatient 3.63×
- 3Rank in KY (highest ratio = 1) 32 of 51
- 4CMS price-transparency actions 2
Inpatient stays
For the 5 DRGs that can be compared with the national average, Spring View Hospital charged more than the national average in 0 (0%). 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 | 49 | $43,270 | -52% | $14,518 |
| 291 Heart Failure and Shock with MCC | 17 | $40,331 | -28% | $10,448 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 16 | $71,878 | -23% | $15,178 |
| 193 Simple Pneumonia and Pleurisy with MCC | 15 | $45,238 | -24% | $10,386 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 12 | $36,188 | -28% | $9,055 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 147 | $28,750 | $2,222 |
| Level 1 Intraocular Procedures | 59 | $14,118 | $1,928 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 27 | $9,742 | $1,360 |
| Level 4 Urology and Related Services | 25 | $35,209 | $2,925 |
| Level 1 Nerve Procedures | 18 | $16,659 | $1,620 |
| Level 3 Musculoskeletal Procedures | 15 | $33,666 | $2,716 |
| Level 4 Musculoskeletal Procedures | 13 | $54,189 | $6,002 |
| Level 2 Musculoskeletal Procedures | 12 | $17,472 | $1,259 |
| Level 5 Musculoskeletal Procedures | 12 | $72,725 | $11,029 |
| Level 1 Laparoscopy and Related Services | 11 | $45,124 | $4,841 |
Against the Kentucky average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Spring View Hospital charged $43,270 on average, 32% less than the Kentucky average of $63,454, and was paid $14,518 against a state average of $14,765. For Heart Failure and Shock with MCC (DRG 291), Spring View Hospital charged $40,331 on average, 1% less than the Kentucky average of $40,730, and was paid $10,448 against a state average of $9,552. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Spring View Hospital charged $71,878 on average, 24% less than the Kentucky average of $95,202, and was paid $15,178 against a state average of $14,082. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Spring View Hospital charged $45,238 on average, 3% more than the Kentucky average of $43,745, and was paid $10,386 against a state average of $9,962. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $28,750 was 41% above the state average of $20,333. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $14,118 was 27% above the state average of $11,097. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,742 was 19% below the state average of $11,961. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $35,209 was 71% above the state average of $20,570.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Spring View Hospital in Lebanon, KY, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-01-29 (CMS case 3065)
- Met Requirements — 2025-06-20 (CMS case 5249)
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.