Indiana / St Elizabeth Dearborn Hospital
CMS certification 150086 · Lawrenceburg, IN
St Elizabeth Dearborn Hospital: charges and Medicare payments
St Elizabeth Dearborn Hospital reported 567 Medicare inpatient stays across 23 DRGs in 2024. Across them it charged 3.03 times what it was paid — among the lower ratios in Indiana, number 53 of 70 hospitals with at least 100 stays (state median 4.08×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 137 stays at an average charge of $45,770, 49% below the national average. It also billed 800 outpatient services, charging 5.88 times what Medicare paid.
- 1Medicare inpatient stays 567
- 2Charge ÷ paid, inpatient 3.03×
- 3Rank in IN (highest ratio = 1) 53 of 70
- 4CMS price-transparency actions 0
Inpatient stays
For the 23 DRGs that can be compared with the national average, St Elizabeth Dearborn 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 | 137 | $45,770 | -49% | $13,906 |
| 291 Heart Failure and Shock with MCC | 43 | $28,684 | -49% | $9,021 |
| 193 Simple Pneumonia and Pleurisy with MCC | 32 | $24,047 | -60% | $9,428 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 31 | $21,683 | -57% | $8,755 |
| 177 Respiratory Infections and Inflammations with MCC | 22 | $33,919 | -52% | $12,219 |
| 189 Pulmonary Edema and Respiratory Failure | 22 | $38,309 | -33% | $9,686 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 22 | $16,189 | -60% | $5,797 |
| 682 Renal Failure with MCC | 21 | $28,155 | -57% | $11,159 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 21 | $30,813 | -58% | $11,647 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 19 | $33,132 | -56% | $11,455 |
| 312 Syncope and Collapse | 19 | $22,131 | -51% | $6,646 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 19 | $18,904 | -49% | $5,986 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 17 | $70,811 | -69% | $24,917 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 17 | $19,825 | -60% | $7,296 |
| 194 Simple Pneumonia and Pleurisy with CC | 16 | $19,164 | -50% | $5,806 |
| 603 Cellulitis without MCC | 15 | $12,812 | -66% | $7,068 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 15 | $32,754 | -46% | $8,767 |
| 683 Renal Failure with CC | 14 | $14,492 | -64% | $7,157 |
| 690 Kidney and Urinary Tract Infections without MCC | 14 | $16,691 | -56% | $6,797 |
| 378 Gastrointestinal Hemorrhage with CC | 13 | $33,085 | -32% | $7,087 |
| 481 Hip and Femur Procedures except Major Joint with CC | 13 | $48,012 | -52% | $13,993 |
| 689 Kidney and Urinary Tract Infections with MCC | 13 | $16,220 | -68% | $7,729 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 12 | $24,868 | -56% | $8,634 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 207 | $9,366 | $2,384 |
| Level 5 Musculoskeletal Procedures | 128 | $50,032 | $11,559 |
| Level 1 Intraocular Procedures | 86 | $9,733 | $2,058 |
| Level 2 Upper GI Procedures | 70 | $10,937 | $1,658 |
| Level 1 Endovascular Procedures | 42 | $13,189 | $2,859 |
| Level 1 Nerve Procedures | 42 | $13,462 | $1,721 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 33 | $11,278 | $1,378 |
| Level 4 Musculoskeletal Procedures | 28 | $36,868 | $6,377 |
| Level 3 Vascular Procedures | 26 | $17,017 | $2,841 |
| Level 3 Extraocular, Repair, and Plastic Eye Procedures | 24 | $16,521 | $2,083 |
| Level 3 Musculoskeletal Procedures | 21 | $18,434 | $2,885 |
| Level 1 Laparoscopy and Related Services | 21 | $22,644 | $5,143 |
| Level 6 Musculoskeletal Procedures | 17 | $82,898 | $16,577 |
| Level 2 Neurostimulator and Related Procedures | 16 | $25,097 | $3,048 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 15 | $16,833 | $2,364 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 13 | $16,986 | $3,084 |
| Level 4 Gynecologic Procedures | 11 | $11,414 | $2,585 |
Against the Indiana average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Elizabeth Dearborn Hospital charged $45,770 on average, 28% less than the Indiana average of $63,232, and was paid $13,906 against a state average of $15,368. For Heart Failure and Shock with MCC (DRG 291), St Elizabeth Dearborn Hospital charged $28,684 on average, 30% less than the Indiana average of $40,842, and was paid $9,021 against a state average of $10,315. For Simple Pneumonia and Pleurisy with MCC (DRG 193), St Elizabeth Dearborn Hospital charged $24,047 on average, 45% less than the Indiana average of $43,683, and was paid $9,428 against a state average of $10,631. For Chronic Obstructive Pulmonary Disease with MCC (DRG 190), St Elizabeth Dearborn Hospital charged $21,683 on average, 46% less than the Indiana average of $40,043, and was paid $8,755 against a state average of $8,934. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $9,366 was 49% below the state average of $18,399. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $50,032 was 35% below the state average of $77,048. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $9,733 was 33% below the state average of $14,609. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $10,937 was 16% below the state average of $13,048.
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.