Kentucky / St Elizabeth Florence
CMS certification 180045 · Florence, KY · 3 entries in CMS's price-transparency list
St Elizabeth Florence: charges and Medicare payments
St Elizabeth Florence reported 1,630 Medicare inpatient stays across 47 DRGs in 2024. Across them it charged 3.39 times what it was paid — mid-range in Kentucky, number 34 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: 263 stays at an average charge of $49,470, 45% below the national average. It also billed 1,628 outpatient services, charging 4.97 times what Medicare paid.
- 1Medicare inpatient stays 1,630
- 2Charge ÷ paid, inpatient 3.39×
- 3Rank in KY (highest ratio = 1) 34 of 51
- 4CMS price-transparency actions 3
Inpatient stays
For the 47 DRGs that can be compared with the national average, St Elizabeth Florence 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 | 263 | $49,470 | -45% | $14,119 |
| 291 Heart Failure and Shock with MCC | 98 | $34,438 | -39% | $9,475 |
| 189 Pulmonary Edema and Respiratory Failure | 67 | $30,776 | -47% | $9,340 |
| 193 Simple Pneumonia and Pleurisy with MCC | 65 | $25,232 | -58% | $9,980 |
| 689 Kidney and Urinary Tract Infections with MCC | 57 | $27,653 | -46% | $7,896 |
| 481 Hip and Femur Procedures except Major Joint with CC | 55 | $55,597 | -45% | $14,300 |
| 177 Respiratory Infections and Inflammations with MCC | 54 | $36,806 | -48% | $11,718 |
| 690 Kidney and Urinary Tract Infections without MCC | 53 | $16,695 | -56% | $6,008 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 50 | $24,041 | -52% | $7,590 |
| 683 Renal Failure with CC | 47 | $25,311 | -38% | $6,766 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 46 | $40,484 | -45% | $11,060 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 44 | $78,728 | -43% | $20,364 |
| 552 Medical Back Problems without MCC | 38 | $17,106 | -65% | $7,101 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 35 | $21,338 | -62% | $8,293 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 35 | $19,590 | -60% | $8,647 |
| 194 Simple Pneumonia and Pleurisy with CC | 32 | $18,348 | -52% | $6,156 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 32 | $101,849 | -56% | $29,553 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 31 | $53,536 | -48% | $15,504 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 29 | $19,518 | -51% | $6,212 |
| 378 Gastrointestinal Hemorrhage with CC | 27 | $28,117 | -42% | $8,168 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 26 | $23,525 | -37% | $7,133 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 25 | $36,539 | -52% | $9,610 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 25 | $48,626 | -48% | $12,734 |
| 312 Syncope and Collapse | 24 | $23,907 | -47% | $6,551 |
| 603 Cellulitis without MCC | 24 | $16,577 | -56% | $7,326 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 23 | $39,143 | -35% | $9,662 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 23 | $17,529 | -63% | $7,070 |
| 521 Hip Replacement with Principal Diagnosis of Hip Fracture... | 19 | $62,117 | -54% | $18,801 |
| 483 Major Joint or Limb Reattachment Procedures of Upper... | 18 | $84,740 | -33% | $16,867 |
| 516 Other Musculoskeletal System and Connective Tissue O.R.... | 18 | $44,515 | -56% | $13,278 |
| 682 Renal Failure with MCC | 18 | $35,730 | -46% | $11,331 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 17 | $22,509 | -38% | $6,271 |
| 493 Lower Extremity and Humerus Procedures except Hip, Foot and... | 17 | $60,099 | -50% | $17,759 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 17 | $55,788 | -43% | $19,947 |
| 948 Signs and Symptoms without MCC | 17 | $15,941 | -58% | $7,384 |
| 178 Respiratory Infections and Inflammations with CC | 16 | $17,966 | -60% | $6,968 |
| 377 Gastrointestinal Hemorrhage with MCC | 16 | $48,851 | -43% | $11,761 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 16 | $45,703 | -51% | $11,049 |
| 389 Gastrointestinal Obstruction with CC | 15 | $17,470 | -55% | $5,701 |
| 057 Degenerative Nervous System Disorders without MCC | 14 | $19,955 | -65% | $8,968 |
| 467 Revision of Hip or Knee Replacement with CC | 14 | $90,215 | -43% | $22,758 |
| 305 Hypertension without MCC | 13 | $18,652 | -53% | $5,619 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 12 | $17,161 | -57% | $6,268 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 12 | $23,960 | -61% | $8,936 |
| 066 Intracranial Hemorrhage or Cerebral Infarction without... | 11 | $17,931 | -58% | $5,799 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 11 | $36,116 | -45% | $11,301 |
| 482 Hip and Femur Procedures except Major Joint without CC/MCC | 11 | $53,273 | -32% | $15,346 |
Outpatient services
Against the Kentucky average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Elizabeth Florence charged $49,470 on average, 22% less than the Kentucky average of $63,454, and was paid $14,119 against a state average of $14,765. For Heart Failure and Shock with MCC (DRG 291), St Elizabeth Florence charged $34,438 on average, 15% less than the Kentucky average of $40,730, and was paid $9,475 against a state average of $9,552. For Pulmonary Edema and Respiratory Failure (DRG 189), St Elizabeth Florence charged $30,776 on average, 27% less than the Kentucky average of $42,054, and was paid $9,340 against a state average of $9,410. For Simple Pneumonia and Pleurisy with MCC (DRG 193), St Elizabeth Florence charged $25,232 on average, 42% less than the Kentucky average of $43,745, and was paid $9,980 against a state average of $9,962. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $9,879 was 51% below the state average of $20,333. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $39,563 was 55% below the state average of $87,601. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $13,770 was 12% above the state average of $12,253. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $23,572 was 47% below the state average of $44,565.
Price-transparency record
CMS's enforcement list records these actions for a hospital named St Elizabeth Florence in Florence, KY, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-11-20 (CMS case 2933)
- CAP Request — 2025-02-24 (CMS case 2933)
- Closure Notice — 2025-05-02 (CMS case 2933)
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.