Kentucky / St Elizabeth Ft Thomas
CMS certification 180001 · Fort Thomas, KY · 2 entries in CMS's price-transparency list
St Elizabeth Ft Thomas: charges and Medicare payments
St Elizabeth Ft Thomas reported 907 Medicare inpatient stays across 33 DRGs in 2024. Across them it charged 3.25 times what it was paid — among the lower ratios in Kentucky, number 36 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: 149 stays at an average charge of $49,721, 45% below the national average. It also billed 1,033 outpatient services, charging 5.92 times what Medicare paid.
- 1Medicare inpatient stays 907
- 2Charge ÷ paid, inpatient 3.25×
- 3Rank in KY (highest ratio = 1) 36 of 51
- 4CMS price-transparency actions 2
Inpatient stays
For the 33 DRGs that can be compared with the national average, St Elizabeth Ft Thomas 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 | 149 | $49,721 | -45% | $13,600 |
| 291 Heart Failure and Shock with MCC | 92 | $32,874 | -42% | $8,535 |
| 189 Pulmonary Edema and Respiratory Failure | 48 | $26,430 | -54% | $9,132 |
| 177 Respiratory Infections and Inflammations with MCC | 47 | $44,671 | -37% | $12,656 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 44 | $24,066 | -52% | $8,354 |
| 690 Kidney and Urinary Tract Infections without MCC | 31 | $18,245 | -52% | $5,894 |
| 193 Simple Pneumonia and Pleurisy with MCC | 30 | $32,480 | -46% | $9,906 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 30 | $18,280 | -54% | $5,614 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 30 | $23,165 | -53% | $7,651 |
| 603 Cellulitis without MCC | 28 | $15,588 | -58% | $6,394 |
| 194 Simple Pneumonia and Pleurisy with CC | 27 | $17,855 | -53% | $6,628 |
| 689 Kidney and Urinary Tract Infections with MCC | 24 | $24,620 | -52% | $7,938 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 23 | $98,059 | -57% | $37,028 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 22 | $36,767 | -50% | $10,673 |
| 378 Gastrointestinal Hemorrhage with CC | 20 | $26,341 | -46% | $7,765 |
| 552 Medical Back Problems without MCC | 18 | $17,707 | -64% | $6,545 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 18 | $20,623 | -44% | $5,624 |
| 683 Renal Failure with CC | 18 | $17,771 | -56% | $7,192 |
| 682 Renal Failure with MCC | 17 | $37,416 | -43% | $10,235 |
| 312 Syncope and Collapse | 16 | $22,688 | -50% | $6,223 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 16 | $23,857 | -60% | $8,796 |
| 948 Signs and Symptoms without MCC | 16 | $19,165 | -50% | $5,486 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 15 | $18,601 | -48% | $5,420 |
| 389 Gastrointestinal Obstruction with CC | 15 | $16,150 | -59% | $5,650 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 14 | $22,344 | -60% | $6,832 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 14 | $30,571 | -50% | $8,708 |
| 071 Other Cerebrovascular Disorders with CC | 13 | $26,139 | -48% | $7,590 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 13 | $30,752 | -59% | $10,281 |
| 602 Cellulitis with MCC | 13 | $22,465 | -63% | $9,890 |
| 178 Respiratory Infections and Inflammations with CC | 12 | $20,804 | -54% | $6,723 |
| 516 Other Musculoskeletal System and Connective Tissue O.R.... | 12 | $44,527 | -56% | $13,890 |
| 070 Other Cerebrovascular Disorders with MCC | 11 | $35,447 | -53% | $15,077 |
| 812 Red Blood Cell Disorders without MCC | 11 | $22,302 | -50% | $6,399 |
Outpatient services
Against the Kentucky average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Elizabeth Ft Thomas charged $49,721 on average, 22% less than the Kentucky average of $63,454, and was paid $13,600 against a state average of $14,765. For Heart Failure and Shock with MCC (DRG 291), St Elizabeth Ft Thomas charged $32,874 on average, 19% less than the Kentucky average of $40,730, and was paid $8,535 against a state average of $9,552. For Pulmonary Edema and Respiratory Failure (DRG 189), St Elizabeth Ft Thomas charged $26,430 on average, 37% less than the Kentucky average of $42,054, and was paid $9,132 against a state average of $9,410. For Respiratory Infections and Inflammations with MCC (DRG 177), St Elizabeth Ft Thomas charged $44,671 on average, 17% less than the Kentucky average of $53,742, and was paid $12,656 against a state average of $12,118. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $9,620 was 53% below the state average of $20,333. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $13,959 was 14% above the state average of $12,253. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $14,396 was 32% below the state average of $21,278. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,845 was 9% below the state average of $11,961.
Price-transparency record
CMS's enforcement list records these actions for a hospital named St Elizabeth Ft Thomas in Fort Thomas, KY, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-12-31 (CMS case 2984)
- Closure Notice — 2025-04-02 (CMS case 2984)
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.