Kentucky / St Elizabeth Medical Center North
CMS certification 180035 · Edgewood, KY
St Elizabeth Medical Center North: charges and Medicare payments
St Elizabeth Medical Center North reported 4,272 Medicare inpatient stays across 121 DRGs in 2024. Across them it charged 3.6 times what it was paid — mid-range in Kentucky, number 33 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: 389 stays at an average charge of $58,498, 35% below the national average. It also billed 4,756 outpatient services, charging 6.61 times what Medicare paid.
- 1Medicare inpatient stays 4,272
- 2Charge ÷ paid, inpatient 3.6×
- 3Rank in KY (highest ratio = 1) 33 of 51
- 4CMS price-transparency actions 0
Inpatient stays
For the 121 DRGs that can be compared with the national average, St Elizabeth Medical Center North charged more than the national average in 1 (1%). 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 | 389 | $58,498 | -35% | $14,853 |
| 291 Heart Failure and Shock with MCC | 189 | $32,387 | -43% | $9,444 |
| 690 Kidney and Urinary Tract Infections without MCC | 105 | $19,379 | -49% | $6,576 |
| 193 Simple Pneumonia and Pleurisy with MCC | 102 | $30,881 | -48% | $9,861 |
| 177 Respiratory Infections and Inflammations with MCC | 100 | $41,092 | -42% | $12,067 |
| 189 Pulmonary Edema and Respiratory Failure | 96 | $34,611 | -40% | $9,815 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 90 | $27,680 | -50% | $8,467 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 89 | $134,851 | -41% | $36,721 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 80 | $39,412 | -48% | $11,295 |
| 378 Gastrointestinal Hemorrhage with CC | 74 | $24,824 | -49% | $7,599 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 71 | $72,322 | -37% | $14,792 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 71 | $17,944 | -55% | $6,549 |
| 689 Kidney and Urinary Tract Infections with MCC | 70 | $27,515 | -46% | $8,316 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 67 | $26,488 | -48% | $8,894 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 66 | $93,376 | -40% | $27,381 |
| 312 Syncope and Collapse | 62 | $21,255 | -53% | $6,704 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 62 | $26,498 | -46% | $7,900 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 59 | $19,851 | -45% | $5,544 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 57 | $58,027 | -48% | $17,876 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 55 | $31,240 | -51% | $8,889 |
| 194 Simple Pneumonia and Pleurisy with CC | 53 | $21,532 | -44% | $6,831 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 53 | $151,173 | -32% | $35,406 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 52 | $34,207 | -40% | $8,693 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 52 | $20,855 | -44% | $6,175 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 50 | $104,995 | -36% | $22,425 |
| 389 Gastrointestinal Obstruction with CC | 49 | $20,065 | -48% | $7,705 |
| 683 Renal Failure with CC | 48 | $25,510 | -37% | $6,581 |
| 603 Cellulitis without MCC | 47 | $18,323 | -51% | $6,674 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 46 | $39,938 | -34% | $9,999 |
| 682 Renal Failure with MCC | 45 | $46,785 | -29% | $10,885 |
| 330 Major Small and Large Bowel Procedures with CC | 43 | $69,644 | -41% | $21,826 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 42 | $38,117 | -48% | $11,929 |
| 377 Gastrointestinal Hemorrhage with MCC | 40 | $49,839 | -42% | $12,180 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 38 | $48,800 | -51% | $13,189 |
| 039 Extracranial Procedures without CC/MCC | 37 | $39,652 | -38% | $9,390 |
| 552 Medical Back Problems without MCC | 37 | $26,933 | -45% | $7,207 |
| 164 Major Chest Procedures with CC | 35 | $79,628 | -37% | $24,101 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 35 | $28,677 | -53% | $9,787 |
| 242 Permanent Cardiac Pacemaker Implant with MCC | 32 | $115,157 | -28% | $23,121 |
| 253 Other Vascular Procedures with CC | 32 | $100,844 | -24% | $21,792 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 32 | $22,195 | -53% | $9,796 |
| 329 Major Small and Large Bowel Procedures with MCC | 31 | $121,382 | -44% | $36,790 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 31 | $56,886 | -39% | $12,075 |
| 313 Chest Pain | 30 | $17,993 | -55% | $5,817 |
| 948 Signs and Symptoms without MCC | 30 | $20,381 | -46% | $6,692 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 28 | $87,157 | -22% | $16,097 |
| 516 Other Musculoskeletal System and Connective Tissue O.R.... | 26 | $43,598 | -57% | $14,412 |
| 069 Transient Ischemia without Thrombolytic | 25 | $20,070 | -60% | $6,439 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 25 | $21,223 | -46% | $6,169 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 25 | $29,739 | -56% | $9,185 |
| 038 Extracranial Procedures with CC | 24 | $44,616 | -49% | $16,044 |
| 163 Major Chest Procedures with MCC | 24 | $130,106 | -38% | $43,423 |
| 178 Respiratory Infections and Inflammations with CC | 24 | $21,216 | -53% | $7,069 |
| 271 Other Major Cardiovascular Procedures with CC | 24 | $131,610 | -24% | $29,964 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 24 | $31,656 | -37% | $6,735 |
| 071 Other Cerebrovascular Disorders with CC | 23 | $52,001 | +3% | $12,448 |
| 638 Diabetes with CC | 23 | $26,566 | -36% | $6,972 |
| 292 Heart Failure and Shock with CC | 22 | $25,416 | -35% | $6,454 |
| 393 Other Digestive System Diagnoses with MCC | 22 | $42,164 | -45% | $14,128 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 21 | $182,213 | -36% | $42,470 |
Showing the 60 most frequent of 121 DRGs.
Outpatient services
Against the Kentucky average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Elizabeth Medical Center North charged $58,498 on average, 8% less than the Kentucky average of $63,454, and was paid $14,853 against a state average of $14,765. For Heart Failure and Shock with MCC (DRG 291), St Elizabeth Medical Center North charged $32,387 on average, 20% less than the Kentucky average of $40,730, and was paid $9,444 against a state average of $9,552. For Kidney and Urinary Tract Infections without MCC (DRG 690), St Elizabeth Medical Center North charged $19,379 on average, 28% less than the Kentucky average of $26,795, and was paid $6,576 against a state average of $6,224. For Simple Pneumonia and Pleurisy with MCC (DRG 193), St Elizabeth Medical Center North charged $30,881 on average, 29% less than the Kentucky average of $43,745, and was paid $9,861 against a state average of $9,962. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $8,411 was 24% below the state average of $11,097. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $9,607 was 53% below the state average of $20,333. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $12,620 was 57% below the state average of $29,393. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,023 was 16% below the state average of $11,961.
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.