Kentucky / Tristar Greenview Regional Hospital
CMS certification 180124 · Bowling Green, KY · 2 entries in CMS's price-transparency list
Tristar Greenview Regional Hospital: charges and Medicare payments
Tristar Greenview Regional Hospital reported 797 Medicare inpatient stays across 35 DRGs in 2024. Across them it charged 7.59 times what it was paid — among the higher ratios in Kentucky, number 4 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: 133 stays at an average charge of $87,665, 3% below the national average. It also billed 991 outpatient services, charging 9.86 times what Medicare paid.
- 1Medicare inpatient stays 797
- 2Charge ÷ paid, inpatient 7.59×
- 3Rank in KY (highest ratio = 1) 4 of 51
- 4CMS price-transparency actions 2
Inpatient stays
For the 35 DRGs that can be compared with the national average, Tristar Greenview Regional Hospital charged more than the national average in 27 (77%). 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 | 133 | $87,665 | -3% | $12,243 |
| 291 Heart Failure and Shock with MCC | 49 | $61,849 | +10% | $8,404 |
| 193 Simple Pneumonia and Pleurisy with MCC | 40 | $64,325 | +8% | $9,457 |
| 189 Pulmonary Edema and Respiratory Failure | 34 | $61,685 | +7% | $8,781 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 33 | $91,929 | -1% | $14,227 |
| 378 Gastrointestinal Hemorrhage with CC | 28 | $61,817 | +27% | $6,558 |
| 682 Renal Failure with MCC | 27 | $69,471 | +5% | $8,634 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 27 | $66,100 | +35% | $8,002 |
| 177 Respiratory Infections and Inflammations with MCC | 26 | $76,061 | +8% | $11,023 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 26 | $80,238 | +6% | $9,384 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 26 | $56,406 | +40% | $5,445 |
| 683 Renal Failure with CC | 26 | $57,737 | +42% | $6,420 |
| 481 Hip and Femur Procedures except Major Joint with CC | 20 | $102,940 | +2% | $13,391 |
| 638 Diabetes with CC | 19 | $47,096 | +13% | $6,108 |
| 483 Major Joint or Limb Reattachment Procedures of Upper... | 18 | $147,645 | +17% | $16,774 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 18 | $67,835 | +13% | $8,712 |
| 884 Organic Disturbances and Intellectual Disability | 17 | $45,618 | -27% | $9,884 |
| 690 Kidney and Urinary Tract Infections without MCC | 16 | $41,776 | +10% | $5,745 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 15 | $112,037 | +9% | $16,818 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 15 | $206,534 | -10% | $26,180 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 14 | $61,670 | +71% | $5,155 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 14 | $39,047 | +5% | $5,878 |
| 312 Syncope and Collapse | 13 | $57,322 | +26% | $5,953 |
| 377 Gastrointestinal Hemorrhage with MCC | 13 | $68,356 | -20% | $11,993 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 13 | $47,405 | +11% | $6,216 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 13 | $62,355 | -15% | $10,394 |
| 069 Transient Ischemia without Thrombolytic | 12 | $69,120 | +37% | $5,534 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 12 | $67,178 | +33% | $7,822 |
| 305 Hypertension without MCC | 12 | $46,806 | +17% | $5,710 |
| 394 Other Digestive System Diagnoses with CC | 12 | $57,966 | +23% | $6,402 |
| 811 Red Blood Cell Disorders with MCC | 12 | $73,128 | +7% | $9,402 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 11 | $96,364 | -4% | $12,647 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 11 | $82,440 | +46% | $8,321 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 11 | $124,015 | +8% | $12,082 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 11 | $107,522 | -22% | $17,842 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 5 Musculoskeletal Procedures | 226 | $74,716 | $11,272 |
| Comprehensive Observation Services | 138 | $35,876 | $2,365 |
| Level 1 Endovascular Procedures | 90 | $49,513 | $2,775 |
| Level 2 Upper GI Procedures | 87 | $23,105 | $1,629 |
| Level 5 Urology and Related Services | 72 | $35,931 | $4,421 |
| Level 6 Musculoskeletal Procedures | 66 | $97,202 | $16,068 |
| Level 4 Urology and Related Services | 56 | $25,386 | $2,969 |
| Level 4 Musculoskeletal Procedures | 51 | $53,226 | $6,181 |
| Level 3 Urology and Related Services | 36 | $21,482 | $1,682 |
| Level 3 Musculoskeletal Procedures | 29 | $27,598 | $2,797 |
| Level 3 Vascular Procedures | 25 | $29,432 | $2,754 |
| Level 3 Endovascular Procedures | 25 | $92,267 | $9,194 |
| Level 1 Laparoscopy and Related Services | 25 | $39,111 | $4,866 |
| Level 2 Musculoskeletal Procedures | 14 | $17,207 | $1,389 |
| Level 2 Laparoscopy and Related Services | 14 | $76,053 | $8,372 |
| Level 2 Breast/Lymphatic Surgery and Related Procedures | 13 | $45,184 | $5,634 |
| Level 3 Pacemaker and Similar Procedures | 12 | $49,810 | $9,221 |
| Level 1 Nerve Procedures | 12 | $19,151 | $1,668 |
Against the Kentucky average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Tristar Greenview Regional Hospital charged $87,665 on average, 38% more than the Kentucky average of $63,454, and was paid $12,243 against a state average of $14,765. For Heart Failure and Shock with MCC (DRG 291), Tristar Greenview Regional Hospital charged $61,849 on average, 52% more than the Kentucky average of $40,730, and was paid $8,404 against a state average of $9,552. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Tristar Greenview Regional Hospital charged $64,325 on average, 47% more than the Kentucky average of $43,745, and was paid $9,457 against a state average of $9,962. For Pulmonary Edema and Respiratory Failure (DRG 189), Tristar Greenview Regional Hospital charged $61,685 on average, 47% more than the Kentucky average of $42,054, and was paid $8,781 against a state average of $9,410. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $74,716 was 15% below the state average of $87,601. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $35,876 was 76% above the state average of $20,333. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $49,513 was 68% above the state average of $29,393. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $23,105 was 73% above the state average of $13,357.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Tristar Greenview Regional Hospital in Bowling Green, KY, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-12-01 (CMS case 1998)
- Met Requirements — 2025-05-06 (CMS case 4305)
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.