Kentucky / Uofl Health - Shelbyville Hospital
CMS certification 180016 · Shelbyville, KY
Uofl Health - Shelbyville Hospital: charges and Medicare payments
Uofl Health - Shelbyville Hospital reported 115 Medicare inpatient stays across 6 DRGs in 2024. Across them it charged 2.49 times what it was paid — among the lower ratios in Kentucky, number 46 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: 30 stays at an average charge of $40,526, 55% below the national average. It also billed 165 outpatient services, charging 6.36 times what Medicare paid.
- 1Medicare inpatient stays 115
- 2Charge ÷ paid, inpatient 2.49×
- 3Rank in KY (highest ratio = 1) 46 of 51
- 4CMS price-transparency actions 0
Inpatient stays
For the 6 DRGs that can be compared with the national average, Uofl Health - Shelbyville 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 | 30 | $40,526 | -55% | $16,504 |
| 291 Heart Failure and Shock with MCC | 23 | $23,962 | -57% | $11,111 |
| 193 Simple Pneumonia and Pleurisy with MCC | 21 | $27,750 | -54% | $11,671 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 15 | $33,945 | -33% | $9,932 |
| 177 Respiratory Infections and Inflammations with MCC | 14 | $37,362 | -47% | $14,270 |
| 189 Pulmonary Edema and Respiratory Failure | 12 | $23,595 | -59% | $10,823 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 48 | $13,604 | $2,358 |
| Level 1 Laparoscopy and Related Services | 20 | $14,088 | $4,971 |
| Level 1 Intraocular Procedures | 17 | $7,583 | $2,008 |
| Level 2 Upper GI Procedures | 16 | $13,197 | $1,562 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 14 | $12,462 | $1,397 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 14 | $13,040 | $2,981 |
| Level 5 Musculoskeletal Procedures | 13 | $56,358 | $10,580 |
| Level 4 Musculoskeletal Procedures | 12 | $36,476 | $6,164 |
| Level 1 Nerve Procedures | 11 | $8,251 | $1,663 |
Against the Kentucky average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Uofl Health - Shelbyville Hospital charged $40,526 on average, 36% less than the Kentucky average of $63,454, and was paid $16,504 against a state average of $14,765. For Heart Failure and Shock with MCC (DRG 291), Uofl Health - Shelbyville Hospital charged $23,962 on average, 41% less than the Kentucky average of $40,730, and was paid $11,111 against a state average of $9,552. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Uofl Health - Shelbyville Hospital charged $27,750 on average, 37% less than the Kentucky average of $43,745, and was paid $11,671 against a state average of $9,962. For Chronic Obstructive Pulmonary Disease with MCC (DRG 190), Uofl Health - Shelbyville Hospital charged $33,945 on average, 9% less than the Kentucky average of $37,165, and was paid $9,932 against a state average of $8,277. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $13,604 was 33% below the state average of $20,333. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $14,088 was 59% below the state average of $34,303. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $7,583 was 32% below the state average of $11,097. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $13,197 was 1% below the state average of $13,357.
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.