63/100
#858 nationally
St Elizabeth Edgewood
1 Medical Village Drive, Edgewood, KY 41017 · (859) 301-2000
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, St Elizabeth Edgewood billed $4.07 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 4.1x
- volume-weighted across all its priced work
- Procedures priced
- 166
- inpatient and outpatient combined
- Rank in KY
- #18
- lower markup ranks higher
- CMS quality stars
- 5/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 59% of U.S. hospitals.
Better than 59% of U.S. hospitals.
Better than 72% of U.S. hospitals.
Better than 59% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
845 | $8,411 | $1,965 | -28% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
690 | $9,607 | $2,327 | -51% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
389 | $58,498 | $14,853 | -10% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
314 | $12,620 | $2,782 | -50% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
308 | $10,023 | $1,359 | about average |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
189 | $32,387 | $9,444 | -25% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
164 | $60,689 | $9,362 | -10% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
136 | $17,799 | $2,732 | -7% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
130 | $14,758 | $2,657 | -28% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
125 | $92,669 | $19,931 | -30% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$7,132 | $588 | +127% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
$190,770 | $28,219 | +28% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
$46,230 | $4,473 | +28% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
$28,052 | $3,067 | +24% |
|
Level 3 Intraocular Procedures
APC 5493 · Hospital outpatient visit |
$29,565 | $4,500 | +22% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
$44,767 | $7,143 | +18% |
|
Other Cerebrovascular Disorders with Complications
MS-DRG 071 · Inpatient stay |
$52,001 | $12,448 | +17% |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
$44,836 | $5,716 | +17% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Disorders of Pancreas Except Malignancy with Complications
MS-DRG 439 · Inpatient stay |
$15,196 | $7,495 | -58% |
|
Skin Infection (severe)
MS-DRG 602 · Inpatient stay |
$22,187 | $10,580 | -57% |
|
Back Problems (severe)
MS-DRG 551 · Inpatient stay |
$30,127 | $11,104 | -57% |
|
Other Disorders of Nervous System with Complications
MS-DRG 092 · Inpatient stay |
$20,303 | $7,694 | -55% |
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay |
$17,558 | $6,858 | -55% |
|
Level 7 Radiation Therapy
APC 5627 · Hospital outpatient visit |
$26,896 | $6,698 | -55% |
|
Transient Ischemia without Thrombolytic
MS-DRG 069 · Inpatient stay |
$20,070 | $6,439 | -51% |
|
Peripheral Vascular Disorders with Complications
MS-DRG 300 · Inpatient stay |
$21,117 | $9,269 | -51% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.