74/100
#526 nationally
St Elizabeth Florence
4900 Houston Road, Florence, KY 41042 · (859) 212-5220
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, St Elizabeth Florence billed $3.65 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
- 3.6x
- volume-weighted across all its priced work
- Procedures priced
- 68
- inpatient and outpatient combined
- Rank in KY
- #11
- lower markup ranks higher
- CMS quality stars
- 3/5
- 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 63% of U.S. hospitals.
Better than 81% of U.S. hospitals.
Better than 79% of U.S. hospitals.
Better than 78% 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 |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
348 | $9,879 | $2,331 | -49% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
263 | $49,470 | $14,119 | -24% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
239 | $39,563 | $11,076 | -37% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
141 | $13,770 | $1,667 | +21% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
120 | $23,572 | $6,118 | -41% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
108 | $10,502 | $1,635 | -11% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
98 | $34,438 | $9,475 | -21% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
89 | $62,793 | $16,010 | -24% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
87 | $19,488 | $4,926 | -44% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
68 | $12,532 | $2,854 | -39% |
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 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$12,385 | $1,364 | +23% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$13,770 | $1,667 | +21% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
$16,430 | $2,375 | about average |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$16,593 | $2,380 | -6% |
|
Level 2 Neurostimulator and Related Procedures
APC 5462 · Hospital outpatient visit |
$23,718 | $3,203 | -10% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$10,502 | $1,635 | -11% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$16,016 | $2,729 | -16% |
|
Major Joint or Limb Reattachment Procedures of Upper Extremities
MS-DRG 483 · Inpatient stay |
$84,740 | $16,867 | -17% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
$19,955 | $8,968 | -58% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
$17,106 | $7,101 | -56% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
$17,529 | $7,070 | -54% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
$23,960 | $8,936 | -53% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
$21,338 | $8,293 | -53% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
$17,966 | $6,968 | -52% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$5,503 | $1,398 | -51% |
|
Signs and Symptoms without Major Complications
MS-DRG 948 · Inpatient stay |
$15,941 | $7,384 | -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.