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Short Term Acute Care HospitalVoluntary Non-Profit - Church

St. Elizabeth Edgewood Hospital

Saint Elizabeth Healthcare · Edgewood, KY

1 Medical Village Drive, Edgewood, KY 41017(859) 301-2000

5 of 5

CMS star rating

510

Beds

24,730

Inpatient discharges a year

$1.3B

Net patient revenue a year

36

In-network payers

About this hospital

St. Elizabeth Edgewood Hospital is a 510-bed voluntary non-profit - church hospital in Edgewood, KY, affiliated with Saint Elizabeth Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 36 in-network payers and 288 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
  • ACO participant
  • Helipad
CCN
180035
NPI
1467492421
Health system
Saint Elizabeth Healthcare
Teaching
Teaching hospital
County
Kenton County
Metro area
Cincinnati, OH-KY-IN MSA
Medicare contractor
Jurisdiction 15, CGS Administrators (15101)
In Medicare since
1966
Last CMS survey
2012

Prices for common services

The 24 services St. Elizabeth Edgewood Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$14,808 - $17,607

from 4 insurers · median $16,420

Cigna$17,607
Insurer A*$14,808
Insurer B*$16,213
Insurer C*$16,626

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$18,934 - $25,040

from 4 insurers · median $21,721

Cigna$25,040
Insurer A*$18,934
Insurer B*$19,798
Insurer C*$23,645

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$5,961 - $9,962

from 3 insurers · median $8,069

UnitedHealthcare$5,961
Insurer A*$8,069
Insurer B*$9,962
Medicare $2,934Nearby hospitals $8,5576% below nearby hospitals

35 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$39,829 - $50,375

from 4 insurers · median $45,011

Aetna$46,386
Insurer A*$39,829
Insurer B*$43,635
Insurer C*$50,375
Medicare $11,522Nearby hospitals $31,23344% above nearby hospitals

49 Medicare discharges for this DRG in CMS hospital data

How the insurers pay at St. Elizabeth Edgewood Hospital

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*23
301%
109
Insurer B*24
266%
99
Insurer C*23
259%
161
Insurer D*18
189%
51

How we chose these services: 6 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 6 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for St. Elizabeth Edgewood Hospital, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCareSource (incl Common Ground Health Coop)

More about this hospital

  • Quality

    5 of 5 stars

    • 132 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.72%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Teaching hospital
    • 48 services
    • 1,406 affiliated clinicians
    See doctors and services
  • Finances

    $1.3B net patient revenue

    • Operating margin on patient care 3.8%
    • $30.3M unreimbursed and uncompensated care
    • $287.3M net income
    See finances
  • Ownership and leadership

    Church

    • Garren Colvin, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for St. Elizabeth Edgewood Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
61-0445850(multi-state) St Elizabeth Medical Center63Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), AMPS, Allied Benefit Systems and 58 more1811154388 St Elizabeth Medical Center Inc1467492421 St Elizabeth Medical Center Inc1740221795 St Elizabeth Medical Center Incand 36 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

1 Medical Village Drive, Edgewood, KY 41017

(859) 301-2000

Get directions

Frequently asked questions

About St. Elizabeth Edgewood Hospital's rates and hospital price transparency.

How much does a CT scan cost at St. Elizabeth Edgewood Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at St. Elizabeth Edgewood Hospital range from $428 to $707 across 4 insurers. Aetna's rate is $663. The median at nearby comparable hospitals is $776. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at St. Elizabeth Edgewood Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at St. Elizabeth Edgewood Hospital range from $3,761 to $5,703 across 4 insurers. Blue Cross Blue Shield's rate is $4,611. The median at nearby comparable hospitals is $4,077. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at St. Elizabeth Edgewood Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at St. Elizabeth Edgewood Hospital range from $14,808 to $17,607 across 4 insurers. Cigna's rate is $17,607. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at St. Elizabeth Edgewood Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at St. Elizabeth Edgewood Hospital range from $157 to $172 across 2 insurers. Cigna's rate is $172. The median at nearby comparable hospitals is $159. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at St. Elizabeth Edgewood Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at St. Elizabeth Edgewood Hospital range from $39,829 to $50,375 across 4 insurers. Aetna's rate is $46,386. The median at nearby comparable hospitals is $31,233. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is St. Elizabeth Edgewood Hospital's CMS star rating?

St. Elizabeth Edgewood Hospital has a CMS overall hospital star rating of 5 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is the top rating, shared by 12% of US hospitals.

Is St. Elizabeth Edgewood Hospital a teaching hospital?

Yes. CMS counts 0.07 Medicare-funded residents per bed at St. Elizabeth Edgewood Hospital for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize St. Elizabeth Edgewood Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts St. Elizabeth Edgewood Hospital's base inpatient payments by an estimated 0.72% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at St. Elizabeth Edgewood Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (389 discharges), heart failure and shock with mcc (189 discharges), kidney and urinary tract infections without mcc (105 discharges).

What is St. Elizabeth Edgewood Hospital's case mix index?

St. Elizabeth Edgewood Hospital's Medicare case mix index is 1.95 for fiscal year 2027, higher than 74% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

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We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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