Saint Elizabeth Healthcare · Florence, KY
3 of 5
CMS star rating
181
Beds
8,541
Inpatient discharges a year
$273.8M
Net patient revenue a year
34
In-network payers
St. Elizabeth Florence Hospital is a 181-bed voluntary non-profit - private hospital in Florence, KY, affiliated with Saint Elizabeth Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 291 disclosed rate categories.
The 24 services St. Elizabeth Florence 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
MS-DRG 807
$10,288 - $17,607
from 4 insurers · median $16,420
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
MS-DRG 788
$13,845 - $25,040
from 4 insurers · median $21,290
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
Medicine & Surgery · Inpatient
MS-DRG 216
$198,234 - $255,488
from 4 insurers · median $238,255
Hospital reports cardiac thoracic surgery services to CMS
Medicine & Surgery
CPT 47562
$9,757 - $12,226
from 3 insurers · median $10,162
87 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$10,288 - $17,607
from 4 insurers · median $16,420
CMS lists this service as CPT 59610, 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
Digestive procedures
CPT 43239
$3,761 - $5,703
from 4 insurers · median $4,858
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$3,761 - $5,703
from 4 insurers · median $4,714
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$7,890 - $12,226
from 3 insurers · median $9,128
87 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 460
$81,736 - $93,042
from 4 insurers · median $85,027
Hospital reports neurosurgical services to CMS
Digestive procedures
CPT 45380
$311 - $5,216
from 4 insurers · median $4,131
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,533 - $3,489
from 4 insurers · median $2,994
Common here, based on CMS Medicare volume
CT imaging
CPT 74177
$428 - $707
from 4 insurers · median $582
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$319 - $2,862
from 4 insurers · median $907
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$51,168 - $63,757
from 4 insurers · median $59,457
Hospital reports neurosurgical services to CMS
Medicine & Surgery
CPT 29881
$8,533 - $12,562
from 4 insurers · median $9,295
56 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Orthopedics and pain
CPT 63030
$9,757 - $14,184
from 4 insurers · median $12,308
120 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)
Gynecology
CPT 58571
$8,010 - $15,213
from 4 insurers · median $12,061
Typical for a hospital with this service line
Orthopedics and pain
CPT 64721
$4,292 - $5,961
from 4 insurers · median $5,459
141 Medicare claims in Level 1 Nerve Procedures (CMS 2024)
Orthopedics and pain
CPT 20610
$1,771 - $3,157
from 3 insurers · median $2,830
Common here, based on CMS Medicare volume
Urology
CPT 50590
$4,429 - $15,213
from 4 insurers · median $8,724
68 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Ear, nose and throat
CPT 69436
$3,761 - $8,948
from 3 insurers · median $7,909
Typical for a hospital with this service line
Mammography
CPT 77067
$157 - $172
from 2 insurers · median $165
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$179 - $369
from 4 insurers · median $284
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$5,961 - $8,517
from 3 insurers · median $8,069
Typical for a hospital with this service line
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.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 23 | 256% | 7 | 12 |
| Insurer B* | 24 | 253% | 10 | 11 |
| Insurer C* | 23 | 237% | 17 | 2 |
| Insurer D* | 19 | 207% | 5 | 10 |
How we chose these services: 6 appear in this hospital's own Medicare claims, 9 are common here based on CMS Medicare volume, and 9 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 Florence Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
3 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$273.8M net patient revenue
Ownership and leadership
Private (not for profit)
The employer identification numbers (EINs) health plans and networks list for St. Elizabeth Florence Hospital in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 61-0445850(multi-state) St Elizabeth Medical Center | 57Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 52 more | 1811154388 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.
4900 Houston Road, Florence, KY 41042
(859) 212-5220
How St. Elizabeth Florence Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
3 of 5
Lower than 42% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 7 measures
0 better, 7 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Better on 1 of 6 measures
1 better, 5 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Mixed on 6 measures
1 better, 4 no different, 1 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
3 of 5
Lower than 40% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
67%
Lower than 65% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.87
Lower than 81% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
158 min
Higher than 56% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
58%
Lower than 66% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 3 of 5 | |
| Death rates | No different on 7 measures | |
| Safety | Better on 1 of 6 measures | |
| Readmissions | Mixed on 6 measures | |
| Patient survey ratingCMS: Summary star rating | 3 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 67% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 0.87 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 158 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 58% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts St. Elizabeth Florence Hospital's inpatient payments for its readmissions, quality and cost results.
-0.33% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-0.49% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for St. Elizabeth Florence Hospital, beside the US median and the average of KY hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | This hospital | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 41 cases | 3.9 | 4.1 | 4.2 | Better than 57% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 2,321 cases | 3 | 3.9 | 4.543 | Better than 92% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 35 cases | 11.7 | 11.8 | 12.11 | Better than 51% of US hospitals | |
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.485 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 135 cases | 8.3 | 8.5 | 9.152 | Better than 53% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 232 cases | 12.5 | 11 | 11.98 | Worse than 77% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 324 cases | 16.5 | 15.2 | 16.6 | Worse than 69% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 200 cases | 9.3 | 11.6 | 12.38 | Better than 89% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 3,771 cases | 0.18 | 0.51 | 0.6092 | No Different Than the National Rate | Better than 93% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 · 41 cases | 172 | 173 | 185 | No Different Than the National Rate | Better than 50% of US hospitals |
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 4,546 cases | 0.18 | 0.2 | 0.2113 | No Different Than the National Rate | Better than 76% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 4,473 cases | 0.26 | 0.27 | 0.2787 | No Different Than the National Rate | Better than 54% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 730 cases | 2.24 | 2.29 | 2.306 | No Different Than the National Rate | Better than 59% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 252 cases | 1.61 | 1.63 | 1.711 | No Different Than the National Rate | Better than 58% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 262 cases | 8.62 | 8.88 | 10.2 | No Different Than the National Rate | Better than 57% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 797 cases | 2.78 | 3.4 | 3.435 | No Different Than the National Rate | Better than 89% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 245 cases | 6.9 | 5.105 | 5.85 | No Different Than the National Rate | Worse than 92% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 280 cases | 1.65 | 1.72 | 1.761 | No Different Than the National Rate | Better than 77% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 761 cases | 1.1 | 1.02 | 1.077 | No Different Than the National Rate | Worse than 74% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | This hospital | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 13.02 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 243 cases | -27.1 | 1.25 | 9.521 | Better than 86% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 335 cases | 38.5 | 3.85 | 12.61 | Worse than 88% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 1,367 cases | 13.2 | 12.9 | 13.03 | No Different Than the National Rate | Worse than 62% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.97 | Number of Cases Too Small | ||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.4 | Number of Cases Too Small | ||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 339 cases | 1 | 1 | 1.027 | No Different than expected | Worse than 32% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 46 cases | 14.5 | 14.4 | 14.42 | Worse than 55% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 10.55 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 305 cases | 21.7 | 19.8 | 19.89 | Worse than 96% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 435 cases | 20.2 | 21.3 | 21.36 | Better than 83% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 46 cases | 6.5 | 5.8 | 6.142 | Worse than 84% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 561 cases | 18.3 | 17.2 | 17.37 | Worse than 83% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | This hospital | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.258 | 0.172 | 0.339 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.765 | 1.504 | 2.151 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 3,150 | 1,370 | 2,960 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 2.953 | 0.9835 | 2.924 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 3 | 0 | 2.453 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 1.016 | 0.484 | 0.7803 | No Different than National Benchmark | Worse than 85% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.018 | 0.138 | 0.2917 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.784 | 1.392 | 2.135 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 2,736 | 1,799 | 3,041 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 2.764 | 1.377 | 3.578 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 2.172 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.362 | 0.399 | 0.5965 | No Different than National Benchmark | Better than 54% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.4763 | No Different than National Benchmark | ||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.339 | 2.135 | 2.932 | No Different than National Benchmark | |
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 83 | 61 | 98 | No Different than National Benchmark | |
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 2.237 | 1.591 | 2.685 | No Different than National Benchmark | |
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 2.881 | No Different than National Benchmark | |
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | 0 | 0.7155 | 0.9389 | No Different than National Benchmark | The best result, shared by 19% of US hospitals |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2818 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.126 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 7 | 38 | 73.52 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.07 | 0.328 | 0.6952 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 0.8043 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 0.9479 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.123 | 0.193 | 0.2803 | No Different than National Benchmark | |
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.431 | 1.855 | 2.29 | No Different than National Benchmark | |
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 49,446 | 14,451 | 34,235 | No Different than National Benchmark | |
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 2.718 | 0.567 | 2.406 | No Different than National Benchmark | |
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 2 | 0 | 2.093 | No Different than National Benchmark | |
| MRSA Bacteremia2024-10-01 to 2025-09-30 | 0.736 | 0.597 | 0.7481 | No Different than National Benchmark | Worse than 62% of US hospitals |
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.014 | 0.127 | 0.149 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.276 | 0.747 | 1.678 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 49,446 | 13,646 | 31,551 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 23.98 | 5.683 | 15.64 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 2 | 2 | 5.011 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.083 | 0.279 | 0.3987 | Better than the National Benchmark | Better than 76% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | This hospital | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 949 cases | 75 | 73 | 74.59 | Better than 56% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 949 cases | 8 | 8 | 7.987 | Better than 47% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 949 cases | 17 | 18 | 17.42 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 949 cases | 88 | 87 | 86.82 | Better than 57% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 949 cases | 4 | 4 | 3.533 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 949 cases | 77 | 80 | 82.24 | Worse than 65% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 949 cases | 90 | 91 | 92.18 | Worse than 66% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 949 cases | 5 | 4 | 3.772 | Worse than 61% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 949 cases | 3 | 3 | 3.8 | Worse than 49% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 949 cases | 18 | 16 | 13.99 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 949 cases | 76 | 79 | 81.87 | Worse than 71% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 949 cases | 89 | 91 | 91.67 | Worse than 71% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 949 cases | 7 | 5 | 4.823 | Worse than 72% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 949 cases | 2 | 3 | 3.417 | Worse than 71% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 949 cases | 17 | 16 | 13.3 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 949 cases | 61 | 61 | 63.23 | Worse than 47% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 949 cases | 77 | 77 | 78.17 | Better than 47% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 949 cases | 21 | 19 | 18.58 | Worse than 58% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 949 cases | 3 | 3 | 2.833 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 949 cases | 18 | 19 | 18.19 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 949 cases | 86 | 86 | 85.77 | Worse than 45% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 949 cases | 13 | 13 | 13.37 | Better than 47% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 949 cases | 3 | 3 | 3.317 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 949 cases | 87 | 87 | 86.63 | Better than 47% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 949 cases | 14 | 14 | 14.65 | Better than 49% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 949 cases | 86 | 86 | 85.35 | Better than 49% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 949 cases | 69 | 74 | 76.86 | Worse than 81% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 949 cases | 9 | 7 | 6.333 | Worse than 75% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 949 cases | 22 | 19 | 16.81 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 949 cases | 75 | 77 | 80.25 | Worse than 64% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 949 cases | 7 | 6 | 5.278 | Worse than 64% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 949 cases | 18 | 17 | 14.47 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 949 cases | 83 | 85 | 87.39 | Worse than 66% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 949 cases | 5 | 3 | 3.125 | Worse than 73% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 949 cases | 12 | 11 | 9.486 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 949 cases | 9 | 8 | 7.544 | Worse than 59% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 949 cases | 20 | 20 | 19.38 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 949 cases | 71 | 72 | 73.08 | Worse than 51% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 949 cases | 87 | 88 | 88.38 | Worse than 58% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 949 cases | 3 | 3 | 3.333 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 949 cases | 73 | 74 | 75.21 | Worse than 55% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 949 cases | 10 | 9 | 9.458 | Worse than 52% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 949 cases | 17 | 16 | 15.33 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 949 cases | 73 | 75 | 77.63 | Worse than 60% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 949 cases | 7 | 5 | 5.153 | Worse than 66% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 949 cases | 20 | 20 | 17.22 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 949 cases | 74 | 77 | 79.5 | Worse than 64% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 949 cases | 5 | 4 | 4.028 | Worse than 55% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 949 cases | 21 | 19 | 16.47 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 949 cases | 83 | 86 | 88 | Worse than 72% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 949 cases | 4 | 3 | 2.556 | Worse than 72% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 949 cases | 13 | 11 | 9.444 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 949 cases | 63 | 59 | 62.39 | Better than 62% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 949 cases | 8 | 9 | 8.089 | Better than 53% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 949 cases | 29 | 31 | 29.52 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 949 cases | 84 | 82 | 83.2 | Better than 63% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 949 cases | 4 | 3 | 3.633 | Better than 56% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 949 cases | 7 | 5 | 5.19 | Worse than 67% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 949 cases | 67 | 71 | 70.95 | Worse than 65% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 949 cases | 85 | 87 | 86.8 | Worse than 67% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 949 cases | 26 | 23 | 23.86 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 949 cases | 3 | 4 | 3.6 | Worse than 58% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 949 cases | 48 | 47 | 50.82 | Better than 53% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 949 cases | 31 | 30 | 28.18 | Worse than 51% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 949 cases | 21 | 22 | 21 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 949 cases | 3 | 3 | 3.433 | Worse than 40% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 949 cases | 12 | 12 | 11.93 | Better than 48% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 949 cases | 88 | 88 | 88.07 | Better than 48% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | This hospital | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | high | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 8.032 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.132 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 · 5,131 cases | 1 | 0 | 0.4286 | Worse than 84% of US hospitals | |
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 1,688 cases | 96 | 79 | 74.25 | Better than 90% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 420 cases | 160 | 154 | 153 | Worse than 54% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 384 cases | 158 | 148 | 147 | Worse than 56% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 22 cases | 240 | 247 | 227 | Better than 53% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 14 cases | 257 | 293 | 305 | Better than 66% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 52,607 cases | 1 | 1 | 1.418 | Better than 42% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 22 cases | 95 | 74 | 68.9 | Better than 96% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 81 cases | 100 | 97 | 93.89 | The best result, shared by 27% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | ||||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 63.27 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 3,096 cases | 19 | 15 | 16.73 | Worse than 80% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 163 cases | 58 | 65 | 66.02 | Worse than 66% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 60 cases | 57 | 73 | 74.36 | Worse than 81% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 22 cases | 77 | 88 | 85.06 | Worse than 78% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 163 cases | 78 | 82 | 81.94 | Worse than 64% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 83 cases | 99 | 94 | 94.58 | Better than 86% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 166 cases | 98 | 98 | 96.88 | Better than 49% of US hospitals | |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 74 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 · 153 cases | 95 | 94 | 92.33 | Better than 54% of US hospitals | |
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 76.94 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 93.3 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | This hospital | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 2.7 | 5 | 7.251 | Better than 78% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 5.4 | 6.6 | 6.595 | Better than 65% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | This hospital | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 1.03 | 0.99 | 1.007 | Worse than 70% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | This hospital | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 7.5 | 20 | 14.1 | Worse than 78% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 1.875 | 5 | 3.571 | Worse than 78% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 10 | 10 | 19.82 | Better than 43% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 2.5 | 2.5 | 5.134 | Worse than 44% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 47 | 34 | 44.76 | Better than 71% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 11.75 | 8.75 | 11.37 | Better than 70% of US hospitals | |
| VBP safety domain scoreFY 2026 | 23.33 | 40 | 46.5 | Worse than 81% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 5.833 | 10 | 11.8 | Worse than 81% of US hospitals | |
| VBP total performance scoreFY 2026 | 21.96 | 29.5 | 31.05 | Worse than 76% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 45 | 42.5 | 50 | 30 | 7.5 | 7.5 |
| VBP clinical outcomes weighted domain score | 11.25 | 10.63 | 12.5 | 7.5 | 1.875 | 1.875 |
| VBP efficiency and cost reduction domain score | 0 | Not Available | 0 | 0 | 20 | 10 |
| VBP efficiency and cost reduction weighted domain score | 0 | Not Available | 0 | 0 | 5 | 2.5 |
| VBP person and community engagement domain score | 57 | Not Available | Not Available | 15 | 19 | 47 |
| VBP person and community engagement weighted domain score | 14.25 | Not Available | Not Available | 3.75 | 4.75 | 11.75 |
| VBP safety domain score | 24 | Not Available | Not Available | 24 | 48 | 23.33 |
| VBP safety weighted domain score | 6 | Not Available | Not Available | 6 | 12 | 5.833 |
| VBP total performance score | 31.5 | Not Available | Not Available | 17.25 | 23.63 | 21.96 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | This hospital | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 1.011 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9628 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 167 cases | 1.017 | 0.9969 | 1.008 | Worse than 67% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 258 cases | 0.9776 | 0.9983 | 1.009 | Better than 65% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 1.084 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 315 cases | 1.058 | 0.9955 | 1.006 | Worse than 82% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 1.048 | 1.002 | 0.993 | N/A | N/A | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 1.169 | 1.065 | 1.074 | 1.002 | 1.039 | 1.017 |
| READM-30-HF-HRRP | 1.01 | 1.014 | 1.035 | 1.073 | 1.011 | 0.9776 |
| READM-30-HIP-KNEE-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-PN-HRRP | 0.9865 | 0.9807 | 1.009 | 1.094 | 1.134 | 1.058 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | This hospital | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.384 | 0.489 | 0.5632 | Better than 61% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.341 | 0.346 | 0.3899 | Better than 50% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 1.069 | 0.559 | 0.9125 | Worse than 86% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0.201 | 0.6405 | 0.8459 | Better than 85% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.8696 | 0.9628 | 1.023 | Better than 81% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 1.261 | 0.7945 | 0.8867 | Worse than 77% of US hospitals | |
| Total HAC scoreFY 2026 | -0.1041 | -0.0453 | 0.1443 | Better than 54% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | Yes | N/A | No | No | No |
| Total HAC score | 0.174 | 0.3166 | 0 | -0.189 | -0.2595 | -0.1041 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 2016)
Accreditation
None
Medical school affiliation
Private (not for profit)
Ownership type
231
Medicare-certified beds
92
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What St. Elizabeth Florence Hospital reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
8,541
Inpatient discharges
Medicare 25%, Medicaid 1%
38,178
Inpatient days
62% of available bed days used
991
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 838675). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges St. Elizabeth Florence Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 9,648 | 614 | 27,916 | 38,178 |
| Discharges | 2,102 | 102 | 6,337 | 8,541 |
| Average length of stay | 4.6 days | 6.0 days | 4.4 days | 4.5 days |
| Average daily census | 26.4 | 1.7 | 76.5 | 104.6 |
15,933
Medicare Advantage days
2,802 discharges
4,652
Medicaid managed care days
907 discharges
13,513
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 163 | 34,055 | 8,971 | 61% |
| Intensive care unit | 18 | 4,123 | 677 | 63% |
Source: CMS cost report (HCRIS, Form 2552-10), report 838675, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What St. Elizabeth Florence Hospital treats Medicare patients for most often, in 2024. 1,630 Medicare discharges in 47 published DRGs; 19% surgical; 73% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 263 | $49,470 | $10,768 | $14,841 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 98 | $34,438 | $6,707 | $10,332 | 1.28 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 67 | $30,776 | $7,123 | $9,233 | 1.23 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 65 | $25,232 | $7,036 | $7,570 | 1.33 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 57 | $27,653 | $6,422 | $8,296 | 1.17 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 55 | $55,597 | $11,795 | $16,679 | 2.07 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 54 | $36,806 | $9,258 | $11,042 | 1.70 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 53 | $16,695 | $4,358 | $5,009 | 0.81 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 50 | $24,041 | $6,262 | $7,212 | 1.10 |
| Renal failure with CCMS-DRG 683, medical | 47 | $25,311 | $4,490 | $7,593 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 46 | $40,484 | $9,083 | $12,145 | 1.65 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 44 | $78,728 | $16,067 | $23,619 | 2.95 |
| Medical back problems without MCCMS-DRG 552, medical | 38 | $17,106 | $4,838 | $5,132 | 0.97 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 35 | $21,338 | $4,714 | $6,401 | 1.02 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 35 | $19,590 | $5,016 | $5,877 | 1.03 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 32 | $18,348 | $4,068 | $5,504 | 0.82 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 32 | $101,849 | $25,461 | $30,555 | 5.00 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 31 | $53,536 | $11,083 | $16,061 | 2.11 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 29 | $19,518 | $3,928 | $5,855 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 27 | $28,117 | $4,951 | $8,435 | 0.98 |
See all 47 Medicare inpatient DRGs at St. Elizabeth Florence Hospital
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) St. Elizabeth Florence Hospital billed Medicare for most in 2024: 1,628 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 348 | 314 | $9,879 | $1,848 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 239 | 229 | $39,563 | $9,443 | $10,772 |
| Level 1 Nerve ProceduresAPC 5431 | 141 | 115 | $13,770 | $1,328 | $1,407 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 120 | 111 | $23,572 | $4,873 | $5,339 |
| Level 2 Upper GI ProceduresAPC 5302 | 108 | 97 | $10,502 | $1,304 | $1,445 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 89 | 89 | $62,793 | $14,378 | $15,763 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 87 | 87 | $19,488 | $3,906 | $4,358 |
| Level 4 Urology and Related ServicesAPC 5374 | 68 | 55 | $12,532 | $2,238 | $2,629 |
| Level 3 Urology and Related ServicesAPC 5373 | 64 | 41 | $9,536 | $1,339 | $1,516 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 56 | 52 | $15,462 | $2,158 | $2,373 |
See all 21 Medicare outpatient services at St. Elizabeth Florence Hospital
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at St. Elizabeth Florence Hospital in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 4,452 in 2020 to 4,793 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 41042 | 1,412 | 29% | 6,950 | $59.5M | 47% | 46% |
| 41091 | 411 | 9% | 1,882 | $17.1M | 41% | 36% |
| 41005 | 352 | 7% | 1,835 | $17.4M | 41% | 41% |
| 41018 | 347 | 7% | 1,784 | $16.4M | 22% | 19% |
| 41094 | 228 | 5% | 1,165 | $9.8M | 32% | 36% |
| 41048 | 176 | 4% | 951 | $8M | 33% | 27% |
| 41017 | 170 | 4% | 936 | $9.3M | 8% | 7% |
| 41035 | 150 | 3% | 774 | $7.3M | 28% | 28% |
| 41095 | 138 | 3% | 730 | $6.4M | 60% | 58% |
| 41030 | 119 | 2% | 602 | $5.5M | 33% | 34% |
| 41051 | 117 | 2% | 668 | $6.4M | 9% | 7% |
| 41097 | 112 | 2% | 560 | $5.6M | 27% | 29% |
| 41015 | 98 | 2% | 571 | $6.2M | 8% | 5% |
| 41011 | 91 | 2% | 605 | $5M | 6% | 7% |
| 41092 | 78 | 2% | 415 | $3.8M | 45% | 45% |
| 41001 | 70 | 1% | 345 | $4M | 7% | 5% |
| 41076 | 69 | 1% | 354 | $4M | 7% | 8% |
| 41071 | 61 | 1% | 367 | $4.9M | 7% | 6% |
| 47025 | 59 | 1% | 261 | $2.5M | 4% | 3% |
| 40359 | 51 | 1% | 302 | $3.2M | 13% | 15% |
| 41046 | 42 | 1% | 207 | $1.6M | 41% | 57% |
| 41010 | 38 | 1% | 248 | $2.7M | 22% | 33% |
| 41014 | 34 | 1% | 171 | $1.7M | 10% | 11% |
| 41040 | 32 | 1% | 165 | $2.1M | 6% | 9% |
| 41075 | 30 | 1% | 167 | $2.3M | 4% | 6% |
Source: CMS Hospital Service Area file. Shares are of the 4,793 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units St. Elizabeth Florence Hospital reported at its latest Medicare certification survey (2001). Counts are people, not full-time equivalents.
22
Psychiatric unit beds
92
Registered nurses
35
Licensed practical nurses
13
Physicians
4
Nurse practitioners
7
Physician assistants
10
Nurse anesthetists (CRNAs)
9
Pharmacists
4
Respiratory therapists
1
Physical therapists
1
Occupational therapists
1
Speech pathologists and audiologists
35
Radiology technicians
4
Nuclear medicine technicians
14
Laboratory technicians
14
Medical technologists
5
Dietitians
8
Social workers
2
Psychologists
409
Other personnel
Source: CMS Provider of Services file.
902 clinicians who bill Medicare list St. Elizabeth Florence Hospital as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Liza Varghese, MD
Rheumatology Physician
NPI 1952306193
See commercial rates for Liza Varghese, MDChristopher Colglazier, MD
Rheumatology Physician
NPI 1679555486
See commercial rates for Christopher Colglazier, MDKerrin Burte, MD
Rheumatology Physician
NPI 1336144567
See commercial rates for Kerrin Burte, MDJustin Kruer, M.D.
Interventional Pain Medicine Physician
NPI 1821055971
See commercial rates for Justin Kruer, M.D.Ann George, M.D.
Rheumatology Physician
NPI 1568819795
See commercial rates for Ann George, M.D.Rebecca Callis, M.D.
Rheumatology Physician
NPI 1659597755
See commercial rates for Rebecca Callis, M.D.Stephen Hamilton, M.D.
Sports Medicine (Orthopaedic Surgery) Physician
NPI 1427232362
See commercial rates for Stephen Hamilton, M.D.Matthew Desjardins, MD
Sports Medicine (Family Medicine) Physician
NPI 1699777847
See commercial rates for Matthew Desjardins, MDRobert Larke, M.D.
Urology Physician
NPI 1881919744
See commercial rates for Robert Larke, M.D.Malini Juyal, MD
Rheumatology Physician
NPI 1477733731
See commercial rates for Malini Juyal, MDSamuel Dedden
Physician Assistant
NPI 1700422995
See commercial rates for Samuel DeddenSandra Utter, MD
Family Medicine Physician
NPI 1679712681
See commercial rates for Sandra Utter, MDDeepak Mittal, MD
Nephrology Physician
NPI 1447296538
See commercial rates for Deepak Mittal, MDRonald Auer, M.D.
Orthopaedic Surgery Physician
NPI 1174848196
See commercial rates for Ronald Auer, M.D.Randall Leduc, MD
Internal Medicine Physician
NPI 1912053067
See commercial rates for Randall Leduc, MDTroy Ashcraft, DO
Family Medicine Physician
NPI 1033178777
See commercial rates for Troy Ashcraft, DOTimothy Burns, D.O.
Sports Medicine (Physical Medicine & Rehabilitation) Physician
NPI 1265790299
See commercial rates for Timothy Burns, D.O.Eric Brandser, MD
Diagnostic Radiology Physician
NPI 1154303253
See commercial rates for Eric Brandser, MDRobert Klickovich, M.D.
Interventional Pain Medicine Physician
NPI 1649204306
See commercial rates for Robert Klickovich, M.D.Forest Heis, MD
Orthopaedic Surgery Physician
NPI 1073518874
See commercial rates for Forest Heis, MDKatie Gruen, NURSE PRACTITIONER
Nurse Practitioner
NPI 1568903458
See commercial rates for Katie Gruen, NURSE PRACTITIONERJennifer Hensley, MSN, ANP
Nurse Practitioner
NPI 1659502144
See commercial rates for Jennifer Hensley, MSN, ANPMichelle Willoby, MD
Family Medicine Physician
NPI 1801864822
See commercial rates for Michelle Willoby, MDBryan Fallis, D.P.M.
Podiatrist
NPI 1083606974
See commercial rates for Bryan Fallis, D.P.M.Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income St. Elizabeth Florence Hospital reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $878.7M | 320.9% |
| Inpatient | $360.3M | 131.6% |
| Outpatient | $518.4M | 189.3% |
| Contractual allowances and discounts | -$604.8M | -220.9% |
| Net patient revenue | $273.8M | 100.0% |
| Operating expenses | -$252M | -92.0% |
| Operating income from patient care | $21.8M | 8.0% |
| Other income | $7.6M | 2.8% |
| Net income | $29.5M | 10.8% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $115.2M | 13.3% |
| Medicaid (including managed care) | $132.6M | 15.3% |
| Other payers and self-pay | $620.1M | 71.4% |
| Total charges | $867.9M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 838675, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from St. Elizabeth Florence Hospital's latest cost report.
8.0%
Operating margin
Operating income from patient care / net patient revenue
10.5%
Total margin
Net income / net patient revenue plus other income
16.3%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
42% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$38.96
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
8.4%
Return on assets
Net income for a year / total assets
11.8%
Return on equity
Net income for a year / fund balance
0.00
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
23.09
Current ratio
Current assets / current liabilities
22.90
Quick ratio
Cash, temporary investments and net receivables / current liabilities
3396 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
37 days
Days in patient receivables
Net patient receivables / daily net patient revenue
150 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.80
Asset turnover
Total revenue for a year / total assets
7.5 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 838675, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What St. Elizabeth Florence Hospital owned and owed at the end of its reporting period (Dec 2025), across all fund types: $352.5M in total assets and a $249M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $2.2B | 621.5% |
| Patient receivables, net | $27.9M | 7.9% |
| Inventory | $10.8M | 3.1% |
| Total current assets | $2.2B | 634.8% |
| Property and equipment, net of depreciation | $155.7M | 44.2% |
| Investments and other assets | -$2B | -578.9% |
| Total assets | $352.5M | 100.0% |
| Current liabilities | $96.9M | 27.5% |
| Long-term debt | $669,357 | 0.2% |
| Total liabilities | $103.5M | 29.4% |
| Fund balance (net assets) | $249M | 70.6% |
Source: CMS cost report (HCRIS, Form 2552-10), report 838675, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care St. Elizabeth Florence Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$5.2M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$19.8M
Bad debt
Patient bills written off as uncollectible, at charges
$6.2M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$16.8M
Total unreimbursed and uncompensated care
6.7% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 838675, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
St. Elizabeth Florence Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Dec 2020 | Dec 2021 | Dec 2022 | Dec 2023 | Dec 2024 | Dec 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $169.4M | $199.1M | $212.6M | $231.9M | $272.9M | $273.8M |
| Operating expenses | $163.6M | $181.4M | $193.8M | $210.3M | $262.3M | $252M |
| Operating margin | 3.5% | 8.9% | 8.8% | 9.3% | 3.9% | 8.0% |
| Net income | $22.8M | $25.5M | $24.7M | $27.2M | $16.6M | $29.5M |
| Total assets | $223.8M | $239.6M | $254M | $274.9M | $310.6M | $352.5M |
| Discharges | 8,889 | 8,259 | 8,589 | 8,680 | 8,573 | 8,541 |
| Inpatient days | 35,780 | 37,889 | 39,174 | 37,680 | 40,924 | 38,178 |
| Medicare Advantage days | 10,355 | 11,827 | 12,827 | 13,573 | 15,825 | 15,933 |
| Beds | 165 | 150 | 150 | 162 | 169 | 181 |
| Employees (FTE) | 798 | 814 | 791 | 784 | 927 | 991 |
Source: CMS cost report (HCRIS, Form 2552-10), report 838675, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center St. Elizabeth Florence Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Operating room | $12.2M | $41M | $235.3M | 0.17 | 52,734 |
| Impl. dev. charged to patients | $34.6M | $67M | 0.52 | ||
| Drugs charged to patients | $3.9M | $21.1M | $50.4M | 0.42 | 3,614 |
| Emergency | $6.4M | $14.8M | $88.9M | 0.17 | 19,842 |
| Observation beds (non-distinct part | $14.4M | $28M | 0.51 | ||
| Radiology-diagnostic | $3.9M | $12.4M | $65.1M | 0.19 | 20,192 |
| Spine center | $2.3M | $8.9M | $39.3M | 0.23 | 33,900 |
| Laboratory | $2.1M | $8.5M | $23.9M | 0.35 | 5,840 |
| Respiratory therapy | $3M | $7.4M | $20M | 0.37 | 12,111 |
| Anesthesiology | $156,231 | $6.6M | $11.4M | 0.58 | 245 |
| Physical therapy | $1.7M | $3.5M | $12.2M | 0.28 | 6,347 |
| Ct scan | $1.4M | $3.4M | $26.9M | 0.13 | 2,315 |
| Recovery room | $1.5M | $2.8M | $8.3M | 0.34 | 2,649 |
| Electrocardiology | $1.1M | $2.8M | $22.8M | 0.12 | 6,120 |
| Mri | $526,024 | $1M | $5.6M | 0.19 | 961 |
| Renal dialysis | $246,071 | $687,666 | $2.9M | 0.23 | 1,289 |
| Coumadin clinic | $374,427 | $626,472 | $372,726 | 1.68 | |
| Occupational therapy | $314,782 | $489,911 | $2.4M | 0.20 | 27 |
| Cardiac catheterization | $81,650 | $484,699 | $1M | 0.48 | 2,419 |
| Speech pathology | $255,174 | $395,416 | $1.4M | 0.27 | 27 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $20.6M | $50.7M | $113.4M | 0.45 | 51,800 |
| Intensive care unit | $4.5M | $11.5M | $41.1M | 0.28 | 12,676 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $5M | $32.8M | 60,014 | $65.27 | 79,243 |
| Maintenance & repairs | $1.3M | $9M | 36,068 | $36.27 | 48,487 |
| Cap rel costs-mvble equip | $9M | ||||
| Cap rel costs-bldg & fixt | $7.5M | 402,199 | |||
| Employee benefits department | $4.9M | ||||
| Social service | $1.7M | $3.4M | 40,520 | $41.53 | 3,390 |
| Nursing administration | $886,131 | $3M | 15,950 | $56.29 | 2,458 |
| Housekeeping | $1.3M | $2.6M | 64,364 | $21.45 | 2,943 |
| Dietary | $1.9M | $2.4M | 48,524 | $23.66 | 6,011 |
| Operation of plant | $966,589 | $1.6M | 31,325 | $31.39 | 1,385 |
| Cafeteria | $864,495 | 33,773 | $22.82 | 4,184 | |
| Laundry & linen service | $653,688 | 3,971 | |||
| Medical records & library | $136,033 | $245,663 | 6,369 | $22.03 | 2,008 |
Source: CMS cost report (HCRIS, Form 2552-10), report 838675, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays St. Elizabeth Florence Hospital for an inpatient stay.
1.69
Case mix index
Higher than 51% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
14.8%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
2,096
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.49 | 1.49 | 1.59 | 1.55 | 1.62 | 1.69 | 1.69 |
| Wage index | 0.926 | 0.925 | 0.908 | 0.879 | 0.908 | 0.923 | 0.893 |
| Readmissions adjustment | -1.09% | -0.72% | -0.28% | -0.29% | -0.63% | -0.71% | -0.33% |
| Value-based purchasing adjustment | +0.33% | +0.02% | +0.02% | +0.70% | -0.36% | +0.11% | -0.49% |
| Medicare inpatient stays | 2,720 | 2,720 | 2,155 | 2,214 | 2,167 | 2,224 | 2,096 |
Source: CMS IPPS final rule Impact File (FY 2027).
The officers and board members on St. Elizabeth Florence Hospital's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 19 of 23 are shown.
St Elizabeth Medical Center Inc files the Form 990 for the tax ID insurers list for St. Elizabeth Florence Hospital, so these people may lead the wider organization rather than St. Elizabeth Florence Hospital alone.
| Name | Title |
|---|---|
| Garren Colvin | President/ceo |
| Lori Ritchey-Baldwin | Executive Vp/cfo/treasurer |
| Heidi Murley MD | Sep President/ceo |
| Lisa Frey | Executive VP Legal Services/general Counsel/corporate Secretary |
| Sarah Giolando | Svp/chief Strategy Officer Thru 11/21/2024 |
| Julie McGregor | Senior VP Human Resources |
| Jacob Bast | Sep Senior Vp/coo |
| LaRoy Kendall MD | Senior VP Chief Medical Officer |
| James Horn MD | Executive VP & Chief Clinical Officer |
| Vera Hall | Executive Vice President & COO |
| Latonya Brown-Puryear MD | VP Chief Quality Officer |
| Gene Barber | Senior VP Facilities |
| Bruce Henley | Sep Cfo/treasurer |
| Kevin Gessner | SVP Site Administrator Ftt Cov & Hvi |
| Kathy Jennings | SVP Patient Care/oncology |
| Bruno Giacomuzzi | COO Flo Ft Cov & SVP Prof Svcs |
| Harry Watson | Senior VP Facilities |
Board members: Donald Price MD, Kristi Nelson, Debbie Simpson, Joe Koester, Jackie Sweeney MD, AJ Schaeffer, Bob Stevens, Jason Jackman, Jeanne Schroer, John Hawkins, Kris Knochelmann, Marsha Ladenburger, Michael Jones MD, Robert Moorhead, Sylvia Buxton.
Source: IRS Form 990 Part VII filed by St Elizabeth Medical Center Inc (EIN 61-0445850), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Not participating
340B ID DSH180045, registered as a disproportionate share hospital. Authorizing official: Lori Ritchey-Baldwin, CFO.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Accountable care organization (Medicare Shared Savings Program)
Healthcare Solutions Network
ACO A3283, current agreement since 2025. Public reporting page
Source: CMS Shared Savings Program participants, 2026, matched on St. Elizabeth Florence Hospital's legal name.
About St. Elizabeth Florence Hospital's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at St. Elizabeth Florence Hospital range from $428 to $707 across 4 insurers. Aetna's rate is $663. The median at nearby comparable hospitals is $787. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at St. Elizabeth Florence Hospital range from $3,761 to $5,703 across 4 insurers. Blue Cross Blue Shield's rate is $4,341. The median at nearby comparable hospitals is $5,234. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at St. Elizabeth Florence Hospital range from $10,288 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.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at St. Elizabeth Florence Hospital range from $157 to $172 across 2 insurers. Cigna's rate is $172. The median at nearby comparable hospitals is $157. What a patient pays depends on their plan's deductible, coinsurance and network status.
St. Elizabeth Florence Hospital has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.
CMS reports no Medicare-funded interns or residents at St. Elizabeth Florence Hospital for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts St. Elizabeth Florence Hospital's base inpatient payments by an estimated 0.33% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (263 discharges), heart failure and shock with mcc (98 discharges), pulmonary edema and respiratory failure (67 discharges).
St. Elizabeth Florence Hospital's Medicare case mix index is 1.69 for fiscal year 2027, higher than 51% of hospitals paid under the inpatient prospective payment system.
St. Elizabeth Florence Hospital reported 8,541 inpatient discharges and 38,178 inpatient days from Jan 1, 2025 to Dec 31, 2025.
St. Elizabeth Florence Hospital reported 991 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
St. Elizabeth Florence Hospital reported $273.8M in net patient revenue on $878.7M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of 8.0%, and net income of $29.5M.
St. Elizabeth Florence Hospital reported $16.8M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $5.2M of charity care at cost.
St. Elizabeth Florence Hospital's Medicare enrollment lists Vera Hall as Vice President since 2024.
Insurers' price transparency files list St. Elizabeth Florence Hospital under employer identification number 61-0445850 ((multi-state) St Elizabeth Medical Center). 57 health plans and networks list 61-0445850 for it.
HRSA's 340B database lists St. Elizabeth Florence Hospital (340B ID DSH180045) as no longer participating since 2020.
902 clinicians who bill Medicare list St. Elizabeth Florence Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are nurse practitioner (131), family medicine physician (106), certified registered nurse anesthetist (68).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for St. Elizabeth Florence Hospital, effective 2016.
CMS lists 41 services at St. Elizabeth Florence Hospital, including Acute Renal Dialysis, Adult Inpatient Psychiatric Care, Alcohol and/or Drug Service, Anesthesia, Audiology, Cardiac Catheterization Lab.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at St. Elizabeth Florence Hospital came from ZIP codes 41042 (1,412), 41091 (411), 41005 (352).
St. Elizabeth Florence Hospital has 181 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 231 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
St. Elizabeth Florence Hospital is located at 4900 Houston Road, Florence, KY 41042. Its main phone number is (859) 212-5220.
St. Elizabeth Florence Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 180045.
The National Provider Identifier (NPI) on file for St. Elizabeth Florence Hospital is 1154365062.
St. Elizabeth Florence Hospital is affiliated with Saint Elizabeth Healthcare.
St. Elizabeth Florence Hospital lists 34 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
291 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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
}
]
}]
}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.
What a review covers