St. Elizabeth Florence Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for St. Elizabeth Florence Hospital, Florence, KY in 2024, from traditional Medicare claims. Back to the St. Elizabeth Florence Hospital profile, with quality ratings, finances and negotiated rates.
1,630
Medicare inpatient discharges
In 47 published DRGs
1.69
Case mix index
IPPS FY 2027
19%
Surgical stays
73%
Stays with complications
In DRGs with a CC or MCC
1,628
Medicare outpatient services
In 21 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases347 discharges in 4 DRGs
| 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 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 35 | $19,590 | $5,016 | $5,877 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 32 | $101,849 | $25,461 | $30,555 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 17 | $55,788 | $8,265 | $16,736 | 2.04 |
Respiratory system307 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| 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 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 54 | $36,806 | $9,258 | $11,042 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 50 | $24,041 | $6,262 | $7,212 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 32 | $18,348 | $4,068 | $5,504 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 16 | $17,966 | $5,424 | $5,390 | 0.99 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 12 | $17,161 | $4,289 | $5,148 | 0.85 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 11 | $36,116 | $7,405 | $10,835 | 1.40 |
Musculoskeletal system and connective tissue290 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 55 | $55,597 | $11,795 | $16,679 | 2.07 |
| 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 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 31 | $53,536 | $11,083 | $16,061 | 2.11 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 25 | $48,626 | $10,785 | $14,588 | 1.88 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 19 | $62,117 | $17,770 | $18,635 | 2.99 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 18 | $84,740 | $15,688 | $25,422 | 2.48 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 18 | $44,515 | $11,850 | $13,354 | 2.04 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 17 | $60,099 | $12,341 | $18,030 | 2.40 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 14 | $90,215 | $22,059 | $27,065 | 3.49 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 11 | $53,273 | $7,473 | $15,982 | 1.59 |
Kidney and urinary tract244 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 57 | $27,653 | $6,422 | $8,296 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 53 | $16,695 | $4,358 | $5,009 | 0.81 |
| 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 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 23 | $17,529 | $5,558 | $5,259 | 1.02 |
| Renal failure with MCCMS-DRG 682, medical | 18 | $35,730 | $7,261 | $10,719 | 1.50 |
Circulatory system177 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 98 | $34,438 | $6,707 | $10,332 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 25 | $36,539 | $8,567 | $10,962 | 1.59 |
| Syncope and collapseMS-DRG 312, medical | 24 | $23,907 | $4,632 | $7,172 | 0.86 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 17 | $22,509 | $3,377 | $6,753 | 0.74 |
| Hypertension without MCCMS-DRG 305, medical | 13 | $18,652 | $3,278 | $5,596 | 0.75 |
Digestive system99 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| 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 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 16 | $48,851 | $10,232 | $14,655 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 15 | $17,470 | $4,180 | $5,241 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 12 | $23,960 | $7,111 | $7,188 | 1.28 |
Nervous system60 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 35 | $21,338 | $4,714 | $6,401 | 1.02 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 14 | $19,955 | $7,802 | $5,986 | 1.36 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 11 | $17,931 | $3,170 | $5,379 | 0.69 |
Endocrine, nutritional and metabolic49 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 26 | $23,525 | $3,869 | $7,057 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 23 | $39,143 | $7,256 | $11,743 | 1.32 |
Skin, subcutaneous tissue and breast24 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 24 | $16,577 | $3,925 | $4,973 | 0.88 |
Factors influencing health status17 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Signs and symptoms without MCCMS-DRG 948, medical | 17 | $15,941 | $3,729 | $4,782 | 0.80 |
Liver, gallbladder and pancreas16 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 16 | $45,703 | $9,825 | $13,711 | 1.63 |
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.
Outpatient services
| 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 |
| Level 3 Vascular ProceduresAPC 5183 | 51 | 49 | $16,016 | $2,165 | $2,405 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 49 | 48 | $12,385 | $1,078 | $1,220 |
| Level 3 Lower GI ProceduresAPC 5313 | 32 | 31 | $16,430 | $1,980 | $2,176 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 31 | 31 | $89,907 | $25,295 | $26,719 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 28 | 28 | $16,593 | $1,878 | $2,141 |
| Level 5 Urology and Related ServicesAPC 5375 | 28 | 26 | $17,693 | $3,457 | $3,918 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 26 | 13 | $23,718 | $2,552 | $4,524 |
| Level 2 Vascular ProceduresAPC 5182 | 21 | 21 | $5,747 | $1,107 | $1,204 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 16 | $17,966 | $2,393 | $2,636 | |
| Level 1 Endovascular ProceduresAPC 5191 | 14 | 14 | $12,897 | $2,025 | $2,208 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 12 | 12 | $5,503 | $1,114 | $1,196 |
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.