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Short Term Acute Care HospitalVoluntary Non-Profit - Private

St. Elizabeth Ft. Thomas Hospital

Saint Elizabeth Healthcare · Fort Thomas, KY

85 North Grand Avenue, Fort Thomas, KY 41075(859) 572-3100

5 of 5

CMS star rating

132

Beds

5,109

Inpatient discharges a year

$151.5M

Net patient revenue a year

34

In-network payers

About this hospital

St. Elizabeth Ft. Thomas Hospital is a 132-bed voluntary non-profit - private hospital in Fort Thomas, 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.

  • Disproportionate share hospital
  • ACO participant
  • Helipad
CCN
180001
NPI
1740221795
Health system
Saint Elizabeth Healthcare
Teaching
No Medicare-funded residents
County
Campbell County
Metro area
Cincinnati, OH-KY-IN MSA
Medicare contractor
Jurisdiction 15, CGS Administrators (15101)
In Medicare since
1966
Last CMS survey
2002

Prices for common services

The 24 services St. Elizabeth Ft. Thomas 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

$10,231 - $17,607

from 4 insurers · median $16,420

Cigna$17,607
Insurer A*$10,231
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

$17,121 - $25,040

from 4 insurers · median $21,290

Cigna$25,040
Insurer A*$17,121
Insurer B*$18,934
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 - $8,328

from 3 insurers · median $8,069

UnitedHealthcare$5,961
Insurer A*$8,069
Insurer B*$8,328
Medicare $2,950Nearby hospitals $8,5576% below nearby hospitals

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

Medicine & Surgery · Inpatient

Major cardiothoracic procedure with cardiac catheterization and MCC

MS-DRG 216

$204,989 - $255,488

from 4 insurers · median $238,255

Aetna$235,257
Insurer A*$204,989
Insurer B*$241,254
Insurer C*$255,488
Medicare $90,833Nearby hospitals $166,07243% above nearby hospitals

Hospital reports cardiac thoracic surgery services to CMS

How the insurers pay at St. Elizabeth Ft. Thomas 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
252%
713
Insurer B*24
217%
1011
Insurer C*18
203%
410
Insurer D*23
199%
172

How we chose these services: 8 appear in this hospital's own Medicare claims, 8 are common here based on CMS Medicare volume, and 8 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 Ft. Thomas 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

    • 144 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.79%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 36 services
    • 750 affiliated clinicians
    See doctors and services
  • Finances

    $151.5M net patient revenue

    • Operating margin on patient care 1.2%
    • $8.9M unreimbursed and uncompensated care
    • $5.9M net income
    See finances
  • Ownership and leadership

    Private (not for profit)

    • Vera Hall, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for St. Elizabeth Ft. Thomas 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 Center58Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), AMPS, Allied Benefit Systems and 53 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

85 North Grand Avenue, Fort Thomas, KY 41075

(859) 572-3100

Get directions

Frequently asked questions

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

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

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at St. Elizabeth Ft. Thomas Hospital range from $428 to $707 across 4 insurers. Cigna's rate is $502. The median at nearby comparable hospitals is $787. What a patient pays depends on their plan's deductible, coinsurance and network status.

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

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at St. Elizabeth Ft. Thomas 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.

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

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at St. Elizabeth Ft. Thomas Hospital range from $10,231 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 Ft. Thomas Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at St. Elizabeth Ft. Thomas 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.

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

St. Elizabeth Ft. Thomas 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 Ft. Thomas Hospital a teaching hospital?

CMS reports no Medicare-funded interns or residents at St. Elizabeth Ft. Thomas Hospital for fiscal year 2027.

Does Medicare penalize St. Elizabeth Ft. Thomas Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts St. Elizabeth Ft. Thomas Hospital's base inpatient payments by an estimated 0.79% in fiscal year 2027 for more readmissions than expected.

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

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (149 discharges), heart failure and shock with mcc (92 discharges), pulmonary edema and respiratory failure (48 discharges).

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

St. Elizabeth Ft. Thomas Hospital's Medicare case mix index is 1.49 for fiscal year 2027, higher than 26% of hospitals paid under the inpatient prospective payment system.

How many patients does St. Elizabeth Ft. Thomas Hospital admit?

St. Elizabeth Ft. Thomas Hospital reported 5,109 inpatient discharges and 22,942 inpatient days from Jan 1, 2025 to Dec 31, 2025.

For hospital finance and compliance teams

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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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