St. Elizabeth Ft. Thomas Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for St. Elizabeth Ft. Thomas Hospital, Fort Thomas, KY in 2024, from traditional Medicare claims. Back to the St. Elizabeth Ft. Thomas Hospital profile, with quality ratings, finances and negotiated rates.
907
Medicare inpatient discharges
In 33 published DRGs
1.49
Case mix index
IPPS FY 2027
4%
Surgical stays
73%
Stays with complications
In DRGs with a CC or MCC
1,033
Medicare outpatient services
In 23 service groups
Inpatient stays by major diagnostic category
Respiratory system208 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 48 | $26,431 | $6,880 | $8,748 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 47 | $44,671 | $9,890 | $14,786 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 44 | $24,066 | $6,137 | $7,966 | 1.10 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 30 | $32,480 | $6,824 | $10,751 | 1.33 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 27 | $17,855 | $4,193 | $5,910 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 12 | $20,804 | $5,502 | $6,886 | 0.99 |
Infectious and parasitic diseases202 discharges in 3 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 | 149 | $49,721 | $10,857 | $16,458 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 30 | $23,165 | $5,763 | $7,668 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 23 | $98,059 | $25,272 | $32,458 | 5.00 |
Circulatory system136 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 92 | $32,874 | $7,395 | $10,881 | 1.28 |
| Syncope and collapseMS-DRG 312, medical | 16 | $22,688 | $4,795 | $7,510 | 0.86 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 15 | $18,601 | $3,645 | $6,157 | 0.74 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 13 | $30,752 | $8,401 | $10,179 | 1.59 |
Kidney and urinary tract112 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 31 | $18,245 | $4,385 | $6,039 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 24 | $24,620 | $6,576 | $8,149 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 22 | $36,767 | $9,402 | $12,170 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 18 | $17,771 | $4,608 | $5,882 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 17 | $37,416 | $9,083 | $12,385 | 1.50 |
Digestive system79 discharges in 4 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 | 30 | $18,280 | $4,362 | $6,051 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 20 | $26,341 | $5,762 | $8,719 | 0.98 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 15 | $16,150 | $4,456 | $5,346 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 14 | $30,571 | $7,688 | $10,119 | 1.28 |
Skin, subcutaneous tissue and breast41 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 28 | $15,588 | $4,539 | $5,160 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 13 | $22,465 | $7,430 | $7,436 | 1.49 |
Nervous system38 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 | 14 | $22,344 | $5,316 | $7,396 | 1.02 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 13 | $26,139 | $5,680 | $8,652 | 1.06 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 11 | $35,447 | $7,728 | $11,733 | 1.79 |
Endocrine, nutritional and metabolic34 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 | 18 | $20,623 | $4,131 | $6,826 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 16 | $23,857 | $7,304 | $7,897 | 1.32 |
Musculoskeletal system and connective tissue30 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Medical back problems without MCCMS-DRG 552, medical | 18 | $17,707 | $5,729 | $5,861 | 0.97 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 12 | $44,527 | $12,043 | $14,739 | 2.04 |
Factors influencing health status16 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 | 16 | $19,165 | $4,466 | $6,344 | 0.80 |
Blood and immune system11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 11 | $22,302 | $5,064 | $7,382 | 0.90 |
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 | 258 | 237 | $9,620 | $1,882 | $2,090 |
| Level 1 Nerve ProceduresAPC 5431 | 131 | 115 | $13,959 | $1,337 | $1,407 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 62 | 61 | $14,396 | $2,243 | $2,373 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 52 | 46 | $10,845 | $1,102 | $1,220 |
| Level 3 Urology and Related ServicesAPC 5373 | 50 | 40 | $9,392 | $1,382 | $1,516 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 48 | 47 | $23,409 | $3,915 | $4,358 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 45 | 44 | $24,275 | $4,627 | $5,339 |
| Level 1 Intraocular ProceduresAPC 5491 | 44 | 30 | $9,720 | $1,574 | $1,752 |
| Level 3 Vascular ProceduresAPC 5183 | 42 | 41 | $15,523 | $2,153 | $2,405 |
| Level 4 Urology and Related ServicesAPC 5374 | 41 | 36 | $10,808 | $2,357 | $2,629 |
| Level 5 Gynecologic ProceduresAPC 5415 | 39 | 39 | $25,255 | $3,210 | $3,792 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 36 | 36 | $64,177 | $16,381 | $18,465 |
| Level 5 Urology and Related ServicesAPC 5375 | 26 | 25 | $14,241 | $3,445 | $3,918 |
| Level 4 Gynecologic ProceduresAPC 5414 | 23 | 22 | $10,292 | $2,158 | $2,389 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 22 | 21 | $18,218 | $1,879 | $2,141 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 18 | 14 | $17,377 | $2,264 | $2,636 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 17 | 12 | $25,816 | $3,066 | $4,524 |
| Level 2 Vascular ProceduresAPC 5182 | 16 | 16 | $7,239 | $1,110 | $1,204 |
| Level 2 Upper GI ProceduresAPC 5302 | 16 | 15 | $12,194 | $1,324 | $1,445 |
| Level 6 Gynecologic ProceduresAPC 5416 | 13 | 13 | $31,359 | $4,832 | $5,836 |
| Level 1 Endovascular ProceduresAPC 5191 | 12 | 12 | $12,066 | $2,037 | $2,208 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 11 | 11 | $5,901 | $1,114 | $1,196 |
| Level 3 Lower GI ProceduresAPC 5313 | 11 | $17,250 | $1,990 | $2,176 |
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.