ST ELIZABETH EDGEWOOD
EDGEWOOD, KY 41017 · Acute Care Hospitals
140 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 27, 2026 · Methodology
Procedures Analyzed
140
With CMS pricing data
Avg Charge-to-Medicare Ratio
4.7x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Voluntary non-profit - Church
Above 90th Percentile
0%
Compared to KY hospitals
Understanding Your Costs
When you receive a bill from ST ELIZABETH EDGEWOOD, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, ST ELIZABETH EDGEWOOD lists chargemaster rates that average 4.7x the corresponding Medicare reimbursement amount across 140 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).
The median hospital in KY has a chargemaster-to-Medicare ratio of 5.1x, with ratios across the state ranging from 2.5x to 10.5x. At 4.7x, this facility’s average ratio is below the state median. 57 hospitals in KY report pricing data to CMS (Source: CMS IPPS Provider Summary).
The procedure with the largest gap between the listed price and Medicare reimbursement at ST ELIZABETH EDGEWOOD is PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC (DRG 322). The listed chargemaster rate is $77,724, while Medicare reimburses $9,669 for the same procedure — a ratio of 8.0x (Source: CMS IPPS Provider Summary, FY2024).
What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.
ST ELIZABETH EDGEWOOD is a voluntary non-profit - church acute care hospitals facility with a CMS quality rating of 4/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.
Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio
Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Procedure Pricing Lookup
Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.
| Procedure | DRG | Listed Charge | Medicare Reimb. | Ratio | State Position | |
|---|---|---|---|---|---|---|
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $77,724 | $9,669 | 8.0x | 0th | Compare your bill |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $75,336 | $9,585 | 7.9x | 0th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $22,574 | $2,980 | 7.6x | 0th | Compare your bill |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $166,755 | $23,250 | 7.2x | 0th | Compare your bill |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $104,885 | $14,832 | 7.1x | 0th | Compare your bill |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $31,461 | $4,519 | 7.0x | 0th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $70,439 | $10,156 | 6.9x | 0th | Compare your bill |
| AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | 269 | $145,151 | $21,185 | 6.8x | 0th | Compare your bill |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $146,668 | $21,511 | 6.8x | 1th | Compare your bill |
| AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | 617 | $59,870 | $9,084 | 6.6x | 0th | Compare your bill |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $88,654 | $13,484 | 6.6x | 0th | Compare your bill |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $14,938 | $2,305 | 6.5x | 0th | Compare your bill |
| MAJOR CHEST PROCEDURES WITHOUT CC/MCC | 165 | $64,053 | $9,958 | 6.4x | 0th | Compare your bill |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $77,477 | $12,214 | 6.3x | 1th | Compare your bill |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $38,466 | $6,252 | 6.2x | 0th | Compare your bill |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $48,594 | $7,912 | 6.1x | 0th | Compare your bill |
| ATHEROSCLEROSIS WITHOUT MCC | 303 | $18,447 | $3,033 | 6.1x | 0th | Compare your bill |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | 982 | $85,502 | $14,106 | 6.1x | 0th | Compare your bill |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $53,178 | $9,022 | 5.9x | 0th | Compare your bill |
| DIGESTIVE MALIGNANCY WITH MCC | 374 | $69,270 | $11,839 | 5.8x | 0th | Compare your bill |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | 417 | $93,270 | $15,974 | 5.8x | 0th | Compare your bill |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $29,293 | $5,023 | 5.8x | 0th | Compare your bill |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $113,883 | $19,715 | 5.8x | 0th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $27,738 | $4,969 | 5.6x | 0th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $20,811 | $3,768 | 5.5x | 0th | Compare your bill |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $51,232 | $9,296 | 5.5x | 0th | Compare your bill |
| DISORDERS OF THE BILIARY TRACT WITH MCC | 444 | $53,636 | $9,756 | 5.5x | 0th | Compare your bill |
| HYPERTENSION WITHOUT MCC | 305 | $22,092 | $4,021 | 5.5x | 0th | Compare your bill |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | 661 | $30,302 | $5,589 | 5.4x | 0th | Compare your bill |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $71,572 | $13,300 | 5.4x | 0th | Compare your bill |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $20,693 | $3,850 | 5.4x | 0th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $96,292 | $18,061 | 5.3x | 0th | Compare your bill |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $69,179 | $13,051 | 5.3x | 0th | Compare your bill |
| CHEST PAIN | 313 | $19,307 | $3,666 | 5.3x | 0th | Compare your bill |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $114,056 | $21,662 | 5.3x | 0th | Compare your bill |
| HYPERTENSION WITH MCC | 304 | $36,137 | $6,986 | 5.2x | 0th | Compare your bill |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | 242 | $117,072 | $22,741 | 5.2x | 0th | Compare your bill |
| BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | 519 | $54,821 | $10,712 | 5.1x | 0th | Compare your bill |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $31,846 | $6,259 | 5.1x | 0th | Compare your bill |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | 233 | $202,438 | $39,857 | 5.1x | 0th | Compare your bill |
| DYSEQUILIBRIUM | 149 | $19,604 | $3,888 | 5.0x | 0th | Compare your bill |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $43,527 | $8,634 | 5.0x | 0th | Compare your bill |
| OTHER CARDIOTHORACIC PROCEDURES WITH MCC | 228 | $158,031 | $31,487 | 5.0x | 0th | Compare your bill |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $26,659 | $5,373 | 5.0x | 0th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $41,036 | $8,266 | 5.0x | 0th | Compare your bill |
| OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | 580 | $43,765 | $8,850 | 5.0x | 0th | Compare your bill |
| EXTRACRANIAL PROCEDURES WITH CC | 038 | $45,791 | $9,368 | 4.9x | 0th | Compare your bill |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $79,422 | $16,275 | 4.9x | 0th | Compare your bill |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $71,871 | $14,822 | 4.8x | 0th | Compare your bill |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $24,754 | $5,111 | 4.8x | 0th | Compare your bill |
Showing 50 of 140 procedures
All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Statewide Context
Charge-to-Medicare ratio range across KY hospitals
57 hospitals in KY report pricing data to CMS. This facility's average ratio of 4.7x places it at the lower-middle range of the state range (Source: CMS IPPS Provider Summary).
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How it worksData: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).
Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.
Frequently Asked Questions About ST ELIZABETH EDGEWOOD
How much does ST ELIZABETH EDGEWOOD charge compared to Medicare?
According to CMS IPPS data, ST ELIZABETH EDGEWOOD's listed chargemaster rates average 4.7x the Medicare reimbursement amount across 140 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.
What is the most expensive procedure at ST ELIZABETH EDGEWOOD?
The procedure with the highest chargemaster-to-Medicare ratio at ST ELIZABETH EDGEWOOD is PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC (DRG 322), with a listed charge of $77,724 compared to Medicare reimbursement of $9,669 — a ratio of 8.0x. Source: CMS IPPS Provider Summary.
Is ST ELIZABETH EDGEWOOD expensive compared to other KY hospitals?
ST ELIZABETH EDGEWOOD's average chargemaster-to-Medicare ratio is 4.7x. Ratios vary significantly across KY hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.
Where does the pricing data for ST ELIZABETH EDGEWOOD come from?
All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.
How can I check if my bill from ST ELIZABETH EDGEWOOD is correct?
You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.
Does ST ELIZABETH EDGEWOOD in EDGEWOOD, KY accept Medicare?
ST ELIZABETH EDGEWOOD is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact ST ELIZABETH EDGEWOOD directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.