St Elizabeth Ft Thomas
ST Elizabeth Ft Thomas in Fort Thomas, KY charges 4.1x the Medicare reimbursement rate based on analysis of 34 procedures at this nonprofit hospital.
Fort Thomas, KY 41075 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Pricing grade
C
Average
Avg markup vs Medicare
4.09x
Charge / Medicare rate
Max markup
7.05x
Worst procedure
Procedures analyzed
34
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| CHEST PAIN | 313 | $20,256 | $10,128 | — | 7.1x |
| DIABETES WITH CC | 638 | $24,006 | $12,003 | — | 6.5x |
| DYSEQUILIBRIUM | 149 | $19,136 | $9,568 | — | 5.3x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $18,094 | $9,047 | — | 5x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $18,967 | $9,484 | — | 4.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $55,586 | $27,793 | — | 4.7x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $24,711 | $12,355 | — | 4.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $39,944 | $19,972 | — | 4.6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $27,350 | $13,675 | — | 4.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $18,894 | $9,447 | — | 4.4x |
| RENAL FAILURE WITH CC | 683 | $19,464 | $9,732 | — | 4.4x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $38,286 | $19,143 | — | 4.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $16,806 | $8,403 | — | 4.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $15,126 | $7,563 | — | 4.2x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $16,413 | $8,207 | — | 4.1x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $102,881 | $51,441 | — | 4.1x |
| SYNCOPE AND COLLAPSE | 312 | $19,800 | $9,900 | — | 3.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $21,220 | $10,610 | — | 3.9x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $26,815 | $13,407 | — | 3.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $21,185 | $10,592 | — | 3.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $16,153 | $8,076 | — | 3.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $38,525 | $19,262 | — | 3.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $26,290 | $13,145 | — | 3.5x |
| CELLULITIS WITHOUT MCC | 603 | $14,853 | $7,427 | — | 3.5x |
| RENAL FAILURE WITH MCC | 682 | $26,972 | $13,486 | — | 3.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $22,638 | $11,319 | — | 3.4x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $25,648 | $12,824 | — | 3.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $23,913 | $11,957 | — | 3.3x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $16,155 | $8,078 | — | 3.3x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $20,154 | $10,077 | — | 3.2x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $33,343 | $16,672 | — | 3.1x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $19,045 | $9,522 | — | 3.1x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 432 | $35,525 | $17,763 | — | 3.1x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $15,687 | $7,843 | — | 2.9x |
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use