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Short Term Acute Care HospitalProprietary

Clark Regional Medical Center

LifePoint Health · Winchester, KY

175 Hospital Drive, Winchester, KY 40391(859) 737-8559

3 of 5

CMS star rating

75

Beds

4,072

Inpatient discharges a year

$202.1M

Net patient revenue a year

26

In-network payers

About this hospital

Clark Regional Medical Center is a 75-bed proprietary hospital in Winchester, KY, affiliated with LifePoint Health. Below you'll find publicly disclosed negotiated rates and facility details, including 26 in-network payers and 144 disclosed rate categories.

  • Disproportionate share hospital
CCN
180092
NPI
1811213994
Health system
LifePoint Health
Teaching
No Medicare-funded residents
County
Clark County
Metro area
Lexington-Fayette, KY MSA
Medicare contractor
Jurisdiction 15, CGS Administrators (15101)
In Medicare since
1966
Last CMS survey
2012

Prices for common services

The 24 services Clark Regional Medical Center 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

$4,525 - $6,418

from 2 insurers · median $5,472

UnitedHealthcare$4,525
Insurer A*$6,418

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 obstetrics / child birth services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$7,600 - $8,868

from 2 insurers · median $8,234

UnitedHealthcare$7,600
Insurer A*$8,868

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 obstetrics / child birth services to CMS

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$419 - $7,405

from 2 insurers · median $3,912

Blue Cross$7,405
Insurer A*$419
Medicare $837Nearby hospitals $1,468166% above nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$17,621

negotiated rate

Blue Cross$17,621
Medicare $5,578Nearby hospitals $6,637165% above nearby hospitals

34 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)

How the insurers pay at Clark Regional Medical Center

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*16
368%
130
Insurer B*10
223%
07
Insurer C*12
76%
011

How we chose these services: 7 appear in this hospital's own Medicare claims, 11 are common here based on CMS Medicare volume, and 6 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 Clark Regional Medical Center, 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
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneEMI Health

More about this hospital

  • Quality

    3 of 5 stars

    • 179 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.36%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 26 services
    • 260 affiliated clinicians
    See doctors and services
  • Finances

    $202.1M net patient revenue

    • Operating margin on patient care 18.7%
    • $2.7M unreimbursed and uncompensated care
    • $38.4M net income
    See finances
  • Ownership and leadership

    Owned by Dsb Acquisition LLC

    • Private (for profit)
    • William Haugh, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Clark Regional Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
62-1772321Clark Regional Medical Center48Aetna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter, AmeriBen and 43 more1811213994 Kentucky Hospital LLC1356668057 Kentucky Hospital LLC1528385226 Kentucky Hospital LLCand 12 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

175 Hospital Drive, Winchester, KY 40391

(859) 737-8559

Get directions

Frequently asked questions

About Clark Regional Medical Center's rates and hospital price transparency.

How much does an MRI cost at Clark Regional Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Clark Regional Medical Center range from $301 to $543 across 2 insurers. Aetna's rate is $301. The median at nearby comparable hospitals is $1,222. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Clark Regional Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Clark Regional Medical Center range from $289 to $360 across 2 insurers. Aetna's rate is $289. The median at nearby comparable hospitals is $1,378. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Clark Regional Medical Center?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Clark Regional Medical Center range from $409 to $4,930 across 2 insurers. Blue Cross Blue Shield's rate is $4,930. The median at nearby comparable hospitals is $1,798. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Clark Regional Medical Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Clark Regional Medical Center range from $4,525 to $6,418 across 2 insurers. UnitedHealthcare's rate is $4,525. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Clark Regional Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Clark Regional Medical Center range from $117 to $117 across 1 insurers. Aetna's rate is $117. The median at nearby comparable hospitals is $153. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Clark Regional Medical Center's CMS star rating?

Clark Regional Medical Center has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is Clark Regional Medical Center a teaching hospital?

CMS reports no Medicare-funded interns or residents at Clark Regional Medical Center for fiscal year 2027.

Does Medicare penalize Clark Regional Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Clark Regional Medical Center's base inpatient payments by an estimated 0.36% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Clark Regional Medical Center?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (46 discharges), heart failure and shock with mcc (34 discharges), pulmonary edema and respiratory failure (33 discharges).

What is Clark Regional Medical Center's case mix index?

Clark Regional Medical Center's Medicare case mix index is 1.63 for fiscal year 2027, higher than 43% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

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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  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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