Quorum Health · Jackson, KY
49
Beds
364
Inpatient discharges a year
$9.8M
Net patient revenue a year
27
In-network payers
Kentucky River Medical Center is a 49-bed voluntary non-profit - other hospital in Jackson, KY, affiliated with Quorum Health. Below you'll find publicly disclosed negotiated rates and facility details, including 27 in-network payers and 96 disclosed rate categories.
The 24 services Kentucky River 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.
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Medicine & Surgery · Inpatient
MS-DRG 470
$16,060 - $167,118
from 4 insurers · median $131,292
Hospital reports orthopedic surgery services to CMS
CT imaging
CPT 74177
$425 - $5,827
from 2 insurers · median $3,126
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$182 - $4,287
from 4 insurers · median $2,366
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$1,674 - $2,860
from 2 insurers · median $2,267
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$2,804 - $4,027
from 4 insurers · median $3,276
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$29,134
negotiated rate
Hospital reports orthopedic surgery services to CMS
Mammography
CPT 77067
$117 - $602
from 4 insurers · median $332
Common here, based on CMS Medicare volume
Urology
CPT 50590
$18,756 - $46,028
from 4 insurers · median $36,161
Typical for a hospital with this service line
MRI imaging
CPT 70551
$595 - $4,819
from 4 insurers · median $3,786
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$425 - $2,860
from 2 insurers · median $1,642
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$19,219
negotiated rate
Hospital reports orthopedic surgery services to CMS
MRI imaging
CPT 72148
$595 - $4,431
from 4 insurers · median $3,481
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$304 - $5,235
from 4 insurers · median $2,173
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$31 - $654
from 4 insurers · median $361
Common here, based on CMS Medicare volume
Ultrasound
CPT 76705
$81 - $1,037
from 4 insurers · median $572
Common here, based on CMS Medicare volume
MRI imaging
CPT 72141
$595 - $4,431
from 4 insurers · median $3,481
Common here, based on CMS Medicare volume
Ultrasound
CPT 76642
$352 - $863
from 4 insurers · median $678
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$101 - $425
from 2 insurers · median $263
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93971
$113 - $1,500
from 4 insurers · median $828
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 743
$8,820
negotiated rate
Hospital reports inpatient surgical services to CMS
Ultrasound
CPT 76830
$512 - $1,256
from 4 insurers · median $987
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93970
$836 - $2,053
from 4 insurers · median $1,613
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93880
$182 - $2,053
from 4 insurers · median $1,133
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$10,504
negotiated rate
Typical for a hospital with this service line
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.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 16 | 971% | 16 | 0 |
| Insurer B* | 19 | 854% | 19 | 0 |
| Insurer C* | 24 | 306% | 4 | 20 |
| Insurer D* | 17 | 200% | 7 | 8 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 18 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 Kentucky River Medical Center, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Doctors and services
23 services
See doctors and servicesFinances
$9.8M net patient revenue
The employer identification numbers (EINs) health plans and networks list for Kentucky River Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 61-1285331(multi-state) Jackson Hospital Corporation | 45Aetna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter, Aspirus Health Plan and 40 more | 1346247962 Jackson Hospital Corporation1295985596 Jackson Hospital Corporation1992044747 Jackson Hospital Corporationand 3 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.
540 Jett Drive, Jackson, KY 41339
(606) 666-6000
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Kentucky River Medical Center reported to Medicare in its latest cost report, covering Sep 1, 2024 to Dec 5, 2024.
364
Inpatient discharges
Medicare 18%, Medicaid 6%
1,322
Inpatient days
28% of available bed days used
35
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 835605). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Kentucky River Medical Center reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 289 | 86 | 947 | 1,322 |
| Discharges | 67 | 22 | 275 | 364 |
| Average length of stay | 4.3 days | 3.9 days | 3.4 days | 3.6 days |
| Average daily census | 3.0 | 0.9 | 9.9 | 13.8 |
574
Medicare Advantage days
140 discharges
262
Medicaid managed care days
64 discharges
77
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 43 | 987 | 220 | 24% |
| Intensive care unit | 6 | 335 | 69 | 58% |
Source: CMS cost report (HCRIS, Form 2552-10), report 835605, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Kentucky River Medical Center treats Medicare patients for most often, in 2024. 120 Medicare discharges in 3 published DRGs; 0% surgical; 100% in DRGs with complications (CC or MCC).
| 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 | 85 | $79,144 | $12,725 | $14,088 | 1.98 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 23 | $64,199 | $8,665 | $11,427 | 1.33 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 12 | $54,288 | $7,183 | $9,663 | 1.17 |
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.
The comprehensive outpatient service groups (APCs) Kentucky River Medical Center billed Medicare for most in 2024: 73 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 1 Intraocular ProceduresAPC 5491 | 56 | 30 | $21,544 | $1,668 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 17 | 17 | $23,974 | $1,960 | $2,090 |
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.
Revenue, expenses and income Kentucky River Medical Center reported to Medicare for Sep 1, 2024 to Dec 5, 2024. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $60.4M | 614.5% |
| Inpatient | $24.1M | 245.0% |
| Outpatient | $36.3M | 369.5% |
| Contractual allowances and discounts | -$50.6M | -514.5% |
| Net patient revenue | $9.8M | 100.0% |
| Operating expenses | -$9.8M | -99.6% |
| Operating income from patient care | $43,407 | 0.4% |
| Other income | $428,586 | 4.4% |
| Investment income | $1,700 | 0.0% |
| Other | $426,886 | 4.3% |
| Net income | $471,993 | 4.8% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $7.2M | 11.8% |
| Medicaid (including managed care) | $21.8M | 36.0% |
| Other payers and self-pay | $31.6M | 52.2% |
| Total charges | $60.6M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 835605, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Kentucky River Medical Center's latest cost report, which covers 96 days; income and expense figures are scaled to a year.
0.4%
Operating margin
Operating income from patient care / net patient revenue
4.6%
Total margin
Net income / net patient revenue plus other income
8.1%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
45% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$36.36
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
16.6%
Return on assets
Net income for a year / total assets
35.8%
Return on equity
Net income for a year / fund balance
1.18
Current ratio
Current assets / current liabilities
0.87
Quick ratio
Cash, temporary investments and net receivables / current liabilities
-2 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
51 days
Days in patient receivables
Net patient receivables / daily net patient revenue
59 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
3.61
Asset turnover
Total revenue for a year / total assets
4.4 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 835605, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
What Kentucky River Medical Center owned and owed at the end of its reporting period (Dec 2024), across all fund types: $10.8M in total assets and a $5M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | -$190,815 | -1.8% |
| Patient receivables, net | $5.3M | 48.6% |
| Inventory | $1.2M | 10.8% |
| Total current assets | $6.9M | 63.5% |
| Property and equipment, net of depreciation | $2.3M | 21.2% |
| Investments and other assets | $1.6M | 15.2% |
| Total assets | $10.8M | 100.0% |
| Current liabilities | $5.8M | 53.7% |
| Total liabilities | $5.8M | 53.7% |
| Fund balance (net assets) | $5M | 46.3% |
Source: CMS cost report (HCRIS, Form 2552-10), report 835605, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Care Kentucky River Medical Center provided without full payment, as reported on Worksheet S-10 of its cost report.
$36,855
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$836,743
Bad debt
Patient bills written off as uncollectible, at charges
-$923,184
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$164,716
Total unreimbursed and uncompensated care
1.7% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 835605, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Kentucky River Medical Center's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Aug 2020 | Aug 2021 | Aug 2022 | Aug 2023 | Aug 2024 |
|---|---|---|---|---|---|
| Net patient revenue | $25.6M | $33.1M | $34.2M | $31.8M | $35.3M |
| Operating expenses | $29.6M | $34M | $33.7M | $32.8M | $34.5M |
| Operating margin | -15.6% | -2.8% | 1.7% | -3.4% | 2.1% |
| Net income | -$1.8M | -$136,280 | $2.7M | -$510,005 | $1.8M |
| Total assets | $32.1M | $23M | $10.8M | $10.6M | $9M |
| Discharges | 1,565 | 1,761 | 1,507 | 1,522 | 1,506 |
| Inpatient days | 4,263 | 5,824 | 5,283 | 4,586 | 5,142 |
| Medicare Advantage days | 559 | 867 | 500 | 1,112 | 1,953 |
| Beds | 49 | 49 | 49 | 49 | 49 |
| Employees (FTE) | 174 | 176 | 174 | 159 | 156 |
Source: CMS cost report (HCRIS, Form 2552-10), report 835605, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Kentucky River Medical Center reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Rural health clinic ii | $411,441 | $1.1M | $1.3M | 0.87 | |
| Emergency | $317,253 | $840,041 | $12.1M | 0.07 | 4,321 |
| Rural health clinic | $327,350 | $799,232 | $487,880 | 1.64 | |
| Laboratory | $169,717 | $733,086 | $12M | 0.06 | 1,672 |
| Drugs charged to patients | $665,542 | $2.3M | 0.29 | ||
| Operating room | $149,901 | $632,018 | $5M | 0.13 | 4,447 |
| Radiology-diagnostic | $183,286 | $475,624 | $1.9M | 0.25 | 1,632 |
| Respiratory therapy | $169,965 | $359,548 | $1.4M | 0.26 | 591 |
| Physical therapy | $100,897 | $205,031 | $927,918 | 0.22 | 1,029 |
| Impl. dev. charged to patients | $132,198 | $528,552 | 0.25 | ||
| Observation beds (non-distinct part | $97,889 | $259,766 | 0.38 | ||
| Electrocardiology | $3,459 | $79,774 | $2.3M | 0.03 | 2,532 |
| Ct scan | $18,827 | $79,456 | $10.4M | 0.01 | |
| Ultra sound | $30,568 | $56,642 | $857,890 | 0.07 | |
| Medical supplies charged to patient | $48,292 | $962,492 | 0.05 | ||
| Mri | $38,753 | $630,427 | 0.06 | 569 | |
| Radioisotope | $20,485 | $105,494 | 0.19 | ||
| Anesthesiology | $9,442 | $823,296 | 0.01 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $329,973 | $1.4M | $3.6M | 0.38 | 23,943 |
| Intensive care unit | $230,392 | $590,541 | $2.8M | 0.21 | 3,548 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $490,840 | $1.9M | 8,594 | ||
| Employee benefits department | $21,251 | $695,246 | 548 | $38.78 | 212 |
| Nursing administration | $260,021 | $321,075 | 5,787 | $44.93 | 243 |
| Cap rel costs-mvble equip | $304,492 | ||||
| Operation of plant | $56,324 | $277,231 | 1,649 | $34.16 | 1,200 |
| Pharmacy | $158,581 | $236,640 | 2,842 | $55.80 | 800 |
| Cap rel costs-bldg & fixt | $135,390 | 60,842 | |||
| Central services & supply | $62,604 | $115,794 | 2,903 | $21.57 | 889 |
| Housekeeping | $81,634 | $105,255 | 5,976 | $13.66 | 980 |
| Medical records & library | $47,854 | $95,359 | 2,279 | $21.00 | 650 |
| Dietary | $51,301 | $72,832 | 1,838 | $19.03 | 1,232 |
| Laundry & linen service | $47,446 | 450 | |||
| Cafeteria | $21,268 | 858 | $19.03 | 1,308 |
Source: CMS cost report (HCRIS, Form 2552-10), report 835605, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
Kentucky river medical center
CCN 18U139, certified 2006, Medicare prospective payment
Beatyville family medical clinic
CCN 183480, certified 2013, Medicare cost reimbursed
Kentucky river clinics
CCN 188533, certified 2020, Medicare cost reimbursed
Source: Worksheet S-2 Part I of Kentucky River Medical Center's latest Medicare cost report (HCRIS).
About Kentucky River Medical Center's rates and hospital price transparency.
For MRI of the brain, without contrast (CPT 70551), published negotiated rates at Kentucky River Medical Center range from $595 to $4,819 across 4 insurers. Cigna's rate is $4,819. The median at nearby comparable hospitals is $1,104. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Kentucky River Medical Center range from $425 to $5,827 across 2 insurers. Blue Cross Blue Shield's rate is $425. The median at nearby comparable hospitals is $808. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Kentucky River Medical Center range from $117 to $602 across 4 insurers. Cigna's rate is $602. The median at nearby comparable hospitals is $142. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Kentucky River Medical Center range from $16,060 to $167,118 across 4 insurers. Blue Cross Blue Shield's rate is $16,060. The median at nearby comparable hospitals is $21,438. What a patient pays depends on their plan's deductible, coinsurance and network status.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (85 discharges), simple pneumonia and pleurisy with mcc (23 discharges), kidney and urinary tract infections with mcc (12 discharges).
Kentucky River Medical Center reported 364 inpatient discharges and 1,322 inpatient days from Sep 1, 2024 to Dec 5, 2024.
Kentucky River Medical Center reported 35 full-time-equivalent employees on payroll from Sep 1, 2024 to Dec 5, 2024.
Kentucky River Medical Center reported $9.8M in net patient revenue on $60.4M of gross charges for Sep 1, 2024 to Dec 5, 2024, an operating margin of 0.4%, and net income of $471,993.
Kentucky River Medical Center reported $164,716 of unreimbursed and uncompensated care for Sep 1, 2024 to Dec 5, 2024, including $36,855 of charity care at cost.
Insurers' price transparency files list Kentucky River Medical Center under employer identification number 61-1285331 ((multi-state) Jackson Hospital Corporation). 45 health plans and networks list 61-1285331 for it.
CMS lists 23 services at Kentucky River Medical Center, including Anesthesia, Cardiac Catheterization Lab, Clinical Laboratory, Coronary Care Unit, CT Scan, Diagnostic Radiology.
Kentucky River Medical Center has 49 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. Facility type: Short Term Acute Care Hospital.
Kentucky River Medical Center is located at 540 Jett Drive, Jackson, KY 41339. Its main phone number is (606) 666-6000.
Kentucky River Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 180139.
The National Provider Identifier (NPI) on file for Kentucky River Medical Center is 1346247962.
Kentucky River Medical Center is affiliated with Quorum Health.
Kentucky River Medical Center lists 27 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
96 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
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{
"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
}
]
}]
}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.
What a review covers