PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates
Short Term Acute Care HospitalVoluntary Non-Profit - Private

King S Daughters Health

Kings Daughters Health · Madison, IN

1373 East State Road 62, Madison, IN 47250(812) 801-0105

2 of 5

CMS star rating

62

Beds

2,235

Inpatient discharges a year

$129.6M

Net patient revenue a year

32

In-network payers

About this hospital

King S Daughters Health is a 62-bed voluntary non-profit - private hospital in Madison, IN, affiliated with Kings Daughters Health. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 119 disclosed rate categories.

  • Sole community hospital
  • Rural referral center
  • Disproportionate share hospital
  • 340B participant
CCN
150069
NPI
1518916048
Health system
Kings Daughters Health
Teaching
No Medicare-funded residents
County
Jefferson County
Metro area
Madison, IN MicroSA
Medicare contractor
Jurisdiction 8, WPS Government Health Administrators (08001)
In Medicare since
1966
Last CMS survey
2014

Prices for common services

The 24 services King S Daughters Health 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

$6,104 - $12,245

from 2 insurers · median $9,174

UnitedHealthcare$6,104
Insurer A*$12,245

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 neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$8,378 - $16,918

from 2 insurers · median $12,648

UnitedHealthcare$8,378
Insurer A*$16,918

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 neonatal nursery services to CMS

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$795 - $2,756

from 4 insurers · median $2,373

Aetna$2,143
Insurer A*$795
Insurer B*$2,603
Insurer C*$2,756
Medicare $354Nearby hospitals $508368% above nearby hospitals

Common here, based on CMS Medicare volume

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$2,205 - $2,570

from 4 insurers · median $2,303

UnitedHealthcare$2,374
Insurer A*$2,205
Insurer B*$2,232
Insurer C*$2,570
Medicare $555Nearby hospitals $1,067116% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at King S Daughters Health

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*21
738%
142
Insurer B*15
697%
141
Insurer C*20
425%
152
Insurer D*17
413%
161

How we chose these services: 1 appear in this hospital's own Medicare claims, 17 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 King S Daughters Health, 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)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCareSource (incl Common Ground Health Coop)

More about this hospital

  • Quality

    2 of 5 stars

    • 178 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.15%)
    See quality ratings
  • Doctors and services

    Accredited by DNV

    • No Medicare-funded residents
    • 38 services
    • 303 affiliated clinicians
    See doctors and services
  • Finances

    $129.6M net patient revenue

    • Operating margin on patient care 12.6%
    • $3.8M unreimbursed and uncompensated care
    • $17.8M net income
    See finances
  • Ownership and leadership

    Owned by Norton - Kings Daughters Health Inc

    • Private (not for profit)
    • Carol Dozier, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for King S Daughters Health in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
35-0895832(multi-state) Kings Daughters Health49Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 44 more1518916048 Norton - Kings Daughters Health Inc1114955093 Norton - Kings Daughters Health Inc1891855045 Norton - Kings Daughters Health Incand 11 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

1373 East State Road 62, Madison, IN 47250

(812) 801-0105

Get directions

Frequently asked questions

About King S Daughters Health's rates and hospital price transparency.

How much does an MRI cost at King S Daughters Health?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at King S Daughters Health range from $680 to $2,631 across 4 insurers. Cigna's rate is $2,485. The median at nearby comparable hospitals is $541. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at King S Daughters Health?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at King S Daughters Health range from $795 to $2,756 across 4 insurers. Aetna's rate is $2,143. The median at nearby comparable hospitals is $508. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at King S Daughters Health?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at King S Daughters Health range from $4,391 to $4,391 across 1 insurers. Aetna's rate is $4,391. The median at nearby comparable hospitals is $1,303. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at King S Daughters Health?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at King S Daughters Health range from $6,104 to $12,245 across 2 insurers. UnitedHealthcare's rate is $6,104. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at King S Daughters Health?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at King S Daughters Health range from $173 to $289 across 4 insurers. Blue Cross Blue Shield's rate is $198. The median at nearby comparable hospitals is $176. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at King S Daughters Health?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at King S Daughters Health range from $16,719 to $47,746 across 2 insurers. Blue Cross Blue Shield's rate is $47,746. The median at nearby comparable hospitals is $26,737. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is King S Daughters Health's CMS star rating?

King S Daughters Health has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.

Is King S Daughters Health a teaching hospital?

CMS reports no Medicare-funded interns or residents at King S Daughters Health for fiscal year 2027.

Does Medicare penalize King S Daughters Health for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts King S Daughters Health's base inpatient payments by an estimated 0.15% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at King S Daughters Health?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (82 discharges), simple pneumonia and pleurisy with mcc (57 discharges), heart failure and shock with mcc (51 discharges).

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
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
Talk to us about your MRF
Chargemaster analysis

Get your chargemaster right for billing and payer contracts

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

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
Talk to us about your chargemaster