LifePoint Health · Maysville, KY
4 of 5
CMS star rating
100
Beds
1,921
Inpatient discharges a year
$92.2M
Net patient revenue a year
32
In-network payers
Meadowview Regional Medical Center is a 100-bed proprietary hospital in Maysville, KY, affiliated with LifePoint Health. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 156 disclosed rate categories.
The 24 services Meadowview 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
MS-DRG 807
$5,025 - $7,772
from 2 insurers · median $6,399
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
MS-DRG 788
$6,519 - $12,375
from 3 insurers · median $9,871
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
Cardiology and vascular testing
CPT 93306
$2,395 - $2,808
from 3 insurers · median $2,700
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$8,680 - $19,382
from 3 insurers · median $16,626
17 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 49650
$18,959 - $22,462
from 3 insurers · median $19,741
17 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Nuclear imaging
CPT 78452
$3,763 - $4,216
from 3 insurers · median $4,054
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$12,649 - $25,778
from 3 insurers · median $24,786
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$1,997 - $5,058
from 3 insurers · median $2,502
164 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$5,025 - $7,772
from 2 insurers · median $6,399
CMS lists this service as CPT 59610, 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
Digestive procedures
CPT 45385
$2,532 - $3,813
from 3 insurers · median $3,185
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$356 - $381
from 3 insurers · median $366
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,265 - $5,279
from 3 insurers · median $2,399
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$7,687 - $19,926
from 3 insurers · median $15,887
17 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 74177
$360 - $3,186
from 3 insurers · median $477
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$360 - $1,114
from 3 insurers · median $477
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$3,557 - $19,841
from 3 insurers · median $19,077
Typical for a hospital with this service line
Ultrasound
CPT 76705
$784 - $919
from 3 insurers · median $884
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$6,377 - $14,016
from 3 insurers · median $11,801
Typical for a hospital with this service line
Medicine & Surgery
CPT 29881
$7,114 - $12,934
from 3 insurers · median $11,301
14 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Gynecology
CPT 58662
$16,216 - $20,909
from 3 insurers · median $20,105
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$1,025 - $1,202
from 3 insurers · median $1,155
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$250 - $288
from 3 insurers · median $277
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 29888
$20,248 - $23,039
from 3 insurers · median $22,152
Typical for a hospital with this service line
CT imaging
CPT 74176
$360 - $2,810
from 3 insurers · median $477
Common here, based on CMS Medicare volume
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* | 24 | 323% | 15 | 5 |
| Insurer B* | 24 | 312% | 16 | 3 |
| Insurer C* | 22 | 273% | 13 | 8 |
How we chose these services: 5 appear in this hospital's own Medicare claims, 11 are common here based on CMS Medicare volume, and 8 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 Meadowview Regional Medical Center, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
4 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$92.2M net patient revenue
Ownership and leadership
Owned by Dsb Acquisition LLC
The employer identification numbers (EINs) health plans and networks list for Meadowview 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 it | Organization NPIs |
|---|---|---|
| 62-1757929Meadowview Regional Medical Center LLC | 54Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 49 more | 1881785863 Meadowview Regional Medical Center LLC1184789034 Meadowview Regional Medical Center LLC1710106539 Meadowview Regional Medical Center LLC |
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.
989 Medical Park Drive, Maysville, KY 41056
(606) 759-5311
How Meadowview Regional Medical Center compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
4 of 5
Higher than 58% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 4 measures
0 better, 4 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Better on 1 of 2 measures
1 better, 1 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Better on 2 of 7 measures
2 better, 5 no different, 0 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
3 of 5
Lower than 40% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
53%
Lower than 96% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.89
Lower than 75% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
149 min
Higher than 50% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
53%
Lower than 76% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 4 of 5 | |
| Death rates | No different on 4 measures | |
| Safety | Better on 1 of 2 measures | |
| Readmissions | Better on 2 of 7 measures | |
| Patient survey ratingCMS: Summary star rating | 3 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 53% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 0.89 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 149 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 53% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Meadowview Regional Medical Center's inpatient payments for its readmissions, quality and cost results.
-0.01% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.25% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Meadowview Regional Medical Center, beside the US median and the average of KY hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | This hospital | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 25 cases | 3.6 | 4.1 | 4.2 | Better than 72% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 529 cases | 4 | 3.9 | 4.543 | Worse than 51% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 69 cases | 10.8 | 11.8 | 12.11 | Better than 81% of US hospitals | |
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.485 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 32 cases | 9.6 | 8.5 | 9.152 | Worse than 77% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 73 cases | 11.9 | 11 | 11.98 | Worse than 67% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 121 cases | 13.5 | 15.2 | 16.6 | Better than 75% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 | Not Available | 12.38 | |||
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 572 cases | 0.45 | 0.51 | 0.6092 | No Different Than the National Rate | Better than 59% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 185 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 831 cases | 0.2 | 0.2 | 0.2113 | No Different Than the National Rate | Better than 46% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 789 cases | 0.26 | 0.27 | 0.2787 | No Different Than the National Rate | Better than 54% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 168 cases | 2.29 | 2.29 | 2.306 | No Different Than the National Rate | Worse than 49% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 37 cases | 1.62 | 1.63 | 1.711 | No Different Than the National Rate | Better than 55% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 45 cases | 8.17 | 8.88 | 10.2 | No Different Than the National Rate | Better than 67% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 172 cases | 3.28 | 3.4 | 3.435 | No Different Than the National Rate | Better than 62% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 41 cases | 5.09 | 5.105 | 5.85 | No Different Than the National Rate | Better than 51% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 | Not Available | 1.761 | Number of Cases Too Small | ||
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 48 cases | 1.04 | 1.02 | 1.077 | No Different Than the National Rate | Worse than 57% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | This hospital | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 · 71 cases | -43.4 | 4.2 | 13.02 | Better than 99% of US hospitals | |
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 82 cases | -18.7 | 1.25 | 9.521 | Better than 77% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 124 cases | 15.4 | 3.85 | 12.61 | Worse than 66% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 463 cases | 13.1 | 12.9 | 13.03 | No Different Than the National Rate | Worse than 56% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.97 | Number of Cases Too Small | ||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.4 | Number of Cases Too Small | ||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 66 cases | 0.9 | 1 | 1.027 | No Different than expected | Better than 68% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 107 cases | 13.9 | 14.4 | 14.42 | Better than 72% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 10.55 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 70 cases | 18.8 | 19.8 | 19.89 | Better than 89% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 132 cases | 20.4 | 21.3 | 21.36 | Better than 78% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 26 cases | 5.9 | 5.8 | 6.142 | Worse than 55% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 203 cases | 15.6 | 17.2 | 17.37 | Better than 97% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | This hospital | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.339 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.151 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 456 | 1,370 | 2,960 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.282 | 0.9835 | 2.924 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.453 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.7803 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2917 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.135 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 360 | 1,799 | 3,041 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.2 | 1.377 | 3.578 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.172 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.5965 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.4763 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.932 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 5 | 61 | 98 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.141 | 1.591 | 2.685 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 2.881 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.9389 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2818 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.126 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 7 | 38 | 73.52 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.07 | 0.328 | 0.6952 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 0.8043 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 0.9479 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2803 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.29 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 5,344 | 14,451 | 34,235 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.137 | 0.567 | 2.406 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.093 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.7481 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.149 | No Different than National Benchmark | ||
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.644 | 0.747 | 1.678 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 5,909 | 13,646 | 31,551 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 1.822 | 5.683 | 15.64 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 0 | 2 | 5.011 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0 | 0.279 | 0.3987 | No Different than National Benchmark | The best result, shared by 19% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | This hospital | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 214 cases | 69 | 73 | 74.59 | Worse than 67% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 214 cases | 14 | 8 | 7.987 | Worse than 86% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 214 cases | 17 | 18 | 17.42 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 214 cases | 84 | 87 | 86.82 | Worse than 71% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 214 cases | 3 | 4 | 3.533 | Worse than 53% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 214 cases | 81 | 80 | 82.24 | Better than 56% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 214 cases | 92 | 91 | 92.18 | Better than 51% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 214 cases | 4 | 4 | 3.772 | Worse than 42% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 214 cases | 4 | 3 | 3.8 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 214 cases | 15 | 16 | 13.99 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 214 cases | 82 | 79 | 81.87 | Better than 66% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 214 cases | 92 | 91 | 91.67 | Better than 63% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 214 cases | 5 | 5 | 4.823 | Better than 44% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 214 cases | 4 | 3 | 3.417 | Better than 63% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 214 cases | 13 | 16 | 13.3 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 214 cases | 59 | 61 | 63.23 | Worse than 59% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 214 cases | 74 | 77 | 78.17 | Worse than 72% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 214 cases | 26 | 19 | 18.58 | Worse than 88% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 214 cases | 2 | 3 | 2.833 | Worse than 53% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 214 cases | 15 | 19 | 18.19 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 214 cases | 88 | 86 | 85.77 | Better than 68% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 214 cases | 11 | 13 | 13.37 | Better than 68% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 214 cases | 4 | 3 | 3.317 | Better than 55% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 214 cases | 89 | 87 | 86.63 | Better than 68% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 214 cases | 9 | 14 | 14.65 | Better than 88% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 214 cases | 91 | 86 | 85.35 | Better than 88% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 214 cases | 79 | 74 | 76.86 | Better than 78% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 214 cases | 6 | 7 | 6.333 | Better than 53% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 214 cases | 15 | 19 | 16.81 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 214 cases | 81 | 77 | 80.25 | Better than 71% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 214 cases | 4 | 6 | 5.278 | Better than 70% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 214 cases | 15 | 17 | 14.47 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 214 cases | 87 | 85 | 87.39 | Better than 62% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 214 cases | 4 | 3 | 3.125 | Worse than 51% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 214 cases | 9 | 11 | 9.486 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 214 cases | 11 | 8 | 7.544 | Worse than 75% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 214 cases | 29 | 20 | 19.38 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 214 cases | 60 | 72 | 73.08 | Worse than 89% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 214 cases | 85 | 88 | 88.38 | Worse than 78% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 214 cases | 2 | 3 | 3.333 | Worse than 78% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 214 cases | 69 | 74 | 75.21 | Worse than 81% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 214 cases | 12 | 9 | 9.458 | Worse than 73% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 214 cases | 19 | 16 | 15.33 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 214 cases | 79 | 75 | 77.63 | Better than 75% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 214 cases | 8 | 5 | 5.153 | Worse than 78% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 214 cases | 13 | 20 | 17.22 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 214 cases | 75 | 77 | 79.5 | Worse than 58% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 214 cases | 3 | 4 | 4.028 | Better than 64% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 214 cases | 22 | 19 | 16.47 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 214 cases | 89 | 86 | 88 | Better than 70% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 214 cases | 2 | 3 | 2.556 | Better than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 214 cases | 9 | 11 | 9.444 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 214 cases | 58 | 59 | 62.39 | Worse than 53% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 214 cases | 10 | 9 | 8.089 | Worse than 54% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 214 cases | 32 | 31 | 29.52 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 214 cases | 82 | 82 | 83.2 | Better than 48% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 214 cases | 3 | 3 | 3.633 | Worse than 44% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 214 cases | 10 | 5 | 5.19 | Worse than 87% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 214 cases | 53 | 71 | 70.95 | Worse than 96% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 214 cases | 80 | 87 | 86.8 | Worse than 92% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 214 cases | 37 | 23 | 23.86 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 214 cases | 2 | 4 | 3.6 | Worse than 85% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 214 cases | 49 | 47 | 50.82 | Better than 58% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 214 cases | 39 | 30 | 28.18 | Worse than 89% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 214 cases | 12 | 22 | 21 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 214 cases | 3 | 3 | 3.433 | Worse than 40% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 214 cases | 12 | 12 | 11.93 | Better than 48% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 214 cases | 88 | 88 | 88.07 | Better than 48% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | This hospital | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | low | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 · 1,421 cases | 16 | 8 | 8.032 | Worse than 95% of US hospitals | |
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 · 494 cases | 0 | 1 | 1.132 | The best result, shared by 34% of US hospitals | |
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.4286 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 373 cases | 38 | 79 | 74.25 | Worse than 93% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 432 cases | 166 | 154 | 153 | Worse than 58% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 388 cases | 149 | 148 | 147 | Worse than 50% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 227 | |||
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 37 cases | 423 | 293 | 305 | Worse than 88% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 18,904 cases | 4 | 1 | 1.418 | Worse than 88% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 68.9 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 84 cases | 98 | 97 | 93.89 | Better than 54% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | ||||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 63.27 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 445 cases | 10 | 15 | 16.73 | Better than 82% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 145 cases | 53 | 65 | 66.02 | Worse than 76% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 42 cases | 38 | 73 | 74.36 | Worse than 96% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 11 cases | 45 | 88 | 85.06 | Worse than 99% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 145 cases | 80 | 82 | 81.94 | Worse than 56% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 92 cases | 93 | 94 | 94.58 | Worse than 55% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 96.88 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 74 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 92.33 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 76.94 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 93.3 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | This hospital | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 7.3 | 5 | 7.251 | Worse than 72% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 7 | 6.6 | 6.595 | Worse than 55% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | This hospital | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 1.1 | 0.99 | 1.007 | Worse than 91% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | This hospital | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 36.67 | 20 | 14.1 | Better than 78% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 9.167 | 5 | 3.571 | Better than 78% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 0 | 10 | 19.82 | The worst result, shared by 43% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 0 | 2.5 | 5.134 | The worst result, shared by 43% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 34 | 34 | 44.76 | Worse than 50% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 8.5 | 8.75 | 11.37 | Worse than 50% of US hospitals | |
| VBP safety domain scoreFY 2026 | 60 | 40 | 46.5 | Better than 81% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 15 | 10 | 11.8 | Better than 79% of US hospitals | |
| VBP total performance scoreFY 2026 | 32.67 | 29.5 | 31.05 | Better than 62% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 56 | 76 | 50 | 33.33 | 33.33 | 36.67 |
| VBP clinical outcomes weighted domain score | 18.67 | 19 | 12.5 | 11.11 | 11.11 | 9.167 |
| VBP efficiency and cost reduction domain score | 30 | Not Available | 30 | 20 | 0 | 0 |
| VBP efficiency and cost reduction weighted domain score | 10 | Not Available | 7.5 | 6.667 | 0 | 0 |
| VBP person and community engagement domain score | 44 | Not Available | Not Available | 21 | 25 | 34 |
| VBP person and community engagement weighted domain score | 14.67 | Not Available | Not Available | 7 | 8.333 | 8.5 |
| VBP safety domain score | Not Available | Not Available | Not Available | Not Available | Not Available | 60 |
| VBP safety weighted domain score | Not Available | Not Available | Not Available | Not Available | Not Available | 15 |
| VBP total performance score | 43.33 | Not Available | Not Available | 24.78 | 19.44 | 32.67 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | This hospital | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | 0.9568 | 0.9995 | 1.011 | Better than 77% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9628 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | 1.005 | 0.9969 | 1.008 | Worse than 57% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 101 cases | 0.9624 | 0.9983 | 1.009 | Better than 74% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 1.084 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 113 cases | 0.9311 | 0.9955 | 1.006 | Better than 88% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 0.994 | 0.9159 | 0.9313 | 0.9709 | 0.9306 | 0.9568 |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 0.9738 | 0.9992 | 1.009 | N/A | N/A | 1.005 |
| READM-30-HF-HRRP | 0.9674 | 0.9395 | 0.8918 | 0.9015 | 0.9358 | 0.9624 |
| READM-30-HIP-KNEE-HRRP | 0.969 | 0.9698 | 0.9497 | N/A | N/A | N/A |
| READM-30-PN-HRRP | 0.9016 | 0.8652 | 0.9191 | 0.913 | 0.923 | 0.9311 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | This hospital | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.5632 | |||
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.44 | 0.346 | 0.3899 | Worse than 64% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.9125 | |||
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.8459 | |||
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.8946 | 0.9628 | 1.023 | Better than 75% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.8867 | |||
| Total HAC scoreFY 2026 | -0.2068 | -0.0453 | 0.1443 | Better than 62% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | Yes | Yes | N/A | No | No | No |
| Total HAC score | 0.4037 | 1.094 | 0 | -0.7104 | -0.4648 | -0.2068 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 2000)
Accreditation
None
Medical school affiliation
Private (for profit)
Ownership type
101
Medicare-certified beds
106
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Meadowview Regional Medical Center reported to Medicare in its latest cost report, covering Dec 1, 2024 to Nov 30, 2025.
1,921
Inpatient discharges
Medicare 22%, Medicaid 1%
4,726
Inpatient days
13% of available bed days used
259
Employees (full-time equivalent)
2
Interns and residents (full-time equivalent)
Source: CMS cost report (HCRIS) (report 835080). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Meadowview Regional Medical Center reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 1,176 | 23 | 3,527 | 4,726 |
| Discharges | 432 | 13 | 1,476 | 1,921 |
| Average length of stay | 2.7 days | 1.8 days | 2.4 days | 2.5 days |
| Average daily census | 3.2 | 0.1 | 9.7 | 12.9 |
2,000
Medicare Advantage days
672 discharges
723
Medicaid managed care days
431 discharges
1,908
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 95 | 3,545 | 1,028 | 10% |
| Intensive care unit | 5 | 658 | 148 | 36% |
| Nursery | 523 |
Source: CMS cost report (HCRIS, Form 2552-10), report 835080, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Meadowview Regional Medical Center treats Medicare patients for most often, in 2024. 200 Medicare discharges in 9 published DRGs; 6% surgical; 70% 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 | 66 | $53,198 | $13,128 | $7,820 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 23 | $51,449 | $8,977 | $7,563 | 1.28 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 20 | $42,533 | $8,815 | $6,252 | 1.33 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 19 | $43,051 | $6,715 | $6,328 | 1.03 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 17 | $30,903 | $4,711 | $4,543 | 0.81 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 16 | $38,584 | $11,473 | $5,672 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 14 | $54,533 | $7,182 | $8,016 | 1.10 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 13 | $70,855 | $6,495 | $10,416 | 1.08 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 12 | $116,189 | $12,450 | $17,080 | 1.88 |
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) Meadowview Regional Medical Center billed Medicare for most in 2024: 592 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 1 Endovascular ProceduresAPC 5191 | 174 | 170 | $47,575 | $2,065 | $2,208 |
| Level 1 Intraocular ProceduresAPC 5491 | 164 | 100 | $12,377 | $1,658 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 81 | 74 | $21,792 | $1,955 | $2,090 |
| Level 3 Endovascular ProceduresAPC 5193 | 44 | 43 | $121,264 | $8,245 | $8,874 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 20 | 19 | $107,030 | $10,178 | $10,772 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 17 | 17 | $55,515 | $4,131 | $4,358 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 14 | 14 | $10,800 | $1,158 | $1,220 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 14 | 13 | $24,334 | $2,316 | $2,373 |
| Level 2 Vascular ProceduresAPC 5182 | 14 | 12 | $20,891 | $1,147 | $1,204 |
| Level 3 Vascular ProceduresAPC 5183 | 14 | 14 | $22,138 | $2,282 | $2,405 |
See all 13 Medicare outpatient services at Meadowview Regional Medical Center
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.
ZIP codes with the most Medicare inpatient stays at Meadowview Regional Medical Center in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 1,054 in 2020 to 1,029 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 41056 | 368 | 36% | 1,093 | $26.5M | 46% | 53% |
| 41041 | 104 | 10% | 301 | $7.1M | 24% | 23% |
| 41189 | 63 | 6% | 195 | $4.7M | 57% | 70% |
| 41002 | 55 | 5% | 146 | $3.5M | 50% | 29% |
| 41039 | 51 | 5% | 165 | $3.8M | 39% | 36% |
| 41004 | 48 | 5% | 140 | $4.2M | 25% | 36% |
| 45144 | 46 | 4% | 135 | $3.2M | 25% | 33% |
| 45101 | 44 | 4% | 126 | $2.8M | 39% | 49% |
| 41179 | 43 | 4% | 115 | $3.5M | 12% | 18% |
| 41055 | 39 | 4% | 105 | $2.4M | 58% | 67% |
| 45693 | 37 | 4% | 105 | $2.6M | 7% | 7% |
| 41034 | 34 | 3% | 68 | $2M | 100% | 100% |
| 45167 | 32 | 3% | 91 | $2.4M | 15% | 19% |
| 41044 | 27 | 3% | 87 | $1.9M | 100% | 100% |
| 41093 | 25 | 2% | 81 | $2.2M | 18% | 18% |
| 41064 | 13 | 1% | 32 | $969,683 | 19% | 33% |
Source: CMS Hospital Service Area file. Shares are of the 1,029 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Meadowview Regional Medical Center reported at its latest Medicare certification survey (2003). Counts are people, not full-time equivalents.
106
Registered nurses
14
Licensed practical nurses
1
Physicians
1
Physician assistants
4
Pharmacists
5
Physical therapists
1
Occupational therapists
1
Dietitians
1
Social workers
176
Other personnel
Source: CMS Provider of Services file.
164 clinicians who bill Medicare list Meadowview Regional Medical Center as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Allen Silvey, D.O.
Pulmonary Disease Physician
NPI 1184822850
See commercial rates for Allen Silvey, D.O.Robert Buck, M.D.
Diagnostic Radiology Physician
NPI 1689602872
See commercial rates for Robert Buck, M.D.Christopher Henley, M.D.
Diagnostic Radiology Physician
NPI 1477714822
See commercial rates for Christopher Henley, M.D.Michael Boyd, MD
Family Medicine Physician
NPI 1740270115
See commercial rates for Michael Boyd, MDRaghuraman Srinivasan, M.D.
Interventional Cardiology Physician
NPI 1720057862
See commercial rates for Raghuraman Srinivasan, M.D.Gery Tomassoni, M.D.
Clinical Cardiac Electrophysiology Physician
NPI 1114956802
See commercial rates for Gery Tomassoni, M.D.Tiffany Pickup, MD
Dermatology Physician
NPI 1568673994
See commercial rates for Tiffany Pickup, MDChristopher Schlarb, M.D.
Diagnostic Radiology Physician
NPI 1376547927
See commercial rates for Christopher Schlarb, M.D.Terry Hall, D.O.
Diagnostic Radiology Physician
NPI 1174739601
See commercial rates for Terry Hall, D.O.Eric Lohman, MD
Cardiovascular Disease Physician
NPI 1801863873
See commercial rates for Eric Lohman, MDCaleb Mills, MD
Diagnostic Radiology Physician
NPI 1003296336
See commercial rates for Caleb Mills, MDWesam Bolkhir, M.D.
Hospitalist Physician
NPI 1407060189
See commercial rates for Wesam Bolkhir, M.D.Shelley Bath, M.D.
Diagnostic Radiology Physician
NPI 1982866877
See commercial rates for Shelley Bath, M.D.Brent Pressman, D.O.
Diagnostic Radiology Physician
NPI 1750731048
See commercial rates for Brent Pressman, D.O.Jeffrey Dameron, M.D.
Diagnostic Radiology Physician
NPI 1699779207
See commercial rates for Jeffrey Dameron, M.D.James Mccain, M.D.
Diagnostic Radiology Physician
NPI 1497956361
See commercial rates for James Mccain, M.D.Ali Ghasemzadeh, MD
Cardiovascular Disease Physician
NPI 1710096839
See commercial rates for Ali Ghasemzadeh, MDShawn Reesman, MD
Diagnostic Radiology Physician
NPI 1194781260
See commercial rates for Shawn Reesman, MDMark Wallingford, MD
Internal Medicine Physician
NPI 1205919875
See commercial rates for Mark Wallingford, MDBrittany Williams, M.D.
Diagnostic Radiology Physician
NPI 1679918619
See commercial rates for Brittany Williams, M.D.David Blandford, MD
Ophthalmology Physician
NPI 1558367805
See commercial rates for David Blandford, MDNick Abedi, MD
Vascular Surgery Physician
NPI 1366605271
See commercial rates for Nick Abedi, MDCarla Story, APRN
Family Nurse Practitioner
NPI 1033686555
See commercial rates for Carla Story, APRNDarren Cain, M.D.
Diagnostic Radiology Physician
NPI 1194787077
See commercial rates for Darren Cain, M.D.Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Meadowview Regional Medical Center reported to Medicare for Dec 1, 2024 to Nov 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $584.1M | 633.3% |
| Inpatient | $118.3M | 128.2% |
| Outpatient | $465.8M | 505.1% |
| Contractual allowances and discounts | -$491.9M | -533.3% |
| Net patient revenue | $92.2M | 100.0% |
| Operating expenses | -$83M | -90.0% |
| Operating income from patient care | $9.3M | 10.0% |
| Other income | $824,390 | 0.9% |
| Investment income | $12,433 | 0.0% |
| Other | $811,957 | 0.9% |
| Net income | $10.1M | 10.9% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $92.4M | 16.4% |
| Medicaid (including managed care) | $131.4M | 23.3% |
| Other payers and self-pay | $340.1M | 60.3% |
| Total charges | $563.9M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 835080, as submitted. 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 Meadowview Regional Medical Center's latest cost report.
10.0%
Operating margin
Operating income from patient care / net patient revenue
10.8%
Total margin
Net income / net patient revenue plus other income
14.4%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
37% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$47.25
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
19.2%
Return on assets
Net income for a year / total assets
3.1%
Return on equity
Net income for a year / fund balance
-0.09
Current ratio
Current assets / current liabilities
-0.00
Quick ratio
Cash, temporary investments and net receivables / current liabilities
0 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
-1267 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.78
Asset turnover
Total revenue for a year / total assets
7.1 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 835080, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Meadowview Regional Medical Center owned and owed at the end of its reporting period (Nov 2025), across all fund types: $52.4M in total assets and a $324.3M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $73,667 | 0.1% |
| Inventory | $2.3M | 4.3% |
| Total current assets | $25.5M | 48.7% |
| Property and equipment, net of depreciation | $22.2M | 42.3% |
| Investments and other assets | $4.7M | 9.0% |
| Total assets | $52.4M | 100.0% |
| Current liabilities | -$278.5M | -531.5% |
| Total liabilities | -$271.9M | -518.9% |
| Fund balance (net assets) | $324.3M | 618.9% |
Source: CMS cost report (HCRIS, Form 2552-10), report 835080, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Meadowview Regional Medical Center provided without full payment, as reported on Worksheet S-10 of its cost report.
$698,039
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$6M
Bad debt
Patient bills written off as uncollectible, at charges
-$729,359
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$1.3M
Total unreimbursed and uncompensated care
1.6% 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 835080, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Meadowview Regional Medical Center's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Nov 2020 | Nov 2021 | Nov 2022 | Nov 2023 | Nov 2024 | Nov 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $66M | $85M | $75.2M | $88.9M | $93.3M | $92.2M |
| Operating expenses | $64.5M | $72.3M | $72.8M | $79M | $82.5M | $83M |
| Operating margin | 2.2% | 14.9% | 3.2% | 11.2% | 11.6% | 10.0% |
| Net income | $6.8M | $15M | $3.9M | $11M | $12.2M | $10.1M |
| Total assets | $27M | $36.5M | $32.6M | $49M | $50.5M | $52.4M |
| Discharges | 2,152 | 2,145 | 1,831 | 1,777 | 1,832 | 1,921 |
| Inpatient days | 6,249 | 7,097 | 5,862 | 5,509 | 5,175 | 4,726 |
| Medicare Advantage days | 1,268 | 1,689 | 1,730 | 1,871 | 1,812 | 2,000 |
| Beds | 100 | 100 | 100 | 100 | 100 | 100 |
| Employees (FTE) | 315 | 285 | 270 | 279 | 273 | 259 |
Source: CMS cost report (HCRIS, Form 2552-10), report 835080, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Meadowview Regional 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 |
|---|---|---|---|---|---|
| Operating room | $2.5M | $8.3M | $57.8M | 0.14 | 12,773 |
| Drugs charged to patients | $411,846 | $6.3M | $52.9M | 0.12 | 1,267 |
| Radiology-diagnostic | $1.1M | $4.6M | $41.3M | 0.11 | 4,303 |
| Laboratory | $1M | $4M | $67.7M | 0.06 | 2,494 |
| Electrocardiology | $999,530 | $3.9M | $105.9M | 0.04 | 999 |
| Emergency | $1.2M | $3.9M | $57.6M | 0.07 | 14,363 |
| Observation beds (non-distinct part | $2.2M | $17.1M | 0.13 | ||
| Medical supplies charged to patient | $88,210 | $1.8M | $20.5M | 0.09 | 2,260 |
| Respiratory therapy | $847,576 | $1.5M | $6.1M | 0.25 | 1,976 |
| Impl. dev. charged to patients | $1.4M | $28.7M | 0.05 | ||
| Recovery room | $217,389 | $1.1M | $8.1M | 0.14 | 1,299 |
| Physical therapy | $414,207 | $924,122 | $6.8M | 0.14 | 4,333 |
| Ultra sound | $281,888 | $455,197 | $7M | 0.07 | 342 |
| Delivery room & labor room | $478,652 | $414,626 | $716,458 | 0.58 | 3,522 |
| Ct scan | $28,955 | $325,937 | $49.8M | 0.01 | 402 |
| Whole blood & packed red blood cell | $304,333 | $709,129 | 0.43 | 29 | |
| Radioisotope | $81,946 | $247,020 | $8M | 0.03 | 300 |
| Renal dialysis | $159,052 | $125,955 | 1.26 | 622 | |
| Clinic | $164,499 | $98,346 | $282,674 | 0.35 | |
| Speech pathology | $54,697 | $91,913 | $334,938 | 0.27 | 122 |
| Anesthesiology | $54,826 | $12.3M | 0.00 | 391 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $2.3M | $6.4M | $9.3M | 0.69 | 17,957 |
| Intensive care unit | $307,641 | $1.5M | $3.8M | 0.38 | 3,004 |
| Nursery | $62,426 | $1M | 0.06 | 1,207 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $2.2M | $9.1M | 59,130 | $33.16 | 17,903 |
| Employee benefits department | $100,096 | $3.3M | 2,574 | $38.89 | 621 |
| Cap rel costs-mvble equip | $2.8M | ||||
| Operation of plant | $315,800 | $1.5M | 11,511 | $27.43 | 37,699 |
| Cap rel costs-bldg & fixt | $1.1M | 202,947 | |||
| Nursing administration | $532,965 | $919,511 | 12,769 | $63.67 | 930 |
| Housekeeping | $787,294 | 860 | |||
| Medical records & library | $96,117 | $535,790 | 3,080 | $31.21 | 2,197 |
| Dietary | $177,771 | $381,013 | 1,853 | $45.21 | 4,575 |
| Laundry & linen service | $278,484 | 216 | |||
| I&r services-salary & fringes apprv | $255,248 | ||||
| Cafeteria | $27,947 | 899 | $45.22 |
Source: CMS cost report (HCRIS, Form 2552-10), report 835080, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Meadowview Regional Medical Center for an inpatient stay.
1.56
Case mix index
Higher than 35% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
Teaching hospital
Teaching status
0.01 residents per bed
Medicare-funded interns and residents per bed (FY 2027).
34.7%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
420
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Rural
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.53 | 1.53 | 1.71 | 1.78 | 1.74 | 1.54 | 1.56 |
| Wage index | 0.821 | 0.822 | 0.819 | 0.825 | 0.843 | 0.864 | 0.879 |
| Readmissions adjustment | 0.00% | 0.00% | -0.01% | -0.02% | 0.00% | 0.00% | -0.01% |
| Value-based purchasing adjustment | +0.17% | +0.78% | +0.78% | -0.45% | +0.35% | -0.26% | +0.25% |
| Medicare inpatient stays | 859 | 859 | 593 | 474 | 382 | 463 | 420 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Meadowview Regional Medical Center reports to Medicare as owners or with operational control.
Dsb Acquisition LLC
5% or greater indirect ownership interest, 100%, since 2018
Historic LifePoint Hospitals, LLC
5% or greater indirect ownership interest, 100%, since 1998
Legacy LifePoint Health LLC
5% or greater indirect ownership interest, 100%, since 2018
LifePoint Health Inc
5% or greater indirect ownership interest, 100%, since 2018
LifePoint Holdings 2 LLC
5% or greater indirect ownership interest, 100%, since 1998
LifePoint Hospitals Holdings LLC
5% or greater indirect ownership interest, 100%, since 1998
LifePoint Of Kentucky LLC
5% or greater direct ownership interest, 100%, since 1998
LifePoint Corporate Services General Partnership
Operational/managerial control, since 2015
Sources: CMS Hospital All Owners.
The officers and board members on Meadowview Regional Medical Center's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment.
Helipad
Meadowview Rgnl Medical Center
FAA location ID 8KY9, a medical-use heliport at the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
Meadowview swing
CCN 18U019, certified 2003, Medicare prospective payment
Source: Worksheet S-2 Part I of Meadowview Regional Medical Center's latest Medicare cost report (HCRIS).
About Meadowview Regional Medical Center's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Meadowview Regional Medical Center range from $360 to $3,186 across 3 insurers. Blue Cross Blue Shield's rate is $477. The median at nearby comparable hospitals is $829. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Meadowview Regional Medical Center range from $2,532 to $3,813 across 3 insurers. Blue Cross Blue Shield's rate is $3,813. The median at nearby comparable hospitals is $3,924. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Meadowview Regional Medical Center range from $5,025 to $7,772 across 2 insurers. UnitedHealthcare's rate is $5,025. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Meadowview Regional Medical Center range from $356 to $381 across 3 insurers. UnitedHealthcare's rate is $381. The median at nearby comparable hospitals is $131. What a patient pays depends on their plan's deductible, coinsurance and network status.
Meadowview Regional Medical Center has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.
Yes. CMS counts 0.01 Medicare-funded residents per bed at Meadowview Regional Medical Center for fiscal year 2027, so it is a teaching hospital.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Meadowview Regional Medical Center's base inpatient payments by an estimated 0.01% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (66 discharges), heart failure and shock with mcc (23 discharges), simple pneumonia and pleurisy with mcc (20 discharges).
Meadowview Regional Medical Center's Medicare case mix index is 1.56 for fiscal year 2027, higher than 35% of hospitals paid under the inpatient prospective payment system.
Meadowview Regional Medical Center reported 1,921 inpatient discharges and 4,726 inpatient days from Dec 1, 2024 to Nov 30, 2025.
Meadowview Regional Medical Center reported 259 full-time-equivalent employees on payroll from Dec 1, 2024 to Nov 30, 2025.
Meadowview Regional Medical Center reported $92.2M in net patient revenue on $584.1M of gross charges for Dec 1, 2024 to Nov 30, 2025, an operating margin of 10.0%, and net income of $10.1M.
Meadowview Regional Medical Center reported $1.3M of unreimbursed and uncompensated care for Dec 1, 2024 to Nov 30, 2025, including $698,039 of charity care at cost.
Meadowview Regional Medical Center's Medicare enrollment lists William Haugh as President since 2022.
Insurers' price transparency files list Meadowview Regional Medical Center under employer identification number 62-1757929 (Meadowview Regional Medical Center LLC). 54 health plans and networks list 62-1757929 for it.
164 clinicians who bill Medicare list Meadowview Regional Medical Center as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family nurse practitioner (29), family medicine physician (21), diagnostic radiology physician (16).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Meadowview Regional Medical Center, effective 2000.
In its Medicare enrollment, Meadowview Regional Medical Center reports Dsb Acquisition LLC as 5% or greater indirect ownership interest (100%).
CMS lists 25 services at Meadowview Regional Medical Center, including Adult Inpatient Psychiatric Care, Anesthesia, Clinical Laboratory, Coronary Care Unit, Dental Care, Designated Trauma Center.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Meadowview Regional Medical Center came from ZIP codes 41056 (368), 41041 (104), 41189 (63).
Meadowview Regional Medical Center has 100 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 101 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Meadowview Regional Medical Center is located at 989 Medical Park Drive, Maysville, KY 41056. Its main phone number is (606) 759-5311.
Meadowview Regional Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 180019.
The National Provider Identifier (NPI) on file for Meadowview Regional Medical Center is 1881785863.
Meadowview Regional Medical Center is affiliated with LifePoint Health.
Meadowview Regional Medical Center lists 32 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.
156 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.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
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.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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