Tompkinsville, KY
1 of 5
CMS star rating
49
Beds
1,062
Inpatient discharges a year
$19.8M
Net patient revenue a year
32
In-network payers
Monroe County Medical Center is a 49-bed voluntary non-profit - other hospital in Tompkinsville, KY. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 89 disclosed rate categories.
The 24 services Monroe County 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.
CT imaging
CPT 74177
$193 - $2,428
from 4 insurers · median $1,108
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$991 - $1,460
from 4 insurers · median $1,365
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$101 - $1,900
from 4 insurers · median $1,572
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$134 - $859
from 4 insurers · median $659
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,432 - $2,046
from 4 insurers · median $1,981
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$200 - $1,214
from 4 insurers · median $1,069
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$705 - $2,346
from 4 insurers · median $1,641
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$109 - $204
from 4 insurers · median $162
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$162 - $242
from 4 insurers · median $226
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$666 - $939
from 3 insurers · median $906
Common here, based on CMS Medicare volume
Ultrasound
CPT 76705
$330 - $524
from 4 insurers · median $455
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$317 - $1,656
from 4 insurers · median $1,430
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$352 - $1,714
from 4 insurers · median $1,430
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$666 - $939
from 3 insurers · median $906
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93971
$366 - $653
from 4 insurers · median $543
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93970
$927 - $1,345
from 4 insurers · median $1,276
Common here, based on CMS Medicare volume
MRI imaging
CPT 73721
$317 - $1,714
from 4 insurers · median $1,430
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$666 - $939
from 3 insurers · median $906
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 73630
$203 - $285
from 4 insurers · median $278
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93880
$464 - $668
from 4 insurers · median $638
Common here, based on CMS Medicare volume
Ultrasound
CPT 76770
$372 - $524
from 4 insurers · median $508
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 73130
$203 - $297
from 4 insurers · median $279
Common here, based on CMS Medicare volume
Ultrasound
CPT 76642
$138 - $199
from 4 insurers · median $190
Common here, based on CMS Medicare volume
Ultrasound
CPT 76536
$205 - $306
from 4 insurers · median $282
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 | 378% | 20 | 4 |
| Insurer B* | 21 | 342% | 19 | 2 |
| Insurer C* | 24 | 268% | 18 | 6 |
| Insurer D* | 24 | 172% | 12 | 11 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 24 are common here based on CMS Medicare volume, and 0 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 Monroe County 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
1 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$19.8M net patient revenue
Ownership and leadership
Other
The employer identification numbers (EINs) health plans and networks list for Monroe County 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 |
|---|---|---|
| 31-0949874Monroe County Medical Center | 52Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 47 more | 1598831158 Monroe Medical Foundation Inc.1053499350 Monroe Medical Foundation Inc.1770776965 Monroe Medical Foundation Inc.and 7 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.
529 Capp Harlan Road, Tompkinsville, KY 42167
(270) 487-9231
How Monroe County Medical Center compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
1 of 5
The lowest rating, shared by 6% 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
No different on 1 measures
0 better, 1 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 2 of 4 measures
0 better, 2 no different, 2 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
5 of 5
The top rating, shared by 7% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
71%
Lower than 49% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Penalized
Among the worst-performing 25% of US hospitals
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Time in the ER before going home
128 min
Lower than 66% 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
18%
Lower than 99% 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 | 1 of 5 | |
| Death rates | No different on 4 measures | |
| Safety | No different on 1 measures | |
| Readmissions | Worse on 2 of 4 measures | |
| Patient survey ratingCMS: Summary star rating | 5 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 71% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Penalized | 2026 |
| 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 | 128 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 18% | 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 Monroe County Medical Center's inpatient payments for its readmissions, quality and cost results.
-2.26% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.79% 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 Monroe County 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 | Monroe County Medical Center | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.2 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 319 cases | 4.9 | 3.9 | 4.543 | Worse than 87% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 12.11 | |||
| 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 · 53 cases | 9.3 | 8.5 | 9.152 | Worse than 70% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 56 cases | 11 | 11 | 11.98 | Worse than 49% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 125 cases | 15.1 | 15.2 | 16.6 | Better than 50% 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 · 691 cases | 0.53 | 0.51 | 0.6092 | No Different Than the National Rate | Worse than 52% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 185 | |||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 766 cases | 0.21 | 0.2 | 0.2113 | No Different Than the National Rate | Worse than 54% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 800 cases | 0.27 | 0.27 | 0.2787 | No Different Than the National Rate | Worse than 46% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 | Not Available | 2.306 | |||
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 | Not Available | 1.711 | |||
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 | Not Available | 10.2 | |||
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 | Not Available | 3.435 | |||
| Postoperative sepsis rate2022-07-01 to 2024-06-30 | Not Available | 5.85 | |||
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 | Not Available | 1.761 | |||
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 | Not Available | 1.077 |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Monroe County Medical Center | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 13.02 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 71 cases | 75.3 | 1.25 | 9.521 | Worse than 97% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 122 cases | 55.4 | 3.85 | 12.61 | Worse than 94% 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 | Not Available | 13.03 | |||
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.97 | |||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.4 | |||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 | Not Available | 1.027 | |||
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.42 | |||
| 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 · 91 cases | 20.8 | 19.8 | 19.89 | Worse than 84% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 91 cases | 23 | 21.3 | 21.36 | Worse than 90% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 6.142 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 152 cases | 19.1 | 17.2 | 17.37 | Worse than 94% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Monroe County Medical Center | 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 | 510 | 1,370 | 2,960 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.295 | 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 | 230 | 1,799 | 3,041 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.125 | 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 | Not Available | 98 | |||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 2.685 | |||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 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 | Not Available | 73.52 | |||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 0.6952 | |||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 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 | 6,451 | 14,451 | 34,235 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.126 | 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 | 1.489 | 0.747 | 1.678 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 6,451 | 13,646 | 31,551 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 2.012 | 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 | Monroe County Medical Center | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 158 cases | 85 | 73 | 74.59 | Better than 89% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 158 cases | 3 | 8 | 7.987 | Better than 87% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 158 cases | 12 | 18 | 17.42 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 158 cases | 94 | 87 | 86.82 | Better than 95% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 158 cases | 5 | 4 | 3.533 | The top rating, shared by 12% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 158 cases | 85 | 80 | 82.24 | Better than 79% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 158 cases | 94 | 91 | 92.18 | Better than 82% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 158 cases | 2 | 4 | 3.772 | Better than 76% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 158 cases | 5 | 3 | 3.8 | The top rating, shared by 18% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 158 cases | 13 | 16 | 13.99 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 158 cases | 94 | 79 | 81.87 | Better than 98% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 158 cases | 98 | 91 | 91.67 | Better than 99% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 158 cases | 1 | 5 | 4.823 | Better than 94% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 158 cases | 5 | 3 | 3.417 | The top rating, shared by 6% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 158 cases | 5 | 16 | 13.3 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 158 cases | 73 | 61 | 63.23 | Better than 90% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 158 cases | 87 | 77 | 78.17 | Better than 97% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 158 cases | 9 | 19 | 18.58 | Better than 93% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 158 cases | 5 | 3 | 2.833 | The top rating, shared by 4% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 158 cases | 18 | 19 | 18.19 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 158 cases | 84 | 86 | 85.77 | Worse than 66% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 158 cases | 15 | 13 | 13.37 | Worse than 63% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 158 cases | 3 | 3 | 3.317 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 158 cases | 85 | 87 | 86.63 | Worse than 63% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 158 cases | 14 | 14 | 14.65 | Better than 49% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 158 cases | 86 | 86 | 85.35 | Better than 49% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 158 cases | 93 | 74 | 76.86 | Better than 99% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 158 cases | 3 | 7 | 6.333 | Better than 89% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 158 cases | 4 | 19 | 16.81 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 158 cases | 93 | 77 | 80.25 | Better than 99% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 158 cases | 1 | 6 | 5.278 | Better than 96% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 158 cases | 6 | 17 | 14.47 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 158 cases | 97 | 85 | 87.39 | Better than 99% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 158 cases | 0 | 3 | 3.125 | The best result, shared by 3% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 158 cases | 3 | 11 | 9.486 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 158 cases | 3 | 8 | 7.544 | Better than 88% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 158 cases | 20 | 20 | 19.38 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 158 cases | 77 | 72 | 73.08 | Better than 70% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 158 cases | 91 | 88 | 88.38 | Better than 77% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 158 cases | 4 | 3 | 3.333 | Better than 55% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 158 cases | 79 | 74 | 75.21 | Better than 76% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 158 cases | 5 | 9 | 9.458 | Better than 86% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 158 cases | 16 | 16 | 15.33 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 158 cases | 77 | 75 | 77.63 | Better than 63% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 158 cases | 2 | 5 | 5.153 | Better than 90% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 158 cases | 21 | 20 | 17.22 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 158 cases | 85 | 77 | 79.5 | Better than 89% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 158 cases | 3 | 4 | 4.028 | Better than 64% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 158 cases | 12 | 19 | 16.47 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 158 cases | 94 | 86 | 88 | Better than 94% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 158 cases | 3 | 3 | 2.556 | Worse than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 158 cases | 3 | 11 | 9.444 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 158 cases | 69 | 59 | 62.39 | Better than 80% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 158 cases | 3 | 9 | 8.089 | Better than 89% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 158 cases | 28 | 31 | 29.52 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 158 cases | 88 | 82 | 83.2 | Better than 89% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 158 cases | 5 | 3 | 3.633 | The top rating, shared by 11% 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 · 158 cases | 3 | 5 | 5.19 | Better than 70% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 158 cases | 71 | 71 | 70.95 | Worse than 49% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 158 cases | 89 | 87 | 86.8 | Better than 60% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 158 cases | 26 | 23 | 23.86 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 158 cases | 4 | 4 | 3.6 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 158 cases | 67 | 47 | 50.82 | Better than 97% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 158 cases | 14 | 30 | 28.18 | Better than 97% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 158 cases | 19 | 22 | 21 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 158 cases | 5 | 3 | 3.433 | The top rating, shared by 7% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 158 cases | 16 | 12 | 11.93 | Worse than 81% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 158 cases | 84 | 88 | 88.07 | Worse than 81% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Monroe County Medical Center | 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 | Not Available | 8.032 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 · 323 cases | 1 | 1 | 1.132 | Worse than 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 · 353 cases | 80 | 79 | 74.25 | Better than 50% 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 · 612 cases | 133 | 154 | 153 | Better than 68% 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 · 588 cases | 128 | 148 | 147 | Better than 66% 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 · 14 cases | 248 | 247 | 227 | Worse than 50% of US hospitals | |
| 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 | Not Available | 305 | |||
| Left before being seen2024-01-01 to 2024-12-31 · 5,153 cases | 1 | 1 | 1.418 | Better than 42% 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 | Not Available | 93.89 | |||
| 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 · 195 cases | 18 | 15 | 16.73 | Worse than 73% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 11 cases | 18 | 65 | 66.02 | Worse than 99% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 74.36 | |||
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 85.06 | |||
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 11 cases | 64 | 82 | 81.94 | Worse than 93% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 94.58 | |||
| 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 · 821 cases | 38 | 90 | 76.94 | Worse than 95% of US hospitals | |
| 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 | Monroe County Medical Center | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 2.8 | 5 | 7.251 | Better than 77% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 10.1 | 6.6 | 6.595 | Worse than 82% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Monroe County Medical Center | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.92 | 0.99 | 1.007 | Better than 81% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Monroe County Medical Center | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 23.33 | 20 | 14.1 | Better than 56% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 7.778 | 5 | 3.571 | Better than 71% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 50 | 10 | 19.82 | Better than 84% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 16.67 | 2.5 | 5.134 | Better than 91% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 48 | 34 | 44.76 | Better than 72% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 16 | 8.75 | 11.37 | Better than 88% of US hospitals | |
| VBP safety domain scoreFY 2026 | Not Available | 46.5 | |||
| VBP safety weighted domain scoreFY 2026 | Not Available | 11.8 | |||
| VBP total performance scoreFY 2026 | 40.44 | 29.5 | 31.05 | Better than 81% of US hospitals |
| By fiscal year | FY 2021 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 6.667 | 10 | 6.667 | 3.333 | 23.33 |
| VBP clinical outcomes weighted domain score | 2.222 | 2.5 | 2.222 | 1.111 | 7.778 |
| VBP efficiency and cost reduction domain score | 0 | 40 | 10 | 0 | 50 |
| VBP efficiency and cost reduction weighted domain score | 0 | 10 | 3.333 | 0 | 16.67 |
| VBP person and community engagement domain score | 62 | Not Available | 37 | 36 | 48 |
| VBP person and community engagement weighted domain score | 20.67 | Not Available | 12.33 | 12 | 16 |
| VBP safety domain score | Not Available | Not Available | Not Available | Not Available | Not Available |
| VBP safety weighted domain score | Not Available | Not Available | Not Available | Not Available | Not Available |
| VBP total performance score | 22.89 | Not Available | 17.89 | 13.11 | 40.44 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Monroe County Medical Center | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 1.011 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9628 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 59 cases | 1.033 | 0.9969 | 1.008 | Worse than 78% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 74 cases | 1.11 | 0.9983 | 1.009 | Worse than 95% 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 · 133 cases | 1.165 | 0.9955 | 1.006 | Worse than 98% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 1.063 | 1.051 | 1.054 | 1.09 | 1.089 | 1.033 |
| READM-30-HF-HRRP | 1.087 | 1.044 | 1.058 | 1.073 | 1.136 | 1.11 |
| READM-30-HIP-KNEE-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-PN-HRRP | 1.052 | 1.11 | 1.114 | 1.17 | 1.154 | 1.165 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Monroe County Medical Center | 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 | 0.808 | 0.346 | 0.3899 | Worse than 91% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.9125 | |||
| HAC Reduction Program payment reductionFY 2026 | Yes | ||||
| 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 | N/A | 1.023 | |||
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.8867 | |||
| Total HAC scoreFY 2026 | 1.667 | -0.0453 | 0.1443 | Worse than 98% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | Yes | N/A | No | Yes | Yes |
| Total HAC score | -0.0987 | 0.3081 | 0 | 0.155 | 0.6287 | 1.667 |
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 2014)
Accreditation
None
Medical school affiliation
Other
Ownership type
49
Medicare-certified beds
28
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Monroe County Medical Center reported to Medicare in its latest cost report, covering Mar 1, 2025 to Feb 28, 2026.
1,062
Inpatient discharges
Medicare 40%, Medicaid 2%
3,598
Inpatient days
20% of available bed days used
172
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 841954). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Monroe County Medical Center reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 1,590 | 98 | 1,910 | 3,598 |
| Discharges | 429 | 20 | 613 | 1,062 |
| Average length of stay | 3.7 days | 4.9 days | 3.1 days | 3.4 days |
| Average daily census | 4.4 | 0.3 | 5.2 | 9.9 |
946
Medicare Advantage days
240 discharges
296
Medicaid managed care days
104 discharges
2,250
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 49 | 3,493 | 1,528 | 20% |
Source: CMS cost report (HCRIS, Form 2552-10), report 841954, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Monroe County Medical Center treats Medicare patients for most often, in 2024. 216 Medicare discharges in 10 published DRGs; 0% surgical; 30% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 34 | $10,870 | $4,918 | $4,816 | 0.81 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 33 | $14,153 | $5,133 | $6,270 | 0.82 |
| Simple pneumonia and pleurisy without cc/mccMS-DRG 195, medical | 26 | $14,712 | $3,604 | $6,517 | 0.63 |
| Signs and symptoms without MCCMS-DRG 948, medical | 24 | $11,048 | $5,306 | $4,894 | 0.80 |
| Chronic obstructive pulmonary disease without cc/mccMS-DRG 192, medical | 21 | $14,721 | $4,155 | $6,521 | 0.64 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 19 | $8,683 | $4,452 | $3,847 | 0.79 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 17 | $22,882 | $7,554 | $10,137 | 1.10 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 16 | $10,015 | $5,013 | $4,437 | 0.78 |
| Heart failure and shock with MCCMS-DRG 291, medical | 15 | $16,928 | $8,568 | $7,499 | 1.28 |
| Heart failure and shock without cc/mccMS-DRG 293, medical | 11 | $8,677 | $3,330 | $3,844 | 0.56 |
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) Monroe County Medical Center billed Medicare for most in 2024: 113 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 113 | 88 | $7,012 | $1,942 | $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.
ZIP codes with the most Medicare inpatient stays at Monroe County 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 466 in 2020 to 618 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 42167 | 379 | 61% | 1,293 | $4.7M | 54% | 49% |
| 42140 | 60 | 10% | 235 | $802,446 | 66% | 56% |
| 38575 | 40 | 6% | 167 | $546,665 | 56% | 30% |
| 42166 | 32 | 5% | 116 | $450,905 | 26% | 23% |
| 37150 | 28 | 5% | 106 | $375,127 | 7% | 9% |
| 38551 | 28 | 5% | 137 | $350,466 | 8% | |
| 42133 | 23 | 4% | 104 | $332,558 | 37% | 27% |
| 42129 | 15 | 2% | 44 | $218,859 | 3% | 4% |
| 42157 | 13 | 2% | 36 | $132,712 | 50% |
Source: CMS Hospital Service Area file. Shares are of the 618 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 Monroe County Medical Center reported at its latest Medicare certification survey (2014). Counts are people, not full-time equivalents.
1
Endoscopy rooms
28
Registered nurses
13
Licensed practical nurses
3
Pharmacists
8
Respiratory therapists
2
Physical therapists
9
Radiology technicians
1
Nuclear medicine technicians
6
Laboratory technicians
4
Medical technologists
1
Dietitians
1
Social workers
105
Other personnel
Source: CMS Provider of Services file.
58 clinicians who bill Medicare list Monroe County 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.
Dianna Shipley, MD
Medical Oncology Physician
NPI 1700810371
See commercial rates for Dianna Shipley, MDRonak Chaudhari, M.D.
Endocrinology, Diabetes & Metabolism Physician
NPI 1861798431
See commercial rates for Ronak Chaudhari, M.D.Christopher Patton, M.D.
Orthopaedic Surgery Physician
NPI 1457354177
See commercial rates for Christopher Patton, M.D.Robert Riley, D.O.
Orthopaedic Surgery Physician
NPI 1063727576
See commercial rates for Robert Riley, D.O.Erik Dowden, MD
Diagnostic Radiology Physician
NPI 1043495997
See commercial rates for Erik Dowden, MDScott Babin, M.D.
Diagnostic Radiology Physician
NPI 1033147491
See commercial rates for Scott Babin, M.D.Venkata Reddy, M.D.
Cardiovascular Disease Physician
NPI 1922071653
See commercial rates for Venkata Reddy, M.D.Ryan Currier, M.D.
Diagnostic Radiology Physician
NPI 1336302462
See commercial rates for Ryan Currier, M.D.Sean Ladson, M.D.
Diagnostic Radiology Physician
NPI 1215966478
See commercial rates for Sean Ladson, M.D.Matthew Hrastich, D.O.
Diagnostic Radiology Physician
NPI 1669453866
See commercial rates for Matthew Hrastich, D.O.Dante Graves, M.D.
Cardiovascular Disease Physician
NPI 1326086653
See commercial rates for Dante Graves, M.D.Jason White, M.D.
Diagnostic Radiology Physician
NPI 1184661720
See commercial rates for Jason White, M.D.Kevin Burner, M.D.
Diagnostic Radiology Physician
NPI 1477542942
See commercial rates for Kevin Burner, M.D.Victor Zirilli, M.D.
Diagnostic Radiology Physician
NPI 1184683112
See commercial rates for Victor Zirilli, M.D.Courtney Cummings, MD
Internal Medicine Physician
NPI 1447660493
See commercial rates for Courtney Cummings, MDJessie Copeland, M.D.
Adolescent Medicine (Internal Medicine) Physician
NPI 1164412474
See commercial rates for Jessie Copeland, M.D.Gregg Malmquist, M.D.
Orthopaedic Surgery Physician
NPI 1881697969
See commercial rates for Gregg Malmquist, M.D.Frank Schwender, MD
Clinical Cardiac Electrophysiology Physician
NPI 1700098290
See commercial rates for Frank Schwender, MDKenneth Beaty, MD
Family Medicine Physician
NPI 1255364782
See commercial rates for Kenneth Beaty, MDGreda Cherry, APN
Family Nurse Practitioner
NPI 1295121697
See commercial rates for Greda Cherry, APNBrian Elmlinger, M.D.
Orthopaedic Surgery Physician
NPI 1821159849
See commercial rates for Brian Elmlinger, M.D.Oran Aaronson, MD
Neurological Surgery Physician
NPI 1356445712
See commercial rates for Oran Aaronson, MDDaniel Scheurich, MD
Infectious Disease Physician
NPI 1659396539
See commercial rates for Daniel Scheurich, MDJacob Jaco, PA-C
Physician Assistant
NPI 1639788326
See commercial rates for Jacob Jaco, PA-CSource: 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 Monroe County Medical Center reported to Medicare for Mar 1, 2025 to Feb 28, 2026. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $46.9M | 237.1% |
| Inpatient | $13.1M | 65.9% |
| Outpatient | $33.9M | 171.1% |
| Contractual allowances and discounts | -$27.1M | -137.1% |
| Net patient revenue | $19.8M | 100.0% |
| Operating expenses | -$23.7M | -119.7% |
| Operating income from patient care | -$3.9M | -19.7% |
| Other income | $3.9M | 19.8% |
| Contributions and donations | $162,161 | 0.8% |
| Investment income | $760,459 | 3.8% |
| Government appropriations | $643,857 | 3.3% |
| Other | $2.3M | 11.8% |
| Net income | $10,946 | 0.1% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $7.2M | 16.4% |
| Medicaid (including managed care) | $9.7M | 22.0% |
| Other payers and self-pay | $27.1M | 61.5% |
| Total charges | $44M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 841954, 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 Monroe County Medical Center's latest cost report.
-19.7%
Operating margin
Operating income from patient care / net patient revenue
0.0%
Total margin
Net income / net patient revenue plus other income
3.4%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
58% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$30.85
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
0.0%
Return on assets
Net income for a year / total assets
0.0%
Return on equity
Net income for a year / fund balance
16.20
Current ratio
Current assets / current liabilities
15.39
Quick ratio
Cash, temporary investments and net receivables / current liabilities
293 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
77 days
Days in patient receivables
Net patient receivables / daily net patient revenue
23 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.79
Asset turnover
Total revenue for a year / total assets
36.6 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 841954, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Monroe County Medical Center owned and owed at the end of its reporting period (Feb 2026), across all fund types: $30.1M in total assets and a $28.6M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $18.4M | 61.2% |
| Patient receivables, net | $4.2M | 13.8% |
| Inventory | $382,631 | 1.3% |
| Total current assets | $23.8M | 79.0% |
| Property and equipment, net of depreciation | $6.3M | 21.0% |
| Investments and other assets | $7,375 | 0.0% |
| Total assets | $30.1M | 100.0% |
| Current liabilities | $1.5M | 4.9% |
| Total liabilities | $1.5M | 4.9% |
| Fund balance (net assets) | $28.6M | 95.1% |
Source: CMS cost report (HCRIS, Form 2552-10), report 841954, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Monroe County Medical Center provided without full payment, as reported on Worksheet S-10 of its cost report.
$158,938
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$2.3M
Bad debt
Patient bills written off as uncollectible, at charges
$1.2M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$2.4M
Total unreimbursed and uncompensated care
10.0% 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 841954, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Monroe County Medical Center's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Feb 2021 | Feb 2022 | Feb 2023 | Feb 2024 | Feb 2025 | Feb 2026 |
|---|---|---|---|---|---|---|
| Net patient revenue | $15.7M | $19.4M | $17.7M | $19.6M | $19.4M | $19.8M |
| Operating expenses | $19.9M | $21.4M | $21.8M | $22.7M | $23.8M | $23.7M |
| Operating margin | -26.7% | -10.6% | -23.2% | -15.7% | -22.5% | -19.7% |
| Net income | $1.9M | $1.9M | -$458,938 | $284,259 | -$1.1M | $10,946 |
| Total assets | $34.4M | $34.7M | $31.3M | $31.1M | $27.9M | $30.1M |
| Discharges | 970 | 1,147 | 898 | 945 | 1,062 | 1,062 |
| Inpatient days | 3,862 | 4,980 | 3,828 | 3,884 | 4,226 | 3,598 |
| Medicare Advantage days | 7 | 295 | 837 | 866 | 1,135 | 946 |
| Beds | 49 | 49 | 49 | 49 | 49 | 49 |
| Employees (FTE) | 205 | 199 | 182 | 172 | 172 | 172 |
Source: CMS cost report (HCRIS, Form 2552-10), report 841954, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Monroe County 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 |
|---|---|---|---|---|---|
| Ambulance services | $1.2M | $2.2M | $2.3M | 0.99 | 5,698 |
| Laboratory | $695,723 | $2M | $6.3M | 0.32 | 1,376 |
| Observation beds (non-distinct part | $1.8M | $4.7M | 0.39 | ||
| Rural health clinic ii | $1M | $1.7M | $1.6M | 1.09 | |
| Rural health clinic | $1M | $1.7M | $1.8M | 0.94 | |
| Emergency | $846,730 | $1.6M | $3M | 0.53 | 6,113 |
| Physical therapy | $619,055 | $1.2M | $2.3M | 0.52 | 2,280 |
| Drugs charged to patients | $1M | $3.1M | 0.34 | ||
| Radiology-diagnostic | $583,034 | $876,100 | $3.1M | 0.29 | 2,514 |
| Respiratory therapy | $482,987 | $843,822 | $3.1M | 0.27 | 1,378 |
| Ct scan | $566,684 | $6.5M | 0.09 | 791 | |
| Mri | $78,114 | $254,183 | $2.1M | 0.12 | 827 |
| Clinic | $17,226 | $130,920 | $160,522 | 0.82 | 3,120 |
| Whole blood & packed red blood cell | $116,257 | $141,044 | 0.82 | ||
| Medical supplies charged to patient | $54,655 | $647,716 | 0.08 | ||
| Speech pathology | $27,951 | $52,244 | $61,249 | 0.85 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $2.2M | $4.7M | $3.3M | 1.41 | 23,348 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $1.4M | $3.2M | 56,857 | $24.90 | 22,460 |
| Employee benefits department | $2.1M | ||||
| Operation of plant | $144,062 | $668,121 | 6,439 | $22.37 | 6,143 |
| Cap rel costs-mvble equip | $538,968 | ||||
| Dietary | $426,006 | $469,502 | 13,378 | $15.77 | 1,977 |
| Pharmacy | $331,687 | $367,774 | 6,278 | $52.83 | 2,132 |
| Cap rel costs-bldg & fixt | $319,017 | 91,746 | |||
| Medical records & library | $188,540 | $229,972 | 10,451 | $18.04 | 1,802 |
| Housekeeping | $159,806 | $214,362 | 11,243 | $14.21 | 225 |
| Cafeteria | $188,932 | 13,642 | $15.77 | 1,638 | |
| Nursing administration | $154,902 | $170,744 | 3,471 | $44.63 | 1,073 |
| Laundry & linen service | $47,930 | $87,376 | 3,099 | $15.47 | 754 |
| Central services & supply | $28,611 | $30,675 | 1,958 | $14.61 | 1,252 |
Source: CMS cost report (HCRIS, Form 2552-10), report 841954, 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 Monroe County Medical Center for an inpatient stay.
0.88
Case mix index
Higher than 1% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
24.2%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
419
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 | 0.91 | 0.91 | 1.04 | 0.98 | 0.96 | 0.92 | 0.88 |
| Wage index | 0.821 | 0.822 | 0.819 | 0.825 | 0.843 | 0.864 | 0.879 |
| Readmissions adjustment | -0.45% | -1.07% | -1.34% | -0.64% | -2.36% | -2.41% | -2.26% |
| Value-based purchasing adjustment | -0.52% | -0.53% | -0.53% | +0.58% | -0.30% | -0.83% | +0.79% |
| Medicare inpatient stays | 594 | 594 | 452 | 442 | 414 | 405 | 419 |
Source: CMS IPPS final rule Impact File (FY 2027).
The officers and board members on Monroe County 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; the first 12 of 15 are shown.
Monroe Medical Foundation Inc files the Form 990 for the tax ID insurers list for Monroe County Medical Center, so these people may lead the wider organization rather than Monroe County Medical Center alone.
| Name | Title |
|---|---|
| Andrea L Rich McLerran | Exec Director/ceo |
| L Caitlin Hagan | Chief Financial Officer |
Board members: Anthony Carter MD, Judy Rowland, Fowler Ross JR OD, Jimmy Goodman, Polly Baker, Kem Coe 2nd Vice President Sec, Greg Crabtree DMD, Donnie Peden, Jack Anderson DO.
Source: IRS Form 990 Part VII filed by Monroe Medical Foundation Inc (EIN 31-0949874), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Participating since 2018
340B ID SCH180105-00, registered as a sole community hospital; 2 registered outpatient sites; 1 active contract pharmacies. Authorizing official: Andrea Lane Rich-McLerran, CEO.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Helipad
Monroe County Medical Center
FAA location ID 1KY3, a medical-use heliport at the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
Monroe county medical center
CCN 18U105, certified 2014, Medicare prospective payment
Monroe county physician associates
CCN 188544, certified 2022, Medicare cost reimbursed
Monroe county family practice
CCN 188554, certified 2022, Medicare cost reimbursed
Source: Worksheet S-2 Part I of Monroe County Medical Center's latest Medicare cost report (HCRIS).
About Monroe County Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Monroe County Medical Center range from $705 to $2,346 across 4 insurers. UnitedHealthcare's rate is $1,799. The median at nearby comparable hospitals is $618. 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 Monroe County Medical Center range from $193 to $2,428 across 4 insurers. Aetna's rate is $353. The median at nearby comparable hospitals is $738. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Monroe County Medical Center range from $666 to $939 across 3 insurers. UnitedHealthcare's rate is $666. The median at nearby comparable hospitals is $1,986. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Monroe County Medical Center range from $109 to $204 across 4 insurers. Blue Cross Blue Shield's rate is $109. The median at nearby comparable hospitals is $191. What a patient pays depends on their plan's deductible, coinsurance and network status.
Monroe County Medical Center has a CMS overall hospital star rating of 1 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is the lowest rating, shared by 6% of US hospitals.
CMS reports no Medicare-funded interns or residents at Monroe County Medical Center for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Monroe County Medical Center's base inpatient payments by an estimated 2.26% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were kidney and urinary tract infections without mcc (34 discharges), simple pneumonia and pleurisy with cc (33 discharges), simple pneumonia and pleurisy without cc/mcc (26 discharges).
Monroe County Medical Center's Medicare case mix index is 0.88 for fiscal year 2027, higher than 1% of hospitals paid under the inpatient prospective payment system.
Monroe County Medical Center reported 1,062 inpatient discharges and 3,598 inpatient days from Mar 1, 2025 to Feb 28, 2026.
Monroe County Medical Center reported 172 full-time-equivalent employees on payroll from Mar 1, 2025 to Feb 28, 2026.
Monroe County Medical Center reported $19.8M in net patient revenue on $46.9M of gross charges for Mar 1, 2025 to Feb 28, 2026, an operating margin of -19.7%, and net income of $10,946.
Monroe County Medical Center reported $2.4M of unreimbursed and uncompensated care for Mar 1, 2025 to Feb 28, 2026, including $158,938 of charity care at cost.
Monroe County Medical Center's Medicare enrollment lists Andrea L Rich-Mclerran as Chief Executive Officer since 2021.
Insurers' price transparency files list Monroe County Medical Center under employer identification number 31-0949874 (Monroe County Medical Center). 52 health plans and networks list 31-0949874 for it.
Yes. HRSA's 340B database lists Monroe County Medical Center (340B ID SCH180105-00) as a participating sole community hospital since 2018, with 1 active contract pharmacies.
58 clinicians who bill Medicare list Monroe County Medical Center as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family nurse practitioner (11), diagnostic radiology physician (9), family medicine physician (7).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Monroe County Medical Center, effective 2014.
CMS lists 21 services at Monroe County Medical Center, including Anesthesia, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Clinical Laboratory, CT Scan, Diagnostic Radiology, Dietary Care.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Monroe County Medical Center came from ZIP codes 42167 (379), 42140 (60), 38575 (40).
Monroe County 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.
Monroe County Medical Center is located at 529 Capp Harlan Road, Tompkinsville, KY 42167. Its main phone number is (270) 487-9231.
Monroe County Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 180105.
The National Provider Identifier (NPI) on file for Monroe County Medical Center is 1053499350.
Monroe County Medical Center lists 32 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
89 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