Appalachian Regional Healthcare · Paintsville, KY
2 of 5
CMS star rating
39
Beds
1,285
Inpatient discharges a year
$39.4M
Net patient revenue a year
14
In-network payers
Paintsville Arh Hospital is a 39-bed proprietary hospital in Paintsville, KY, affiliated with Appalachian Regional Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 14 in-network payers and 7 disclosed rate categories.
The 24 services Paintsville Arh Hospital 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
$542 - $6,234
from 3 insurers · median $4,372
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$542 - $4,746
from 3 insurers · median $3,329
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$1,785 - $2,892
from 3 insurers · median $2,545
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$542 - $2,116
from 3 insurers · median $1,484
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$760 - $6,761
from 3 insurers · median $4,742
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$542 - $3,560
from 3 insurers · median $2,496
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$760 - $4,704
from 3 insurers · median $3,299
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$760 - $4,387
from 3 insurers · median $3,077
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$265 - $430
from 3 insurers · median $378
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$120 - $299
from 3 insurers · median $209
Common here, based on CMS Medicare volume
Ultrasound
CPT 76705
$540 - $875
from 3 insurers · median $770
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,039 - $1,728
from 3 insurers · median $1,482
Common here, based on CMS Medicare volume
MRI imaging
CPT 73721
$760 - $4,397
from 3 insurers · median $3,083
Common here, based on CMS Medicare volume
Ultrasound
CPT 76830
$844 - $1,402
from 3 insurers · median $1,203
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93971
$632 - $1,051
from 3 insurers · median $902
Common here, based on CMS Medicare volume
Ultrasound
CPT 76536
$670 - $1,086
from 3 insurers · median $956
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93880
$719 - $1,164
from 3 insurers · median $1,025
Common here, based on CMS Medicare volume
Laboratory and pathology
CPT 80053
$11 - $186
from 2 insurers · median $98
Typical for a hospital with this service line
X-ray and bone density
CPT 73630
$268 - $445
from 3 insurers · median $382
Common here, based on CMS Medicare volume
Ultrasound
CPT 76817
$771 - $1,281
from 3 insurers · median $1,099
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$840 - $1,361
from 3 insurers · median $1,197
Common here, based on CMS Medicare volume
Laboratory and pathology
CPT 85025
$8 - $102
from 3 insurers · median $90
Typical for a hospital with this service line
X-ray and bone density
CPT 73030
$265 - $441
from 3 insurers · median $378
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 73610
$281 - $467
from 3 insurers · median $401
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 | 962% | 23 | 1 |
| Insurer B* | 24 | 549% | 20 | 2 |
| Insurer C* | 23 | 496% | 14 | 8 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 21 are common here based on CMS Medicare volume, and 3 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 Paintsville Arh Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
2 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$39.4M net patient revenue
Ownership and leadership
Owned by Appalachian Regional Healthcare Inc
The employer identification numbers (EINs) health plans and networks list for Paintsville Arh Hospital in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 61-0301300Paintsville Hospital Company LLC | 29Aspirus Health Plan, Asuris Northwest Health, BCBS, BridgeSpan, CareSource (incl Common Ground Health Coop) and 24 more | 1538101688 Paintsville Hospital Company LLC |
| 82-2577178Arh Tug Valley Health Services INC | 14United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Asuris Northwest Health, Avera Health Plans, BridgeSpan, Centene and 9 more | 1679235832 Arh Tug Valley Health Services Inc.1043878325 Arh Tug Valley Health Services Inc.1063074581 Arh Tug Valley Health Services Inc.and 38 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.
625 James S. Trimble Boulevard, Paintsville, KY 41240
(606) 789-3511
How Paintsville Arh Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
2 of 5
Lower than 73% 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 2 measures
0 better, 2 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 2 of 5 measures
0 better, 3 no different, 2 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
60%
Lower than 86% 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)
0.97
Higher than 52% 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
165 min
Higher than 61% 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
67%
Higher than 53% 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 | 2 of 5 | |
| Death rates | No different on 4 measures | |
| Safety | No different on 2 measures | |
| Readmissions | Worse on 2 of 5 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 | 60% | 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) | 0.97 | 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 | 165 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 67% | 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 Paintsville Arh Hospital's inpatient payments for its readmissions, quality and cost results.
-1.45% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.86% 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 Paintsville Arh Hospital, 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 | Paintsville Arh Hospital | 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 · 323 cases | 4.6 | 3.9 | 4.543 | Worse than 80% 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 · 39 cases | 9.9 | 8.5 | 9.152 | Worse than 83% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 29 cases | 14 | 11 | 11.98 | Worse than 92% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 113 cases | 17.1 | 15.2 | 16.6 | Worse than 77% 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 · 466 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 · 548 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 · 599 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 | Number of Cases Too Small | ||
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 | Not Available | 1.711 | Number of Cases Too Small | ||
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 | Not Available | 10.2 | Number of Cases Too Small | ||
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 | Not Available | 3.435 | Number of Cases Too Small | ||
| 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 · 25 cases | 1.05 | 1.02 | 1.077 | No Different Than the National Rate | Worse than 64% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Paintsville Arh Hospital | 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 · 30 cases | 5.1 | 1.25 | 9.521 | Worse than 55% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 113 cases | 31.6 | 3.85 | 12.61 | Worse than 83% 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 · 85 cases | 13.6 | 12.9 | 13.03 | No Different Than the National Rate | Worse than 79% of US hospitals |
| 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 | Number of cases too small | ||
| 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 · 85 cases | 19.5 | 19.8 | 19.89 | Better than 63% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 49 cases | 21.5 | 21.3 | 21.36 | Worse than 55% 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 · 224 cases | 17.8 | 17.2 | 17.37 | Worse than 70% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Paintsville Arh 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 | 416 | 1,370 | 2,960 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.255 | 0.9835 | 2.924 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 1 | 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 | 655 | 1,799 | 3,041 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.358 | 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 | 1 | 61 | 98 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.043 | 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 | 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 | 6,099 | 14,451 | 34,235 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.212 | 0.567 | 2.406 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 1 | 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 | 1.639 | 0.747 | 1.678 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 6,099 | 13,646 | 31,551 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 1.828 | 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 | Paintsville Arh Hospital | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 127 cases | 75 | 73 | 74.59 | Better than 56% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 127 cases | 6 | 8 | 7.987 | Better than 65% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 127 cases | 19 | 18 | 17.42 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 127 cases | 89 | 87 | 86.82 | Better than 66% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 127 cases | 4 | 4 | 3.533 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 127 cases | 79 | 80 | 82.24 | Worse than 51% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 127 cases | 92 | 91 | 92.18 | Better than 51% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 127 cases | 4 | 4 | 3.772 | Worse than 42% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 127 cases | 4 | 3 | 3.8 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 127 cases | 17 | 16 | 13.99 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 127 cases | 84 | 79 | 81.87 | Better than 76% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 127 cases | 94 | 91 | 91.67 | Better than 87% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 127 cases | 5 | 5 | 4.823 | Better than 44% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 127 cases | 4 | 3 | 3.417 | Better than 63% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 127 cases | 11 | 16 | 13.3 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 127 cases | 69 | 61 | 63.23 | Better than 81% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 127 cases | 80 | 77 | 78.17 | Better than 72% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 127 cases | 18 | 19 | 18.58 | Better than 57% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 127 cases | 3 | 3 | 2.833 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 127 cases | 13 | 19 | 18.19 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 127 cases | 86 | 86 | 85.77 | Worse than 45% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 127 cases | 14 | 13 | 13.37 | Worse than 53% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 127 cases | 3 | 3 | 3.317 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 127 cases | 86 | 87 | 86.63 | Worse than 53% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 127 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 · 127 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 · 127 cases | 78 | 74 | 76.86 | Better than 72% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 127 cases | 10 | 7 | 6.333 | Worse than 84% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 127 cases | 12 | 19 | 16.81 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 127 cases | 82 | 77 | 80.25 | Better than 76% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 127 cases | 2 | 6 | 5.278 | Better than 91% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 127 cases | 16 | 17 | 14.47 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 127 cases | 91 | 85 | 87.39 | Better than 88% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 127 cases | 3 | 3 | 3.125 | Better than 49% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 127 cases | 6 | 11 | 9.486 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 127 cases | 13 | 8 | 7.544 | Worse than 85% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 127 cases | 21 | 20 | 19.38 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 127 cases | 66 | 72 | 73.08 | Worse than 72% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 127 cases | 85 | 88 | 88.38 | Worse than 78% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 127 cases | 2 | 3 | 3.333 | Worse than 78% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 127 cases | 78 | 74 | 75.21 | Better than 71% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 127 cases | 10 | 9 | 9.458 | Worse than 52% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 127 cases | 12 | 16 | 15.33 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 127 cases | 76 | 75 | 77.63 | Better than 55% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 127 cases | 6 | 5 | 5.153 | Worse than 51% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 127 cases | 18 | 20 | 17.22 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 127 cases | 80 | 77 | 79.5 | Better than 69% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 127 cases | 4 | 4 | 4.028 | Better than 45% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 127 cases | 16 | 19 | 16.47 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 127 cases | 80 | 86 | 88 | Worse than 88% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 127 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 · 127 cases | 17 | 11 | 9.444 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 127 cases | 62 | 59 | 62.39 | Better than 58% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 127 cases | 9 | 9 | 8.089 | Worse than 47% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 127 cases | 29 | 31 | 29.52 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 127 cases | 83 | 82 | 83.2 | Better than 56% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 127 cases | 4 | 3 | 3.633 | Better than 56% 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 · 127 cases | 11 | 5 | 5.19 | Worse than 91% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 127 cases | 60 | 71 | 70.95 | Worse than 86% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 127 cases | 81 | 87 | 86.8 | Worse than 89% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 127 cases | 29 | 23 | 23.86 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 127 cases | 2 | 4 | 3.6 | Worse than 85% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 127 cases | 60 | 47 | 50.82 | Better than 91% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 127 cases | 26 | 30 | 28.18 | Better than 69% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 127 cases | 14 | 22 | 21 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 127 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 · 127 cases | 18 | 12 | 11.93 | Worse than 90% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 127 cases | 82 | 88 | 88.07 | Worse than 90% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Paintsville Arh 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 | Not Available | 8.032 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.132 | |||
| 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 · 225 cases | 96 | 79 | 74.25 | Better than 90% 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 · 512 cases | 184 | 154 | 153 | Worse than 69% 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 · 443 cases | 165 | 148 | 147 | Worse than 61% 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 · 16 cases | 296 | 247 | 227 | Worse than 66% 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 · 55 cases | 372 | 293 | 305 | Worse than 77% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 13,042 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 · 115 cases | 100 | 97 | 93.89 | The best result, shared by 27% 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 · 371 cases | 16 | 15 | 16.73 | Worse than 57% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 222 cases | 67 | 65 | 66.02 | Better than 53% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 74 cases | 76 | 73 | 74.36 | Better than 56% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 36 cases | 75 | 88 | 85.06 | Worse than 81% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 222 cases | 80 | 82 | 81.94 | Worse than 56% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 145 cases | 98 | 94 | 94.58 | Better than 77% 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 | Paintsville Arh Hospital | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 2.5 | 5 | 7.251 | Better than 80% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | Not Available | 6.595 |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Paintsville Arh 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 | 0.96 | 0.99 | 1.007 | Better than 63% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Paintsville Arh Hospital | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 0 | 20 | 14.1 | The worst result, shared by 11% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 0 | 5 | 3.571 | The worst result, shared by 11% 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 | 12.5 | 2.5 | 5.134 | Better than 83% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 36 | 34 | 44.76 | Better than 52% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 9 | 8.75 | 11.37 | Better than 52% of US hospitals | |
| VBP safety domain scoreFY 2026 | 80 | 40 | 46.5 | Better than 94% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 20 | 10 | 11.8 | Better than 93% of US hospitals | |
| VBP total performance scoreFY 2026 | 41.5 | 29.5 | 31.05 | Better than 82% of US hospitals |
| By fiscal year | FY 2021 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 12.5 | 10 | 6.667 | 10 | 0 |
| VBP clinical outcomes weighted domain score | 4.167 | 2.5 | 2.222 | 3.333 | 0 |
| VBP efficiency and cost reduction domain score | 20 | 0 | 30 | 30 | 50 |
| VBP efficiency and cost reduction weighted domain score | 6.667 | 0 | 10 | 10 | 12.5 |
| VBP person and community engagement domain score | 35 | Not Available | 15 | 35 | 36 |
| VBP person and community engagement weighted domain score | 11.67 | Not Available | 5 | 11.67 | 9 |
| VBP safety domain score | Not Available | Not Available | Not Available | Not Available | 80 |
| VBP safety weighted domain score | Not Available | Not Available | Not Available | Not Available | 20 |
| VBP total performance score | 22.5 | Not Available | 17.22 | 25 | 41.5 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Paintsville Arh Hospital | 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 | 1.026 | 0.9969 | 1.008 | Worse than 73% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 | 1.042 | 0.9983 | 1.009 | Worse than 75% 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 · 132 cases | 1.137 | 0.9955 | 1.006 | Worse than 97% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 1.037 | 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 | 1.052 | 1.044 | 0.9658 | 1.001 | 1.014 | 1.026 |
| READM-30-HF-HRRP | 1.032 | 1.069 | 1.085 | 1.043 | 1.063 | 1.042 |
| READM-30-HIP-KNEE-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-PN-HRRP | 1.005 | 1.04 | 0.9984 | 1.106 | 1.083 | 1.137 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Paintsville Arh 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 | 0.346 | 0.3899 | The best result, shared by 9% 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 | 0.967 | 0.9628 | 1.023 | Worse than 52% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.8867 | |||
| Total HAC scoreFY 2026 | -0.8061 | -0.0453 | 0.1443 | Better than 92% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | Yes | Yes | No |
| Total HAC score | -0.3718 | -0.9475 | 0 | 1.272 | 0.5968 | -0.8061 |
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 2017)
Accreditation
None
Medical school affiliation
Private (for profit)
Ownership type
72
Medicare-certified beds
63
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Paintsville Arh Hospital reported to Medicare in its latest cost report, covering Jul 1, 2024 to Jun 30, 2025.
1,285
Inpatient discharges
Medicare 19%, Medicaid 3%
4,665
Inpatient days
33% of available bed days used
183
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 840986). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Paintsville Arh Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 967 | 331 | 3,367 | 4,665 |
| Discharges | 239 | 37 | 1,009 | 1,285 |
| Average length of stay | 4.0 days | 8.9 days | 3.3 days | 3.6 days |
| Average daily census | 2.6 | 0.9 | 9.2 | 12.8 |
2,031
Medicare Advantage days
456 discharges
679
Medicaid managed care days
272 discharges
548
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 32 | 3,700 | 796 | 32% |
| Intensive care unit | 7 | 965 | 171 | 38% |
Source: CMS cost report (HCRIS, Form 2552-10), report 840986, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Paintsville Arh Hospital treats Medicare patients for most often, in 2024. 84 Medicare discharges in 3 published DRGs; 0% surgical; 100% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 40 | $50,107 | $10,851 | $14,230 | 1.98 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 24 | $60,374 | $8,118 | $17,146 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 20 | $57,544 | $9,298 | $16,343 | 1.70 |
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) Paintsville Arh Hospital billed Medicare for most in 2024: 263 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 1 Intraocular ProceduresAPC 5491 | 192 | 118 | $11,028 | $1,557 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 71 | 68 | $22,338 | $1,823 | $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 Paintsville Arh Hospital 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 399 in 2020 to 512 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 41240 | 153 | 30% | 657 | $7.8M | 35% | 29% |
| 41465 | 139 | 27% | 569 | $6.9M | 25% | 27% |
| 41219 | 45 | 9% | 170 | $2.1M | 49% | 45% |
| 41256 | 31 | 6% | 131 | $1.5M | 29% | 23% |
| 41222 | 29 | 6% | 116 | $1.5M | 21% | 28% |
| 40621 | 18 | 4% | 107 | $1.3M | 1% | 1% |
| 41238 | 16 | 3% | 79 | $878,958 | 57% | 30% |
| 41255 | 16 | 3% | 75 | $787,055 | 39% | |
| 41274 | 14 | 3% | 80 | $918,884 | 100% | |
| 41653 | 14 | 3% | 44 | $522,310 | 2% | |
| 41257 | 13 | 3% | 48 | $599,746 | 100% | 50% |
| 41501 | 13 | 3% | 68 | $758,332 | 1% | |
| 41260 | 11 | 2% | 39 | $541,667 | 44% |
Source: CMS Hospital Service Area file. Shares are of the 512 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 Paintsville Arh Hospital reported at its latest Medicare certification survey (2017). Counts are people, not full-time equivalents.
2
Operating rooms
1
Endoscopy rooms
63
Registered nurses
2
Licensed practical nurses
3
Pharmacists
9
Respiratory therapists
1
Physical therapists
11
Radiology technicians
2
Nuclear medicine technicians
3
Laboratory technicians
7
Medical technologists
1
Dietitians
91
Other personnel
Source: CMS Provider of Services file.
98 clinicians who bill Medicare list Paintsville Arh Hospital 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.
Randy Fanous, M.D
Diagnostic Radiology Physician
NPI 1215207048
See commercial rates for Randy Fanous, M.DPaul Matharoo, MD
Diagnostic Radiology Physician
NPI 1689835332
See commercial rates for Paul Matharoo, MDYogendra Prasad, MD
Cardiovascular Disease Physician
NPI 1366447286
See commercial rates for Yogendra Prasad, MDMayola Boykin, MD
Diagnostic Radiology Physician
NPI 1104995091
See commercial rates for Mayola Boykin, MDJason Fogg, D.O.
Pain Medicine (Physical Medicine & Rehabilitation) Physician
NPI 1831338151
See commercial rates for Jason Fogg, D.O.Terry Hall, D.O.
Diagnostic Radiology Physician
NPI 1174739601
See commercial rates for Terry Hall, D.O.Krista Jackson, PA-C
Physician Assistant
NPI 1457330227
See commercial rates for Krista Jackson, PA-CRoger Klein, M.D.
Cardiovascular Disease Physician
NPI 1205947868
See commercial rates for Roger Klein, M.D.Jerry White
Cardiovascular Disease Physician
NPI 1245655968
See commercial rates for Jerry WhiteJustin West, M.D.
Ophthalmology Physician
NPI 1235591355
See commercial rates for Justin West, M.D.Johannes Evans, MD
Ophthalmology Physician
NPI 1780689588
See commercial rates for Johannes Evans, MDHisham Hirzallah
Interventional Cardiology Physician
NPI 1518318476
See commercial rates for Hisham HirzallahBrandi Collins, D.O.
Family Medicine Physician
NPI 1295700433
See commercial rates for Brandi Collins, D.O.Arash Seratnahaei, M.D.
Cardiovascular Disease Physician
NPI 1235376302
See commercial rates for Arash Seratnahaei, M.D.Brittany Fairchild, DO
Family Medicine Physician
NPI 1124474903
See commercial rates for Brittany Fairchild, DOKevin Willis, M.D.
Family Medicine Physician
NPI 1700919776
See commercial rates for Kevin Willis, M.D.Charles Hardin, M.D.
Family Medicine Physician
NPI 1447247978
See commercial rates for Charles Hardin, M.D.Ayesha Sikder, M.D.
Pulmonary Disease Physician
NPI 1376620773
See commercial rates for Ayesha Sikder, M.D.Tracey Hedrick-Hamilton
Family Nurse Practitioner
NPI 1558747477
See commercial rates for Tracey Hedrick-HamiltonJack Kendrick, MD
Internal Medicine Physician
NPI 1255489415
See commercial rates for Jack Kendrick, MDDonetta Wallace, P.A.-C
Physician Assistant
NPI 1417958828
See commercial rates for Donetta Wallace, P.A.-CJames Goetz, M.D.
Internal Medicine Physician
NPI 1700827714
See commercial rates for James Goetz, M.D.Jeremy Parsons, M.D.
Family Medicine Physician
NPI 1811180409
See commercial rates for Jeremy Parsons, M.D.Gary Francis, D.O.
Internal Medicine Physician
NPI 1215218474
See commercial rates for Gary Francis, D.O.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 Paintsville Arh Hospital reported to Medicare for Jul 1, 2024 to Jun 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $246.7M | 626.5% |
| Inpatient | $42.9M | 109.0% |
| Outpatient | $203.8M | 517.5% |
| Contractual allowances and discounts | -$207.3M | -526.5% |
| Net patient revenue | $39.4M | 100.0% |
| Operating expenses | -$46.8M | -118.9% |
| Operating income from patient care | -$7.4M | -18.9% |
| Other income | $15.1M | 38.3% |
| Investment income | -$58,739 | -0.1% |
| Other | $15.1M | 38.4% |
| Net income | $7.6M | 19.4% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $29.3M | 11.2% |
| Medicaid (including managed care) | $88.4M | 34.0% |
| Other payers and self-pay | $142.6M | 54.8% |
| Total charges | $260.3M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 840986, 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 Paintsville Arh Hospital's latest cost report.
-18.9%
Operating margin
Operating income from patient care / net patient revenue
14.0%
Total margin
Net income / net patient revenue plus other income
15.5%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
48% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$41.24
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
61.6%
Return on assets
Net income for a year / total assets
44.5%
Return on equity
Net income for a year / fund balance
-0.79
Current ratio
Current assets / current liabilities
-0.41
Quick ratio
Cash, temporary investments and net receivables / current liabilities
4 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
17 days
Days in patient receivables
Net patient receivables / daily net patient revenue
-46 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
4.38
Asset turnover
Total revenue for a year / total assets
0.7 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 840986, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Paintsville Arh Hospital owned and owed at the end of its reporting period (Jun 2025), across all fund types: $12.4M in total assets and a $17.2M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $512,901 | 4.1% |
| Patient receivables, net | $1.8M | 14.9% |
| Inventory | $637,821 | 5.1% |
| Total current assets | $4.6M | 37.0% |
| Property and equipment, net of depreciation | $7.8M | 63.0% |
| Total assets | $12.4M | 100.0% |
| Current liabilities | -$5.8M | -46.7% |
| Total liabilities | -$4.8M | -38.4% |
| Fund balance (net assets) | $17.2M | 138.4% |
Source: CMS cost report (HCRIS, Form 2552-10), report 840986, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Paintsville Arh Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$408,963
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$3.1M
Bad debt
Patient bills written off as uncollectible, at charges
$5.4M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$985,949
Total unreimbursed and uncompensated care
2.1% 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 840986, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Paintsville Arh Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Sep 2019 | Sep 2020 | Sep 2021 | Jun 2023 | Jun 2024 | Jun 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $33.8M | $37.9M | $30.8M | $30.3M | $30.2M | $39.4M |
| Operating expenses | $31.7M | $34.6M | $36.4M | $38.7M | $36.4M | $46.8M |
| Operating margin | 6.2% | 8.5% | -18.3% | -27.9% | -20.3% | -18.9% |
| Net income | $2.3M | $7.1M | -$5.6M | $3.6M | $10.7M | $7.6M |
| Total assets | $19.8M | $18.8M | $14.4M | $10.5M | $10.4M | $12.4M |
| Discharges | 1,776 | 1,638 | 1,671 | 1,170 | 1,408 | 1,285 |
| Inpatient days | 5,679 | 5,456 | 6,476 | 4,260 | 5,126 | 4,665 |
| Medicare Advantage days | 623 | 76 | 1,498 | 1,795 | 2,031 | |
| Beds | 72 | 72 | 72 | 39 | 39 | 39 |
| Employees (FTE) | 192 | 187 | 188 | 185 | 179 | 183 |
Source: CMS cost report (HCRIS, Form 2552-10), report 840986, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Paintsville Arh Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Rural health clinic | $3.3M | $5.8M | $5.5M | 1.06 | |
| Drugs charged to patients | $4.5M | $18M | 0.25 | ||
| Emergency | $1.5M | $4.1M | $34.9M | 0.12 | 5,528 |
| Operating room | $1.1M | $3.5M | $23.7M | 0.15 | 5,470 |
| Laboratory | $764,503 | $3.3M | $49.4M | 0.07 | 710 |
| Radiology-diagnostic | $809,046 | $3.1M | $61.3M | 0.05 | 4,282 |
| Medical supplies charged to patient | $2.1M | $2.6M | 0.82 | ||
| Specialty associates - paintsville | $1.9M | $2M | $2M | 1.01 | |
| Respiratory therapy | $568,092 | $1.4M | $13.3M | 0.10 | 1,304 |
| Family specialty clinic -paintsvill | $738,931 | $1.4M | $3M | 0.45 | |
| Wound healing center | $344,921 | $1.1M | $10.9M | 0.10 | |
| Observation beds (non-distinct part | $1.1M | $18.4M | 0.06 | ||
| Physical therapy | $271,031 | $844,394 | $3.2M | 0.27 | 2,515 |
| Blood storing processing & trans. | $303,587 | $205,546 | 1.48 | 88 | |
| Impl. dev. charged to patients | $273,765 | $1.9M | 0.14 | ||
| Speech pathology | $88,709 | $168,374 | $603,852 | 0.28 | |
| Primary care | $72,792 | $747,177 | 0.10 | ||
| Occupational therapy | $15,961 | $29,000 | $257,649 | 0.11 | |
| Anesthesiology | $18,506 | $408,211 | 0.05 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $2M | $8.3M | $7.1M | 1.16 | 21,007 |
| Intensive care unit | $757,839 | $3M | $2.9M | 1.05 | 1,176 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $892,412 | $10.3M | 33,849 | $22.24 | 2,833 |
| Employee benefits department | $300,221 | $2.9M | 2,277 | $131.86 | |
| Operation of plant | $176,322 | $2.3M | 5,599 | $31.49 | 13,070 |
| Pharmacy | $618,976 | $1.9M | 10,120 | $61.16 | 555 |
| Cap rel costs-bldg & fixt | $879,652 | 64,314 | |||
| Housekeeping | $272,127 | $491,928 | 15,656 | $17.38 | 787 |
| Dietary | $225,208 | $453,519 | 5,207 | $25.42 | 1,282 |
| Cafeteria | $318,665 | 7,244 | $12.82 | 1,367 | |
| Nursing administration | $234,708 | 3,380 | $69.44 | 110 | |
| Central services & supply | $143,159 | $180,467 | 8,525 | $16.79 | 1,032 |
| Medical records & library | $147,423 | $169,517 | 5,290 | $27.87 | 787 |
| Laundry & linen service | $9,014 | $134,282 | 533 | $16.90 | 275 |
Source: CMS cost report (HCRIS, Form 2552-10), report 840986, 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 Paintsville Arh Hospital for an inpatient stay.
1.44
Case mix index
Higher than 21% 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).
34.9%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
254
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 | 1.23 | 1.23 | 1.54 | 1.49 | 1.40 | 1.44 | 1.44 |
| Wage index | 0.849 | 0.851 | 0.839 | 0.841 | 0.843 | 0.864 | 0.879 |
| Readmissions adjustment | -0.61% | -0.41% | -0.68% | -0.20% | -0.91% | -0.83% | -1.45% |
| Value-based purchasing adjustment | +0.11% | -0.56% | -0.56% | -0.42% | -0.37% | +0.24% | +0.86% |
| Medicare inpatient stays | 711 | 711 | 537 | 414 | 343 | 251 | 254 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Paintsville Arh Hospital reports to Medicare as owners or with operational control.
Appalachian Regional Healthcare Inc
5% or greater direct ownership interest, 100%, since 2013
Sources: CMS Hospital All Owners, CMS Hospital Change of Ownership.
The officers and board members on Paintsville Arh Hospital'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 5 of 6 are shown.
340B drug pricing program
Participating since 2022
340B ID DSH180078, registered as a disproportionate share hospital; 8 registered outpatient sites; 59 active contract pharmacies. Authorizing official: Maria Braman, Chief Medical Officer.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Accountable care organization (Medicare Shared Savings Program)
Main Street Rural Health Hickory ACO LLC
ACO A5334, current agreement since 2026. Public reporting page
Source: CMS Shared Savings Program participants, 2026, matched on Paintsville Arh Hospital's legal name.
Helipad
Paintsville Arh Hospital
FAA location ID 6KY7, a medical-use heliport at the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
Paintsville arh medical & specialty
CCN 188563, certified 2024, Medicare cost reimbursed
Source: Worksheet S-2 Part I of Paintsville Arh Hospital's latest Medicare cost report (HCRIS).
About Paintsville Arh Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Paintsville Arh Hospital range from $760 to $6,761 across 3 insurers. UnitedHealthcare's rate is $4,742. The median at nearby comparable hospitals is $1,116. 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 Paintsville Arh Hospital range from $542 to $6,234 across 3 insurers. Aetna's rate is $6,234. The median at nearby comparable hospitals is $971. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Paintsville Arh Hospital range from $120 to $299 across 3 insurers. Aetna's rate is $299. The median at nearby comparable hospitals is $124. What a patient pays depends on their plan's deductible, coinsurance and network status.
Paintsville Arh Hospital has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.
CMS reports no Medicare-funded interns or residents at Paintsville Arh Hospital for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Paintsville Arh Hospital's base inpatient payments by an estimated 1.45% 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 (40 discharges), simple pneumonia and pleurisy with mcc (24 discharges), respiratory infections and inflammations with mcc (20 discharges).
Paintsville Arh Hospital's Medicare case mix index is 1.44 for fiscal year 2027, higher than 21% of hospitals paid under the inpatient prospective payment system.
Paintsville Arh Hospital reported 1,285 inpatient discharges and 4,665 inpatient days from Jul 1, 2024 to Jun 30, 2025.
Paintsville Arh Hospital reported 183 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.
Paintsville Arh Hospital reported $39.4M in net patient revenue on $246.7M of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of -18.9%, and net income of $7.6M.
Paintsville Arh Hospital reported $985,949 of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025, including $408,963 of charity care at cost.
Paintsville Arh Hospital's Medicare enrollment lists Hollie Harris as President And CEO since 2021.
Insurers' price transparency files list Paintsville Arh Hospital under employer identification number 61-0301300 (Paintsville Hospital Company LLC), and 1 other tax ID. 29 health plans and networks list 61-0301300 for it.
Yes. HRSA's 340B database lists Paintsville Arh Hospital (340B ID DSH180078) as a participating disproportionate share hospital since 2022, with 59 active contract pharmacies.
98 clinicians who bill Medicare list Paintsville Arh Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family medicine physician (18), family nurse practitioner (16), nurse practitioner (9).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Paintsville Arh Hospital, effective 2017.
In its Medicare enrollment, Paintsville Arh Hospital reports Appalachian Regional Healthcare Inc as 5% or greater direct ownership interest (100%).
CMS lists 27 services at Paintsville Arh Hospital, including Acute Renal Dialysis, Anesthesia, Clinical Laboratory, Coronary Care Unit, CT Scan, Diagnostic Radiology.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Paintsville Arh Hospital came from ZIP codes 41240 (153), 41465 (139), 41219 (45).
Paintsville Arh Hospital has 39 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 72 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Paintsville Arh Hospital is located at 625 James S. Trimble Boulevard, Paintsville, KY 41240. Its main phone number is (606) 789-3511.
Paintsville Arh Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 180078.
The National Provider Identifier (NPI) on file for Paintsville Arh Hospital is 1538101688.
Paintsville Arh Hospital is affiliated with Appalachian Regional Healthcare.
Paintsville Arh Hospital lists 14 in-network payers, including Ameri Health, Avera Health Plans, Centene, Health Smart, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
7 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