PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates
Short Term Acute Care HospitalPhysician

Physicians Medical Center

New Albany, IN

4023 Reas Lane, New Albany, IN 47150(812) 206-7660

Not rated by CMS

CMS star rating

10

Beds

321

Inpatient discharges a year

$59.9M

Net patient revenue a year

34

In-network payers

About this hospital

Physicians Medical Center is a 10-bed physician hospital in New Albany, IN. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 204 disclosed rate categories.

CCN
150172
NPI
1689857385
Teaching
No Medicare-funded residents
County
Floyd County
Metro area
Louisville-Jefferson County, KY-IN MSA
Medicare contractor
Jurisdiction 8, WPS Government Health Administrators (08001)
In Medicare since
2008
Last CMS survey
2008

Prices for common services

The 24 services Physicians 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.

Urology

Shock-wave treatment of kidney stones

CPT 50590

$4,819 - $7,354

from 2 insurers · median $6,086

UnitedHealthcare$7,354
Insurer A*$4,819
Medicare $3,376Nearby hospitals $4,44637% above nearby hospitals

431 Medicare claims in Level 4 Urology and Related Services (CMS 2024)

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$1,518 - $3,497

from 2 insurers · median $2,507

UnitedHealthcare$3,497
Insurer A*$1,518
Medicare $3,101Nearby hospitals $3,75333% below nearby hospitals

18 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)

Digestive procedures

Colonoscopy with polyp removal

CPT 45385

$1,017 - $2,436

from 2 insurers · median $1,727

Blue Cross$1,017
Insurer A*$2,436
Medicare $1,146Nearby hospitals $2,82839% below nearby hospitals

Common here, based on CMS Medicare volume

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$1,017 - $2,436

from 2 insurers · median $1,727

Blue Cross$1,017
Insurer A*$2,436
Medicare $869Nearby hospitals $2,15220% below nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Physicians Medical Center

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*1
236%
01
Insurer B*21
129%
99
Insurer C*22
80%
615
Insurer D*1
63%
01

How we chose these services: 8 appear in this hospital's own Medicare claims, 8 are common here based on CMS Medicare volume, and 8 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Physicians Medical Center, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCareSource (incl Common Ground Health Coop)

More about this hospital

  • Quality

    Not rated by CMS

    • No Medicare readmissions penalty
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 22 services
    • 97 affiliated clinicians
    See doctors and services
  • Finances

    $59.9M net patient revenue

    • Operating margin on patient care 13.3%
    • $489,690 unreimbursed and uncompensated care
    • $8M net income
    See finances
  • Ownership and leadership

    Owned by Sca AHN Jv Holdings II, LLC

    • Physician ownership
    • Tiffany Sorg, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
20-5071967(multi-state) Physicians Medical Center52Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 47 more1689857385 Physicians Medical Center LLC1821425711 Physicians Medical Center LLC1366960908 Physicians Medical Center LLCand 4 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

4023 Reas Lane, New Albany, IN 47150

(812) 206-7660

Get directions

Frequently asked questions

About Physicians Medical Center's rates and hospital price transparency.

How much does a CT scan cost at Physicians Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Physicians Medical Center range from $225 to $225 across 1 insurers. Aetna's rate is $225. The median at nearby comparable hospitals is $806. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Physicians Medical Center?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Physicians Medical Center range from $1,017 to $2,436 across 2 insurers. Blue Cross Blue Shield's rate is $1,017. The median at nearby comparable hospitals is $2,828. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Physicians Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Physicians Medical Center range from $204 to $204 across 1 insurers. Cigna's rate is $204. The median at nearby comparable hospitals is $328. What a patient pays depends on their plan's deductible, coinsurance and network status.

Is Physicians Medical Center a teaching hospital?

CMS reports no Medicare-funded interns or residents at Physicians Medical Center for fiscal year 2027.

Does Medicare penalize Physicians Medical Center for readmissions?

No. Physicians Medical Center has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.

What are the most common Medicare inpatient stays at Physicians Medical Center?

In 2024, the most common were female reproductive system reconstructive procedures (16 discharges).

What is Physicians Medical Center's case mix index?

Physicians Medical Center's Medicare case mix index is 2.15 for fiscal year 2027, higher than 85% of hospitals paid under the inpatient prospective payment system.

How many patients does Physicians Medical Center admit?

Physicians Medical Center reported 321 inpatient discharges and 670 inpatient days from Jan 1, 2025 to Dec 31, 2025.

How many employees does Physicians Medical Center have?

Physicians Medical Center reported 192 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.

How much revenue does Physicians Medical Center make?

Physicians Medical Center reported $59.9M in net patient revenue on $231.8M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of 13.3%, and net income of $8M.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
Talk to us about your MRF
Chargemaster analysis

Get your chargemaster right for billing and payer contracts

Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

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