HOSPITALVoluntary non-profit - Private

Pineville Community Health Center Inc

Pineville, KY

850 Riverview Avenue, Pineville, KY 40977(606) 337-3051

1 of 5

CMS star rating

Beds

247

Inpatient discharges a year

In-network payers

About this hospital

Pineville Community Health Center Inc is a 57-bed voluntary non-profit - private hospital in Pineville, KY. Below you'll find publicly disclosed negotiated rates and facility details, including 15 in-network payers and 109 disclosed rate categories.

Disproportionate share hospital
340B participant
Helipad

CCN: 180154
NPI: 1285292219
Teaching: No Medicare-funded residents
County: Bell County
Metro area: Middlesborough, KY MicroSA
Medicare contractor: Jurisdiction 15, CGS Administrators (15101)
In Medicare since: 2019
Last CMS survey: 2019

Prices for common services

The 24 services Pineville Community Health Center Inc 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.

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CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$208 - $610

from 3 insurers · median $500

Aetna$208

Insurer A*$500

Insurer B*$610

Medicare $306Nearby hospitals $45410% above nearby hospitals

Common here, based on CMS Medicare volume

Digestive procedures

Colonoscopy with polyp removal

CPT 45385

$590 - $5,553

from 3 insurers · median $2,282

Blue Cross$5,553

Insurer A*$590

Insurer B*$2,282

Medicare $1,049Nearby hospitals $1,89720% above nearby hospitals

Common here, based on CMS Medicare volume

CT imaging

CT head or brain without contrast

CPT 70450

$35 - $570

from 3 insurers · median $500

Aetna$35

Insurer A*$500

Insurer B*$570

Medicare $92Nearby hospitals $39626% above nearby hospitals

Common here, based on CMS Medicare volume

CT imaging

CT of the abdomen and pelvis, without contrast

CPT 74176

$135 - $531

from 3 insurers · median $500

Aetna$135

Insurer A*$500

Insurer B*$531

Medicare $209Nearby hospitals $39527% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Pineville Community Health Center Inc

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	254%	16	8
Insurer B*	22	168%	3	19
Insurer C*	17	56%	3	14

How we chose these services: 0 appear in this hospital's own Medicare claims, 23 are common here based on CMS Medicare volume, and 1 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 Pineville Community Health Center Inc, or start a free trial.

Insurance Accepted

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

Aspirus Health PlanAvera Health PlansBanner HealthEMI HealthHarvard Pilgrim Health Care (Point32Health)Health Alliance

More about this hospital

Quality
1 of 5 stars
- 132 min in the ER before going home (US median 148)
- Medicare readmissions penalty (-0.21%)
See quality ratings
Doctors and services
Accredited by CIHQ
- No Medicare-funded residents
- 41 affiliated clinicians
See doctors and services
Finances
-$60.8M net income
See finances
Ownership and leadership
Private (not for profit)
- Kevin Couch, chief executive
- 340B drug pricing program participant
See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Pineville Community Health Center Inc 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
84-1949748(multi-state) Pineville Community Health Center	30Aetna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter, Aspirus Health Plan and 25 more	1285292219 Pineville Community Health Center Inc1275192015 Pineville Community Health Center Inc1073171849 Pineville Community Health Center Incand 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

850 Riverview Avenue, Pineville, KY 40977

(606) 337-3051

Get directions

Quality ratings (CMS Care Compare)

How Pineville Community Health Center Inc 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 3 measures
0 better, 3 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Readmissions
Worse on 2 of 3 measures
0 better, 1 no different, 2 worse than the US rate
Patients back in the hospital or ER soon after leaving
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
Time in the ER before going home
132 min
Lower than 63% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better

Measure details and reporting periods

Measure	Result	Period
Overall star ratingCMS: Overall hospital quality star rating	1 of 5
Death rates	No different on 3 measures
Readmissions	Worse on 2 of 3 measures
Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction	Not 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	132 min	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.

Medicare quality penalties and bonuses

How Medicare adjusts Pineville Community Health Center Inc's inpatient payments for its readmissions, quality and cost results.

-0.21% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
0.00% 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).

Every CMS quality measure

Each result CMS publishes for Pineville Community Health Center Inc, 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.

Deaths and complications19 measures

Risk-adjusted 30-day death rates and surgical complications; lower is better.

Measure	This hospital	US median	KY average	CMS comparison	US rank
Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31	Not Available		4.2
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 71 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	Not Available		9.152
Death rate for heart failure patients2022-07-01 to 2025-06-30	Not Available		11.98
Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 29 cases	17.8	15.2	16.6		Worse than 84% 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 · 143 cases	0.61	0.51	0.6092	No Different Than the National Rate	Worse than 68% 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 · 187 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 · 185 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	Number of Cases Too Small

Readmissions and return visits14 measures

Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.

Measure	This hospital	US median	KY average	CMS comparison	US rank
Hospital return days for heart attack patients2022-07-01 to 2025-06-30	Not Available		13.02
Hospital return days for heart failure patients2022-07-01 to 2025-06-30	Not Available		9.521
Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 25 cases	-28.4	3.85	12.61		Better than 88% 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	Number of Cases Too Small
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 · 30 cases	20.6	19.8	19.89		Worse than 79% of US hospitals
Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 29 cases	20.8	21.3	21.36		Better than 67% 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 · 37 cases	17.4	17.2	17.37		Worse than 55% of US hospitals

Infections36 measures

Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.

Measure	This hospital	US median	KY average
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	Not Available		2,960
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30	Not Available		2.924
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30	Not Available		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	254	1,799	3,041
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30	0.139	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	1,071	14,451	34,235
MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30	0.026	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
Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30	Not Available		1.678
Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30	605	13,646	31,551
Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30	0.181	5.683	15.64
Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30	0	2	5.011
Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30	Not Available		0.3987

Patient survey (HCAHPS)68 measures

How recent inpatients answered each survey question, with CMS's star rating per topic.

Measure	This hospital	KY average
Room was "always" clean2024-10-01 to 2025-09-30	Not Available	74.59
Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30	Not Available	7.987
Room was "usually" clean2024-10-01 to 2025-09-30	Not Available	17.42
Cleanliness - linear mean score2024-10-01 to 2025-09-30	Not Applicable	86.82
Cleanliness - star rating2024-10-01 to 2025-09-30	Not Applicable	3.533
Nurses "always" communicated well2024-10-01 to 2025-09-30	Not Available	82.24
Nurse communication - linear mean score2024-10-01 to 2025-09-30	Not Applicable	92.18
Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30	Not Available	3.772
Nurse communication - star rating2024-10-01 to 2025-09-30	Not Applicable	3.8
Nurses "usually" communicated well2024-10-01 to 2025-09-30	Not Available	13.99
Doctors "always" communicated well2024-10-01 to 2025-09-30	Not Available	81.87
Doctor communication - linear mean score2024-10-01 to 2025-09-30	Not Applicable	91.67
Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30	Not Available	4.823
Doctor communication - star rating2024-10-01 to 2025-09-30	Not Applicable	3.417
Doctors "usually" communicated well2024-10-01 to 2025-09-30	Not Available	13.3
Staff "always" explained2024-10-01 to 2025-09-30	Not Available	63.23
Communication about medicines - linear mean score2024-10-01 to 2025-09-30	Not Applicable	78.17
Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30	Not Available	18.58
Communication about medicines - star rating2024-10-01 to 2025-09-30	Not Applicable	2.833
Staff "usually" explained2024-10-01 to 2025-09-30	Not Available	18.19
Discharge information - linear mean score2024-10-01 to 2025-09-30	Not Applicable	85.77
No, staff "did not" give patients this information2024-10-01 to 2025-09-30	Not Available	13.37
Discharge information - star rating2024-10-01 to 2025-09-30	Not Applicable	3.317
Yes, staff "did" give patients this information2024-10-01 to 2025-09-30	Not Available	86.63
No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30	Not Available	14.65
Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30	Not Available	85.35
Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30	Not Available	76.86
Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30	Not Available	6.333
Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30	Not Available	16.81
Doctors "always" listened carefully2024-10-01 to 2025-09-30	Not Available	80.25
Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30	Not Available	5.278
Doctors "usually" listened carefully2024-10-01 to 2025-09-30	Not Available	14.47
Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30	Not Available	87.39
Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30	Not Available	3.125
Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30	Not Available	9.486
Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30	Not Available	7.544
Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30	Not Available	19.38
Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30	Not Available	73.08
Overall hospital rating - linear mean score2024-10-01 to 2025-09-30	Not Applicable	88.38
Overall hospital rating - star rating2024-10-01 to 2025-09-30	Not Applicable	3.333
Staff "always" explained new medications2024-10-01 to 2025-09-30	Not Available	75.21
Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30	Not Available	9.458
Staff "usually" explained new medications2024-10-01 to 2025-09-30	Not Available	15.33
Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30	Not Available	77.63
Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30	Not Available	5.153
Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30	Not Available	17.22
Nurses "always" listened carefully2024-10-01 to 2025-09-30	Not Available	79.5
Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30	Not Available	4.028
Nurses "usually" listened carefully2024-10-01 to 2025-09-30	Not Available	16.47
Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30	Not Available	88
Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30	Not Available	2.556
Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30	Not Available	9.444
"Always" quiet at night2024-10-01 to 2025-09-30	Not Available	62.39
"Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30	Not Available	8.089
"Usually" quiet at night2024-10-01 to 2025-09-30	Not Available	29.52
Quietness - linear mean score2024-10-01 to 2025-09-30	Not Applicable	83.2
Quietness - star rating2024-10-01 to 2025-09-30	Not Applicable	3.633
"NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30	Not Available	5.19
"YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30	Not Available	70.95
Recommend hospital - linear mean score2024-10-01 to 2025-09-30	Not Applicable	86.8
"YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30	Not Available	23.86
Recommend hospital - star rating2024-10-01 to 2025-09-30	Not Applicable	3.6
Staff "always" explained possible side effects2024-10-01 to 2025-09-30	Not Available	50.82
Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30	Not Available	28.18
Staff "usually" explained possible side effects2024-10-01 to 2025-09-30	Not Available	21
Summary star rating2024-10-01 to 2025-09-30	Not Applicable	3.433
No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30	Not Available	11.93
Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30	Not Available	88.07

Timely and effective care30 measures

How often the hospital gave recommended care, and how fast.

Measure	This hospital	US median	KY average	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	Not Available		74.25
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 · 500 cases	139	154	153	Better than 63% 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 · 433 cases	132	148	147	Better than 63% 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 · 15 cases	141	247	227	Better than 90% 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	213	293	305	Better than 84% of US hospitals
Left before being seen2024-01-01 to 2024-12-31 · 4,395 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	Not Available		16.73
Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30	Not Available		66.02
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	Not Available		81.94
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	Not Available		76.94
Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31	Not Available		93.3

Outpatient imaging2 measures

How often scans were ordered when they may not be needed; lower is better.

Measure	This hospital	US median	KY average	CMS comparison	US rank
Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30	4.9	5	7.251		Better than 50% of US hospitals
Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30	Not Available		6.595

Medicare spending per patient1 measure

Medicare spending around an inpatient stay compared with the US (1 is the US median).

Measure	This hospital	US median	KY average	CMS comparison	US rank
Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31	1.33	0.99	1.007		Worse than 99% of US hospitals

Inpatient psychiatric care15 measures

Measures CMS reports for the hospital's psychiatric unit or for a psychiatric hospital.

Measure	This hospital	US median	KY average	CMS comparison	US rank
Follow-up care within 30 days after psychiatric hospitalization2023-07-01 to 2024-06-30	Not Available		58.28
Follow-up care within 7 days after psychiatric hospitalization2023-07-01 to 2024-06-30	Not Available		30.75
Hours of physical-restraint use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 712 cases	0	0.05	0.1626		The worst result, shared by 22% of US hospitals
Hours of seclusion use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 712 cases	0	0.03	0.09704		The worst result, shared by 39% of US hospitals
Psychiatric patients screened for and given the flu vaccine2024-10-01 to 2025-03-31	Not Available		83.48
Medication continuation after psychiatric discharge2022-07-01 to 2024-06-30	Not Available		76.4
Readmitted to any hospital within 30 days of psychiatric discharge2022-07-01 to 2024-06-30	Not Available		19.53	Number of Cases Too Small
Psychiatric patients screened for metabolic disorders2024-01-01 to 2024-12-31 · 18 cases	83	92	90.93		Worse than 69% of US hospitals
Alcohol use brief intervention provided or offered2024-01-01 to 2024-12-31	Not Available		70.89
Alcohol use brief intervention provided2024-01-01 to 2024-12-31	Not Available		80.93
Alcohol and other drug use disorder treatment provided or offered at discharge2024-01-01 to 2024-12-31	Not Available		83.83
Alcohol and other drug use disorder treatment provided at discharge2024-01-01 to 2024-12-31	Not Available		62.17
Tobacco use treatment provided or offered at discharge2024-01-01 to 2024-12-31	Not Available		64.23
Tobacco use treatment provided at discharge2024-01-01 to 2024-12-31	Not Available		13.77
Discharged patients who received a transition record with the specified elements2024-01-01 to 2024-12-31 · 19 cases	100	77	77.04		The best result, shared by 9% of US hospitals

Readmissions Reduction Program6 measures

Excess readmission ratios by condition; above 1 means more readmissions than expected.

Measure	This hospital	US median	KY average	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	N/A		1.008
READM-30-HF-HRRP2021-07-01 to 2024-06-30	1.012	0.9983	1.009	Worse than 59% 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	1.033	0.9955	1.006	Worse than 71% 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	N/A	N/A	N/A	N/A	N/A	N/A
READM-30-HF-HRRP	N/A	N/A	N/A	1.009	1.007	1.012
READM-30-HIP-KNEE-HRRP	N/A	N/A	N/A	N/A	N/A	N/A
READM-30-PN-HRRP	N/A	N/A	N/A	1.056	1.043	1.033

Hospital-Acquired Condition Reduction Program8 measures

Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.

Measure	This hospital	KY average
CAUTI standardized infection ratio2023-01-01 to 2024-12-31	N/A	0.5632
CDI standardized infection ratio2023-01-01 to 2024-12-31	N/A	0.3899
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	N/A	1.023
SSI standardized infection ratio2023-01-01 to 2024-12-31	N/A	0.8867
Total HAC scoreFY 2026	N/A	0.1443

By fiscal year	FY 2021	FY 2022	FY 2023	FY 2024	FY 2025	FY 2026
HAC Reduction Program payment reduction	No	No	N/A	No	No	No
Total HAC score	N/A	N/A	0	-0.0755	-0.0234	N/A

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.

Accreditation and services

CIHQ (since 2019)
Accreditation
None
Medical school affiliation
Private (not for profit)
Ownership type
120
Medicare-certified beds
16
Registered nurses (full-time equivalent)
2019
In Medicare since

Source: CMS Provider of Services file, as reported by the hospital and state surveyors.

Size and patient volume

What Pineville Community Health Center Inc reported to Medicare in its latest cost report, covering Jul 1, 2024 to Jun 30, 2025.

247
Inpatient discharges
Medicare 24%, Medicaid 4%
885
Inpatient days
5% of available bed days used
83
Employees (full-time equivalent)

Source: CMS cost report (HCRIS) (report 840530). Figures cover the reporting period, which is not always 12 months, and are self-reported.

Utilization by payer and unit

Inpatient days and discharges Pineville Community Health Center Inc reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.

	Medicare	Medicaid	Other	Total
Inpatient days	216	0	669	885
Discharges	59	9	179	247
Average length of stay	3.7 days	0.0 days	3.7 days	3.6 days
Average daily census	0.6	0.0	1.8	2.4

272
Medicare Advantage days
75 discharges
113
Medicaid managed care days

Beds and days by unit

Unit	Beds	Inpatient days	Medicare days	Occupancy
Adults & pediatrics	41	857	204	6%
Intensive care unit	4
Subprovider - ipf	12	1,023	372	23%

Source: CMS cost report (HCRIS, Form 2552-10), report 840530, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.

Medicare outpatient services

The comprehensive outpatient service groups (APCs) Pineville Community Health Center Inc billed Medicare for most in 2024: 50 services in all.

Service group	Services	Patients	Average charges	Average Medicare payment	US average payment
Comprehensive Observation ServicesAPC 8011	50	46	$10,655	$1,782	$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.

Where patients come from

ZIP codes with the most Medicare inpatient stays at Pineville Community Health Center Inc 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 220 in 2020 to 57 in 2025.

ZIP code	Stays	Of this hospital's stays	Days	Charges	Market share	Share in 2020
40977	57	100%	237	$1.8M	16%	36%

Source: CMS Hospital Service Area file. Shares are of the 57 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.

Staff and facilities

Staff by profession and the rooms and units Pineville Community Health Center Inc reported at its latest Medicare certification survey (2019). Counts are people, not full-time equivalents.

12
Psychiatric unit beds

16
Registered nurses
3
Licensed practical nurses
2
Nurse practitioners
1
Pharmacists
4
Respiratory therapists
4
Radiology technicians
2
Laboratory technicians
4
Medical technologists
32
Other personnel

Source: CMS Provider of Services file.

Doctors and clinicians

41 clinicians who bill Medicare list Pineville Community Health Center Inc 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.

Family Nurse Practitioner 9
Family Medicine Physician 5
Internal Medicine Physician 5
Emergency Medicine Physician 4
Cardiovascular Disease Physician 2
Certified Registered Nurse Anesthetist 2
Nurse Practitioner 2
Surgery Physician 2
Clinical Cardiac Electrophysiology Physician 1
Diagnostic Radiology Physician 1

Oluwole Abe, MD
Clinical Cardiac Electrophysiology Physician
NPI 1841269834
See commercial rates for Oluwole Abe, MD
Syed Hasni, MD
Nephrology Physician
NPI 1497865141
See commercial rates for Syed Hasni, MD
Anantha Krishna, M.D.
Cardiovascular Disease Physician
NPI 1740203447
See commercial rates for Anantha Krishna, M.D.
Christopher Steidle, MD
Urology Physician
NPI 1295709871
See commercial rates for Christopher Steidle, MD
Charles Moore, MD
Internal Medicine Physician
NPI 1003816372
See commercial rates for Charles Moore, MD
Sankar Lakshman, M.D.
Diagnostic Radiology Physician
NPI 1053361337
See commercial rates for Sankar Lakshman, M.D.
Stephen Briscoe, MD
Ophthalmology Physician
NPI 1679568661
See commercial rates for Stephen Briscoe, MD
Emmanuel Yumang, M.D.
Geriatric Medicine (Internal Medicine) Physician
NPI 1730135138
See commercial rates for Emmanuel Yumang, M.D.
Benjamin Mazal, M.D.
Family Medicine Physician
NPI 1144537804
See commercial rates for Benjamin Mazal, M.D.
Marcinia Bailey, APRN
Family Nurse Practitioner
NPI 1548673155
See commercial rates for Marcinia Bailey, APRN
Seyed Kamran Hejazi Kenari, M.D.
Pulmonary Disease Physician
NPI 1134521669
See commercial rates for Seyed Kamran Hejazi Kenari, M.D.
Velupillai Wignakumar, M.D, FRCS
Surgery Physician
NPI 1265495063
See commercial rates for Velupillai Wignakumar, M.D, FRCS
Martha Combs-Woolum, MD
Internal Medicine Physician
NPI 1033121017
See commercial rates for Martha Combs-Woolum, MD
Adil Cheema, MBBS, MD
Cardiovascular Disease Physician
NPI 1174009153
See commercial rates for Adil Cheema, MBBS, MD
Mazhar Salim, M.D.
Psychiatry Physician
NPI 1013075449
See commercial rates for Mazhar Salim, M.D.
Anwar Hamami, M.D.
Emergency Medicine Physician
NPI 1962405019
See commercial rates for Anwar Hamami, M.D.
John Prince, MD
Emergency Medicine Physician
NPI 1962424382
See commercial rates for John Prince, MD
Patrick Ball, DO
Internal Medicine Physician
NPI 1265884696
See commercial rates for Patrick Ball, DO
Keith Clifton, M.D.
Emergency Medicine Physician
NPI 1659327278
See commercial rates for Keith Clifton, M.D.
Sandeep Kumar Valluri
Internal Medicine Physician
NPI 1356916605
See commercial rates for Sandeep Kumar Valluri
Nicholas Fugate, DO
Family Medicine Physician
NPI 1477058071
See commercial rates for Nicholas Fugate, DO
Shawn Fugate, M.D.
Family Medicine Physician
NPI 1609813807
See commercial rates for Shawn Fugate, M.D.
Jeffrey Frederich, M.D.
Family Medicine Physician
NPI 1508882010
See commercial rates for Jeffrey Frederich, M.D.
Alice Ward, APRN
Nurse Practitioner
NPI 1952693087
See commercial rates for Alice Ward, APRN

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.

Finances

Revenue, income and charity care Pineville Community Health Center Inc reported to Medicare for Jul 1, 2024 to Jun 30, 2025.

-$60.8M
Net income, including non-patient income
0.92
Cost-to-charge ratio
About $92 of cost per $100 billed

Source: CMS cost report (HCRIS) (report 840530). Figures cover the reporting period, which is not always 12 months, and are self-reported.

Departments

Each cost center Pineville Community Health Center Inc reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.

Show all 26 departments

Ancillary and outpatient departments

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Rural health clinic	$1.9M	$38.4M	$28M	1.37	4,515
Laboratory	$814,136	$2.2M	$4.2M	0.52	2,683
Radiology-diagnostic	$689,065	$2.1M	$4.8M	0.44	5,035
Operating room	$185,853	$2M	$5.4M	0.37	7,056
Drugs charged to patients		$1.8M	$1.5M	1.26	1,511
Emergency	$545,297	$1.5M	$6.1M	0.24	4,229
Respiratory therapy	$264,236	$1.4M	$2.4M	0.62	3,329
Medical supplies charged to patient		$1.1M	$845,277	1.27	1,098
Clinic	$404,383	$169,927
Electrocardiology		$57,223			832
Physical therapy		$31,747	$1,061	29.92
Occupational therapy		$161
Speech pathology		$5
Observation beds (non-distinct part			$1.6M

Inpatient units

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Adults & pediatrics	$1.4M	$4.2M	$4.7M	0.89	14,404
Subprovider - ipf	$557,127	$1.5M	$1.8M	0.83
Intensive care unit		$4,397

Overhead (general service) departments

Department	Salaries	Direct cost	Square feet
Administrative & general	$786,515	$9.7M	10,414
Operation of plant	$206,405	$2.3M	8,706
Pharmacy	$298,468	$1.2M
Employee benefits department	$50,691	$1.2M	4,695
Housekeeping	$367,867	$623,974	689
Cap rel costs-mvble equip		$387,806
Nursing administration	$285,960	$292,475	2,801
Dietary	$130,972	$288,887	8,917
Medical records & library	$141,085	$153,109	2,490

Source: CMS cost report (HCRIS, Form 2552-10), report 840530, 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.

Medicare payment profile

The factors Medicare uses to set what it pays Pineville Community Health Center Inc for an inpatient stay.

1.12
Case mix index
Higher than 4% 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).
47.0%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
59
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).

Show FY 2023 to FY 2027

IPPS fiscal year	FY 2023	FY 2024	FY 2025	FY 2026	FY 2027
Case mix index	1.26	1.27	1.00	1.03	1.12
Wage index	0.819	0.825	0.843	0.864	0.879
Readmissions adjustment	0.00%	0.00%	-0.36%	-0.25%	-0.21%
Value-based purchasing adjustment	0.00%	0.00%	0.00%	0.00%	0.00%
Medicare inpatient stays	247	180	92	56	59

Source: CMS IPPS final rule Impact File (FY 2027).

Leadership

The officers and board members on Pineville Community Health Center Inc's Medicare enrollment and on the IRS Form 990 filed under its tax ID.

Officers and directors on the Medicare enrollment

Dennis Varghese Officer, Chairman, since 2023
Tyler Stapp Officer, Board Member, since 2024
Sheryl Richer Director, Board Member, since 2023
Teresa Mccarty Managing employee, since 2019

Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment.

Officers and key employees (IRS Form 990, tax year 2022)

Name	Title
Kevin Couch	CEO

Board members: Katherine Reese, Ken Jones, Dennis Varghese, Sheryl Richter, Natalie Frey, Russell Thompson.

Source: IRS Form 990 Part VII filed by Pineville Community Health Center Inc (EIN 84-1949748), via the IRS e-file data. A health system's return can cover several hospitals.

Programs and facilities

340B drug pricing program
Participating since 2021
340B ID DSH180154, registered as a disproportionate share hospital; 2 active contract pharmacies. Authorizing official: Sheryl Richter, President/ceo.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Helipad
Pineville Community Hospital
FAA location ID 7KY2, a medical-use heliport at the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.

Hospital-based units

Hospital-based units with their own Medicare certification

Pineville community health center
CCN 18S154, certified 2020, Medicare prospective payment
Pineville community health center
CCN 18U154, certified 2022, Medicare prospective payment
Total care rhc
CCN 188531, certified 2020, Medicare cost reimbursed

Source: Worksheet S-2 Part I of Pineville Community Health Center Inc's latest Medicare cost report (HCRIS).

Frequently asked questions

About Pineville Community Health Center Inc's rates and hospital price transparency.

How much does an MRI cost at Pineville Community Health Center Inc?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Pineville Community Health Center Inc range from $182 to $1,405 across 3 insurers. UnitedHealthcare's rate is $1,405. The median at nearby comparable hospitals is $849. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Pineville Community Health Center Inc?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Pineville Community Health Center Inc range from $208 to $610 across 3 insurers. Aetna's rate is $208. The median at nearby comparable hospitals is $454. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Pineville Community Health Center Inc?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Pineville Community Health Center Inc range from $590 to $5,553 across 3 insurers. Blue Cross Blue Shield's rate is $5,553. The median at nearby comparable hospitals is $1,897. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Pineville Community Health Center Inc?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Pineville Community Health Center Inc range from $89 to $131 across 3 insurers. Aetna's rate is $89. The median at nearby comparable hospitals is $215. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Pineville Community Health Center Inc's CMS star rating?

Pineville Community Health Center Inc 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.

Is Pineville Community Health Center Inc a teaching hospital?

CMS reports no Medicare-funded interns or residents at Pineville Community Health Center Inc for fiscal year 2027.

Does Medicare penalize Pineville Community Health Center Inc for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Pineville Community Health Center Inc's base inpatient payments by an estimated 0.21% in fiscal year 2027 for more readmissions than expected.

What is Pineville Community Health Center Inc's case mix index?

Pineville Community Health Center Inc's Medicare case mix index is 1.12 for fiscal year 2027, higher than 4% of hospitals paid under the inpatient prospective payment system.

How many patients does Pineville Community Health Center Inc admit?

Pineville Community Health Center Inc reported 247 inpatient discharges and 885 inpatient days from Jul 1, 2024 to Jun 30, 2025.

How many employees does Pineville Community Health Center Inc have?

Pineville Community Health Center Inc reported 83 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.

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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
      }
    ]
  }]
}

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Gross, discounted cash, payer-specific and de-identified min / max charges
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About this hospital

Prices for common services

How the insurers pay at Pineville Community Health Center Inc

Insurance Accepted

More about this hospital

Tax IDs and NPIs insurers list

Location

Quality ratings (CMS Care Compare)

Medicare quality penalties and bonuses

Every CMS quality measure

Accreditation and services

Size and patient volume

Utilization by payer and unit

Beds and days by unit

Medicare outpatient services

Where patients come from

Staff and facilities

Doctors and clinicians

Finances

Departments

Ancillary and outpatient departments

Inpatient units

Overhead (general service) departments

Medicare payment profile

Leadership

Officers and directors on the Medicare enrollment

Officers and key employees (IRS Form 990, tax year 2022)

Programs and facilities

Hospital-based units

Hospital-based units with their own Medicare certification

Comparable hospitals nearby

Frequently asked questions

Running price transparency at a hospital like this one?

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