Catholic Health Initiatives · Campbellsville, KY
2 of 5
CMS star rating
90
Beds
2,016
Inpatient discharges a year
$141.5M
Net patient revenue a year
34
In-network payers
Taylor Regional Hospital is a 90-bed government - hospital district or authority hospital in Campbellsville, KY, affiliated with Catholic Health Initiatives. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 174 disclosed rate categories.
The 24 services Taylor Regional 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.
Childbirth · Inpatient
MS-DRG 807
$4,224 - $6,930
from 4 insurers · median $5,591
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Childbirth · Inpatient
MS-DRG 788
$6,909 - $13,409
from 4 insurers · median $10,819
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
CT imaging
CPT 74177
$745 - $1,478
from 4 insurers · median $922
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$6,583 - $8,414
from 2 insurers · median $7,499
39 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45385
$1,766 - $3,879
from 2 insurers · median $2,823
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$395 - $643
from 4 insurers · median $609
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$108 - $434
from 4 insurers · median $306
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$2,026 - $3,045
from 4 insurers · median $2,331
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,766 - $3,136
from 2 insurers · median $2,451
Common here, based on CMS Medicare volume
Ultrasound
CPT 76705
$684 - $1,056
from 4 insurers · median $843
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$209 - $851
from 4 insurers · median $742
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$1,907 - $3,507
from 2 insurers · median $2,707
Common here, based on CMS Medicare volume
Urology
CPT 52000
$577 - $891
from 4 insurers · median $719
417 Medicare claims in Level 2 Urology and Related Services (CMS 2024)
Cardiology and vascular testing
CPT 93306
$301 - $1,001
from 4 insurers · median $520
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$617 - $1,574
from 2 insurers · median $1,096
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$4,224 - $6,930
from 4 insurers · median $5,591
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
CT imaging
CPT 71275
$664 - $948
from 4 insurers · median $773
Common here, based on CMS Medicare volume
Laboratory and pathology
CPT 80053
$107 - $186
from 3 insurers · median $169
Typical for a hospital with this service line
MRI imaging
CPT 70553
$328 - $1,688
from 4 insurers · median $1,181
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 55700
$1,551 - $2,392
from 4 insurers · median $2,025
129 Medicare claims in Level 3 Urology and Related Services (CMS 2024)
Ultrasound
CPT 76536
$593 - $915
from 4 insurers · median $731
Common here, based on CMS Medicare volume
Lung function and sleep
CPT 95811
$1,485 - $3,699
from 4 insurers · median $3,522
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$223 - $1,384
from 4 insurers · median $1,094
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$927 - $1,384
from 4 insurers · median $1,116
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* | 19 | 403% | 8 | 6 |
| Insurer B* | 19 | 382% | 0 | 0 |
| Insurer C* | 24 | 343% | 9 | 10 |
| Insurer D* | 23 | 230% | 11 | 6 |
How we chose these services: 3 appear in this hospital's own Medicare claims, 17 are common here based on CMS Medicare volume, and 4 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 Taylor Regional 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
$141.5M net patient revenue
Ownership and leadership
Hospital district or authority
The employer identification numbers (EINs) health plans and networks list for Taylor Regional 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 |
|---|---|---|
| 61-0676546Taylor County Hospital District Health Facilities Corporation | 58Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 53 more | 1689761942 Taylor County Hospital District Health Facilities Corporation1477757151 Taylor County Hospital District Health Facilities Corporation1790652295 Taylor County Hospital District Health Facilities Corporationand 1 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.
1700 Old Lebanon Road, Campbellsville, KY 42718
(270) 465-3561
How Taylor Regional 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 3 measures
0 better, 3 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Better on 1 of 8 measures
1 better, 7 no different, 0 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
4 of 5
Higher than 60% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
68%
Lower than 61% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Penalized
Among the worst-performing 25% of US hospitals
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
1.29
Higher than 93% 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
138 min
Lower than 58% 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
48%
Lower than 83% 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 3 measures | |
| Readmissions | Better on 1 of 8 measures | |
| Patient survey ratingCMS: Summary star rating | 4 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 68% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 1.29 | 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 | 138 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 48% | 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 Taylor Regional Hospital's inpatient payments for its readmissions, quality and cost results.
No penalty
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-0.81% 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 Taylor Regional 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 | Taylor Regional 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 · 574 cases | 4.7 | 3.9 | 4.543 | Worse than 83% 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 · 63 cases | 12 | 8.5 | 9.152 | Worse than 98% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 89 cases | 12.1 | 11 | 11.98 | Worse than 71% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 111 cases | 14.1 | 15.2 | 16.6 | Better than 66% 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 · 783 cases | 1.58 | 0.51 | 0.6092 | No Different Than the National Rate | Worse than 96% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 185 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 1,090 cases | 0.2 | 0.2 | 0.2113 | No Different Than the National Rate | Better than 46% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 1,075 cases | 0.26 | 0.27 | 0.2787 | No Different Than the National Rate | Better than 54% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 156 cases | 2.26 | 2.29 | 2.306 | No Different Than the National Rate | Better than 55% of US hospitals |
| 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 · 165 cases | 3.73 | 3.4 | 3.435 | No Different Than the National Rate | Worse than 72% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 | Not Available | 5.85 | |||
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 57 cases | 1.74 | 1.72 | 1.761 | No Different Than the National Rate | Worse than 59% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 165 cases | 0.99 | 1.02 | 1.077 | No Different Than the National Rate | Better than 61% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Taylor Regional 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 · 102 cases | 1.4 | 1.25 | 9.521 | Worse than 50% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 126 cases | 1.2 | 3.85 | 12.61 | Better than 54% 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 · 655 cases | 14.5 | 12.9 | 13.03 | No Different Than the National Rate | Worse than 95% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 166 cases | 9.1 | 10.7 | 10.97 | No Different Than the National Rate | Better than 93% of US hospitals |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 166 cases | 5.9 | 5.3 | 5.4 | No Different Than the National Rate | Worse than 78% of US hospitals |
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 194 cases | 0.9 | 1 | 1.027 | No Different than expected | Better than 68% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | 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 · 136 cases | 20.2 | 19.8 | 19.89 | Worse than 66% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 123 cases | 20.4 | 21.3 | 21.36 | Better than 78% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 6.142 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 148 cases | 16 | 17.2 | 17.37 | Better than 92% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Taylor Regional 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 | 1,452 | 1,370 | 2,960 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.907 | 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 | 0.251 | 0.138 | 0.2917 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 4.953 | 1.392 | 2.135 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 1,836 | 1,799 | 3,041 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 1.334 | 1.377 | 3.578 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 2 | 0 | 2.172 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 1.499 | 0.399 | 0.5965 | No Different than National Benchmark | Worse than 95% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.329 | 0.2345 | 0.4763 | No Different than National Benchmark | |
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | 6.478 | 2.135 | 2.932 | No Different than National Benchmark | |
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 38 | 61 | 98 | No Different than National Benchmark | |
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 1.02 | 1.591 | 2.685 | No Different than National Benchmark | |
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 2 | 1 | 2.881 | No Different than National Benchmark | |
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | 1.961 | 0.7155 | 0.9389 | No Different than National Benchmark | Worse than 94% of US hospitals |
| 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 | 12,451 | 14,451 | 34,235 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.46 | 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 | 0.363 | 0.127 | 0.149 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.752 | 0.747 | 1.678 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 11,723 | 13,646 | 31,551 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 3.506 | 5.683 | 15.64 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 4 | 2 | 5.011 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 1.141 | 0.279 | 0.3987 | No Different than National Benchmark | Worse than 96% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Taylor Regional Hospital | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 250 cases | 75 | 73 | 74.59 | Better than 56% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 250 cases | 8 | 8 | 7.987 | Better than 47% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 250 cases | 17 | 18 | 17.42 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 250 cases | 88 | 87 | 86.82 | Better than 57% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 250 cases | 4 | 4 | 3.533 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 250 cases | 80 | 80 | 82.24 | Better than 49% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 250 cases | 92 | 91 | 92.18 | Better than 51% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 250 cases | 4 | 4 | 3.772 | Worse than 42% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 250 cases | 4 | 3 | 3.8 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 250 cases | 16 | 16 | 13.99 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 250 cases | 82 | 79 | 81.87 | Better than 66% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 250 cases | 92 | 91 | 91.67 | Better than 63% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 250 cases | 4 | 5 | 4.823 | Better than 62% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 250 cases | 4 | 3 | 3.417 | Better than 63% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 250 cases | 14 | 16 | 13.3 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 250 cases | 66 | 61 | 63.23 | Better than 72% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 250 cases | 80 | 77 | 78.17 | Better than 72% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 250 cases | 17 | 19 | 18.58 | Better than 63% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 250 cases | 3 | 3 | 2.833 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 250 cases | 17 | 19 | 18.19 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 250 cases | 88 | 86 | 85.77 | Better than 68% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 250 cases | 12 | 13 | 13.37 | Better than 58% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 250 cases | 4 | 3 | 3.317 | Better than 55% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 250 cases | 88 | 87 | 86.63 | Better than 58% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 250 cases | 15 | 14 | 14.65 | Worse than 51% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 250 cases | 85 | 86 | 85.35 | Worse than 51% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 250 cases | 79 | 74 | 76.86 | Better than 78% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 250 cases | 5 | 7 | 6.333 | Better than 68% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 250 cases | 16 | 19 | 16.81 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 250 cases | 79 | 77 | 80.25 | Better than 58% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 250 cases | 5 | 6 | 5.278 | Better than 53% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 250 cases | 16 | 17 | 14.47 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 250 cases | 87 | 85 | 87.39 | Better than 62% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 250 cases | 2 | 3 | 3.125 | Better than 75% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 250 cases | 11 | 11 | 9.486 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 250 cases | 9 | 8 | 7.544 | Worse than 59% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 250 cases | 20 | 20 | 19.38 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 250 cases | 71 | 72 | 73.08 | Worse than 51% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 250 cases | 88 | 88 | 88.38 | Worse than 45% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 250 cases | 3 | 3 | 3.333 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 250 cases | 75 | 74 | 75.21 | Better than 52% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 250 cases | 6 | 9 | 9.458 | Better than 79% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 250 cases | 19 | 16 | 15.33 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 250 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 · 250 cases | 5 | 5 | 5.153 | Better than 49% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 250 cases | 19 | 20 | 17.22 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 250 cases | 77 | 77 | 79.5 | Better than 49% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 250 cases | 6 | 4 | 4.028 | Worse than 71% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 250 cases | 17 | 19 | 16.47 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 250 cases | 88 | 86 | 88 | Better than 62% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 250 cases | 2 | 3 | 2.556 | Better than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 250 cases | 10 | 11 | 9.444 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 250 cases | 63 | 59 | 62.39 | Better than 62% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 250 cases | 7 | 9 | 8.089 | Better than 61% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 250 cases | 30 | 31 | 29.52 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 250 cases | 85 | 82 | 83.2 | Better than 71% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 250 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 · 250 cases | 5 | 5 | 5.19 | Better than 45% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 250 cases | 68 | 71 | 70.95 | Worse than 61% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 250 cases | 87 | 87 | 86.8 | Worse than 49% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 250 cases | 27 | 23 | 23.86 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 250 cases | 4 | 4 | 3.6 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 250 cases | 56 | 47 | 50.82 | Better than 83% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 250 cases | 28 | 30 | 28.18 | Better than 60% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 250 cases | 16 | 22 | 21 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 250 cases | 4 | 3 | 3.433 | Better than 60% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 250 cases | 9 | 12 | 11.93 | Better than 80% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 250 cases | 91 | 88 | 88.07 | Better than 80% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Taylor Regional 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 · 3,059 cases | 0 | 8 | 8.032 | The best result, shared by 7% of US hospitals | |
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 · 462 cases | 0 | 1 | 1.132 | The best result, shared by 34% of US hospitals | |
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 · 992 cases | 0 | 0 | 0.4286 | The best result, shared by 84% of US hospitals | |
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 1,092 cases | 93 | 79 | 74.25 | Better than 80% 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 · 408 cases | 140 | 154 | 153 | Better than 61% 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 · 391 cases | 138 | 148 | 147 | Better than 58% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 227 | |||
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 11 cases | 378 | 293 | 305 | Worse than 79% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 18,725 cases | 2 | 1 | 1.418 | Worse than 58% 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 · 131 cases | 99 | 97 | 93.89 | Better than 63% 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 · 512 cases | 14 | 15 | 16.73 | Better than 52% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 61 cases | 48 | 65 | 66.02 | Worse than 83% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 27 cases | 81 | 73 | 74.36 | Better than 68% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 18 cases | 83 | 88 | 85.06 | Worse than 65% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 61 cases | 62 | 82 | 81.94 | Worse than 95% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 29 cases | 97 | 94 | 94.58 | Better than 69% 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 · 970 cases | 88 | 90 | 76.94 | Worse than 54% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 315 cases | 92 | 97 | 93.3 | Worse than 76% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Taylor Regional Hospital | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 18 | 5 | 7.251 | Worse than 98% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 5.1 | 6.6 | 6.595 | Better than 70% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Taylor Regional 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 | 1.09 | 0.99 | 1.007 | Worse than 89% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Taylor Regional 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 | 0 | 10 | 19.82 | The worst result, shared by 43% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 0 | 2.5 | 5.134 | The worst result, shared by 43% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 59 | 34 | 44.76 | Better than 85% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 14.75 | 8.75 | 11.37 | Better than 84% of US hospitals | |
| VBP safety domain scoreFY 2026 | 10 | 40 | 46.5 | Worse than 95% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 2.5 | 10 | 11.8 | Worse than 95% of US hospitals | |
| VBP total performance scoreFY 2026 | 17.25 | 29.5 | 31.05 | Worse than 91% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 56 | 42 | 6.667 | 10 | 0 | 0 |
| VBP clinical outcomes weighted domain score | 14 | 10.5 | 1.667 | 2.5 | 0 | 0 |
| VBP efficiency and cost reduction domain score | 0 | Not Available | 30 | 0 | 0 | 0 |
| VBP efficiency and cost reduction weighted domain score | 0 | Not Available | 7.5 | 0 | 0 | 0 |
| VBP person and community engagement domain score | 22 | Not Available | Not Available | 26 | 26 | 59 |
| VBP person and community engagement weighted domain score | 5.5 | Not Available | Not Available | 6.5 | 6.5 | 14.75 |
| VBP safety domain score | 43.33 | Not Available | Not Available | 50 | 36.67 | 10 |
| VBP safety weighted domain score | 10.83 | Not Available | Not Available | 12.5 | 9.167 | 2.5 |
| VBP total performance score | 30.33 | Not Available | Not Available | 21.5 | 15.67 | 17.25 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Taylor Regional 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 | 0.9151 | 0.9969 | 1.008 | Better than 98% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 111 cases | 0.979 | 0.9983 | 1.009 | Better than 64% 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 · 116 cases | 0.9201 | 0.9955 | 1.006 | Better than 91% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 1.008 | 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 | 0.9122 | 0.9323 | 0.9579 | 0.9226 | 0.9009 | 0.9151 |
| READM-30-HF-HRRP | 0.9854 | 0.9643 | 0.975 | 0.9895 | 0.9716 | 0.979 |
| READM-30-HIP-KNEE-HRRP | 1.024 | 0.9895 | 1.145 | 1.148 | 1.129 | N/A |
| READM-30-PN-HRRP | 0.9503 | 0.9213 | 0.9239 | 0.9315 | 0.9537 | 0.9201 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Taylor Regional Hospital | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.388 | 0.489 | 0.5632 | Better than 61% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.948 | 0.346 | 0.3899 | Worse than 95% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.71 | 0.559 | 0.9125 | Worse than 64% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | Yes | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.8459 | |||
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 1.289 | 0.9628 | 1.023 | Worse than 93% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 2.408 | 0.7945 | 0.8867 | Worse than 97% of US hospitals | |
| Total HAC scoreFY 2026 | 1.265 | -0.0453 | 0.1443 | Worse than 97% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | Yes | N/A | No | No | Yes |
| Total HAC score | 0.2143 | 0.7753 | 0 | 0.2632 | 0.2702 | 1.265 |
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 2002)
Accreditation
None
Medical school affiliation
Hospital district or authority
Ownership type
90
Medicare-certified beds
100
Registered nurses (full-time equivalent)
1968
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Taylor Regional Hospital reported to Medicare in its latest cost report, covering Jul 1, 2024 to Jun 30, 2025.
2,016
Inpatient discharges
Medicare 28%, Medicaid 2%
9,130
Inpatient days
28% of available bed days used
660
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 836366). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Taylor Regional Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 2,900 | 83 | 6,147 | 9,130 |
| Discharges | 572 | 32 | 1,412 | 2,016 |
| Average length of stay | 5.1 days | 2.6 days | 4.4 days | 4.5 days |
| Average daily census | 7.9 | 0.2 | 16.8 | 25.0 |
2,875
Medicare Advantage days
514 discharges
1,791
Medicaid managed care days
648 discharges
2,421
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 82 | 6,659 | 2,267 | 22% |
| Intensive care unit | 8 | 1,060 | 342 | 36% |
| Nursery | 657 |
Source: CMS cost report (HCRIS, Form 2552-10), report 836366, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Taylor Regional Hospital treats Medicare patients for most often, in 2024. 220 Medicare discharges in 11 published DRGs; 0% surgical; 75% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 33 | $23,873 | $9,414 | $12,342 | 1.28 |
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 33 | $35,845 | $15,113 | $18,532 | 1.98 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 23 | $22,936 | $7,938 | $11,858 | 1.10 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 22 | $36,890 | $13,259 | $19,072 | 1.70 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 22 | $14,560 | $5,117 | $7,528 | 0.81 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 16 | $27,288 | $8,977 | $14,108 | 1.23 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 16 | $18,845 | $5,335 | $9,743 | 0.79 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 15 | $19,245 | $5,366 | $9,950 | 0.82 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 14 | $31,112 | $9,557 | $16,085 | 1.33 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 14 | $17,188 | $8,704 | $8,886 | 1.17 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 12 | $14,291 | $4,690 | $7,389 | 0.74 |
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) Taylor Regional Hospital billed Medicare for most in 2024: 1,210 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 2 Urology and Related ServicesAPC 5372 | 417 | 251 | $1,656 | $447 | $502 |
| Level 3 Urology and Related ServicesAPC 5373 | 129 | 125 | $5,611 | $1,313 | $1,516 |
| Comprehensive Observation ServicesAPC 8011 | 126 | 115 | $12,296 | $1,786 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 95 | 58 | $9,353 | $1,556 | $1,752 |
| Level 4 Urology and Related ServicesAPC 5374 | 82 | 69 | $12,289 | $2,300 | $2,629 |
| Level 5 Urology and Related ServicesAPC 5375 | 68 | 64 | $16,357 | $3,455 | $3,918 |
| Level 3 Vascular ProceduresAPC 5183 | 61 | 48 | $8,010 | $1,886 | $2,405 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 42 | 40 | $5,468 | $1,056 | $1,220 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 39 | 38 | $17,728 | $3,853 | $4,358 |
| Level 1 Endovascular ProceduresAPC 5191 | 30 | 30 | $13,129 | $1,965 | $2,208 |
See all 17 Medicare outpatient services at Taylor Regional Hospital
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 Taylor Regional 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 939 in 2020 to 966 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 42718 | 621 | 64% | 2,795 | $19M | 47% | 46% |
| 42743 | 155 | 16% | 811 | $5.3M | 30% | 21% |
| 42728 | 104 | 11% | 472 | $3.1M | 11% | 14% |
| 42733 | 24 | 2% | 88 | $687,367 | 100% | 100% |
| 40033 | 23 | 2% | 93 | $623,430 | 4% | 5% |
| 42782 | 16 | 2% | 61 | $433,152 | 59% | |
| 42539 | 12 | 1% | 46 | $272,870 | 2% | |
| 40621 | 11 | 1% | 44 | $239,699 | 1% | 1% |
Source: CMS Hospital Service Area file. Shares are of the 966 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 Taylor Regional Hospital reported at its latest Medicare certification survey (2002). Counts are people, not full-time equivalents.
100
Registered nurses
14
Licensed practical nurses
4
Pharmacists
4
Physical therapists
1
Occupational therapists
1
Dietitians
299
Other personnel
Source: CMS Provider of Services file.
237 clinicians who bill Medicare list Taylor Regional 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.
Janet Leon, M.D.
Rheumatology Physician
NPI 1962504613
See commercial rates for Janet Leon, M.D.Kevin Cunneely, M.D.
Diagnostic Radiology Physician
NPI 1356389597
See commercial rates for Kevin Cunneely, M.D.Charles Giles, M.D.
Internal Medicine Physician
NPI 1427028521
See commercial rates for Charles Giles, M.D.Satyam Veean, MD
Vascular & Interventional Radiology Physician
NPI 1447785480
See commercial rates for Satyam Veean, MDJeffrey Been, MD
Orthopaedic Surgery Physician
NPI 1063404903
See commercial rates for Jeffrey Been, MDMathieu Nader, M.D.
Diagnostic Radiology Physician
NPI 1306003579
See commercial rates for Mathieu Nader, M.D.Robert Knetsche, M.D.
Orthopaedic Surgery of the Spine Physician
NPI 1891805982
See commercial rates for Robert Knetsche, M.D.Sreechandra Donepudi, MD
Diagnostic Radiology Physician
NPI 1578686242
See commercial rates for Sreechandra Donepudi, MDJerome Dixon, D.O.
Family Medicine Physician
NPI 1215919451
See commercial rates for Jerome Dixon, D.O.Kellee Frogge, M.D.
Family Medicine Physician
NPI 1467434928
See commercial rates for Kellee Frogge, M.D.Stefanie Spalding, MSN, APRN, NP-C
Nurse Practitioner
NPI 1376015602
See commercial rates for Stefanie Spalding, MSN, APRN, NP-CLora Sztendera, M.D.
Family Medicine Physician
NPI 1114069481
See commercial rates for Lora Sztendera, M.D.Mir Alikhan, MD
Diagnostic Radiology Physician
NPI 1790747921
See commercial rates for Mir Alikhan, MDMoutaz Al Nabhan, MD
Pulmonary Disease Physician
NPI 1205853900
See commercial rates for Moutaz Al Nabhan, MDRichard Lozano, M.D.
Anatomic Pathology & Clinical Pathology Physician
NPI 1255330544
See commercial rates for Richard Lozano, M.D.David George, M.D.
Internal Medicine Physician
NPI 1376525212
See commercial rates for David George, M.D.John Gardner
Pain Medicine (Anesthesiology) Physician
NPI 1770826299
See commercial rates for John GardnerSunny Joseph, M.D.
Cardiovascular Disease Physician
NPI 1356385413
See commercial rates for Sunny Joseph, M.D.Raleigh Johnson, MD
Diagnostic Radiology Physician
NPI 1255347340
See commercial rates for Raleigh Johnson, MDGalen Weiss, M.D.
Orthopaedic Surgery Physician
NPI 1619969631
See commercial rates for Galen Weiss, M.D.John Holt, M.D.
Cardiovascular Disease Physician
NPI 1720283187
See commercial rates for John Holt, M.D.Debbie Martin, ARNP
Family Nurse Practitioner
NPI 1902876287
See commercial rates for Debbie Martin, ARNPRodney Miguel, MD
Cardiovascular Disease Physician
NPI 1598793499
See commercial rates for Rodney Miguel, MDMatthew Feltner, D.P.M.
Podiatrist
NPI 1932462645
See commercial rates for Matthew Feltner, D.P.M.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 Taylor Regional 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) | $394.5M | 278.7% |
| Inpatient | $50.9M | 35.9% |
| Outpatient | $343.6M | 242.8% |
| Contractual allowances and discounts | -$253M | -178.7% |
| Net patient revenue | $141.5M | 100.0% |
| Operating expenses | -$142.3M | -100.6% |
| Operating income from patient care | -$799,072 | -0.6% |
| Other income | $9M | 6.3% |
| Contributions and donations | $61,189 | 0.0% |
| Investment income | $4.3M | 3.0% |
| Other | $4.6M | 3.3% |
| Other expenses | -$496,164 | -0.4% |
| Net income | $7.7M | 5.4% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $78M | 21.8% |
| Medicaid (including managed care) | $65.9M | 18.4% |
| Other payers and self-pay | $214.1M | 59.8% |
| Total charges | $358M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 836366, 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 Taylor Regional Hospital's latest cost report.
-0.6%
Operating margin
Operating income from patient care / net patient revenue
5.1%
Total margin
Net income / net patient revenue plus other income
9.3%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
46% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$39.22
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
5.9%
Return on assets
Net income for a year / total assets
8.3%
Return on equity
Net income for a year / fund balance
0.05
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
2.28
Current ratio
Current assets / current liabilities
2.01
Quick ratio
Cash, temporary investments and net receivables / current liabilities
72 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
29 days
Days in patient receivables
Net patient receivables / daily net patient revenue
50 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.15
Asset turnover
Total revenue for a year / total assets
20.4 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 836366, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Taylor Regional Hospital owned and owed at the end of its reporting period (Jun 2025), across all fund types: $130.6M in total assets and a $92.6M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $27M | 20.7% |
| Patient receivables, net | $11.3M | 8.7% |
| Inventory | $2.6M | 2.0% |
| Total current assets | $43.4M | 33.3% |
| Property and equipment, net of depreciation | $34.1M | 26.1% |
| Investments and other assets | $53.1M | 40.6% |
| Total assets | $130.6M | 100.0% |
| Current liabilities | $19.1M | 14.6% |
| Long-term debt | $4.4M | 3.3% |
| Total liabilities | $38.1M | 29.1% |
| Fund balance (net assets) | $92.6M | 70.9% |
Source: CMS cost report (HCRIS, Form 2552-10), report 836366, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Taylor Regional Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$393,062
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$4.5M
Bad debt
Patient bills written off as uncollectible, at charges
$3.5M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$1.9M
Total unreimbursed and uncompensated care
1.3% 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 836366, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Taylor Regional Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Jun 2020 | Jun 2021 | Jun 2022 | Jun 2023 | Jun 2024 | Jun 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $80.8M | $88.2M | $90.4M | $109.9M | $130.4M | $141.5M |
| Operating expenses | $87.2M | $90.9M | $103.5M | $117.3M | $130.8M | $142.3M |
| Operating margin | -7.9% | -3.0% | -14.5% | -6.7% | -0.3% | -0.6% |
| Net income | $5.7M | $4.1M | -$11.1M | $1M | $10.3M | $7.7M |
| Total assets | $118.1M | $118.2M | $110.6M | $105.9M | $124M | $130.6M |
| Discharges | 1,996 | 1,937 | 1,676 | 1,838 | 1,791 | 2,016 |
| Inpatient days | 8,102 | 7,842 | 8,649 | 8,708 | 7,927 | 9,130 |
| Medicare Advantage days | 1,270 | 1,395 | 2,187 | 2,377 | 2,125 | 2,875 |
| Beds | 90 | 90 | 90 | 90 | 90 | 90 |
| Employees (FTE) | 515 | 501 | 634 | 581 | 643 | 660 |
Source: CMS cost report (HCRIS, Form 2552-10), report 836366, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Taylor Regional 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 |
|---|---|---|---|---|---|
| Drugs charged to patients | $1.2M | $19.6M | $104.2M | 0.19 | 2,494 |
| Clinic | $13.2M | $15.7M | $25.3M | 0.62 | 53,938 |
| Operating room | $3.9M | $10.1M | $37.9M | 0.27 | 36,326 |
| Radiology-diagnostic | $2.9M | $9.3M | $51.5M | 0.18 | 14,021 |
| Medical supplies charged to patient | $7.3M | $5.1M | 1.44 | ||
| Impl. dev. charged to patients | $7M | $10.1M | 0.69 | ||
| Emergency | $2.7M | $6.8M | $19.6M | 0.35 | 10,198 |
| Drugs outpatient | $518,737 | $6.1M | $6M | 1.02 | 1,680 |
| Laboratory | $1.7M | $5.8M | $39M | 0.15 | 5,909 |
| Observation beds (non-distinct part | $3.4M | $5.4M | 0.63 | ||
| Respiratory therapy | $853,140 | $2M | $8.6M | 0.23 | 3,275 |
| Physical therapy | $1.3M | $1.5M | $3.1M | 0.49 | 7,541 |
| Chemotherapy | $649,193 | $1.4M | $5.4M | 0.27 | 2,709 |
| Cardiac catheterization | $470,432 | $1.2M | $1.9M | 0.66 | 2,674 |
| Rural health clinic | $355,264 | $882,535 | $438,226 | 2.01 | 5,000 |
| Electroencephalography | $327,988 | $746,564 | $2.4M | 0.31 | 5,023 |
| Wound care | $162,417 | $609,975 | $1.2M | 0.51 | 1,954 |
| Delivery room & labor room | $1.2M | $593,167 | $2M | 0.30 | 2,197 |
| Intravenous therapy | $273,639 | $530,369 | $1.6M | 0.34 | 2,297 |
| Occupational therapy | $477,283 | $1.1M | 0.43 | 947 | |
| Anesthesiology | $176,736 | $474,987 | $5.7M | 0.08 | 559 |
| Recovery room | $209,778 | $456,258 | $5.1M | 0.09 | 1,389 |
| Blood storing processing & trans. | $439,774 | $896,361 | 0.49 | 286 | |
| Speech pathology | $310,471 | $762,722 | 0.41 | 249 | |
| Electrocardiology | $73,186 | $142,850 | $3M | 0.05 | 192 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $6.2M | $12.9M | $8M | 1.61 | 27,011 |
| Intensive care unit | $1.6M | $3.4M | $2.2M | 1.52 | 4,972 |
| Nursery | $438,200 | $827,325 | $470,412 | 1.76 | 818 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $5.3M | $16M | 141,348 | $30.38 | 17,646 |
| Employee benefits department | $710,074 | $8.5M | 9,713 | $73.11 | 500 |
| Cap rel costs-mvble equip | $3.8M | ||||
| Cap rel costs-bldg & fixt | $2.8M | 272,510 | |||
| Operation of plant | $458,815 | $2.7M | 18,145 | $25.29 | 25,268 |
| Nursing administration | $1.6M | $1.9M | 34,789 | $45.85 | 3,976 |
| Housekeeping | $994,716 | $1.6M | 64,454 | $17.85 | 2,239 |
| Dietary | $847,793 | $1.4M | 41,991 | $20.83 | 7,042 |
| Medical records & library | $451,501 | $788,617 | 20,668 | $21.85 | 1,486 |
| Laundry & linen service | $566,688 | 4,160 | $18.21 | 365 | |
| Central services & supply | $295,863 | $320,060 | 13,928 | $21.24 | 2,380 |
Source: CMS cost report (HCRIS, Form 2552-10), report 836366, 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 Taylor Regional Hospital for an inpatient stay.
1.43
Case mix index
Higher than 20% 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).
31.5%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
578
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 | 1.36 | 1.36 | 1.48 | 1.48 | 1.48 | 1.42 | 1.43 |
| Wage index | 0.821 | 0.822 | 0.819 | 0.825 | 0.843 | 0.864 | 0.879 |
| Readmissions adjustment | -0.17% | -0.09% | 0.00% | -0.49% | -0.43% | -0.23% | 0.00% |
| Value-based purchasing adjustment | +0.48% | -0.05% | -0.05% | +0.75% | +0.04% | -0.60% | -0.81% |
| Medicare inpatient stays | 1,048 | 1,048 | 706 | 547 | 605 | 508 | 578 |
Source: CMS IPPS final rule Impact File (FY 2027).
The officers and board members on Taylor Regional 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 9 of 12 are shown.
340B drug pricing program
Participating since 2004
340B ID DSH180087, registered as a disproportionate share hospital; 20 registered outpatient sites; 15 active contract pharmacies. Authorizing official: Catherine Settle, Clinical Services Administrator.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Helipad
Taylor Rgnl Hospital
FAA location ID 2KY7, a medical-use heliport at the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
Taylor regional hospital
CCN 18U087, certified 2024, Medicare prospective payment
Trh health clinic columbia
CCN 188569, certified 2024, Medicare cost reimbursed
Trh health clinic
CCN 188573, certified 2025, Medicare cost reimbursed
Source: Worksheet S-2 Part I of Taylor Regional Hospital's latest Medicare cost report (HCRIS).
About Taylor Regional Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Taylor Regional Hospital range from $328 to $1,688 across 4 insurers. UnitedHealthcare's rate is $1,436. The median at nearby comparable hospitals is $789. 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 Taylor Regional Hospital range from $745 to $1,478 across 4 insurers. Aetna's rate is $1,478. The median at nearby comparable hospitals is $1,281. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Taylor Regional Hospital range from $1,766 to $3,879 across 2 insurers. Blue Cross Blue Shield's rate is $1,766. The median at nearby comparable hospitals is $2,024. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Taylor Regional Hospital range from $4,224 to $6,930 across 4 insurers. Cigna's rate is $4,493. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Taylor Regional Hospital range from $108 to $434 across 4 insurers. Cigna's rate is $292. The median at nearby comparable hospitals is $168. What a patient pays depends on their plan's deductible, coinsurance and network status.
Taylor Regional 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 Taylor Regional Hospital for fiscal year 2027.
No. Taylor Regional Hospital has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.
In 2024, the most common were heart failure and shock with mcc (33 discharges), septicemia or severe sepsis without mv >96 hours with mcc (33 discharges), chronic obstructive pulmonary disease with mcc (23 discharges).
Taylor Regional Hospital's Medicare case mix index is 1.43 for fiscal year 2027, higher than 20% of hospitals paid under the inpatient prospective payment system.
Taylor Regional Hospital reported 2,016 inpatient discharges and 9,130 inpatient days from Jul 1, 2024 to Jun 30, 2025.
Taylor Regional Hospital reported 660 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.
Taylor Regional Hospital reported $141.5M in net patient revenue on $394.5M of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of -0.6%, and net income of $7.7M.
Taylor Regional Hospital reported $1.9M of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025, including $393,062 of charity care at cost.
Taylor Regional Hospital's Medicare enrollment lists Joseph G Hugar as CEO since 2022.
Insurers' price transparency files list Taylor Regional Hospital under employer identification number 61-0676546 (Taylor County Hospital District Health Facilities Corporation). 58 health plans and networks list 61-0676546 for it.
Yes. HRSA's 340B database lists Taylor Regional Hospital (340B ID DSH180087) as a participating disproportionate share hospital since 2004, with 15 active contract pharmacies.
237 clinicians who bill Medicare list Taylor Regional Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family nurse practitioner (65), diagnostic radiology physician (19), family medicine physician (19).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Taylor Regional Hospital, effective 2002.
CMS lists 22 services at Taylor Regional Hospital, including Anesthesia, Clinical Laboratory, Coronary Care Unit, Dental Care, Diagnostic Radiology, Dietary Care.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Taylor Regional Hospital came from ZIP codes 42718 (621), 42743 (155), 42728 (104).
Taylor Regional Hospital has 90 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. Facility type: Short Term Acute Care Hospital.
Taylor Regional Hospital is located at 1700 Old Lebanon Road, Campbellsville, KY 42718. Its main phone number is (270) 465-3561.
Taylor Regional Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 180087.
The National Provider Identifier (NPI) on file for Taylor Regional Hospital is 1689761942.
Taylor Regional Hospital is affiliated with Catholic Health Initiatives.
Taylor Regional Hospital lists 34 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
174 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