Pikeville Medical Center
Pikeville, Kentucky 41501
CCN: 180044 Acute Care Hospitals Emergency Services
1/5
CMS Star Rating
Well Below Average
63
DRG Categories
2,154
Total Discharges
$96,388
Avg Charges
$20,222
Avg Payment
$17,828
Avg Medicare
4.77x
Charge-to-Payment
Quality Ratings — CMS Hospital Compare
Based on CMS measures of mortality, safety of care, readmissions, patient experience, and timeliness
Mortality
Below Average Safety of Care
Same as Average Readmissions
Below Average Patient Experience
Reported Kentucky Average Rating
2.71 / 5 This hospital is below average
2 five-star hospitals of rated in Kentucky
National Average Rating
3.08 / 5
288 five-star hospitals of 2866 rated nationally
Type: Acute Care Hospitals Ownership: Voluntary non-profit - Private
Compared to Kentucky Average
How this hospital compares to the average of 60 hospitals in Kentucky
Average Charges
$96,388 +30%
State avg: $74,118
Average Payment
$20,222 +30%
State avg: $15,506
Charge-to-Payment Ratio
4.77x Below avg
State avg: 4.77x
Top 20 DRGs by Volume
Most common diagnosis groups at this hospital, sorted by number of discharges
| DRG | Description | Discharges | Avg Charges | Avg Payment | Markup |
|---|---|---|---|---|---|
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 262 | $99,073 | $18,663 | 5.31x |
| 291 | HEART FAILURE AND SHOCK WITH MCC | 139 | $54,848 | $11,568 | 4.74x |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 126 | $52,220 | $11,470 | 4.55x |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 76 | $90,810 | $17,669 | 5.14x |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 60 | $80,973 | $15,634 | 5.18x |
| 683 | RENAL FAILURE WITH CC | 55 | $36,310 | $7,833 | 4.64x |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 52 | $105,132 | $30,129 | 3.49x |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 47 | $44,280 | $9,946 | 4.45x |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 45 | $34,289 | $4,945 | 6.93x |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 45 | $280,991 | $58,200 | 4.83x |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 45 | $347,879 | $61,470 | 5.66x |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | 42 | $42,459 | $10,917 | 3.89x |
| 682 | RENAL FAILURE WITH MCC | 42 | $66,050 | $16,730 | 3.95x |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 41 | $39,912 | $10,149 | 3.93x |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 40 | $33,825 | $6,886 | 4.91x |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 38 | $38,646 | $8,833 | 4.38x |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 38 | $31,695 | $6,454 | 4.91x |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 37 | $82,705 | $17,306 | 4.78x |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | 37 | $36,378 | $7,497 | 4.85x |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 36 | $37,366 | $9,494 | 3.94x |
Showing top 20 of 63 DRG categories at this hospital.
About This Data
Hospital charges and payment data are from the CMS Medicare Inpatient Prospective Payment System (IPPS) Provider Summary. Quality star ratings (1-5) are from CMS Hospital Compare, based on measures of mortality, safety of care, readmissions, patient experience, and timeliness. Negotiated insurance rates are from hospital Machine-Readable Files (MRFs) required by the CMS Hospital Price Transparency Rule.