22/100
#2,105 nationally
Clark Regional Medical Center
175 Hospital Drive, Winchester, KY 40391 · (859) 737-8559
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Clark Regional Medical Center billed $8.36 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 8.4x
- volume-weighted across all its priced work
- Procedures priced
- 28
- inpatient and outpatient combined
- Rank in KY
- #40
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 14% of U.S. hospitals.
Better than 20% of U.S. hospitals.
Better than 26% of U.S. hospitals.
Better than 38% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
121 | $33,179 | $2,335 | +71% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
101 | $11,743 | $1,986 | about average |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
60 | $10,261 | $1,626 | -13% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
55 | $90,461 | $11,206 | +45% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
46 | $93,726 | $13,209 | +44% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
35 | $46,108 | $5,913 | +16% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
34 | $62,737 | $8,679 | +45% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
34 | $33,750 | $4,880 | -4% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
33 | $60,835 | $8,666 | +26% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
33 | $11,859 | $1,370 | +18% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
$148,092 | $9,521 | +119% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
$189,100 | $15,156 | +98% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$33,179 | $2,335 | +71% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$42,458 | $2,826 | +68% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$90,968 | $11,601 | +65% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$29,021 | $2,760 | +52% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$12,719 | $1,387 | +48% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$90,461 | $11,206 | +45% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$10,261 | $1,626 | -13% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
$44,466 | $8,268 | -6% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$33,750 | $4,880 | -4% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$11,743 | $1,986 | about average |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$22,293 | $2,617 | +9% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$46,108 | $5,913 | +16% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$11,859 | $1,370 | +18% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$32,432 | $4,481 | +18% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.