67/100
#730 nationally
Knox Community Hospital
1330 Coshocton Road, Mount Vernon, OH 43050 · (740) 393-9000
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Knox Community Hospital billed $4.25 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
- 4.3x
- volume-weighted across all its priced work
- Procedures priced
- 39
- inpatient and outpatient combined
- Rank in OH
- #30
- 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 65% of U.S. hospitals.
Better than 68% of U.S. hospitals.
Better than 72% of U.S. hospitals.
Better than 57% 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 |
317 | $15,022 | $2,512 | -23% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
256 | $1,006 | $633 | -68% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
191 | $11,963 | $2,151 | about average |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
120 | $21,030 | $3,025 | -17% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
81 | $5,996 | $1,888 | -54% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
70 | $14,722 | $1,790 | +30% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
58 | $50,010 | $12,182 | -20% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
57 | $52,047 | $10,188 | -23% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
48 | $53,165 | $16,063 | -19% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
45 | $31,743 | $9,895 | -34% |
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 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$12,141 | $1,484 | +42% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$14,722 | $1,790 | +30% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$11,963 | $2,151 | about average |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
$32,420 | $5,094 | -10% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$17,033 | $2,954 | -11% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
$81,692 | $16,220 | -14% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$46,739 | $13,342 | -15% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$8,528 | $1,503 | -15% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
$2,274 | $1,573 | -80% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$1,006 | $633 | -68% |
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major
MS-DRG 897 · Inpatient stay |
$12,480 | $6,769 | -62% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$5,996 | $1,888 | -54% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
$15,929 | $6,346 | -49% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$14,579 | $4,796 | -47% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
$16,780 | $5,928 | -45% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
$47,836 | $16,439 | -43% |
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.