88/100
#125 nationally
Monroe County Medical Center
529 Capp Harlan Road, Tompkinsville, KY 42167 · (270) 487-9231
Charges close to what care is actually paid for
For every $1 of care Medicare actually paid for here, Monroe County Medical Center billed $2.28 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
- 2.3x
- volume-weighted across all its priced work
- Procedures priced
- 11
- inpatient and outpatient combined
- Rank in KY
- #1
- lower markup ranks higher
- CMS quality stars
- 1/5
- 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 87% of U.S. hospitals.
Better than 95% of U.S. hospitals.
Better than 93% of U.S. hospitals.
Better than 64% 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 |
113 | $7,012 | $2,442 | -64% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
34 | $10,870 | $6,344 | -64% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
33 | $14,153 | $6,269 | -55% |
|
Pneumonia (uncomplicated)
MS-DRG 195 · Inpatient stay |
26 | $14,712 | $4,928 | -44% |
|
Signs and Symptoms without Major Complications
MS-DRG 948 · Inpatient stay |
24 | $11,048 | $6,122 | -66% |
|
COPD (uncomplicated)
MS-DRG 192 · Inpatient stay |
21 | $14,721 | $4,855 | -34% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
19 | $8,683 | $5,655 | -73% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
17 | $22,882 | $8,226 | -45% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
16 | $10,015 | $5,931 | -67% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
15 | $16,928 | $9,438 | -61% |
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 |
|---|---|---|---|
|
Heart Failure (uncomplicated)
MS-DRG 293 · Inpatient stay |
$8,677 | $4,072 | about average |
|
COPD (uncomplicated)
MS-DRG 192 · Inpatient stay |
$14,721 | $4,855 | -34% |
|
Pneumonia (uncomplicated)
MS-DRG 195 · Inpatient stay |
$14,712 | $4,928 | -44% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$22,882 | $8,226 | -45% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
$14,153 | $6,269 | -55% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$16,928 | $9,438 | -61% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$10,870 | $6,344 | -64% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$7,012 | $2,442 | -64% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$8,683 | $5,655 | -73% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
$10,015 | $5,931 | -67% |
|
Signs and Symptoms without Major Complications
MS-DRG 948 · Inpatient stay |
$11,048 | $6,122 | -66% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$7,012 | $2,442 | -64% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$10,870 | $6,344 | -64% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$16,928 | $9,438 | -61% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
$14,153 | $6,269 | -55% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$22,882 | $8,226 | -45% |
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.