All published prices at Pikeville Medical Center
91 procedures, each showing what the hospital billed, what that care was actually paid for, and how the charge compares with the national middle for the same coded work.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
383 | $22,986 | $2,429 | +18% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
299 | $8,748 | $2,085 | -26% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
298 | $81,227 | $18,279 | +24% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
216 | $58,461 | $11,795 | -6% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
181 | $3,654 | $618 | +16% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
162 | $11,421 | $1,444 | +13% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
150 | $28,727 | $2,865 | +14% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
142 | $62,685 | $12,358 | +44% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
106 | $37,286 | $6,351 | -6% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
102 | $58,205 | $11,786 | +25% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
100 | $10,632 | $1,850 | -18% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
92 | $21,130 | $2,845 | +11% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
74 | $11,101 | $1,691 | -6% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
62 | $85,863 | $15,106 | +56% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
59 | $19,126 | $2,940 | -6% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
56 | $19,887 | $3,142 | -14% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
56 | $12,266 | $3,166 | -41% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
54 | $79,688 | $14,766 | +30% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
54 | $39,212 | $9,645 | about average |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
53 | $32,565 | $5,004 | -7% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
52 | $47,134 | $10,525 | +16% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
50 | $15,799 | $4,700 | -42% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
45 | $238,011 | $49,612 | +34% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
44 | $11,840 | $1,433 | +5% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
43 | $29,074 | $7,125 | about average |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
42 | $32,251 | $7,577 | about average |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
42 | $17,012 | $2,581 | -4% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
41 | $103,286 | $28,761 | -17% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
40 | $49,049 | $11,107 | about average |
|
Chest Pain
MS-DRG 313 · Inpatient stay |
40 | $36,323 | $6,381 | +8% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
40 | $72,689 | $9,775 | +7% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
39 | $76,347 | $19,464 | -8% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
38 | $73,084 | $9,692 | +42% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
36 | $42,699 | $8,697 | +3% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
35 | $37,672 | $9,764 | -10% |
|
Sepsis
MS-DRG 870 · Inpatient stay |
35 | $328,331 | $62,483 | +22% |
|
Level 3 Extraocular, Repair, and Plastic Eye Procedures
APC 5503 · Hospital outpatient visit |
35 | $12,326 | $2,122 | -15% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
34 | $56,372 | $13,604 | +6% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
33 | $40,136 | $8,170 | +22% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
32 | $32,390 | $7,478 | about average |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
31 | $113,538 | $17,680 | +12% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
31 | $114,514 | $21,517 | -14% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
29 | $32,977 | $6,566 | +8% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
28 | $76,769 | $12,187 | +62% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
28 | $18,787 | $3,401 | -17% |
|
Fainting
MS-DRG 312 · Inpatient stay |
26 | $41,775 | $7,932 | +14% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
26 | $86,504 | $16,356 | +52% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major
MS-DRG 287 · Inpatient stay |
25 | $72,051 | $9,901 | +32% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
25 | $15,591 | $1,455 | +82% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
24 | $76,058 | $18,045 | about average |
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay |
24 | $146,890 | $27,638 | +29% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
24 | $68,263 | $19,246 | -20% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
24 | $18,951 | $3,593 | -8% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
23 | $278,054 | $28,568 | +87% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
21 | $43,534 | $9,001 | -4% |
|
Transient Ischemia without Thrombolytic
MS-DRG 069 · Inpatient stay |
20 | $38,099 | $7,049 | -8% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
20 | $32,151 | $7,808 | +5% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
20 | $65,458 | $11,915 | +35% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
19 | $80,629 | $15,882 | +13% |
|
Level 6 Urology and Related Services
APC 5376 · Hospital outpatient visit |
19 | $30,789 | $8,011 | -31% |
|
Level 3 ENT Procedures
APC 5163 · Hospital outpatient visit |
19 | $10,143 | $1,327 | +59% |
|
Irregular Heartbeat (uncomplicated)
MS-DRG 310 · Inpatient stay |
18 | $28,239 | $6,224 | +12% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
17 | $31,196 | $6,905 | about average |
|
Coronary Bypass without Cardiac Catheterization without Major Complications
MS-DRG 236 · Inpatient stay |
16 | $147,297 | $39,473 | -20% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
16 | $167,420 | $25,830 | +17% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
16 | $32,383 | $8,045 | -13% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
15 | $46,547 | $8,441 | +6% |
|
Hip or Thigh Bone Surgery (severe)
MS-DRG 480 · Inpatient stay |
15 | $117,901 | $25,957 | about average |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
15 | $36,437 | $8,472 | +5% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
15 | $36,496 | $9,467 | -3% |
|
COPD (with complications)
MS-DRG 191 · Inpatient stay |
15 | $30,517 | $7,487 | -8% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
15 | $24,599 | $3,278 | +3% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
15 | $46,849 | $9,344 | -22% |
|
Level 4 Pacemaker and Similar Procedures
APC 5224 · Hospital outpatient visit |
15 | $118,112 | $16,590 | +24% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
14 | $98,420 | $19,310 | +12% |
|
Disorders of the Biliary Tract with Major Complications
MS-DRG 444 · Inpatient stay |
14 | $70,425 | $16,271 | about average |
|
Hypertension without Major Complications
MS-DRG 305 · Inpatient stay |
13 | $34,916 | $7,160 | +4% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
13 | $31,678 | $5,923 | -20% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
11 | $83,634 | $17,372 | +4% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
11 | $70,344 | $12,376 | +29% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
11 | $47,097 | $8,717 | +27% |
|
Coronary Bypass with Cardiac Catheterization or Open Ablation with Major Complications
MS-DRG 233 · Inpatient stay |
11 | $344,523 | $130,469 | +12% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
11 | $123,470 | $46,013 | -35% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
11 | $106,703 | $18,607 | +36% |
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay |
11 | $37,685 | $8,251 | about average |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
11 | $48,664 | $16,722 | -14% |
|
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major
MS-DRG 981 · Inpatient stay |
11 | $155,850 | $43,576 | -15% |
|
Laparoscopic Cholecystectomy without C.d.e. with Complications
MS-DRG 418 · Inpatient stay |
11 | $67,977 | $16,687 | -18% |
|
Cirrhosis and Alcoholic Hepatitis with Major Complications
MS-DRG 432 · Inpatient stay |
11 | $62,912 | $18,665 | -21% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
11 | $29,650 | $4,992 | -18% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
11 | $33,917 | $7,716 | -10% |
These figures are averages across this hospital's Medicare patients in the most recent federal data year. They are not a quote and not your bill. For your own case, ask the hospital for a written good-faith estimate and check its published machine-readable price file.