Pikeville Medical Center
911 BYPASS ROAD, Pikeville, KY 41501
Pikeville Medical Center in Pikeville, KY has an average Medicare payment of $12,345 and a Value Score of D (44/100). Compare prices for 15 procedures. Based on CMS inpatient data.
About Pikeville Medical Center
Pikeville Medical Center holds a CMS 1-star quality rating — the lowest tier of the federal Hospital Compare program. The rating reflects measurable underperformance on the composite of mortality, safety, and patient-experience measures. Outcome measures lean negative: more measures rate worse than the federal benchmark than better. The composite outcome score is 20/100.
Cost-wise, Pikeville Medical Center is mid-pack: $12,345 average payment across documented procedures, close to the median for U.S. acute-care facilities. Combined cost-and-quality value comes to 44/100 — a middling result, reflecting either average quality at average cost or trade-offs in one direction.
Ownership is non-profit, the dominant pattern in U.S. acute care. Non-profit hospitals generally reinvest operating margins rather than distribute them; the federal CMS measure set treats them identically to other ownership categories for reporting purposes. 15 distinct procedures are documented in CMS payment files for Pikeville Medical Center. Top examples: Esophagitis, Gastroenteritis with MCC, Syncope and Collapse, Heart Failure and Shock with MCC. Emergency services are available, which is the norm for acute-care hospitals and a meaningful factor for any patient choosing a facility for unplanned care.
Source: CMS Provider Data Catalog — Hospital Compare quality measures, CMS Inpatient Payment data files.
Procedure Prices
| Procedure (DRG) | Total Payment |
|---|---|
Esophagitis, Gastroenteritis with MCC DRG 392 · Digestive | $10,414 |
Syncope and Collapse DRG 312 · Neurological | $7,564 |
Heart Failure and Shock with MCC DRG 291 · Cardiac | $15,343 |
Nutritional and Misc Metabolic Disorders with MCC DRG 641 · Metabolic | $9,261 |
Transient Ischemia DRG 069 · Neurological | $7,054 |
Signs and Symptoms without MCC DRG 948 · Other | $7,813 |
Hip and Femur Procedures Except Major Joint with MCC DRG 480 · Orthopedic | $18,183 |
Septicemia or Severe Sepsis without Ventilator DRG 871 · Infectious | $18,722 |
Percutaneous Cardiovascular Procedure with Drug-Eluting Stent DRG 247 · Cardiac | $14,599 |
Simple Pneumonia and Pleurisy with CC DRG 194 · Respiratory | $11,240 |
Cardiac Arrhythmia and Conduction Disorders with MCC DRG 308 · Cardiac | $9,793 |
GI Hemorrhage with MCC DRG 378 · Digestive | $16,386 |
Cervical Spinal Fusion without CC/MCC DRG 473 · Orthopedic | $13,760 |
Intracranial Hemorrhage or Cerebral Infarction with MCC DRG 065 · Neurological | $17,162 |
Heart Failure and Shock with CC DRG 292 · Cardiac | $7,881 |
Pricing data from CMS Hospital Price Transparency. Quality ratings from CMS Hospital Compare.
How Pikeville Medical Center Compares
Pikeville Medical Center has an average Medicare payment of $12,345, 10% below the Kentucky state average of $13,644. That is 22% lower than the national hospital average of $15,878. Most of its procedures fall under Cardiac, where the typical payment is $14,557 (15% below this hospital's average). Its Value Score of D (44/100) reflects a blend of price percentile, CMS quality rating, and patient outcome measures.
Pikeville Medical Center Cost & Quality FAQ
Pikeville Medical Center has an average payment of $12,345 across 15 priced procedures. Costs vary significantly by procedure, compare individual prices in the procedure table above.
Pikeville Medical Center has a CMS star rating of 1 out of 5. Quality measures include mortality rates, safety incidents, and readmission rates from Medicare data.
Pikeville Medical Center has a Value Score of D (44/100). This score combines cost efficiency, quality ratings, and patient outcomes to help compare hospitals. Voluntary non-profit - Private facilities like this one are acute care hospitals.
Yes, Pikeville Medical Center offers emergency services. The hospital is located at 911 BYPASS ROAD, Pikeville, KY 41501. Phone: (606) 437-3500.
Explore Hospital Cost Data
Hospital payment data reflects Medicare inpatient claims. Value Scores combine cost efficiency, CMS star ratings, and patient outcome measures. Actual out-of-pocket costs may vary based on insurance and individual circumstances.