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.
Get Pikeville Medical Center's new prices when CMS posts them
Subscribe for HospitalCostData updates by email. No spam, unsubscribe anytime.
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.