Ephraim Mcdowell Regional Medical Center
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER in Danville, KY charges 3.7x the Medicare reimbursement rate across 36 analyzed procedures at this nonprofit-private facility.
Danville, KY 40422 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Pricing grade
C
Average
Avg markup vs Medicare
3.72x
Charge / Medicare rate
Max markup
6.83x
Worst procedure
Procedures analyzed
36
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $74,021 | $37,011 | — | 6.8x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $184,594 | $92,297 | — | 5.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $23,518 | $11,759 | — | 5.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $27,078 | $13,539 | — | 4.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $24,909 | $12,455 | — | 4.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $40,013 | $20,007 | — | 4.4x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $24,716 | $12,358 | — | 4.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $17,323 | $8,661 | — | 4.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $31,321 | $15,660 | — | 4.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $16,588 | $8,294 | — | 4.2x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $29,859 | $14,929 | — | 4.1x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $47,099 | $23,549 | — | 3.9x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $37,605 | $18,803 | — | 3.8x |
| CELLULITIS WITHOUT MCC | 603 | $16,195 | $8,098 | — | 3.8x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $44,088 | $22,044 | — | 3.7x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $50,077 | $25,039 | — | 3.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $24,260 | $12,130 | — | 3.6x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $38,568 | $19,284 | — | 3.6x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $18,400 | $9,200 | — | 3.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $16,128 | $8,064 | — | 3.4x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $24,776 | $12,388 | — | 3.4x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $33,593 | $16,796 | — | 3.4x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $13,056 | $6,528 | — | 3.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $34,067 | $17,033 | — | 3.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $36,378 | $18,189 | — | 3.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $19,446 | $9,723 | — | 3.2x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | 417 | $43,744 | $21,872 | — | 3.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $27,225 | $13,612 | — | 3.1x |
| RENAL FAILURE WITH CC | 683 | $14,469 | $7,235 | — | 3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $21,141 | $10,571 | — | 3x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $84,102 | $42,051 | — | 2.9x |
| RENAL FAILURE WITH MCC | 682 | $24,039 | $12,020 | — | 2.8x |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $28,535 | $14,267 | — | 2.8x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $24,868 | $12,434 | — | 2.7x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $65,584 | $32,792 | — | 2.6x |
| PSYCHOSES | 885 | $17,678 | $8,839 | — | 2.3x |
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use