Kentucky / Ephraim Mcdowell Regional Medical Center
CMS certification 180048 · Danville, KY · 2 entries in CMS's price-transparency list
Ephraim Mcdowell Regional Medical Center: charges and Medicare payments
Ephraim Mcdowell Regional Medical Center reported 867 Medicare inpatient stays across 30 DRGs in 2024. Across them it charged 2.97 times what it was paid — among the lower ratios in Kentucky, number 40 of 51 hospitals with at least 100 stays (state median 4.06×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 131 stays at an average charge of $34,157, 62% below the national average. It also billed 1,968 outpatient services, charging 5.34 times what Medicare paid.
- 1Medicare inpatient stays 867
- 2Charge ÷ paid, inpatient 2.97×
- 3Rank in KY (highest ratio = 1) 40 of 51
- 4CMS price-transparency actions 2
Inpatient stays
For the 30 DRGs that can be compared with the national average, Ephraim Mcdowell Regional Medical Center charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 131 | $34,157 | -62% | $12,990 |
| 291 Heart Failure and Shock with MCC | 97 | $28,133 | -50% | $8,667 |
| 193 Simple Pneumonia and Pleurisy with MCC | 78 | $30,644 | -49% | $8,921 |
| 177 Respiratory Infections and Inflammations with MCC | 53 | $34,131 | -52% | $10,773 |
| 189 Pulmonary Edema and Respiratory Failure | 43 | $30,997 | -46% | $8,605 |
| 689 Kidney and Urinary Tract Infections with MCC | 33 | $21,119 | -59% | $8,043 |
| 481 Hip and Femur Procedures except Major Joint with CC | 29 | $49,154 | -51% | $13,923 |
| 378 Gastrointestinal Hemorrhage with CC | 28 | $19,580 | -60% | $6,995 |
| 683 Renal Failure with CC | 28 | $18,412 | -55% | $6,382 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 27 | $72,010 | -69% | $32,257 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 22 | $13,623 | -62% | $5,302 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 21 | $20,735 | -66% | $8,847 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 20 | $28,431 | -61% | $11,074 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 19 | $46,432 | -66% | $17,927 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 19 | $48,569 | -53% | $14,314 |
| 690 Kidney and Urinary Tract Infections without MCC | 19 | $17,361 | -54% | $5,751 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 17 | $24,640 | -56% | $6,758 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 17 | $75,176 | -34% | $12,363 |
| 194 Simple Pneumonia and Pleurisy with CC | 16 | $19,200 | -50% | $5,865 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 16 | $20,693 | -63% | $8,636 |
| 682 Renal Failure with MCC | 16 | $23,496 | -64% | $10,311 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 15 | $38,294 | -41% | $9,100 |
| 885 Psychoses | 15 | $23,570 | -46% | $9,858 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 14 | $27,611 | -45% | $8,125 |
| 329 Major Small and Large Bowel Procedures with MCC | 13 | $78,522 | -63% | $28,467 |
| 330 Major Small and Large Bowel Procedures with CC | 13 | $40,740 | -66% | $15,562 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 13 | $21,627 | -56% | $7,402 |
| 389 Gastrointestinal Obstruction with CC | 12 | $16,353 | -58% | $5,654 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $14,449 | -61% | $5,514 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 11 | $47,773 | -57% | $15,661 |
Outpatient services
Against the Kentucky average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Ephraim Mcdowell Regional Medical Center charged $34,157 on average, 46% less than the Kentucky average of $63,454, and was paid $12,990 against a state average of $14,765. For Heart Failure and Shock with MCC (DRG 291), Ephraim Mcdowell Regional Medical Center charged $28,133 on average, 31% less than the Kentucky average of $40,730, and was paid $8,667 against a state average of $9,552. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Ephraim Mcdowell Regional Medical Center charged $30,644 on average, 30% less than the Kentucky average of $43,745, and was paid $8,921 against a state average of $9,962. For Respiratory Infections and Inflammations with MCC (DRG 177), Ephraim Mcdowell Regional Medical Center charged $34,131 on average, 36% less than the Kentucky average of $53,742, and was paid $10,773 against a state average of $12,118. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $10,929 was 2% below the state average of $11,097. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $978 was 69% below the state average of $3,127. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $13,169 was 35% below the state average of $20,333. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $47,367 was 46% below the state average of $87,601.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Ephraim Mcdowell Regional Medical Center in Danville, KY, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-09-04 (CMS case 2487)
- Closure Notice — 2024-12-09 (CMS case 2487)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.