Kentucky / King's Daughters' Medical Center

CMS certification 180009 · Ashland, KY · 4 entries in CMS's price-transparency list

King's Daughters' Medical Center: charges and Medicare payments

King's Daughters' Medical Center reported 3,367 Medicare inpatient stays across 90 DRGs in 2024. Across them it charged 3.89 times what it was paid — mid-range in Kentucky, number 30 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: 335 stays at an average charge of $52,214, 42% below the national average. It also billed 4,298 outpatient services, charging 7.04 times what Medicare paid.

1Medicare inpatient stays 3,367
2Charge ÷ paid, inpatient 3.89×
3Rank in KY (highest ratio = 1) 30 of 51
4CMS price-transparency actions 4

Average charge per stay at King's Daughters' Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 90 DRGs that can be compared with the national average, King's Daughters' 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	335	$52,214	-42%	$13,176
291 Heart Failure and Shock with MCC	214	$35,220	-38%	$8,527
193 Simple Pneumonia and Pleurisy with MCC	137	$37,446	-37%	$8,956
280 Acute Myocardial Infarction, Discharged Alive with MCC	129	$40,289	-47%	$10,815
885 Psychoses	113	$13,568	-69%	$9,292
189 Pulmonary Edema and Respiratory Failure	98	$31,557	-45%	$8,462
177 Respiratory Infections and Inflammations with MCC	95	$44,498	-37%	$10,713
689 Kidney and Urinary Tract Infections with MCC	87	$31,231	-39%	$7,436
682 Renal Failure with MCC	82	$39,780	-40%	$10,102
683 Renal Failure with CC	81	$22,451	-45%	$6,251
274 Percutaneous and Other Intracardiac Procedures without MCC	80	$58,162	-63%	$22,541
853 Infectious and Parasitic Diseases with O.R. Procedures with...	70	$103,793	-55%	$29,420
377 Gastrointestinal Hemorrhage with MCC	56	$55,008	-36%	$12,287
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	55	$24,243	-51%	$6,975
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	51	$36,531	-39%	$9,151
322 Percutaneous Cardiovascular Procedures with Intraluminal...	50	$72,130	-37%	$12,730
698 Other Kidney and Urinary Tract Diagnoses with MCC	49	$36,763	-50%	$11,000
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	48	$31,678	-43%	$6,877
378 Gastrointestinal Hemorrhage with CC	48	$38,160	-21%	$6,512
321 Percutaneous Cardiovascular Procedures with Intraluminal...	47	$102,483	-37%	$20,340
190 Chronic Obstructive Pulmonary Disease with MCC	44	$28,897	-43%	$7,683
309 Cardiac Arrhythmia and Conduction Disorders with CC	43	$19,323	-46%	$5,171
312 Syncope and Collapse	41	$27,739	-39%	$6,516
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	41	$19,378	-48%	$5,708
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	39	$48,486	-51%	$13,375
314 Other Circulatory System Diagnoses with MCC	39	$56,112	-41%	$15,532
308 Cardiac Arrhythmia and Conduction Disorders with MCC	37	$28,614	-49%	$8,393
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	36	$28,458	-29%	$5,449
191 Chronic Obstructive Pulmonary Disease with CC	35	$33,064	-17%	$5,887
690 Kidney and Urinary Tract Infections without MCC	34	$22,400	-41%	$5,673
281 Acute Myocardial Infarction, Discharged Alive with CC	33	$26,426	-48%	$6,563
194 Simple Pneumonia and Pleurisy with CC	32	$25,975	-32%	$5,975
286 Circulatory Disorders except AMI, with Cardiac...	32	$54,336	-52%	$14,488
069 Transient Ischemia without Thrombolytic	31	$33,730	-33%	$5,692
287 Circulatory Disorders except AMI, with Cardiac...	30	$33,898	-47%	$8,141
432 Cirrhosis and Alcoholic Hepatitis with MCC	26	$43,918	-54%	$13,623
603 Cellulitis without MCC	26	$19,686	-47%	$5,904
617 Amputation of Lower Limb for Endocrine, Nutritional and...	26	$45,045	-48%	$12,879
234 Coronary Bypass with Cardiac Catheterization or Open...	25	$153,505	-43%	$42,197
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	24	$48,815	-20%	$9,662
394 Other Digestive System Diagnoses with CC	24	$36,562	-22%	$6,757
208 Respiratory System Diagnosis with Ventilator Support <=96...	23	$86,409	-36%	$17,934
638 Diabetes with CC	23	$23,067	-45%	$6,276
813 Coagulation Disorders	23	$40,373	-50%	$10,483
202 Bronchitis and Asthma with CC/MCC	22	$27,615	-40%	$6,859
266 Endovascular Cardiac Valve Replacement and Supplement...	22	$118,389	-58%	$42,142
637 Diabetes with MCC	22	$31,264	-53%	$9,798
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	21	$45,763	-30%	$9,826
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	19	$20,651	-28%	$3,929
330 Major Small and Large Bowel Procedures with CC	19	$59,704	-50%	$16,788
481 Hip and Femur Procedures except Major Joint with CC	19	$61,482	-39%	$13,673
270 Other Major Cardiovascular Procedures with MCC	18	$137,983	-47%	$36,339
854 Infectious and Parasitic Diseases with O.R. Procedures with...	18	$58,375	-41%	$12,883
602 Cellulitis with MCC	17	$28,587	-52%	$10,239
870 Septicemia or Severe Sepsis with MV >96 Hours	17	$140,527	-57%	$41,528
066 Intracranial Hemorrhage or Cerebral Infarction without...	16	$28,244	-33%	$4,839
178 Respiratory Infections and Inflammations with CC	16	$26,252	-42%	$6,492
242 Permanent Cardiac Pacemaker Implant with MCC	16	$107,033	-33%	$25,359
253 Other Vascular Procedures with CC	16	$82,635	-37%	$17,946
389 Gastrointestinal Obstruction with CC	16	$24,372	-37%	$6,101

Showing the 60 most frequent of 90 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	845	$17,428	$2,304
Level 2 Urology and Related Services	432	$2,769	$575
Level 3 Urology and Related Services	355	$10,466	$1,725
Level 1 Endovascular Procedures	271	$14,481	$2,729
Level 2 Excision/ Biopsy/ Incision and Drainage	269	$11,349	$1,369
Level 2 Upper GI Procedures	204	$10,838	$1,586
Level 3 Vascular Procedures	198	$16,356	$2,704
Level 3 Endovascular Procedures	141	$51,712	$9,311
Level 5 Urology and Related Services	138	$22,911	$4,337
Level 4 Urology and Related Services	125	$18,955	$2,840
Level 1 Laparoscopy and Related Services	113	$26,517	$4,812
Level 1 Nerve Procedures	96	$11,861	$1,619
Level 5 Musculoskeletal Procedures	88	$51,011	$10,872
Level 3 Excision/ Biopsy/ Incision and Drainage	82	$22,156	$2,364
Level 2 Endovascular Procedures	75	$21,827	$4,869
Level 4 Musculoskeletal Procedures	64	$33,171	$5,877
Level 2 Intraocular Procedures	61	$16,671	$3,270
Level 3 Electrophysiologic Procedures	57	$82,644	$19,071
Level 3 Lower GI Procedures	49	$17,036	$2,311
Level 3 Pacemaker and Similar Procedures	48	$42,131	$8,936
Level 4 Airway Endoscopy	47	$26,569	$3,190
Level 1 Breast/Lymphatic Surgery and Related Procedures	39	$16,824	$3,247
Level 2 Musculoskeletal Procedures	37	$10,152	$1,317
Level 2 Vascular Procedures	37	$7,373	$1,335
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	37	$24,048	$2,947

Against the Kentucky average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), King's Daughters' Medical Center charged $52,214 on average, 18% less than the Kentucky average of $63,454, and was paid $13,176 against a state average of $14,765. For Heart Failure and Shock with MCC (DRG 291), King's Daughters' Medical Center charged $35,220 on average, 14% less than the Kentucky average of $40,730, and was paid $8,527 against a state average of $9,552. For Simple Pneumonia and Pleurisy with MCC (DRG 193), King's Daughters' Medical Center charged $37,446 on average, 14% less than the Kentucky average of $43,745, and was paid $8,956 against a state average of $9,962. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), King's Daughters' Medical Center charged $40,289 on average, 26% less than the Kentucky average of $54,103, and was paid $10,815 against a state average of $11,783. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,428 was 14% below the state average of $20,333. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $2,769 was 11% below the state average of $3,127. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $10,466 was 18% below the state average of $12,733. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $14,481 was 51% below the state average of $29,393.

Price-transparency record

CMS's enforcement list records these actions for a hospital named King's Daughters' Medical Center in Ashland, KY, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

Warning Notice — 2024-03-14 (CMS case 1609)
Closure Notice — 2024-04-29 (CMS case 1609)
Warning Notice — 2025-09-16 (CMS case 6601)
Closure Notice — 2025-09-30 (CMS case 6601)

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.