Kentucky / Meadowview Regional Medical Center
CMS certification 180019 · Maysville, KY · 2 entries in CMS's price-transparency list
Meadowview Regional Medical Center: charges and Medicare payments
Meadowview Regional Medical Center reported 200 Medicare inpatient stays across 9 DRGs in 2024. Across them it charged 4.72 times what it was paid — mid-range in Kentucky, number 20 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: 66 stays at an average charge of $53,198, 41% below the national average. It also billed 592 outpatient services, charging 13.52 times what Medicare paid.
- 1Medicare inpatient stays 200
- 2Charge ÷ paid, inpatient 4.72×
- 3Rank in KY (highest ratio = 1) 20 of 51
- 4CMS price-transparency actions 2
Inpatient stays
For the 9 DRGs that can be compared with the national average, Meadowview Regional Medical Center charged more than the national average in 3 (33%). 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 | 66 | $53,198 | -41% | $14,849 |
| 291 Heart Failure and Shock with MCC | 23 | $51,449 | -9% | $9,829 |
| 193 Simple Pneumonia and Pleurisy with MCC | 20 | $42,533 | -29% | $9,794 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 19 | $43,051 | -12% | $7,832 |
| 690 Kidney and Urinary Tract Infections without MCC | 17 | $30,903 | -18% | $6,149 |
| 177 Respiratory Infections and Inflammations with MCC | 16 | $38,584 | -45% | $12,493 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 14 | $54,533 | +8% | $8,346 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 13 | $70,855 | +11% | $7,750 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 12 | $116,189 | +25% | $14,082 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Endovascular Procedures | 174 | $47,575 | $2,897 |
| Level 1 Intraocular Procedures | 164 | $12,377 | $2,084 |
| Comprehensive Observation Services | 81 | $21,792 | $2,459 |
| Level 3 Endovascular Procedures | 44 | $121,264 | $9,877 |
| Level 5 Musculoskeletal Procedures | 20 | $107,030 | $11,810 |
| Level 1 Laparoscopy and Related Services | 17 | $55,515 | $5,184 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 14 | $10,800 | $1,457 |
| Level 3 Musculoskeletal Procedures | 14 | $24,334 | $2,908 |
| Level 2 Vascular Procedures | 14 | $20,891 | $1,439 |
| Level 3 Vascular Procedures | 14 | $22,138 | $2,864 |
| Level 2 Upper GI Procedures | 14 | $12,175 | $1,710 |
| Level 4 Endovascular Procedures | 11 | $164,157 | $15,724 |
| Level 3 Pacemaker and Similar Procedures | 11 | $50,406 | $9,588 |
Against the Kentucky average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Meadowview Regional Medical Center charged $53,198 on average, 16% less than the Kentucky average of $63,454, and was paid $14,849 against a state average of $14,765. For Heart Failure and Shock with MCC (DRG 291), Meadowview Regional Medical Center charged $51,449 on average, 26% more than the Kentucky average of $40,730, and was paid $9,829 against a state average of $9,552. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Meadowview Regional Medical Center charged $42,533 on average, 3% less than the Kentucky average of $43,745, and was paid $9,794 against a state average of $9,962. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Meadowview Regional Medical Center charged $43,051 on average, 21% more than the Kentucky average of $35,524, and was paid $7,832 against a state average of $7,958. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $47,575 was 62% above the state average of $29,393. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $12,377 was 12% above the state average of $11,097. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $21,792 was 7% above the state average of $20,333. For Level 3 Endovascular Procedures (outpatient APC 5193), its average charge of $121,264 was 39% above the state average of $87,042.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Meadowview Regional Medical Center in Maysville, KY, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-10 (CMS case 3748)
- Met Requirements — 2025-06-18 (CMS case 5242)
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.