Kentucky / T J Samson Community Hospital

CMS certification 180017 · Glasgow, KY · 1 entry in CMS's price-transparency list

T J Samson Community Hospital: charges and Medicare payments

T J Samson Community Hospital reported 814 Medicare inpatient stays across 29 DRGs in 2024. Across them it charged 2.29 times what it was paid — among the lower ratios in Kentucky, number 49 of 51 hospitals with at least 100 stays (state median 4.06×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 122 stays at an average charge of $21,213, 62% below the national average. It also billed 1,324 outpatient services, charging 4.83 times what Medicare paid.

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  1. 1Medicare inpatient stays 814
  2. 2Charge ÷ paid, inpatient 2.29×
  3. 3Rank in KY (highest ratio = 1) 49 of 51
  4. 4CMS price-transparency actions 1
DRG 291$21,213DRG 871$31,387DRG 193$20,775DRG 280$22,161DRG 177$25,510DRG 190$23,349DRG 189$21,932DRG 522$44,495DRG 378$25,257DRG 689$21,013
Average charge per stay at T J Samson Community Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 29 DRGs that can be compared with the national average, T J Samson Community Hospital charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
291 Heart Failure and Shock with MCC122$21,213-62%$9,705
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC95$31,387-65%$15,056
193 Simple Pneumonia and Pleurisy with MCC77$20,775-65%$10,002
280 Acute Myocardial Infarction, Discharged Alive with MCC48$22,161-71%$11,465
177 Respiratory Infections and Inflammations with MCC45$25,510-64%$12,189
190 Chronic Obstructive Pulmonary Disease with MCC29$23,349-54%$8,475
189 Pulmonary Edema and Respiratory Failure27$21,932-62%$9,282
522 Hip Replacement with Principal Diagnosis of Hip Fracture...26$44,495-57%$17,004
378 Gastrointestinal Hemorrhage with CC24$25,257-48%$7,535
689 Kidney and Urinary Tract Infections with MCC23$21,013-59%$8,908
690 Kidney and Urinary Tract Infections without MCC23$17,157-55%$6,241
322 Percutaneous Cardiovascular Procedures with Intraluminal...20$45,998-60%$13,558
683 Renal Failure with CC19$17,951-56%$7,063
481 Hip and Femur Procedures except Major Joint with CC18$39,133-61%$16,598
682 Renal Failure with MCC18$28,180-57%$11,447
308 Cardiac Arrhythmia and Conduction Disorders with MCC17$18,860-67%$9,230
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...17$12,893-65%$6,044
812 Red Blood Cell Disorders without MCC17$20,301-54%$6,917
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...16$21,345-62%$8,128
309 Cardiac Arrhythmia and Conduction Disorders with CC16$11,447-68%$6,053
287 Circulatory Disorders except AMI, with Cardiac...15$20,253-68%$8,137
603 Cellulitis without MCC15$11,714-69%$6,803
281 Acute Myocardial Infarction, Discharged Alive with CC14$18,231-64%$6,975
282 Acute Myocardial Infarction, Discharged Alive without CC/MCC14$13,691-68%$5,583
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...13$27,591-54%$10,097
480 Hip and Femur Procedures except Major Joint with MCC12$43,700-69%$21,764
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC12$16,746-66%$7,809
208 Respiratory System Diagnosis with Ventilator Support <=96...11$51,800-62%$21,335
286 Circulatory Disorders except AMI, with Cardiac...11$27,128-76%$15,804

Outpatient services

Against the Kentucky average

For Heart Failure and Shock with MCC (DRG 291), T J Samson Community Hospital charged $21,213 on average, 48% less than the Kentucky average of $40,730, and was paid $9,705 against a state average of $9,552. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), T J Samson Community Hospital charged $31,387 on average, 51% less than the Kentucky average of $63,454, and was paid $15,056 against a state average of $14,765. For Simple Pneumonia and Pleurisy with MCC (DRG 193), T J Samson Community Hospital charged $20,775 on average, 53% less than the Kentucky average of $43,745, and was paid $10,002 against a state average of $9,962. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), T J Samson Community Hospital charged $22,161 on average, 59% less than the Kentucky average of $54,103, and was paid $11,465 against a state average of $11,783. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $9,982 was 51% below the state average of $20,333. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $2,793 was 11% below the state average of $3,127. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $6,861 was 43% below the state average of $11,961. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $8,583 was 71% below the state average of $29,393.

Price-transparency record

CMS's enforcement list records these actions for a hospital named T J Samson Community Hospital in Glasgow, KY, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

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.